Just joing....with lots & lots of ???'s

folione

New member
Creon - it can take a bit of time to get dosage matched to food and body chemistry, but if your baby is gaining weight and not constantly wallowing in poo you probably don't need to be overly fretful about being patient.

Zantac/prevacid - affect stomach pH, which in turn affects the activity of the enzymes being taken. A blocked pancrease means enzymes and also bicarbonate are being blocked so the stomach pH can be off kilter. My son took zantac mostly because he had horrible reflux (could not lay down or his milk/food just ran out); now he takes prevacid. His enzymes definitely work better with than without the prevacid.

Synagis - our son's CF doctor was quite insistent that we should get the synagis for as many years as insurance would pay it; she had to write a letter for the pediatrician to get it approved because it's several thousand for the round of shots. Just reading the posters for RSV in the ped's office makes me baffled that there's be a CF doctor not in favor of it for a CF baby. You should probably push back on that one. Maybe the CFF.org website has something about it to bolster your argument.

Applesauce - we've always avoided any food battles because we don't want to make it a battle ground given how important it is for good calorie intake w/CF (notice I did not say good "nutrition" - chicken nuggets and hamburgers are his current favorite foods). My son actually liked the taste of all the wierd and foul-smelling stuff we gave him - but whenever he got bored and stopped wanting something we just looked for something else. Instead of applesauce, you can use ice cream, other baby fruits, baby yogurt, nothing, softcooked eggs - all of which my boy has liked at one time or another. Don't sweat that it's not compatible with the enzymes according to the Dr - just don't leave the enzymes soaking in the stuff; mix it up just before you shovel it in. good luck
 

DEES4

New member
Laura,
Hi Again! We live in Alabama so we are not too far from you guys. Anyway my son was started on the Albuterol as soon as he was diagnosed (at two weeks). He was not presenting any lung issues it was just for preventative measures. I am sure if you asked though you would get very different opinions on that subject.

The prevacid or zantac is for reducing acid and controlling reflux. They say it also helps the enzymes work better. My son has been on prevacid before but he is currently not on any acid reducing meds. He used to have reflux pretty bad but he has now outgrown it.

My son also got the RSV vaccine his first year. His cf doctor recommended it. We had a home health nurse come out and give it to him at our house so we would not have to go to the germy doctors office for it. I don't understand why your sons doctors would not recommend the RSV shot....have they given you any reasons?

Carrie
 

DEES4

New member
Laura,
Hi Again! We live in Alabama so we are not too far from you guys. Anyway my son was started on the Albuterol as soon as he was diagnosed (at two weeks). He was not presenting any lung issues it was just for preventative measures. I am sure if you asked though you would get very different opinions on that subject.

The prevacid or zantac is for reducing acid and controlling reflux. They say it also helps the enzymes work better. My son has been on prevacid before but he is currently not on any acid reducing meds. He used to have reflux pretty bad but he has now outgrown it.

My son also got the RSV vaccine his first year. His cf doctor recommended it. We had a home health nurse come out and give it to him at our house so we would not have to go to the germy doctors office for it. I don't understand why your sons doctors would not recommend the RSV shot....have they given you any reasons?

Carrie
 

DEES4

New member
Laura,
Hi Again! We live in Alabama so we are not too far from you guys. Anyway my son was started on the Albuterol as soon as he was diagnosed (at two weeks). He was not presenting any lung issues it was just for preventative measures. I am sure if you asked though you would get very different opinions on that subject.

The prevacid or zantac is for reducing acid and controlling reflux. They say it also helps the enzymes work better. My son has been on prevacid before but he is currently not on any acid reducing meds. He used to have reflux pretty bad but he has now outgrown it.

My son also got the RSV vaccine his first year. His cf doctor recommended it. We had a home health nurse come out and give it to him at our house so we would not have to go to the germy doctors office for it. I don't understand why your sons doctors would not recommend the RSV shot....have they given you any reasons?

Carrie
 

Ratatosk

Administrator
Staff member
DS hated applesauce. We used (still use sometimes) babyfood bananas or pears.

Our CF doctor in the City stressed doing chest physiotherapy and nebs as a preventative. Locally, the doctors are more reactive and questioned why we were doing it.

DS was a poop machine until we sorta got his enzymes figured out. He started at 1/2 of a pancrease MT4 and think it was 1 1/2 to 2. We gradually increased the amount, which seemed to take care of the pooping 2-3 times DURING diaper changes.

We also set our alarm at 2-3 a.m. and "sleep fed" DS. He just wasn't interested in eating and this way we could sneak in 3-4 more ounces. Also, he HATED pregestimil -- lasted about 3 days on it before we demanded regular formula. Stuff tastes like the way road kill smells and vomit. And because volume wise he wasn't eating much, the dietician gave us a recipe for higher calorie formula. More powder to water ratio.
 

Ratatosk

Administrator
Staff member
DS hated applesauce. We used (still use sometimes) babyfood bananas or pears.

Our CF doctor in the City stressed doing chest physiotherapy and nebs as a preventative. Locally, the doctors are more reactive and questioned why we were doing it.

DS was a poop machine until we sorta got his enzymes figured out. He started at 1/2 of a pancrease MT4 and think it was 1 1/2 to 2. We gradually increased the amount, which seemed to take care of the pooping 2-3 times DURING diaper changes.

We also set our alarm at 2-3 a.m. and "sleep fed" DS. He just wasn't interested in eating and this way we could sneak in 3-4 more ounces. Also, he HATED pregestimil -- lasted about 3 days on it before we demanded regular formula. Stuff tastes like the way road kill smells and vomit. And because volume wise he wasn't eating much, the dietician gave us a recipe for higher calorie formula. More powder to water ratio.
 

Ratatosk

Administrator
Staff member
DS hated applesauce. We used (still use sometimes) babyfood bananas or pears.

Our CF doctor in the City stressed doing chest physiotherapy and nebs as a preventative. Locally, the doctors are more reactive and questioned why we were doing it.

DS was a poop machine until we sorta got his enzymes figured out. He started at 1/2 of a pancrease MT4 and think it was 1 1/2 to 2. We gradually increased the amount, which seemed to take care of the pooping 2-3 times DURING diaper changes.

We also set our alarm at 2-3 a.m. and "sleep fed" DS. He just wasn't interested in eating and this way we could sneak in 3-4 more ounces. Also, he HATED pregestimil -- lasted about 3 days on it before we demanded regular formula. Stuff tastes like the way road kill smells and vomit. And because volume wise he wasn't eating much, the dietician gave us a recipe for higher calorie formula. More powder to water ratio.
 
The ped said he would order it if the CF doctor recommended it, but the CF doctor and his nurse practitioner both told us on our first visit that they don't...the reason they gave is because he is not any more suseptible to it than anyone else ( I guess it is normally given to preemie whose lungs are not yet developed). My argument was that on the slim chance that he did contract RSV it could quite possibly kill him, were as the "anyone elses" would be able to shake it. I've sent off for some additional information and hope to have it to take with us next week to continue to fight for it.
I have also just found out that there are two accredited centers where we live....which gives me some options. We were referred to the one we went to by our pediatrician without any choices. I am going to contact the other center and find out what their treatment philosophy is (including their philosophy on RSV). They are closer to our home and if they seem more agreesive about preventative treatment I'm going to switch now since we're just now getting started.
 
The ped said he would order it if the CF doctor recommended it, but the CF doctor and his nurse practitioner both told us on our first visit that they don't...the reason they gave is because he is not any more suseptible to it than anyone else ( I guess it is normally given to preemie whose lungs are not yet developed). My argument was that on the slim chance that he did contract RSV it could quite possibly kill him, were as the "anyone elses" would be able to shake it. I've sent off for some additional information and hope to have it to take with us next week to continue to fight for it.
I have also just found out that there are two accredited centers where we live....which gives me some options. We were referred to the one we went to by our pediatrician without any choices. I am going to contact the other center and find out what their treatment philosophy is (including their philosophy on RSV). They are closer to our home and if they seem more agreesive about preventative treatment I'm going to switch now since we're just now getting started.
 
The ped said he would order it if the CF doctor recommended it, but the CF doctor and his nurse practitioner both told us on our first visit that they don't...the reason they gave is because he is not any more suseptible to it than anyone else ( I guess it is normally given to preemie whose lungs are not yet developed). My argument was that on the slim chance that he did contract RSV it could quite possibly kill him, were as the "anyone elses" would be able to shake it. I've sent off for some additional information and hope to have it to take with us next week to continue to fight for it.
I have also just found out that there are two accredited centers where we live....which gives me some options. We were referred to the one we went to by our pediatrician without any choices. I am going to contact the other center and find out what their treatment philosophy is (including their philosophy on RSV). They are closer to our home and if they seem more agreesive about preventative treatment I'm going to switch now since we're just now getting started.
 

JazzysMom

New member
If you are going to make a move I would do it early also. You want to develop a relationship with the staff & hopefully they get to know your childs health well. It makes it so much easier. I travel about 150 miles to my clinic & tho its a hassle....I cant change at this point. I dont know if I would want to change which is why I never changed LOL! Good job in doing research!
 

JazzysMom

New member
If you are going to make a move I would do it early also. You want to develop a relationship with the staff & hopefully they get to know your childs health well. It makes it so much easier. I travel about 150 miles to my clinic & tho its a hassle....I cant change at this point. I dont know if I would want to change which is why I never changed LOL! Good job in doing research!
 

JazzysMom

New member
If you are going to make a move I would do it early also. You want to develop a relationship with the staff & hopefully they get to know your childs health well. It makes it so much easier. I travel about 150 miles to my clinic & tho its a hassle....I cant change at this point. I dont know if I would want to change which is why I never changed LOL! Good job in doing research!
 
Great, I'll try bananas and pears!! I wish they would tell you all the options...and hopefully we'll increase Creon soon because the pooping during diaper changes is still happening and it's crazy!


Thanks for the input <img src="i/expressions/face-icon-small-smile.gif" border="0">

Laura, mom to Braydon 6wk (w/CF), Tanner 6yo (not tested yet...UGH!)
 
Great, I'll try bananas and pears!! I wish they would tell you all the options...and hopefully we'll increase Creon soon because the pooping during diaper changes is still happening and it's crazy!


Thanks for the input <img src="i/expressions/face-icon-small-smile.gif" border="0">

Laura, mom to Braydon 6wk (w/CF), Tanner 6yo (not tested yet...UGH!)
 
Great, I'll try bananas and pears!! I wish they would tell you all the options...and hopefully we'll increase Creon soon because the pooping during diaper changes is still happening and it's crazy!


Thanks for the input <img src="i/expressions/face-icon-small-smile.gif" border="0">

Laura, mom to Braydon 6wk (w/CF), Tanner 6yo (not tested yet...UGH!)
 

Ratatosk

Administrator
Staff member
DS's cf doctor stressed getting the Synagis shots, especially since DS would be going to a day care. Locally, we were told it was too expensive and not normally covered by insurance. On various sites, I found info indicating it should be given to CFers, but our insurance denied coverage. Our attorney sent them a letter indicating cost of the shots was much more economical than a possible 2 week hospital stay and lung damage. We were approved that afternoon.
 

Ratatosk

Administrator
Staff member
DS's cf doctor stressed getting the Synagis shots, especially since DS would be going to a day care. Locally, we were told it was too expensive and not normally covered by insurance. On various sites, I found info indicating it should be given to CFers, but our insurance denied coverage. Our attorney sent them a letter indicating cost of the shots was much more economical than a possible 2 week hospital stay and lung damage. We were approved that afternoon.
 

Ratatosk

Administrator
Staff member
DS's cf doctor stressed getting the Synagis shots, especially since DS would be going to a day care. Locally, we were told it was too expensive and not normally covered by insurance. On various sites, I found info indicating it should be given to CFers, but our insurance denied coverage. Our attorney sent them a letter indicating cost of the shots was much more economical than a possible 2 week hospital stay and lung damage. We were approved that afternoon.
 

ktsmom

New member
I'm glad to hear you have another choice for your CF care, in the hopes you find a higher comfort level. We are very happy with ours. We see a pediatric pulmonologist that used to practice with the accredited center in our city. We were referred to him, but he told us on our first visit who our other CF care options in the city were. He calls me himself with all of our daughter's test and culture results. When her first culture came back positive for PA, he left messages at home and work before he finally got me on my cell. We were in his office the next day and got nebs and scripts, etc.

I see levels of care all over the place in what I read on this forum. I have inferred through other posts that our doc is what I would call "aggressive" in his treatment approach. We do not currently see a gastro or any other specialists because our pulmo seems to be able to handle everything, but again he has a background of practicing with a cf center.

As others have said, the prevacid makes a huge difference in our daughter's digestive issues. She is double DF508 as well. I don't know about it 'suddenly' going from okay to bad, as far as symptoms. I thought it would be fairly gradual. Our daughter takes creon, prevacid, and vitamax; zithro 3x week, pulmozyne 1x day, TOBI 2x day 28 on/off, cipro, the Vest 2x day (all prescribed after the PA culture; we are about to come off the cipro), ursodiol (liver function). I realize he didn't prescribe any lung treatments until after the PA culture, but I also think he was trying to bring us along gradually, if that makes any sense. So I don't know what type of preventive measures for lungs he would have had us do without the positive culture.

I don't know why others have had so many more complications than we have had so far; I live everyday assuming it is really just a matter of time. Don't get me wrong, though; I stay positive mostly and enjoy my kids.

Congratulations to you for your super research. You sound like you are really on top of everything and doing a great job managing all of this. Sorry, this was a typical long post by me. Welcome to the site.

Dana
Mom to Katy (3, cf) and Kyra (6, no cf)
 
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