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

<img src="i/expressions/brokenheart.gif" border="0"><img src="i/expressions/face-icon-small-confused.gif" border="0">

Our story so far and then some questions...I was screened for CF carrier at 14 weeks gestation, without my knowledge and was called while I was on vacation at the beach and told that I was indeed a carrier...what?? They then said they'd just have to test my husband to rule out that he was a carrier which they made it seem like would be a one in a million chance (more like 1 in 400 marriages I have recently learned). Well, wouldn't you know we found out a few weeks later that he too was a carrier. We declined genetic counseling, didn't even see the test results and did not opt for amnio to find out in utero if the baby had it. I did do enough research at the time to at least know what the disease was, but the entire rest of my pregnancy put it behind me....with only a 25% chance I just knew we would beat the odds. (Boy was I wrong!) During my last month of pregnancy I did some research on infant screening so that I could be prepared in the hospital to tell them just what I wanted. At 41 weeks I went for my weekly visit to discuss induction and when the doctor checked me my water broke. I also started to hemorrhage and was rushed to the hospital and delivered via emergency C-section (rapid placenta abruption) a beautiful 8 lb baby boy. The next day we discussed the CF screening with the pediatrician and met with a geneticist. They called and were able to get mine and my husband's test results which showed we both carried the Delta F508 mutation and they were going to do a heel prick genetic blood test on our son to look for this particular gene. We were in the hospital for 5 days for my recovery...baby was doing great! The following week at his 1 week ped check he had gained back the 6 oz he lost in the hospital plus 4 oz's and he checked out great! We got "the call" when he was 10 days old....he had inherited the defective F508 gene from us both and he has CF. That, by far, was the worst day of my life!! We have been to the CF clinic once, stool sample positive for fat (which I could have told you from the smell and "oil" in them) and we have since started enzymes (Creon 5, 1/2 capsule). We go back next Thursday for his next "monthly" visit. And that, my friends, is where we stand with this as of now. Did I mention that we tried unsuccessfully for 5 years to have a baby and conceived him through fertility? It was not supposed to go like this!!

Ok...here are some of my questions, I'm sure I'll think of more and will post them as I do, but I mostly want to know about the treatment (well mostly prevention) of this disease. I have been reading posts here and on other sites for the past 4 weeks and it just seems so sporadic. I know everyone presents and progresses differently, but there must be a standard of care that everyone gets. My one saving grace in all of this was that we found out early and could stay a step ahead of it. I've not had a very good experience (in my opinion) with the CF clinic so far. I have a very difficult time communicating with the pediatric director/pulmonoligist for starters and they took 3 weeks to get us the enzymes he needed after the stool test came back that he basically has only 15% pancreatic functionality. I have had to repeatedly call them for test results instead of them calling us. We have started nothing respiratory-wise. It seems from some of the posts that it can go from all clear to very, very bad in an instant, if though I was told at the clinic that nothing would "crop up" on us overnight??

Would you all mind posting, especially those with infants, what treatment and/or preventative actions your docs started them on at diagnosis? What meds and doses? Anything to prevent lung infection? Anything to keep the mucous buildup to a manageable level? Any and all specifics would be greatly appreciated.
I see a lot of people posting that their child has been "sick" and in and out of the hospital...are you talking about with lung or respiratory problems?? I know all the answers are probably not out there, but it just seems that some people have infections early on and some people don't...where do they come from? Are most of you using an accredited CF center or treating with multiple doctors that treat different parts of the disease? I just want to make sure that we are getting the best care possible, of course, and want to know what is ahead of us in this battle. I can't change the diagnosis so I need to know as much as possible about this disease.

Ok, I'll leave it at that for now....If you took the time to read this all the way through with all my rambling I greatly appreciate it <img src="i/expressions/face-icon-small-smile.gif" border="0"> I don't have much to add to the other posts right now, but I continue to research and learn and hope to be able to provide others with support on here in the future.
 
<img src="i/expressions/brokenheart.gif" border="0"><img src="i/expressions/face-icon-small-confused.gif" border="0">

Our story so far and then some questions...I was screened for CF carrier at 14 weeks gestation, without my knowledge and was called while I was on vacation at the beach and told that I was indeed a carrier...what?? They then said they'd just have to test my husband to rule out that he was a carrier which they made it seem like would be a one in a million chance (more like 1 in 400 marriages I have recently learned). Well, wouldn't you know we found out a few weeks later that he too was a carrier. We declined genetic counseling, didn't even see the test results and did not opt for amnio to find out in utero if the baby had it. I did do enough research at the time to at least know what the disease was, but the entire rest of my pregnancy put it behind me....with only a 25% chance I just knew we would beat the odds. (Boy was I wrong!) During my last month of pregnancy I did some research on infant screening so that I could be prepared in the hospital to tell them just what I wanted. At 41 weeks I went for my weekly visit to discuss induction and when the doctor checked me my water broke. I also started to hemorrhage and was rushed to the hospital and delivered via emergency C-section (rapid placenta abruption) a beautiful 8 lb baby boy. The next day we discussed the CF screening with the pediatrician and met with a geneticist. They called and were able to get mine and my husband's test results which showed we both carried the Delta F508 mutation and they were going to do a heel prick genetic blood test on our son to look for this particular gene. We were in the hospital for 5 days for my recovery...baby was doing great! The following week at his 1 week ped check he had gained back the 6 oz he lost in the hospital plus 4 oz's and he checked out great! We got "the call" when he was 10 days old....he had inherited the defective F508 gene from us both and he has CF. That, by far, was the worst day of my life!! We have been to the CF clinic once, stool sample positive for fat (which I could have told you from the smell and "oil" in them) and we have since started enzymes (Creon 5, 1/2 capsule). We go back next Thursday for his next "monthly" visit. And that, my friends, is where we stand with this as of now. Did I mention that we tried unsuccessfully for 5 years to have a baby and conceived him through fertility? It was not supposed to go like this!!

Ok...here are some of my questions, I'm sure I'll think of more and will post them as I do, but I mostly want to know about the treatment (well mostly prevention) of this disease. I have been reading posts here and on other sites for the past 4 weeks and it just seems so sporadic. I know everyone presents and progresses differently, but there must be a standard of care that everyone gets. My one saving grace in all of this was that we found out early and could stay a step ahead of it. I've not had a very good experience (in my opinion) with the CF clinic so far. I have a very difficult time communicating with the pediatric director/pulmonoligist for starters and they took 3 weeks to get us the enzymes he needed after the stool test came back that he basically has only 15% pancreatic functionality. I have had to repeatedly call them for test results instead of them calling us. We have started nothing respiratory-wise. It seems from some of the posts that it can go from all clear to very, very bad in an instant, if though I was told at the clinic that nothing would "crop up" on us overnight??

Would you all mind posting, especially those with infants, what treatment and/or preventative actions your docs started them on at diagnosis? What meds and doses? Anything to prevent lung infection? Anything to keep the mucous buildup to a manageable level? Any and all specifics would be greatly appreciated.
I see a lot of people posting that their child has been "sick" and in and out of the hospital...are you talking about with lung or respiratory problems?? I know all the answers are probably not out there, but it just seems that some people have infections early on and some people don't...where do they come from? Are most of you using an accredited CF center or treating with multiple doctors that treat different parts of the disease? I just want to make sure that we are getting the best care possible, of course, and want to know what is ahead of us in this battle. I can't change the diagnosis so I need to know as much as possible about this disease.

Ok, I'll leave it at that for now....If you took the time to read this all the way through with all my rambling I greatly appreciate it <img src="i/expressions/face-icon-small-smile.gif" border="0"> I don't have much to add to the other posts right now, but I continue to research and learn and hope to be able to provide others with support on here in the future.
 
<img src="i/expressions/brokenheart.gif" border="0"><img src="i/expressions/face-icon-small-confused.gif" border="0">

Our story so far and then some questions...I was screened for CF carrier at 14 weeks gestation, without my knowledge and was called while I was on vacation at the beach and told that I was indeed a carrier...what?? They then said they'd just have to test my husband to rule out that he was a carrier which they made it seem like would be a one in a million chance (more like 1 in 400 marriages I have recently learned). Well, wouldn't you know we found out a few weeks later that he too was a carrier. We declined genetic counseling, didn't even see the test results and did not opt for amnio to find out in utero if the baby had it. I did do enough research at the time to at least know what the disease was, but the entire rest of my pregnancy put it behind me....with only a 25% chance I just knew we would beat the odds. (Boy was I wrong!) During my last month of pregnancy I did some research on infant screening so that I could be prepared in the hospital to tell them just what I wanted. At 41 weeks I went for my weekly visit to discuss induction and when the doctor checked me my water broke. I also started to hemorrhage and was rushed to the hospital and delivered via emergency C-section (rapid placenta abruption) a beautiful 8 lb baby boy. The next day we discussed the CF screening with the pediatrician and met with a geneticist. They called and were able to get mine and my husband's test results which showed we both carried the Delta F508 mutation and they were going to do a heel prick genetic blood test on our son to look for this particular gene. We were in the hospital for 5 days for my recovery...baby was doing great! The following week at his 1 week ped check he had gained back the 6 oz he lost in the hospital plus 4 oz's and he checked out great! We got "the call" when he was 10 days old....he had inherited the defective F508 gene from us both and he has CF. That, by far, was the worst day of my life!! We have been to the CF clinic once, stool sample positive for fat (which I could have told you from the smell and "oil" in them) and we have since started enzymes (Creon 5, 1/2 capsule). We go back next Thursday for his next "monthly" visit. And that, my friends, is where we stand with this as of now. Did I mention that we tried unsuccessfully for 5 years to have a baby and conceived him through fertility? It was not supposed to go like this!!

Ok...here are some of my questions, I'm sure I'll think of more and will post them as I do, but I mostly want to know about the treatment (well mostly prevention) of this disease. I have been reading posts here and on other sites for the past 4 weeks and it just seems so sporadic. I know everyone presents and progresses differently, but there must be a standard of care that everyone gets. My one saving grace in all of this was that we found out early and could stay a step ahead of it. I've not had a very good experience (in my opinion) with the CF clinic so far. I have a very difficult time communicating with the pediatric director/pulmonoligist for starters and they took 3 weeks to get us the enzymes he needed after the stool test came back that he basically has only 15% pancreatic functionality. I have had to repeatedly call them for test results instead of them calling us. We have started nothing respiratory-wise. It seems from some of the posts that it can go from all clear to very, very bad in an instant, if though I was told at the clinic that nothing would "crop up" on us overnight??

Would you all mind posting, especially those with infants, what treatment and/or preventative actions your docs started them on at diagnosis? What meds and doses? Anything to prevent lung infection? Anything to keep the mucous buildup to a manageable level? Any and all specifics would be greatly appreciated.
I see a lot of people posting that their child has been "sick" and in and out of the hospital...are you talking about with lung or respiratory problems?? I know all the answers are probably not out there, but it just seems that some people have infections early on and some people don't...where do they come from? Are most of you using an accredited CF center or treating with multiple doctors that treat different parts of the disease? I just want to make sure that we are getting the best care possible, of course, and want to know what is ahead of us in this battle. I can't change the diagnosis so I need to know as much as possible about this disease.

Ok, I'll leave it at that for now....If you took the time to read this all the way through with all my rambling I greatly appreciate it <img src="i/expressions/face-icon-small-smile.gif" border="0"> I don't have much to add to the other posts right now, but I continue to research and learn and hope to be able to provide others with support on here in the future.
 

Ratatosk

Administrator
Staff member
DS is also double delta f508. He needs enzymes. Started those when he started on formula. He gets ADEKs vitamins, plus additional Vitamin K once a week. CFers have problems absorbing those vitamins. Our doctor is very proactive and stresses good lung care. We've been doing CPT 3-4 times a day since DS was about a week old. He's on Actigall, Keflex, Zithromax for oral meds. Nebulized albuterol & atrovent, tobi every other month twice a day and pulmozyme once a day.
 

Ratatosk

Administrator
Staff member
DS is also double delta f508. He needs enzymes. Started those when he started on formula. He gets ADEKs vitamins, plus additional Vitamin K once a week. CFers have problems absorbing those vitamins. Our doctor is very proactive and stresses good lung care. We've been doing CPT 3-4 times a day since DS was about a week old. He's on Actigall, Keflex, Zithromax for oral meds. Nebulized albuterol & atrovent, tobi every other month twice a day and pulmozyme once a day.
 

Ratatosk

Administrator
Staff member
DS is also double delta f508. He needs enzymes. Started those when he started on formula. He gets ADEKs vitamins, plus additional Vitamin K once a week. CFers have problems absorbing those vitamins. Our doctor is very proactive and stresses good lung care. We've been doing CPT 3-4 times a day since DS was about a week old. He's on Actigall, Keflex, Zithromax for oral meds. Nebulized albuterol & atrovent, tobi every other month twice a day and pulmozyme once a day.
 

DEES4

New member
Hi! My son will be 3 years old next month and he was diagnosed at 2 weeks old. He also has the delta F508 mutations. He has been on albuterol since diagnosis and various other inhaled meds during bad colds and infections. We do his chest pt twice a day (once in the morning and once before bed). He takes Vitamax vitamins. We were also told before his birth that there was a possibility of cf but we never thought in a million years he would really have it. He had meconium ileus at birth which led to the diagnosis. We have three other children before him without cf. We are being seen at a cf center and have been fairly satisfied with his care. He is seen every three months and they do a culture at every visit. I will have to say that his first year was the toughest thus far. He is now a very active (and of course smart and beautiful) almost 3 year old. I know how hard this diagnosis is and what a shock it is. It takes awhile but eventually it will all become "normal" for you guys....well at least a new kind of normal. You will find tons of helpful information from these boards but let me warn you.....be careful about the topics you choose to read (especially in the adult forum). I found myself reading about things that I really should not and really can't handle right now.
Carrie
 

DEES4

New member
Hi! My son will be 3 years old next month and he was diagnosed at 2 weeks old. He also has the delta F508 mutations. He has been on albuterol since diagnosis and various other inhaled meds during bad colds and infections. We do his chest pt twice a day (once in the morning and once before bed). He takes Vitamax vitamins. We were also told before his birth that there was a possibility of cf but we never thought in a million years he would really have it. He had meconium ileus at birth which led to the diagnosis. We have three other children before him without cf. We are being seen at a cf center and have been fairly satisfied with his care. He is seen every three months and they do a culture at every visit. I will have to say that his first year was the toughest thus far. He is now a very active (and of course smart and beautiful) almost 3 year old. I know how hard this diagnosis is and what a shock it is. It takes awhile but eventually it will all become "normal" for you guys....well at least a new kind of normal. You will find tons of helpful information from these boards but let me warn you.....be careful about the topics you choose to read (especially in the adult forum). I found myself reading about things that I really should not and really can't handle right now.
Carrie
 

DEES4

New member
Hi! My son will be 3 years old next month and he was diagnosed at 2 weeks old. He also has the delta F508 mutations. He has been on albuterol since diagnosis and various other inhaled meds during bad colds and infections. We do his chest pt twice a day (once in the morning and once before bed). He takes Vitamax vitamins. We were also told before his birth that there was a possibility of cf but we never thought in a million years he would really have it. He had meconium ileus at birth which led to the diagnosis. We have three other children before him without cf. We are being seen at a cf center and have been fairly satisfied with his care. He is seen every three months and they do a culture at every visit. I will have to say that his first year was the toughest thus far. He is now a very active (and of course smart and beautiful) almost 3 year old. I know how hard this diagnosis is and what a shock it is. It takes awhile but eventually it will all become "normal" for you guys....well at least a new kind of normal. You will find tons of helpful information from these boards but let me warn you.....be careful about the topics you choose to read (especially in the adult forum). I found myself reading about things that I really should not and really can't handle right now.
Carrie
 

MYBOY

New member
Hi new mom:
I feel for you - I remember getting the news when my son was 6 months old. I cryed for days and was so upset that 1st day I even threw up. I just couldn't believe it because our families were pretty healthy - but we did trace some cf back to my Dad's 2 cousins that died years ago when they only lived to be about 8 or so - so my Dad forgot all about it. My son is now 9 - since his diagnosis he has taken enzymes with food, 2 multi vitamins, vit E and percussion 1-2 times a day. They added vit D and azithromycin, pulmozyme this last year. He's taken Tobi only twice because of psuodo sp? But not continous. We have only been doing percussion and albuterol once a day and so far his lungs have always looked good - probably will increase as gets older though. Just remember to have fun with your son - until I came to this site a year ago I really didn't realize how serious this disease was. I thought he would just do his treatments everyday forever and that was it. But he has never been in the hospital since his diagnosis and he is very active and seems like a healthy boy to the outside world!! He has the double deltaf508 too. Has more digestive issues then lungs right now. I guess we just have to stay positive (hard I know). The 1st year was definitely the hardest for us too.
 

MYBOY

New member
Hi new mom:
I feel for you - I remember getting the news when my son was 6 months old. I cryed for days and was so upset that 1st day I even threw up. I just couldn't believe it because our families were pretty healthy - but we did trace some cf back to my Dad's 2 cousins that died years ago when they only lived to be about 8 or so - so my Dad forgot all about it. My son is now 9 - since his diagnosis he has taken enzymes with food, 2 multi vitamins, vit E and percussion 1-2 times a day. They added vit D and azithromycin, pulmozyme this last year. He's taken Tobi only twice because of psuodo sp? But not continous. We have only been doing percussion and albuterol once a day and so far his lungs have always looked good - probably will increase as gets older though. Just remember to have fun with your son - until I came to this site a year ago I really didn't realize how serious this disease was. I thought he would just do his treatments everyday forever and that was it. But he has never been in the hospital since his diagnosis and he is very active and seems like a healthy boy to the outside world!! He has the double deltaf508 too. Has more digestive issues then lungs right now. I guess we just have to stay positive (hard I know). The 1st year was definitely the hardest for us too.
 

MYBOY

New member
Hi new mom:
I feel for you - I remember getting the news when my son was 6 months old. I cryed for days and was so upset that 1st day I even threw up. I just couldn't believe it because our families were pretty healthy - but we did trace some cf back to my Dad's 2 cousins that died years ago when they only lived to be about 8 or so - so my Dad forgot all about it. My son is now 9 - since his diagnosis he has taken enzymes with food, 2 multi vitamins, vit E and percussion 1-2 times a day. They added vit D and azithromycin, pulmozyme this last year. He's taken Tobi only twice because of psuodo sp? But not continous. We have only been doing percussion and albuterol once a day and so far his lungs have always looked good - probably will increase as gets older though. Just remember to have fun with your son - until I came to this site a year ago I really didn't realize how serious this disease was. I thought he would just do his treatments everyday forever and that was it. But he has never been in the hospital since his diagnosis and he is very active and seems like a healthy boy to the outside world!! He has the double deltaf508 too. Has more digestive issues then lungs right now. I guess we just have to stay positive (hard I know). The 1st year was definitely the hardest for us too.
 

folione

New member
My son is now 3 1/2 (& doing fine); here's how it went the first year:

Diagnosed at about 6 weeks because he was eating and pooping and urping constantly and shrinking daily. Immediately started Creon5 & zantac & ADEKs and manual CPT. And I mean "immediately" - we took home samples from the Dr. the day his sweat test came back positive. Also put on Alimentum formula because it was easier to digest and he was not much of a breast-feeder. Somewhere in the first year he had a typical cold and croup and we used albuterol and pulmicort via neb and some antibiotics until the cold cleared. Overall, he was sick far less and far less often than other non-CF babies we knew and I attribute it in part to the hyper-vigilance about handwashing on the part of all of us who came near him. Oh, we also all got flu shots and the baby got Synagis to prevent RSV.

Since then he's had a couple hospital stays due to pseudomonas, and a couple more colds but he has never been what I'd call "bad". He also started using "the vest" for CPT last year. and has a few other changes in meds.

He started preschool this year and despite running wild with a roomfull of hacking coughing messy tots has only caught 2 colds and knocked out both of them with no more effort than anyone (albeit with some good drugs that the rest of us don't tend to get for colds).

As for relationships with doctors - we have good relationships, but that does not mean we don't have to call them for results or to remind them of things we're waiting for; they're busy folks in chaotic situations and with often pretty high turnover of support staff. Like accepting CF and getting on with it, we pretty much do what we have to to make the system work for us.
 

folione

New member
My son is now 3 1/2 (& doing fine); here's how it went the first year:

Diagnosed at about 6 weeks because he was eating and pooping and urping constantly and shrinking daily. Immediately started Creon5 & zantac & ADEKs and manual CPT. And I mean "immediately" - we took home samples from the Dr. the day his sweat test came back positive. Also put on Alimentum formula because it was easier to digest and he was not much of a breast-feeder. Somewhere in the first year he had a typical cold and croup and we used albuterol and pulmicort via neb and some antibiotics until the cold cleared. Overall, he was sick far less and far less often than other non-CF babies we knew and I attribute it in part to the hyper-vigilance about handwashing on the part of all of us who came near him. Oh, we also all got flu shots and the baby got Synagis to prevent RSV.

Since then he's had a couple hospital stays due to pseudomonas, and a couple more colds but he has never been what I'd call "bad". He also started using "the vest" for CPT last year. and has a few other changes in meds.

He started preschool this year and despite running wild with a roomfull of hacking coughing messy tots has only caught 2 colds and knocked out both of them with no more effort than anyone (albeit with some good drugs that the rest of us don't tend to get for colds).

As for relationships with doctors - we have good relationships, but that does not mean we don't have to call them for results or to remind them of things we're waiting for; they're busy folks in chaotic situations and with often pretty high turnover of support staff. Like accepting CF and getting on with it, we pretty much do what we have to to make the system work for us.
 

folione

New member
My son is now 3 1/2 (& doing fine); here's how it went the first year:

Diagnosed at about 6 weeks because he was eating and pooping and urping constantly and shrinking daily. Immediately started Creon5 & zantac & ADEKs and manual CPT. And I mean "immediately" - we took home samples from the Dr. the day his sweat test came back positive. Also put on Alimentum formula because it was easier to digest and he was not much of a breast-feeder. Somewhere in the first year he had a typical cold and croup and we used albuterol and pulmicort via neb and some antibiotics until the cold cleared. Overall, he was sick far less and far less often than other non-CF babies we knew and I attribute it in part to the hyper-vigilance about handwashing on the part of all of us who came near him. Oh, we also all got flu shots and the baby got Synagis to prevent RSV.

Since then he's had a couple hospital stays due to pseudomonas, and a couple more colds but he has never been what I'd call "bad". He also started using "the vest" for CPT last year. and has a few other changes in meds.

He started preschool this year and despite running wild with a roomfull of hacking coughing messy tots has only caught 2 colds and knocked out both of them with no more effort than anyone (albeit with some good drugs that the rest of us don't tend to get for colds).

As for relationships with doctors - we have good relationships, but that does not mean we don't have to call them for results or to remind them of things we're waiting for; they're busy folks in chaotic situations and with often pretty high turnover of support staff. Like accepting CF and getting on with it, we pretty much do what we have to to make the system work for us.
 
Thanks for the quick responses. I'm Laura, by the way <img src="i/expressions/face-icon-small-smile.gif" border="0"> We live in Atlanta, GA.

At first visit lungs were clear and culture was clear so I'm assuming that is why we haven't started any respiratory treatment, but it's the prevention that I'm worried about. CPT/Albuterol/Pulmoyme....It seems like there are other children as young as him that have started some type of "routine" before any lung issues were present. I will be sure and put that on my long list of ??'s for the Dr. next week. He has been on Creon for a week now, but I've only seen what I would consider minor changes...maybe 1/2 capsule is not enough? We don't yet have his vitamins, due to a "glitch" (fax didn'y go thru?) which is very, very frustrating for an anxious mom trying to deal with a newly diagnosed infant! In my opinion there is no margin for error when it comes to the treatment/prevention of the progression of this disease!! I don't feel like we are being proactive enough.
What does the prevacid/zantac do to help? Also, any tried and true method of force feeding (which I feel like is what I'm doing) a 6wk old applesauce...he screams his head off just about every time! I'm afraid this is going to create bad eating habits in the future when it's really time to start introducing other foods.

One more ? for now...how did you get the RSV vaccine for him? Both my ped & CF dr. will not reccomend it for him.

Thanks again for the responses <img src="i/expressions/face-icon-small-smile.gif" border="0">
Laura, mom to Braydon 6wks (w/CF) & Tanner 6yo (not yet tested...ugh!!!!!)
 
Thanks for the quick responses. I'm Laura, by the way <img src="i/expressions/face-icon-small-smile.gif" border="0"> We live in Atlanta, GA.

At first visit lungs were clear and culture was clear so I'm assuming that is why we haven't started any respiratory treatment, but it's the prevention that I'm worried about. CPT/Albuterol/Pulmoyme....It seems like there are other children as young as him that have started some type of "routine" before any lung issues were present. I will be sure and put that on my long list of ??'s for the Dr. next week. He has been on Creon for a week now, but I've only seen what I would consider minor changes...maybe 1/2 capsule is not enough? We don't yet have his vitamins, due to a "glitch" (fax didn'y go thru?) which is very, very frustrating for an anxious mom trying to deal with a newly diagnosed infant! In my opinion there is no margin for error when it comes to the treatment/prevention of the progression of this disease!! I don't feel like we are being proactive enough.
What does the prevacid/zantac do to help? Also, any tried and true method of force feeding (which I feel like is what I'm doing) a 6wk old applesauce...he screams his head off just about every time! I'm afraid this is going to create bad eating habits in the future when it's really time to start introducing other foods.

One more ? for now...how did you get the RSV vaccine for him? Both my ped & CF dr. will not reccomend it for him.

Thanks again for the responses <img src="i/expressions/face-icon-small-smile.gif" border="0">
Laura, mom to Braydon 6wks (w/CF) & Tanner 6yo (not yet tested...ugh!!!!!)
 
Thanks for the quick responses. I'm Laura, by the way <img src="i/expressions/face-icon-small-smile.gif" border="0"> We live in Atlanta, GA.

At first visit lungs were clear and culture was clear so I'm assuming that is why we haven't started any respiratory treatment, but it's the prevention that I'm worried about. CPT/Albuterol/Pulmoyme....It seems like there are other children as young as him that have started some type of "routine" before any lung issues were present. I will be sure and put that on my long list of ??'s for the Dr. next week. He has been on Creon for a week now, but I've only seen what I would consider minor changes...maybe 1/2 capsule is not enough? We don't yet have his vitamins, due to a "glitch" (fax didn'y go thru?) which is very, very frustrating for an anxious mom trying to deal with a newly diagnosed infant! In my opinion there is no margin for error when it comes to the treatment/prevention of the progression of this disease!! I don't feel like we are being proactive enough.
What does the prevacid/zantac do to help? Also, any tried and true method of force feeding (which I feel like is what I'm doing) a 6wk old applesauce...he screams his head off just about every time! I'm afraid this is going to create bad eating habits in the future when it's really time to start introducing other foods.

One more ? for now...how did you get the RSV vaccine for him? Both my ped & CF dr. will not reccomend it for him.

Thanks again for the responses <img src="i/expressions/face-icon-small-smile.gif" border="0">
Laura, mom to Braydon 6wks (w/CF) & Tanner 6yo (not yet tested...ugh!!!!!)
 

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
 

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
 
Top