Mild/Moderate/Severe

Emily65Roses

New member
Okay, this is just a little pet peeve of mine and I was wondering if anyone else shared it. Obviously there are mild and severe cases of CF. People that go through 30 years before they need much of any medication are clearly mild. Then there are still children that die... clearly severe. But the doctors that say stuff like "Oh well he/she's mild now, but might get more severe as time goes on" annoy me. CF is a <b><i>progressive</i></b> disease. Each case is different, obviously. And there are still, as I said, people that are very obviously mild or severe. But this whole train of thought irritates me. Telling a parent that their child is mild now, but might get severe later is kind of stupid. A more educated answer might be something like "Your child is still young, there's no 100% accurate way to tell how their CF will be. It's a wait and watch type of thing."

They need to remember to tell people to *expect* things to get worse with time. No one likes to hear that, I know. I'm not an optimist, myself (I bet that's a shocker). But I'm not a pessismist either. I'm realistic. I have nothing against people who are optimistic. It does annoy me, though, when people are <b><i>unreasonably</i></b> optimistic. You can be a positive thinker and still be sensible.

I seriously just don't get it. What is the point of calling CF a progressive disease.... and then telling people that their loved one is mild now, but might be severe later on? I get the feeling that people that ask what kind of CF their loved one has want an idea of how their CF will be overall. Not just for right now. So hearing "mild for now" may be getting people's hopes up. Even though it includes "for now," the term "mild" would be what people grab a hold of, because it's the best term in that phrase. I don't see why doctors don't say instead that there's no way to tell early on, and each case is different, and you just have to wait and see, etc etc. I realize people want to know, but sometimes there's no answer.

Edit: And you know it's not even like the doctors can't give hope to the parents. Absolutely they can. Meds are better all the time, treatments, etc etc. Lifespan is always rising. But outright categorizing a child seems a step too far (unless it's incredibly obvious... NO troubles at all... or MANY).

I'm not even sure if this makes sense. But it's been bothering me on and off for a while, and I wanted to ask.
 

Allie

New member
It annoys me too. Just because it doesn't make practical sense. Your CONDITION can be severe/mild, but your CF can be severe/mild. Ry had what I'd call moderate CF, because he died right around the average, but clearly when he died his CONDITION wasn't moderate....does that make more sense?
 

Emily65Roses

New member
Yes, exactly! You summed it up very well. Sometimes my brain doesn't work and I can't get the thoughts out of my head in a way that they make sense. I just can't stand lack of common sense.
 

Bill

New member
Emily
I'm an old man, who happened to have 2 children with CF. When they were diagnosed (aged 3 & 1), we were told they would never live to enter public school. My son (the 1 yr old), supposedly had the worst case. My daughter died at age 18. My son is still alive at age 46. Who knows when they are first diagnosed? I didn't, my wife didn't, and obviously the doctors didn't. I guess all I'm trying to say is the Doc's go with what they have at the time, may be good and may be bad. They continue treating the best they can. You, as with my son, has to take whatever he is given and try, try, try, to the best you can. If I can give you a short (I hope) an example. My son is currently having a difficult time. I left VA 10/22 from VA to TX and admitted him to the hospital on the 23rd. One of his problems was a bad reaction to a new IV med. They stopped this med and he was out of the hospital in 3 days. His CF doc recommended he start using a new nebulizer med ( I don't know the name). He was discharged from the hospital, taken off IVs (not a good move). A week ago last monday (while I was still in Texas, he had a follow up visit with his CF Doc. One of her questions was: how has the new Nebulizer med doing? She was very upbeat with this med. His answer was (what I get so mad at), was he had not started using it yet. He is supposed to call her tomorrow and tell her how he is doing. If he has shown no improvement, they will start him on another med, thru IV. I'm sorry Emily, but he will not have tried the new nebulizer med. If I may repeat myself, try, try, try to do what the Docs say. I am a firm believer that it won't hurt. And, it just might help, a lot?? Emily, always remember that there are people out there (myself included), who are pulling for you, praying for you and hoping that you are able to keep your spirit up. There are a lot of us out there praying for YOU! Bill
 
We were always told that Austin's CF was mild but it would progress. When he was 3, they told me he would most likely live to be 27. When he was diagnosed with the CFRD, and I asked them how long he had, they just looked at me. They gave me NO hope. They refused to tell me, knowing that it would most likely not be to 27, but much sooner. Now that he has pseudomonas for the first time, I'm far to scared to even ask.

We hope for that cure. We hope for better days. We hope that he will live a happy life, with hope of his own. We were never given false hope. We were always told that it would progress but never at what rate or how bad it would eventually get. I don't want to know. We just have to take it one breath at a time.
 

cfmomma

New member
I get frustruated with my mom and some other family members when they try to downplay the severity of my son's CF. He is doing great right now but I know it will not be like this forever. For instance, I was very upset and depressed when Allan died last month and it was a big reality slap in the face. Before I could even finish expressing my sadness and fear they interupted and said "Harrison has a mild case and will probably outlive us all" I know they are trying to comfort me and give me hope but that's not always what I need to hear. From this forum I have learned that things can go from good to bad pretty quickly, problems may be persistant, the sickest kids can grow into the healthiest adults, etc... Nobody knows and that scares the crap out of me.
 

shauna

New member
Emily I know exactly what you mean. How can they define something like that so easily anyway....It's somebody's life so they shouldnt be a case of mild now, severe later, it MAY be mild now and yes it may get more severe but nobody knows...it is progressive and unfortunately you never know...you have to wait and watch and...hope.

Just woke up hope that makes sense if not I'm sorry just ignore me! <img src="i/expressions/face-icon-small-confused.gif" border="0">
 

anonymous

New member
When DD was diagnosed, people kept trying to reassure us by saying "Maybe it'll be a mild case", which IMO was pretty much just giving us as traumatized parents FALSE hope.

Our CF doctor said there's no such thing as a mild or severe case of CF, it's a progressive disease and eventually DD will get worse. I agree and don't want to live my life wearing rose colored glasses, thinking everything is wonderful cuz dd has a "mild case" and continuing to believe things will never get worse because of it. I just want to take one day at a time, let dd live life to the fullest.
 

JazzysMom

New member
When I was dx at 7 there was an older family friend who was like a Grandpa to me. He told my parents that I will "beat" the CF. My Mom brings that up now & then boasting with pride. I have started telling her that I didnt "beat" the CF. What I did was defy the odds of when I would die according to statistics at the time of my dx. I was "mild" most of my life. When I say mild I mean that any flareups I had were acute & were rectified returning my health to my usual baseline. As I have gotten older my baseline has gone down. Does that mean I am still mild if I can bounce back to my new baseline? I say no if you compare my baseline now to when I was diagnosed. I have flareups that are still acute where I can bounce back & this year I have flareups that are chronic which dont allow me to bounce back to my original status. In all I say that CF is progressive and with time no matter how you start out (mild, moderate, severe) your health status will change. Its the nature of the beast. As to how long it takes or what happens during that time is really an individual experience!
 

cfgirl2008

New member
i was diagnosed at 3 days and my younger brother was diagnosed at 1 month and we both have severe lungs.


tiffany 15 w/cf
 

anonymous

New member
I agree with DD's parent--live life day to day and to the fullest.
Sometimes we spend so much time worrying about the 'what ifs' that we miss enjoying the time we have now and live to regret that. I believe it's all in God's hands, respecting of course that not all agree with this.
I can't believe that Austin's doctor even tried to determine an age limit, they have no way of knowing that (in my opinion). That can also be a double edged sword: the 'whew, we have X amount of years left so I won't worry' to the 'Well, he's 27 now, how much longer?' scenarios.
As for mutations, I wouldn't put too much stock in that indicating the severity either. There can be siblings in the same family with the same mutations living in the same environment with drastically different cases.
Just my 2 cents worth
Hope
 
I do agree with Emily on this subject. I however think of myself as an optimist but not naiive. I think that telling parents that there child is mild can give them and the children a faulty sense of security. I was considered "mild" and within 1 1/2 years went from mild to severe. I am currently around "moderate" but I really do hate these titles. When they told me I was severe it was like they had dooms day on there minds and I would not pull out of it. Duh you don't think I know that at this point I was severe. 8 liters of oxygen FEV1 of 22 yes I think I know that, thank you for the enlightenment. I think docs get this in there head and then that is the lable they stick with even though I have had a dramatic comeback that they just can't explain. Okay now I am rambling but I really don't think those labels should be used because it can turn rapidly.

Emilee
 

Diane

New member
want me to make you really mad?................. When i was diagnosed ( 3 years old) my doctor at that time, told my parents i would "outgrow" cf. OUTGROW CF?????????????????????? What was he thinking???????????????? Unfortunately my parents pretty much expected that for many years, since i was so mild that you would hardly even know i had cf. Once i started to realize the impact of cf i told my parents that pretty much instead of "outgrowing "cf .... you kind of "grow INTO it"
 

thelizardqueen

New member
I was diagnosed at 1 month, and the doctors told my mother that I would not live long enough to see my 12th birthday. Then as I aged they informed her I would die at 16, at 18 and then 20. I'm 24 years old and still have a mild case of CF in my lungs. My doctors also told my mum that I most likely would never get CFRD because only 10% of patients get it. I'm in that 10% and have had CFRD for 10 years now, and I'm still fighting!
 

anonymous

New member
When my daughter was diagnosed at 15 months they told us she would not see her 3rd birthday. Well, she is now 13 and doing very well.
 

Emily65Roses

New member
<blockquote>Quote<br><hr><i>Originally posted by: <b>Anonymous</b></i><br>Our CF doctor said there's no such thing as a mild or severe case of CF, it's a progressive disease and eventually DD will get worse. <hr></blockquote>

See now that may not be the nicest thing to hear, but that answer, in my opinion, is *perfect* !!!
 

EmilysMom

New member
When Emily was born, we were told we had a 50/50 chance of her seeing her 18th birthday and if she made it that far, she wouldn't make it much further. She's almost 22 !!!

*sticks out tongue* PPPFFFHHHFTTFTT!
 

anonymous

New member
I have one parent who always used to ask the "how long does she have?" question and the other one who said "these doctors don't know what they are talking about." I have sort of adopted the second system of beliefs - not to say that my doctors or anyone els's really don't know what they are talking about, but honestly- predicting how long someone will live when they are born? How can you ever possibly do that?
I think my family was lucky in that when I was born with Cf in 1977, I had an uncle with Cf who was 25 at the time and realtively healthy, so my parents were able to see that he had already out lived the life expectancy (he is 53 now, by the way - he had a tx about 8 years ago). The one thing that they did do - no, my dad (my mom is such a fatalist) dyd was take matters into his own hands - and I can only say, at 28 - with no hospitalizations, O2 or IV meds - ever, that he must have done the right thing. He instilled a sense of fight into me not to be defeated (Of course, i am not so foolish as to believe that genetics didn't have a role in my good fortune as well - but only that we chose to face a life to be lived rather than one spent counting down the days).
 
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