Dear Mom and Dad,
I am so proud of my new baby, Grant, and I can't wait for you to watch him grow up. I am happy to let you hold and love my new baby but we have to be cautious. I am not just being a new mother, just like you protected me from harm when I was born, I need your help protecting Grant. Grant was born with a hereditary condition called cystic fibrosis or CF. Cystic fibrosis makes all the moist membranes like his nose, sinuses and lungs stuffy and congested as if he had a very, very bad cold. Grant may be fighting an infection right now because cystic fibrosis can almost guarantee a nice home for every possible infection. It is also possible he will have a similar problem in his tummy. This can be painful and we have to check often for malnutrition because certain foods won't be digested. Between his tummy problems and respiratory issues there is a lot we have to watch out for. When you were born, a baby with CF had an even chance of going out the front door or being carried out the back door of the hospital for burial. Grant is home from the hospital more keep him safe from sick people that have infections. His first infection could kill my baby and I know this is the last thing you want.
Grant has been in isolation ever since the doctors diagnosed Grant with CF. When you were born a doctor would have kept a CF baby isolated in a hospital for months until they figured out how much exposure to people the baby could tolerate. An infection that wouldn't even be noticed by somebody like either of you, could take a year of antibiotics to cure in Grant. This is why I am upset. Yes I respect and love you but I am very much like the parents who raised me. I am going to be changing his diapers, wiping, cleaning, and crying for my baby every minute from here on. I have assembled all the information I can, talked with doctors, parents and patients about CF. I am informed and I have teamed up with Grant's doctor. We have weighed the pro's and con's of everything to do for Grant. I am not making up rules to hide my baby from you, the doctor and I have decided to NOT expose Grant to viruses and bacteria that everybody carries around for now and the foreseeable future. Guarding Grant from exposure to infection gives him time to develop and when we see how he does with other CF issues and problems we can gradually introduce him to all the bugs we carry on and in us.
Remember how hard it was to raise a healthy baby? Think how much harder it will be the first time we are sitting outside his hospital room, praying for his life! Right now I need your prayers and best wishes. What I need most from you is to believe in me and trust MY judgment. I have no other choice but to protect Grant using standard medical isolation rules. They are also my rules and as long as you do as I say, when I say it everything will go so much better for us all. The first medical isolation rule is to make no exceptions to medical isolation rules and procedures. I know what I am doing here and I leave you with a choice. Stay home and be mad and Grant is isolated. Or much better, respect my wishes and learn the rules we have to follow for his safety and we all will enjoy Grant without risking his life every time somebody wants to pick him up.
All my love,___________
Then again, blow off trying to explain again and again and toss the baby in the bedroom when they show up. Install a lock on that door, while you’re at it. I hate to say it but ignorance is bliss only in a personal sense. My sister married a man from immigrant parents. Although his parents get a gold star for courage and tenacity they were infantile and desperately stupid people. A very smart, well educated man had these peasant stock parents better suited for a sheep crook in hand than a subway pass. These poor people had the best of intentions but I had to lock up anything and everything that could be otherwise screwed up or broken into parts when they visited. If I couldn’t explain why fiddling with the adjusting screws on a band saw could hurt me the next time I hit the switch, you just may be out of luck. Install that lock.
Until your little bundle of love coughs up a little more information on when and how badly his CF presents, you do what you have to. If your parents are nosing around now, they’ll get over whatever restrictions you have to impose. I know you want to kill them but if you did, you’d have to train new parents. Please don’t think I wrote this facsimile of a letter from the worst possible viewpoint for YOUR information. With luck his presentations won’t be anywhere close to the worst case I laid out. Wait and see, we a considerably more durable lot than people give us credit for. Grant has CF. Allow him to define his limits without prejudice. Whatever he does, don't let him own CF on any other than his own terms. Don't make him into a sick person. Printer and I have both escaped being caught with CF well past a time when our parents would have been over compensating for our potential disadvantages. Ifs ands and buts aside, CF isn't an infection to be cured but a condition that must be managed just like brushing your teeth. No more and no less quarter should be given to CF, although few people die from over brushing. One of the lucky things that late diagnosed CFers do enjoy is a childhood with no more than the usual worries impressed on every kid by their parents. There is something to be learned from ignoring everything you have no power to change. Others pick up the habit.
Old Cfers like Printer and me probably can’t be made anew with the new category of medicine that was born a few months before you got pregnant. With Kalydeco the first truly genetic medicine has arrived. It was designed for a specific CF mutation and it promises to help with a number of other CF mutations. Kalydeco embodies a blueprint for how gene repairing drugs will be developed here on. In the last year alone, Hypersal and a dozen other better working, easier tolerated drugs and therapies have come to the CF community the future is as bright as it can possibly be.
LL