Thursday, December 31, 2009
Sickboy's 2009 In Review
Wednesday, December 30, 2009
Finally Got Back Into the Gym!!
Tuesday, December 29, 2009
Can CFers be Killing Too Many Bugs???
ScienceDaily (Dec. 27, 2009) — Using disinfectants could cause bacteria to become resistant to antibiotics as well as the disinfectant itself, according to research published in the January issue of Microbiology. The findings could have important implications for how the spread of infection is managed in hospital settings.Researchers from the National University of Ireland in Galway found that by adding increasing amounts of disinfectant to laboratory cultures ofPseudomonas aeruginosa, the bacteria could adapt to survive not only the disinfectant but also ciprofloxacin -- a commonly-prescribed antibiotic -- even without being exposed to it. The researchers showed that the bacteria had adapted to more efficiently pump out antimicrobial agents (disinfectant and antibiotic) from the bacterial cell. The adapted bacteria also had a mutation in their DNA that allowed them to resist ciprofloxacin-type antibiotics specifically.P. aeruginosa is an opportunistic bacterium that can cause a wide range of infections in people with weak immune systems and those with diseases such as cystic fibrosis (CF) and diabetes. P. aeruginosa is an important cause of hospital-acquired infections. Disinfectants are used to kill bacteria on surfaces to prevent their spread. If the bacteria manage to survive and go on to infect patients, antibiotics are used to treat them. Bacteria that can resist both these control points may be a serious threat to hospital patients.
Importantly, the study showed that when very small non-lethal amounts of disinfectant were added to the bacteria in culture, the adapted bacteria were more likely to survive compared to the non-adapted bacteria. Dr. Gerard Fleming, who led the study, said, "In principle this means that residue from incorrectly diluted disinfectants left on hospital surfaces could promote the growth of antibiotic-resistant bacteria. What is more worrying is that bacteria seem to be able to adapt to resist antibiotics without even being exposed to them."
Dr. Fleming also stressed the importance of studying the environmental factors that might promote antibiotic resistance. "We need to investigate the effects of using more than one type of disinfectant on promoting antibiotic-resistant strains. This will increase the effectiveness of both our first and second lines of defence against hospital-acquired infections," he said.
Monday, December 28, 2009
My New Year's Resolution: Getting Back into the CF Routine
Sunday, December 27, 2009
5 Rules in Raising a Child with Cystic Fibrosis
Originally posted August 2nd, 2009
Welcome to the first edition of Spotlight Sunday. Today, I am featuring a blog that has five simple rules to keep in mind while raising a child with Cystic Fibrosis. Lauren does a great job highlighting the "rules" her fabulous mother taught her while she was growing up (and I guarantee still hold true today). Make sure to stop by Lauren's blog "I Have CF. So What!?" and leave her some comments. You can get to her blog by clicking on the title "How I was Raised". If you'd like to see some blogs that I have written about my mom, please click here.
How I was Raised by Lauren "LauLau"
My mom always maintained that we must look on the bright side. If I had to go in the hospital it was "Well at least you'll be feeling better for the rest of the school year!" The rationale for doing my treatments was that it would make me feel better for the rest of the DAY. If I got a new medicine she said "well at least it's just a pill!" and I just added it to the rest of my pills. Looking on the bright side made everything seem o.k.
My mom NEVER let me see her worry. She admits that when I was in the hospital she'd be up all night worrying, or when she hears me coughing at night she is concerned. But I never saw that. It's ok that she was worried and scared, she's allowed to be... but the fact that I didn't know how hard CF was supposed to be made me think it WASN'T hard. However, she did deal with it matter of factly around me. She didn't give me false expectations, she was honest about how I would feel in the hospital but she didn't make me afraid when she told me these things. I remember when I was in the hospital with hemoptysis (coughing up blood) I was so scared, and she was probably even more scared. She sat by my side holding my hand comforting me, telling me that a blood transfusion would only help me. She was honest that I might need surgery to stop the bleeding. And I trusted her, I still do, she's a nurse and she knows what she's talking about. That trust is important to have when your young and you don't necessarily know everything that is going on.
My mom was ALWAYS on my back about doing my treatments and taking my pills. Even when I cried about it she was still persistent. She always said "It will only make you feel better" or that if i didn't do it, I would have to go in the hospital. This was enough to make me shove my nebulizer in my mouth! Sometimes, she even pretended to call the doctor to tell on me! I hated when she did that.. but she was only doing it to keep me healthy, and it worked! Now I know that I have to do my treatments because it will help ME and because she made it a daily necessity, I now see that doing everything I'm supposed to is ABSOLUTELY NECESSARY!
Every doctors appointment was an adventure for me and my mom. Whether we sang on the car ride there (we still do), or went to a fun place in boston, we always had fun. She would get me a gift from the gift shop, or take me to the Enchanted Village (a Christmas display). Sometimes we would go out to eat to Friendly's or the Hospital Cafe. In the hospital, she brought me games, movies, and crafts to keep me entertained. She would even bring my friends in to see me! While I was doing treatments she would play games with me or just sit and chat with me. Every thing I had to do CF-wise, she made it fun. And this made everything A LOT more bearable!
My mom taught me to "dance like no one's watching." She didn't put me in a bubble because I had CF. I played in the cold, did sports, got dirty, and stayed up late some nights. She never told me I couldn't do something because I had CF. Even when I missed school for 2 weeks she made sure I was doing my homework and staying on top of things. One time, I was in the hospital for my first formal dance in 7th grade. She wouldn't let my CF get in the way of living my teenage life. She convinced the doctors to let me out for the night, even though I had just come out of surgery for complications after a sinus surgery. She wouldn't have done this if she didn't think I could handle it, and she waited outside the dance for 2 or 3 hours in case anything went wrong, and let me enjoy my formal dance. CF hasn't stopped me from living life because of my mom, and because of that I am able to remain positive.
Saturday, December 26, 2009
Thursday, December 24, 2009
Rondi Sings "Baby It's Cold Outside"
Wednesday, December 23, 2009
Tis the Season (but we can still workout)!!
Tuesday, December 22, 2009
My Top Ten Christmas Movies
Sunday, December 20, 2009
Let the Wedding Frenzy Begin!!
Fight of My Life
Some choose to look at this experience negatively but not me. Although I do not remember the event fondly, I view it as somewhat of a turning point for me. Here is my story…..
At the time, I was 26 years old, had been married for over 2 years, and had my beautiful son. Life was good and I truly felt blessed. We lived about 30 minutes away from my parents. My CF clinic and doctors were in Nashville, but I had a local doc in Knoxville. I started to come down with something around the second week in January. My usual symptoms: sore throat, increased cough, coughing up more mucus, fever, and lack of energy. So I immediately made an appointment with my doctor. They saw me, prescribed Cipro for 14 days, and sent my sick butt home. After several days of being on the antibiotic, one night my fever spiked big time. I took my O2 sats, to find out that I was at 91, when I usually hover around 97/98. I was having quite a bit of trouble breathing, so my husband took me to the emergency room. On the way, he called my parents and they met us at the hospital. I remember feeling really weak, so much so that they put me in a wheel chair once we entered the ER. But, I had no idea just how bad things would get. In the ER, they took my blood pressure, 02 sats (89), temperature (102.8), all the usual stuff. They also did a chest x-ray and found “double pneumonia”. I was admitted right away and hooked up to an IV for immediate antibiotics and steroids. They put me on oxygen (4-6 liters if I remember correctly) and took a ton of blood. After 5 days in the hospital, my 02 sats had bounced back up to 96, so they discharged me. I was sent home with a PICC line and IV antibiotics and oral steroids. I went home, though I was not feeling much better. (And that was the last time that I ignored my inner voice, my gut telling me what I know is best for me) I was home with my husband and son for 24 hours.
The following evening, the same thing happened all over again. My fever spiked, my sats dropped, and I could not breathe. Once again, my poor husband rushed me to the local ER. Once again I was admitted immediately. Another chest x-ray was done, which showed the pneumonia consuming my lungs. Things were much worse now and my whole body felt it. I was barely conscious, in a lot of pain, and on 6 liters of oxygen. I had never felt so weak and scared. After 4 days in the hospital, I was still sleeping a lot. One morning I awoke to what I think was the sound of the doctor talking to my husband outside my room door. For all I know, I dreamt the whole thing. But in the conversation between a professional and my worried husband, the words “she is not responding to treatment” were mentioned. My husband asked about the options, to be given unappealing choices. It was then that I heard him beg the doctor for more time, more time on the antibiotics. He pleaded with the doc that “my wife is a fighter and is so strong, she can beat this!” I remember at that moment feeling unbelievable fear. This was the first time that oral and IV antibiotics weren’t working.
My health continued to decline and I was just feeling worse and worse. Was it possible that I was not going home? Was I going to die in here? What if I never made it home to hug my little boy again? All these thoughts and questions came flooding into my mind. I was desperately trying to remember the last time I told everyone I loved them, that I hugged them, and expressed how much they mean in my life. Every second spent with my husband and son was flashing before my eyes. The smiles, the laughs, and the tears all seemed so distant but beautiful. I couldn’t possibly say goodbye to my little boy, I had promised to always protect and be there for him. Realistically, if I left him now….he would never have any memory of me.
It was right then that I actually felt myself getting angry. I was angry at my situation and at myself for being so pessimistic. I was also indescribably furious at the idea of never seeing my son graduate high school, never dancing with my sweet husband on our 10th (or 20th or 30th, etc) anniversary, at all the things I would miss out on in my family’s life. Then came a moment of absolute clarity for me. I was dealing with this all wrong. I was looking at the big picture and trying to tackle this monster all at once. Individual’s rarely succeed with that type of strategy. I needed to take control of things one at a time, start with something small and build on that. I was going to beat this, to kick this pneumonia’s ass…but I needed to be realistic about it. It had wore me down, but I was by no means out. I decided right and there that I was going home to my son. I was going to hug him again, and kiss him, and play with him. No matter how much time it took, I was going to conquer this demon and find my way back to he and my husband and our (semi) normal life. So when my husband came back into my hospital room, I asked him to bring me something from home. It may sound silly or even trivial, but I asked him to bring me my makeup bag. My plan was to start feeling better on the outside in order to gain back my strength and heal the inside. So when he came back with that makeup bag, I asked him to help me take a shower. He so lovingly did, and then helped me blow dry my hair, and put on some makeup.
I was in the hospital for a total of 3 and ½ weeks, but I made it home. When I walked through that front door, I wasn’t 100% back to my old self. I still had my PICC line and my regiment of treatments and meds to do several times a day. But I was better and continuing to improve. I have never really been the type of person that allows other people to dictate my capabilities. Once I set my mind to do something, it gets done! That’s part of why I fell in love with my husband, because he is the same way. We sit around occasionally and talk about how hard that time was and how scared we both were. But I know, that with the right mindset, him by my side, and my family in my corner…..I can take on the world
Bio: Hello Everyone! My name is Lindsay and I am 28 years old and living with CF. I was diagnosed as an infant, after my older sister passed away from CF when she was just 5 months old. So, that makes me the oldest of 3 siblings in my family that deal with Cystic Fibrosis everyday. Life has most definitely been full of its' challenges, but also its' blessings. If you would like to know more about me, or about my "challenges", feel free to ask :) Until then, I am so happy to be here and would love to get to know you all.
Friday, December 18, 2009
The First Day Back!!!
Thursday, December 17, 2009
Set Me Free!!!
Wednesday, December 16, 2009
One More Day Wednesday
Tuesday, December 15, 2009
The Top Ten Most Played List (iTunes)
Monday, December 14, 2009
Date Night: Hospital Edition
Sunday, December 13, 2009
Inhaling Life!!!!
Guest Post by Destiny Whittington
My journey with cystic fibrosis started when I was eighteen months old. The doctors told my mom to take me home love me until I was gone; I wouldn’t see three years old. But, as I got older, I was relatively healthy, so much so that I had no idea that I had CF ‘til I was twelve years old. My mom never came out and said to my brother and me “kids, you have a terminal illness.” We took our breathing treatments, our enzymes, and we did our clapping but to us it was either a game we played, or I just thought everyone took meds, so everyone has what I got. Little did I know that was far from the truth.
When I was ten, I was diagnosed with rheumatoid arthritis. That was the first moment I truly felt my world falling down around me. I love basketball and was good at it. I ran track, coming in first or second place. My dream was to join the navy and play basketball for them, while getting my training and education in marine biology. I was an active child I didn’t have time for CF or this RA. It wasn’t in my lifetime dream or plans.
The doc had told my mom those grim words behind his concerned smile, “take her home and love her she will be a vegetable by the age of sixteen years old. She will never learn to drive a car or go to prom. Think of a nursing home you want to put her in, to care for her when you can not anymore.”
At the age of twelve, my CF doc had this brilliant idea to help me gain weight, which was to insert a G-button to help ease the pain off my joints, by adding some meat on my bones. Two days later I was in Texas Children’s Hospital, in Houston, Tx having a fundoplasty and a G-button insertion, and just as he had said: I gained weight. My arthritis had its good days and bad days, but then at the age of seventeen it went into complete remission, with very few to no episodes.
I finally, by the grace of God, graduated high school and went to college. I begged for my doc to take out my G-button. He agreed, against his better judgment, but I promised him I would stay at a healthy weight. That ended up being more of a job then I first thought. Eating lots of calories seems like everyone’s dream but damn 2k - 4k per day is a lot of eating!
After college was the first time I ever experienced hemoptysis or pseudomonas. Before then, I had never heard those words before. I was in and out of the hospital - sometimes for months at a time - getting to go home for a week or two, then back in. Out of a twelve month year, I was in for nine-and-half months, total. My doctor thought right now would be a good time to put in a port a cath.
Then, in December of 2004, while moving into my new apartment on the third floor, I began to feel wheezing. I thought to myself when I stop I need to do a quick breathing treatment. It began to get worse… Then, a very familiar and unwanted taste began to make itself present in the back of my throat, and with one cough I saw the parking lot turning a dark, deep red color. I went back up the stairs as fast as my body could carry me, filling up the sink will blood. I thought in my panic state of mind, to grab a cup and collect the blood. When the blood showed no sight of slowing down or stopping, I thought to call my mom (who worked thirty minutes from me and it naturally took her an hour to get to me). I was getting weak, I could barley talk, and by the time my mom had gotten there, I was passed out. My brother and Mom carried me down the stairs. Even in that state, my mindset was: I can still walk down the stairs. Failing miserably to get down the stairs by myself.
After arriving to the ER, I handed the cup to the nurse and doc, who were amazed at the amount of blood: a whole cup. I was being rushed in for an emergency embolization and, due to the amount of blood I had lost; I also had to have a blood transfusion. When I woke up my doc was standing over me and began to tell me what was going on, what they had done which most of it I remember or knew already. She said that the cup I had brought in had masses in it. I thought yea, it is probably my bbq sandwich I had eaten only minutes earlier but she went on to tell me they had done a biopsy of the mass and it was in fact, lung matter, I had literally coughed up pieces of my lung. My regular CF doc had came into my room sat down with me, smiled and said “Destiny, you are coughing up a lung, you have a few options here”. She then began to explain to me that I would probably want to consider taking that part of the lung out, or have it replaced. I didn’t think either was a good option for me. She explained that the bleeding could happen again and that the next time it may not stop and could kill me. “a ticking time bomb” is the words she used. I stuck with my guns, after getting the scare of my life I vowed to start walking, and whatever else I had to do to get better.
My pfts were in the high 90s and I was feeling pretty good and then about two years ago I began to get lazy, unmotivated and on 09-11-09 my PFTs were at 80% fev1: 2.6 the lowest I have had. I was getting my prescreening to do a research drug for Texas Children’s Hospital and my PFTs had to be 80 or lower just so happened they were at 80% a part of me was happy b/c I wanted to do this study but another part was sadden. I had seen that my laziness had let me drop so low. I had been reading Ronnie’s blogs and watching him exercise and missing that part of my life, so I told my boyfriend Jack that we needed to start exercising, instead of taking my dog in and out to do potty business, I now walk her around the block or a mile at the park coming in coughing bringing up all kinds of stuff. On 11-10-09 my PFTs were 95% fev1: 2.86. There are still days when I don’t want to go walk a lot due to my RA, or if the weather isn’t permitting. I will resort to my top of the line medicine, or as I say, “the cure all”. I will get on the net and look up funny videos and starting laughing and snorting till I am coughing up tons of mucus and I feel tons better.J
My mom was told more than once by doctors that I would not live past 2 and if I did there would be no way it would a “normal” life, My mom didn’t listen to them she let my brother and I play baseball, basketball, track, girl scouts and whatever else we wanted to do we got dirty making mud cakes, and we got plenty in trouble at school and home. She never treated us different and didn’t let anyone else either. I am now looking at the age of 29 in only 5 months and I am doing incredibly well. My fighting and positive attitude is what helps me the most. We are all in this together. I am not going to quit, I’m not stopping, I may bend but I will not break. I am determined to find a cure in my lifetime. This is for the future CFers.
Let us together have CF stand for “Cure Found”. God bless ya’ll and thank you for taking time to read this.
I would like to take a moment to Thank Ronnie for this opportunity to be able to speak out about my story. I began reading Ronnie’s blog a few months ago, I just fell in the love with his passion for reaching out to fellow CFers and his drive to make a better tomorrow for himself and others around him. I knew I wanted to a part of it somehow. So each day I became inspired, motivated and ready to take on the world.
When first asked to do this, I really didn’t know what to talk about. As all of you know, CF isn’t one-sided. We all have the battle scars to prove that.
Note from Ronnie: I just wanted to give a big thank you to Destiny for writing an outstanding guest post for RSR. She is a great example of a CFer who decided that "enough was enough" and to take CF head-on. We may face some pretty daunting obstacles but through a little bit of hard work and perseverance, we CAN have some control over this disease. Please leave Destiny your encouraging comments as well as any questions you may have! You can find her on Facebook, Twitter @InhalingLife and www.InhalingLife.com.
If you are interested in writing a guest post for RSR simply send me an email with a little bit about yourself and what you'd like to write about.
Saturday, December 12, 2009
Question from Researcher
Question 1. In your blog you often mention your body, or parts of your body. You talk about running to keep your body healthy, you talk about feeling pain, fatigue, feeling out of breath and you talk about pushing through those feelings to go running or walking to stay healthy. Your most recent posts have been about getting your body healthy, about how the different drugs are making your body feel, concerns about how they might affect your body and so on.
I am interested in finding out how people with CF experience their bodies. Not symptoms of CF but the thoughts, feelings, and ideas about your body that having CF and also dealing with CF in everyday life brings up for you.
For example, I have some problems in my neck and shoulders and it has really changed the way I see my body, and not only that, but my outlook on life. I thought it was strong and would last forever and all i had to do was feed it and sleep. Now I know that you can't rely on anything to stay the same or be what you expected. I know your body is something you have to care for. Sometimes I feel angry, sad or frightened when I am in pain and can't sleep or do my work. I feel frustrated and disappointed when it interfere with my plans. Sometimes I feel excited because I think my body is teaching me important lessons about life - how you can't put too much store in plans for the future for example. So these are some of the thoughts, feelings and ideas that my body brings up for me.
Bio: I am an Australian health researcher and have been doing research with people with CF since 2006. I do social research, not the treatments or laboratory research, which aims to understand about people's lives, their experiences and perspectives. My current project is my PhD in which I am trying to understand the experience of being an adult with CF. The idea is to gather, in a 'scientific' kind of way the sort of information that can give doctors, nurses, policy-makers and so on an insight into the more personal aspects of managing and living with CF in adulthood as opposed to the medical bits. I hope this sort of research will eventually lead to more appropriate treatments, better relations with medical professionals, better health policy and community support. I have contacted Ronnie to help me thrash out some of the ideas that are coming up in my researchSo, what do you guys think? Do you have any answers to "how you experience your body" as a result of CF?
Friday, December 11, 2009
The First Time I Ever Had to Give a Robbery Update
Thursday, December 10, 2009
Aztreonam One Step Closer to FDA Approval!!!
GREAT news for the CF community!!! FDA panel says Gilead drug aztreonam aids cystic fibrosis patients. We're one step closer to having this drug available to the community!!!!
http://www.reuters.com/article/idUSN1023 955020091210
A U.S. Food and Drug Administration advisory panel on Thursday said it found Gilead Sciences Inc's (GILD.O) aztreonam was an effective new treatment for life-threatening lung infections in cystic fibrosis patients.
The drug won marketing approval in September in Europe and Canada under the brand name Cayston.
The anti-infective drugs panel's finding on a vote of 15-2 that the drug is safe and effective serves as a recommendation that the FDA approve the drug. While the agency is not required to follow an advisory panel's recommendation, the panel's opinion carries great weight.
The panel said the safety and efficacy involved a 75 milligram dose administered three times a day to aid in improvement of respiratory symptoms and lung function.
Cystic fibrosis is an inherited chronic disease that affects the lungs and digestive systems of about 70,000 people worldwide, according to the Cystic Fibrosis Foundation. A defective gene and the protein it produces cause the body to produce thick, sticky mucus that clogs the lungs, leads to life-threatening lung infections and obstructs the pancreas.
Azteronam is designed to treat lung infections in these patients caused by common pseudomonas aeruginosa bacteria, for which there are few inhaled antibiotics available.
Aztreonam sales could reach at least $200 million globally by 2015, according to Summer Street Research analyst Carol Werther. The medicine could strengthen Gilead's pulmonary franchise but pales in importance when compared with its stable of HIV drugs, Werther said.
Dr. Bruce Marshall of the Cystic Fibrosis Foundation urged FDA to approve the drug swiftly and told the panel: "There is a desperate need for additional inhaled antibiotics."
Drug resistance is a complication in treatment for these patients.
Thankful for a Head Cold???
Wednesday, December 9, 2009
Wordy Wednesday by Mandi
Tuesday, December 8, 2009
CF Concert Series Thank You!!!!!
Monday, December 7, 2009
PMS: Prednisone Mood Swings
- Increased Hunger
- Visible Water Retention
- Mood Changes
- Temporary Redness of Face and Neck
- Not Feeling Well