Wednesday, February 2, 2011

Only 6 Years Left?

Yeah rizzzzight!!! I can't tell you guys how bonkers it drives me to hear that 37 number thrown around the community. You know the number I'm talking about right? 37 is the predicted median survival age for the CF community (here in America) according to the CFF. Since I'm turning 31 today, it got me thinking, should I just enjoy cash in my chips and enjoy the time I have left? I of course say that in jest as I would NEVER say that (and mean it), but to highlight an attitude that still is present in many of my close CF circles. We get fixated on a number that's thrown out there and then think we somehow have to live down to it or in some cases, spend our whole lives trying to attain it. Can I just say this, screw that number and screw statistics in general. I've never bought into the hype before and I certainly don't plan on buying into the hype now.

I was fortunate to develop this attitude at a very young age. I don't know why, but even as a youngster, I was able to see the forest through the trees. See, when I was born in 1980, that predicted median age of survival was hovering around 17. Even more so, there was an attitude present in the community to just "value the time you have" because "he probably won't see high school". Why do I remember this? Because I overheard a doctor say it. Not only did I hear doctors say it, but I saw many of my friends live it.

I'd like to introduce you to my friend Robbie. Robbie and I met at the hospital when we were kids and we connected right away. He was a few years older, but he was one of those "cool" CF kids that I longed to meet. You know, one who I thought was "just like me". There was one key difference however with me and Robbie. Robbie never did treatments. I used to question him all of the time as to why this was and to this day, I've never gotten an answer. Maybe it was because he was raised by a single mom who smoked in the house? I mean, she obviously didn't care, why should he. Maybe it's because they were on welfare and couldn't afford the latest and greatest in CF treatments? Maybe he heard the number 17 and thought to himself "what's the point"? I never did get a chance to get to the bottom of it, my friend Robbie died when he was 12. I still think of him to this day.

But this isn't a sad blog, see, even as a kid I knew I wasn't locked into Robbie's story. Shortly after he died, my mom cautiously approached me to assess how I felt about it all and to see if there was anything she could do. She asked if Robbie dying scared me at all. "I'm sad, but it doesn't scare me" I said "I'm not Robbie". "What do you mean?" she replied. I said, "Robbie didn't do his treatments and his mom never pounded him". Even back then I just couldn't buy into this whole "CF is CF" mentality and that we're all destined to the same fate or locked into some magical number. Again, screw that. Robbie should have never been included in any number or statistic that was ever thrown onto me. Sure, we both had CF, but that's were the similarities ended.

I feel the same way today. That 37 number means absolutely nothing to me. In fact, any number that includes the whole CF community means nothing to me. As long as those numbers include kids like Robbie who don't do treatments or have parents that don't give them a fighting chance, they mean nothing. We don't know what everybody else is doing out there. We do know however, that most surveys show that at least 50% of CFers do much less than or none of the treatments prescribed by their physicians. So I ask you, should they factor into any number that you hold up to yourself or your child? You obviously know my answer. Whether you pay attention to the numbers is up to you. I'm much more interested to hear about those who do what they have to do each day to have their lung function at it's highest possible position. If you don't care enough about yourself to do what you have to do to live a healthy life, then stay out of my statistics.

Now, inevitably, I'm going to get comments or emails saying something to the affect of "Ronnie, I hate you. I've done all of my treatments my entire life and I've exercised regularly since I was 4, yet my lung function continues to decline and I'm always sick. So just know that I do what I have to do and it still isn't working". Short response: You are in the minority. Not only are you in the minority of CFers that do all of their treatments everyday, but you're also in the minority of those that do all of their treatments and still can't get healthy. I generally like to focus on the majority, the majority of us who don't do everything we need to do to stay healthy and then wonder why we're sick. I've been there. I was living the "blind-folded excuse filled life" for many years. I know it's tough to own it and take responsibility for our own actions and choices, but man, once you do, it's just so much easier. You start to realize that we do in fact have a lot of control over this stupid cell disease and we have much more power than we give ourselves credit for. It's just a matter of biting the bullet and getting started.

With that said, on my birthday, here's my wish: I just want us all to commit to taking care of ourselves so in the near future we can see what the real predicted median age of this community. A community dedicated to treatments, exercise, self-worth and no excuses. I can guarantee you this, if we all committed, we'd see that 37 number WAY BACK in the rear-view mirror.

Comments (26)

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Thank you for posting this. As a mom with a young CFer (14 months), it is great to hear things from your perspective. I can't believe that there are parents out there who won't crawl to the ends of the earth for their kids (much less do their treatments). Also, thanks for all the info on IVF, we are going for our consultation next weeks so we can give our son a sibling. I can't wait to follow your journey into parenthood.
1 reply · active 739 weeks ago
I'm with Kristy. I'll never understand why parents neglect to follow through on their kids' treatments. My 5 yr old is one of the healthiest kids around and I attribute a lot of that to being consistant with his therapies.
Thanks for this post, I'm encouraged more and more by the number of "over the hill" CFers that are still living full, active, healthy lives....not that you're over the hill! : ) But when I read about 50-somethings doing well it gives me great hope for my son.
By the way, Happy Birthday!
2 replies · active 739 weeks ago
Just turned 42 last Wednesday. Happy Birthday Ronnie. Sixties or bust!!!
1 reply · active less than 1 minute ago
I agree that statistics are not worth paying attention to. I am 37 but had a lung transplant at 26 so, by CFF stats, I am dead. So add that to the reasons stats are skewed! I think stats are more for fundraising and grant writing than for real patients.

I admire your determination and commitment to being the healthiest version of you. I also love your birthday call to be a community dedicated to loving and taking care of themselves.

I disagree very much with the take on the CFer who does all they can do and still gets sick, though, Ronnie. I don't "hate" you but this approach of pointing fingers and saying if you're sick you're not trying hard enough makes my want to cry. Don't we have enough people in our lives telling us to do more, fight harder, never miss a treatment? Do we have to hear this from each other too?

The psychological aspects of this disease (of any chronic disease) are just as real as the physical ones. Some people are fighting depression. Some people don't have enough support or money. Some people have to work full time for insurance and don't have the energy to be fully "compliant." Some people are double delta and some people aren't. I could go on but you get the point. I am in this "minority" you speak of and you are telling me I failed. I didn't do enough. I did the best I could, whatever that was and so is everyone else.

I love your attitude but don't kick me out of your statistics. My experience is just as valid as yours. Make yourself your own statistic, sure, but please don't make me feel any more judged for how my disease unfolded. I've done enough of that myself in the middle of the night as I lay awake wondering if I could have postponed my two transplants by being a better patient.

I'm posting this publicly because I think CFers who do the best they can but still get sicker deserve a voice. Not everyone is in a place to have your drive and goals. This is not meant to be confrontational, just something I feel strongly about. As a community, I hope we can support each other no matter if we think someone is "doing it right" or not.
2 replies · active 739 weeks ago
I am 65 and still hanging in there! I could do more exercising than I do...will try to do better. But at least I am helping the AVERAGE AGE!!!!
1 reply · active 739 weeks ago
I think you know how much I don't hate you...quite the opposite. I just want to hug you for all the light and hope you bring to the CF community on pretty much a daily basis.

The part of your post that makes me smile the most is your anecdote about your friend. Not because of his choices or situation, mind you, but because of your statement that you are not him, and he was not you. I couldn't agree more. This disease is so personal, for so many reasons. Research has shown again and again that there are MANY factors that go into CF progression: everything from personal actions and environment to genetic factors like mutations or hormones to sheer luck/chance/fate/divine will/whatever you wish to call it. And that makes each of us as unique as the snowflakes currently falling on this gorgeous city of mine. (How's that for a sappy birthday metaphor, by the way? You're welcome. ;)

My wish for you, by the way, is that your life continue to be full of blessings, and that you never lose your positivity, warmth, or genuine love for the CF community and all its wonderful, individual, and beautiful members.

Kudos to you on reaching another birthday, my friend. I hope to be right here with you -- thanks to my fabulous organ donor -- as you celebrate many, many more!
1 reply · active 739 weeks ago
Right on Ronnie! I love your attitude! I often think of your blog now when I am running and it really encourages me to go that extra mile! thank you and Mandi
1 reply · active 739 weeks ago
I admit I have been guilty of throwing out "the number" before. However, it is always followed by my faith in the scientific community and in our 2 1/2 year old daughter. We hope to raise her to take good care of her body through our example. We are doing extra treatments this week because she is sick and this post was the kick in the pants I needed to remind me that it is all worth it...even when "NO" is her favorite word. Although let's face it, it is every 2 year old's favorite word! Good luck with the IVF. My brother did this (CF carrier with fused vas deferens) and has 2 beautiful children to show for it! Good luck and Happy Birthday.
Happy Birthday!

It's interesting how everyone has a different perspective. I always worked towards surpassing that age. It was a challenge, a competition a goal.

you just inspired a new t-shirt for CF "My Mom Beats ME Twice A Day" Funny how somethings can be positive in the CF world and horrifying to the unknown:-)
Thanks for the encouragement. My daughter told me the other day that she sometimes wishes she would wake up and it would all just be a bad dream. That they made a mistake and her little boy doesn't have CF. I understand completely what she is saying but your blog always give me hope. I have shared it with her but don't know how much she looks at it. I always gives me hope for the future when I read your blog.
Happy Birthday and many more to come!!!
Ellie Miller's avatar

Ellie Miller · 739 weeks ago

I normally don't comment on your blog, but you have a way with words, that I wish I had. I am a grandmother of a 20yo grandson, who is in college studying to become a pharmacist. they said he wouldn't live to go to kindergarten...At the age of 17, I witnessed him walking across the stage to get his high school diploma!! What a joyous day that was. He was always given EXCELLENT care as a child and now he takes care of himself and does it well. I am very proud to call him my grandson. Ronnie, you are an amazing young man, I respect you, admire you and very envious of your gift to write like you do. Have a wonderful birthday with your amazing wife.
Ron, I remember as a kid always being vaguely aware that you weren't supposed to make it past 20. I don't recall anyone saying that... Just that it was there.

Good job ignoring the stats. Happy Birthday cousin!
I hate that 37 years jib-jab. Only the Lord knows when and why it's going to go down, so why focus on that? Make yourself as healthy as you can, respect the body you have been given, and be thankful for the days you been given - just as you and so many others have. I hope you had a wonderful birthday!!
Lee Bombardier's avatar

Lee Bombardier · 739 weeks ago

Ronnie, Happy birthday!! Thanks for all of your encouragement and enthusiasm!! Couldn't help but think that by the time you are 37 you will have 3 kids hanging off you and you will be laughing having kicked CF's ass!! Keep up the strong work!! XOXO Lee B. (Lauren's Mom).
I've been a fan of your commitment, but this is over the top. There are many cysters and fibros that have gone before your time who did the "right things" as well as their families. Who are you to pass judgement? Maybe these folks had different mutations; for those lost in your early years, information was not available as to the affects of second-hand smoke. Please DO NOT JUDGE and consider yourself blessed. I wish you the best in the IVF process and with your health, but I'm no longer a fan.
1 reply · active less than 1 minute ago
Ronnie--I knew you in high school and found this blog via another classmate from back then when she posted it on facebook today---I have to admit my very first reaction (that I even posted on her Facebook wall) was...WOW Ronnie is still kicking? That is AWESOME--now coming from a complete moron as far as anything having to do with CF I also have to admit that knowing you in high school, was and is to this day the only experience with CF that I have. I can distinctly recall when you told people about your CF sitting in the athletic trainers office one day and later that night I asked my mom ( who at that time was a nurses assistant) what CF was and she told me a little bit-but what stood out in my mind was the "#"...back then I don't remember it being as high as 37 (not that 37 is high by any means) but I do remember crying thinking of this boy that played football for my high school and how it must feel to be him and basically have been told his days are numbered

This blog post-seriously changed my entire view and outlook on CF. I am glad T shared your blog link on facebook-I look forward to reading more of this journey or yours.

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