Friday, March 15, 2013

Reaction: New CFF Infection Control Policy

I had absolutely zero percent interest in writing about this or sharing my thoughts on the matter. I was only going to share the new guidelines as I did this morning, here, and move on. What's sparking this blog is the responses I've been reading, receiving, hearing etc. Maybe what I write here will make it better for some and maybe it will make it worse for some.

[And now the obligatory preemptive strike. Everyone is entitled to their own opinion. How you feel about this and how it affects your life is valid. I respect the views of others. I'm sure there are other pleasantries that I'm leaving out that I will soon be reminded of. This is just my opinion, no more, no less.]

As many of you know who read this blog from time to time, I'm a pretty pragmatic guy. I see the world in black and white with very little grey. I like to focus on the rule and let others worry about the exceptions to that rule. I like facts. I prefer for others to give me straight talk and I appreciate that in return (Just ask my wife). I'm more concerned with the solutions to the problems than the problems themselves. I'm also a pretty visceral guy. Not in an emotional outburst sort of a way, but in an inward, deep-thinking kind of a way. I like to think of unintended consequences. I try to understand someones motivation rather action taken or not taken. I like to debate just to hear the other side, even if I agree with it. I will often not respond during a conversation because I'd rather respond with how I really feel than respond with how I felt in the moment.

Anyway, that's where I'm coming from with this.

So what was my first reaction when I received the email from the CFF regarding the email? Honestly, I said to myself, "Ok," and moved on with my day.

As I started thinking about it more, and with the assistance of the thoughts from others, my opinion has evolved, but maybe not by that much.

Here are the facts about cross-infection:

1. People with CF can get each other sick by spreading different bacteria.
2. New evidence suggests that this may be a bigger problem than once thought.
3. New evidence suggests that the bugs can "hang out" longer than previously thought.
4. New evidence suggests that droplets can go further in the air than previously thought.
5. CFers getting new bugs in their lungs that could potentially make them sick, even with their consent, is not a good thing.

Here are the facts about the CFF:

1. They are one of the best non-profit organizations around.
2. They have changed the way orphan disease research gets done.
3. Their job is to raise money.
4. Their job is to develop materials and provide some programs that support the CF community.
5. I would not be alive today without them doing what they do.

Here are some facts about me:

1. I've been to and spoken at 100's of CFF sponsored events both indoors and outdoors.
2. I've had good friends who happen to have CF my entire life.
3. I have a good relationship with the local CFF chapter.
4. I have no relationship with the national office and have never been to Bethesda, Maryland.
5. I'm not a cheerleader for the CFF.

Okay. So. What does all of this mean?

In short, the CFF can make whatever rule they want to make regarding what takes place at events they are running and/or supporting. There is absolutely nothing I'm going to say that will change the new guidelines set forth. They are not basing these on feelings, they're basing them on science, facts and research.

Do I think it's awesome? Of course not! But it's totally understandable. Who knows, maybe as we continue to learn more and more about pathogens, we'll be wondering why they didn't do this sooner. They are not doing this to protect themselves, they are doing this to protect us. I can understand if a business, or in this case a non-profit, doesn't want any part in putting us in a possibly compromising position.

So how do I respond? Well, at this point, I'm not sure. I know this though. When I don't like something, I don't turn to complaining, I turn to changing. If I think someone isn't doing a great job, I will try to take their job and do better. If I can't make a system run smoother, I'll opt to create a new system. If I think I can be better at x, y or z, I don't talk about it, I just do it. In other words, if I thought that a myriad of people with CF had to be at an event in order for it to be a success, I'd throw my own events with plenty of people with CF invited. But I don't think that. I think the CFF can still have successful events, and raise a ton of money, even while following the guidelines. (In fact, some CF centers have been enforcing some of these guidelines for years at their events [like CF Ed Days] already. Those events are still successful.)

I woke up this morning and these new guidelines didn't change my life one bit. There may be things that will change in the future with regards to my participation in certain events, but that remains to be seen. I'll still take the same precautions as I did before when hanging out with my friends with CF in the real world. Will my approach change with them? Maybe, but not by much.

I woke up this morning with a wife to love. I woke up this morning with a daughter to raise. I woke up this morning with bills to pay. I woke up this morning with a run to complete. I woke up this morning with 4 treatment sets to do. I woke up this morning with Cystic Fibrosis.

I have much bigger fish to fry. Now, maybe I'll just fry those fish 6 feet away from all of my fish-frying peers.

Comments (16)

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Love this Ronnie...and love hearing your take on it. As a CF parent I always enjoy hearing things from your side. I don't really see the big deal with the news "rules" and actually appreciate the CFF looking out for what's best for the CF community. If this can help my Bryce stay "bug" free for longer it's a win in my books. Always enjoy reading about you and your family. Thanks for sharing with everyone!
1 reply · active 629 weeks ago
I agree mama. Let's keep that boy bug free!!! :)
I'll confess, I saw the guidelines and thought, "isn't that what they've always been?" Like you said, some centers and events have been enforcing these guidelines (or ones very similar) for years - since the mid 90s!

At one point, when we were living in DC, I tried to get a job at the CFF, but they already had a CF patient on staff. I was bummed and admittedly a bit frustrated that my CF was precluding me from getting a job, but that's just how it goes sometimes. I understood and even agreed with the decision.

Guidelines like these force us to come up with creative ways to maintain and foster our CF community and I think ends up being in our favor. We've created a robust online community and holding webinars of physical meetings has become the norm. Personally, I love how our community has paved the way for how orphan disease management can work in conjunction with technology.
1 reply · active 629 weeks ago
No organization can control what you do outside of said organizations events fortunately :)
I am glad you posted this and I echo the same sentiments, exactly. From every aspect. Thank you for posting
1 reply · active 629 weeks ago
I couldn't agree with you more!! Well said my man! Life will go on..........But when this came out I was saying ok so what really changed???? NOTHING minus the one person at an indoor event. I don' want anyone's bugs and I don't want to give anyone my bugs. So I think we are even wouldn't you say????
1 reply · active 629 weeks ago
Sounds good to me!
I couldn't possibly agree more with every word written here. If I had sat down to write a blog on this issue I think the words would've been almost identical. Coincidentally the rules here in Canada are pretty much the same. When I was a speaker at the main CF fundraiser here last year we pre-recorded it and they showed it on a big screen. Did it lose some of the impact of me speaking in person, perhaps. But I would rather have spoken with a slightly lesser impact and follow the CCFF's guidelines than not have taken part at all.
1 reply · active 628 weeks ago
It remains to be seen what steps the CFF will take in order to ensure the same type of accessibility.
Concise, factual, and to the point. You are appreciated!
1 reply · active 628 weeks ago
I appreciate you taking the time to read it!
We're on the same boat Ronnie. Here's what I posted on my Andrea's Angels - Fighting to Cure CF Facebook page:

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In light of the new Infectious Control Policy the CFF just announced, let’s not forget the new proposed mission statement just recently announced as well…

The mission of the Cystic Fibrosis Foundation is to cure cystic fibrosis and to provide all people with the disease the opportunity to lead full, productive lives by funding research and drug development, promoting individualized treatment, and ensuring access to high-quality, specialized care.

As a parent with a child that has CF I fully understand the frustrations these new guidelines are causing. I too share some of these frustrations. However, I will not allow those frustrations to consume me and/or anger me. I will not voice my opinions in a disrespectful manner either.

I honestly believe that these guidelines are meant to protect and serve the CF community. They have been put in place to honor their proposed Mission Statement and done so because they care for each and every single CFer in this world.

Will this policy cause some challenges? Of course it will. It’s not meant to but it will happen. It is up to each and every one of us to take on this challenge in a productive way. Instead of giving up on fundraising potentials because a new challenge has been added, find a new alternative way to make our fundraising needs work. I actually can see this helping us with raising funds, especially among our current and past supporters.

We have come so far in the CF world to allow announcements like these tear us apart. On the contrary…we must join closer (well within 6 feet of closeness ☺ ) and find a way to stand as strong as we always have.

Let’s continue to be each other’s support system and by all means, do not back away from supporting the CFF. We have CFers living longer more fulfilling lives because of the CF Foundation. Let’s keep working together and focus on the proposed Mission Statement to cure this disease. Then we can embrace each other all we want! ☺
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Just so you know, I love the photo I have of you and Andrea together (like way less than 6 inches together) and I would have another one taken of the two of you in a heart beat. It's not like you both coughed or sneezed on each other. However, with the new CFF guidelines, should these have been put in place prior to your speech last year, the photo of you two would never have taken place.
1 reply · active 628 weeks ago
I'm so glad that I was able to take that picture as well!
hi, i have no CF, only asthma, but i just wanted to throw in this: would not a mask also do the trick to protect one from getting germs when meeting a fellow sufferer of the community? i have no idea of course, but i myself use a mask a lot in everyday life and it does a great job for me. there are all types of them, those of the quality "FFP3" filter extremely small particles. :) best wishes, san
1 reply · active 627 weeks ago
That would help, but obviously it could not offer the same type of protection of not even being in the same room.

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