Tuesday, June 25, 2013

Cystic Fibrosis ALWAYS Gets Worse

Cystic Fibrosis always gets worse. It can't get better once you reach ____% lung function. Once you start going into the hospital multiple times a year, you'll probably go multiple times a year for the rest of your (short) life. When you lose lung function, you can't get it back.

Any of that sound familiar? I really hope it doesn't, but I have a feeling that some of you have heard all of those things a time or two. I know I did growing up, and the sad part is, I actually let myself believe some of it. I fell for the part of CF getting worse year after year hook, line and sinker. I was reserved to the fact that I would lose a little bit (or a lot bit) of lung function each year and there wasn't much I could do about it.

I mean, that's what my friends with CF said. That's what I read on the Internet. That's what I heard some CF docs say. It must be true then right?

Wrong. It's wrong for so many different reasons that I don't have the time to list them in this blog, but I'll tell you the biggest reason that it's wrong...

I got caught up in thinking about all of the things that CF could do and lost focus on what I was doing.

That becomes the problem. When we are so concerned with what could happen with our health that we let it distract us from actually doing something about our health now, we have an issue. I totally get it as much of society is stricken with the "it-must-be-somebody-else's-fault" bug.

If we don't feel well, it has to be because of CF. If we're having a bad day, it must be because of CF. If we're mean to our friends, it must be because of CF. If we flunk a test, it must be because of CF. If our lung function declines, it must be because of CF. And on and on and on we go, blaming anyone and in this case, anything else, before we're willing to look in the mirror and realize that we're the problem.

It took me 8 years of declining lung function and 52 days in the hospital to realize that. It took me not being selfish for the first time in my life and actually putting a special girl's needs in front of my own by actually taking care of myself the way that I should. It got cemented when I brought another special girl into this world and made a promise to her that I would always work my booty off.

What's it going to take for you to change?

And I know, I know, there are people out there who will say, "I never miss treatments and I always exercise, but my lung function continues to get worse." Yes, that can be the case (I used to exercise and do my treatments too while seeing my lung function decline - I just wasn't doing as much as I obviously needed to). It however is the case that you're lung function will decline if you don't do your treatments and you don't exercise. . It is also that case that some people wait for far too long before they finally decide to "never miss treatments and always exercise". To be honest, I was almost to that point 4 years ago, but by the grace of God was able to fight back.

So what brought this blog on? I had my 1 month post-hospital clinic visit yesterday and for the first time in 12 years, I had a FVC of 92%. My FEV1 was 75% which is still up from my "baseline" of 50% in 2009 that they said I'd probably stay at. They were wrong.


If you'd like to get healthy, do what you do in spite of CF. No matter how CF decides to act tomorrow, you just make sure to out work it. If your disease is being a little more aggressive, than you must be that much more aggressive. If things are getting better and CF is slowing down a bit, celebrate by kicking it's booty even harder.

I know you can do it, now you just have to believe that you can and will do it!!

Comments (41)

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Thank you for this wonderful blog :) ! It really is inspiring and makes me want to work even harder to get myself totally healthy.. xx
1 reply · active 614 weeks ago
So the person who is compliant for years and years and years, who does 4 treatments a day, vest included., exercises regularly, eats healthy, takes care of themselves, but still sees a decrease in lung function is not doing enough? Really? So you are basically saying that every single person who has had a double lung transplant because of CF could have avoided it if they had just done more? This is dangerous material. I can understand wanting to be motivational, but if someone is out there who is looking at a transplant and is depressed and reads this, it might set them over the edge.
2 replies · active 614 weeks ago
Beth Peters's avatar

Beth Peters · 614 weeks ago

i take really great care of myself and exercise everyday. I am sick this week because I caught someone's bug and I have a compromised immune system.... but thanks for letting me know it's actually my fault. And to all the parents with kids in the hospital who are working their butts off, I guess it's your fault too. Ronnie, you should also get that MD so that you can disprove that CF is in fact a progressive illness.

I just can't stand by while you blame patients and families with far my complicated lives than your narrow view allows for. It's just not okay, and it's irresponsible.

Beth Peters
1 reply · active 614 weeks ago
Brianne Houston's avatar

Brianne Houston · 614 weeks ago

Thank you so much for this Blog post!! It was exactly what I needed to "hear" today. I've had my adult CF doctor tell me to many times that my new lower numbers are where I'm gonna stay & I should get use to it. I love getting to prove her wrong! Luckily the CF doctor I see 98% of the time has a lot more faith & hope then that. Sure it's getting harder to keep my numbers up between lung infections, but I'm determined to make my lungs stronger & healthier! Started a weekly routine this summer of working out. I'm so excited! Even if or when I need a lung transplant one day I'll know I did everything in my power to keep the lungs God gave me strong & healthy for as long as possible. CF can be a mean monster & we don't get to choose what we end up growing in us, what infections we get, when bugs become resistant or how long we're in the hospital, but we do get to choose how we face these trials. Keep up the good work!! You are such an inspiration to so many of us in the CF community.
Beth Peters's avatar

Beth Peters · 614 weeks ago

Also, you should think about why YOU have self-loathing and guilt when YOU are sick, and work through that, instead of putting onto your vulnerable, mostly CF parent community. It is NOT your fault when you are sick, Ronnie. You have to work hard to get better, but it's not your fault. If you die of CF, it won't be because you are weak, or irresponsible, or lacking some fundamental fight. The parents of CFers and patients should know that. CF kills strong people as easily as it kills weak people, it kills people who are 100% compliant, and not those that smoke and drink. CF doesn't conform to your ideas, it's a biological force that lives in every cell of your body and impacts every body system. It's not your fault if it doesn't do what you tell it to. It's not a person, it's a fatal, progressive illness.
Jamie Cary's avatar

Jamie Cary · 614 weeks ago

Thank you for proving docs wrong :-) Gives me concrete evidence that it can be done! :-D
I'm blown away by the negative comments on this blog. Anyone who has ever read anything Ronnie has written should know how he intended this blog to come across.

I think we all know that there are people who die from CF and never have the opportunity to put any of these other things into practice. We know about the children who die. We all know this already.

He is speaking to those of us who try to skate by on the bare minimum of treatments and compliance and wonder why we never get better. We chalk it up to CF progression rather than just call it what it is most of the time: LAZINESS.
1 reply · active 614 weeks ago
IF you are 110% compliant and doing all of the right things above and beyond and you are still seeing declining health, I'm sorry to hear that. I do realize it happens.

But if you had to assess your situation honestly, are you giving 110%? I know I wasn't. I didn't start until a few years ago when I thought I was going to die soon. I am now big into fitness and do more treatments a day than are prescribed to me. I make time. I've seen a 20% increase in lung function since starting all of this, and although I still get sick 1-3 times a year, I have a wonderful quality of life. We never know how big of an impact we can have on ourselves until we try.

Stop blaming this blog and look a little deeper into yourself. We all know dang well where Ronnie was going with this so stop the attacks just because it isn't enjoyable for you to read.
1 reply · active 614 weeks ago
Beth Peters's avatar

Beth Peters · 614 weeks ago

Tiffany, I have read Ronnie's writing for years, and I think he went over the line in this post. I do everything I can for my health, and so did my sister. This includes supporting myself, working full time, and living a fully independent life. My sister did the same, and died a month ago ten years post transplant. She died of Cystic Fibrosis. Not laziness. And the blog is not a person, it's the expression of a person - Ronnie. I am not "blaming the blog," I am calling out Ronnie's irresponsible shaming message to patients and families. I am not attacking him, I am trying to protect vulnerable people like you. And FYI, doing more treatments than prescribed can harm your other organs, so you should report that to YOUR DOCTOR, not your blog guru.
Beth Peters's avatar

Beth Peters · 614 weeks ago

And medically speaking, once lung tissue is scarred, it cannot be recovered. Ronnie is lucky that his lung tissue does not scar. Most people are not that lucky, and it's not because they are lazy. You should all google images of cf lungs and look at the majority of the tissue - is scarred, not just diseased.
Beth Peters's avatar

Beth Peters · 614 weeks ago

Also, there is group of CF women who received this post in our email, though we don't subscribe, so Ronnie must have wanted our feedback to particularly email it to us. So, there's my feedback.
1 reply · active 614 weeks ago
You think my doctor has an issue with me doing an extra airway clearance treatment a day? An extra albuterol in the middle of the day if that is what I need. My doc knows everything I do and is on board with my treatments 100%.

Also, I do not spend every waking moment taking care of CF. If you knew me, you'd know that I'm so opposite of that, but I do prioritize it. I busted my ass in college so that I could be an independent woman, and I am living my dream right now. I enjoy my life more than most people I know. But I use my time wisely and I don't make excuses. Sure, I cut things short every now and again. I'm not perfect, but I sure do strive to know that I'm doing everything I can, which no, doesn't mean that the disease won't progress anyway.

I also struggle with inflammation which seems to be my biggest issue these days, and I know there isn't much you can do about that. Bummer. I hate being on Prednisone daily.... ugh.
1 reply · active 614 weeks ago
Ronnie my man!!!

I like this post. I didn't see this coming across as attacking us a CFer at all. I read it that the "I" was referring to you Ronnie. Everyone needs a way to kick ourselves in the pants. I am glad that you and I both have a great support system in our spouse and our daughter's. If we feel we are not seeing numbers we think we should it is time to reasses the situation. That is what I got from this. Continue to keep up this great blog that so many of us benefit from. Keep rocking fibro!!!

I don't know if you read this post but I think you might like it. That I did about CF responsibility.
http://livingmydreamswithcf.blogspot.com/2013/03/...
Traci Johnson's avatar

Traci Johnson · 614 weeks ago

It seems to me that the people that take such strong offense to this post may be the exact ones that need to work harder. To only look at this post in an offended mindset is completely missing the point. The whole point is what Ronnie was able to accomplish...exercise more, do more treatments, etc. AND improve lung function. That's a huge deal and shouldn't be ignored. That kind of information is (and should be) inspiring to the people out there who are struggling, knowing in their hearts they can get their lung function up and just need a kick in the booty or an inspirational message such as this one.

Way to go Ronnie! You always inspire.
I have a cousin who was diagnosed with stage 4 inflammatory breast cancer. She was given 2 years to live WITH intense treatment. She walked out of that drs office forgoing conventional medicine (whole other story). That was 7 years ago!! She still battles cancer and most recently was told she wouldn't be alive past February. As she says, she doesn't feel like she's dying and yet people "speak death to her." Her motto is "Speak LIFE to me!" I LOVE that that's exactly what Ronnie does in the CF community! That ANYONE can beat the odds. The worst can still come but don't be "statistic." He's simply speaking LIFE! Keep it up Ronnie!!
1 reply · active 606 weeks ago
People. You can take this negatively if you want but it's not how it's being said. If you have been reading RSBR for years, you'd know Ronnie's intentions are good. Ronnie has set the fire under me and I see him as a great friend, helping me learn from his mistakes (which are mine as well) and improving myself and not giving up. Taking control of my CF and doing beyond what my doctors tell me.

Thanks Ronnie for the post. It made me recommit to doing my very best. I'll never regret doing everything I can to beat CF. I will regret not, doing everything though.
Thanks Ronnie! Since the twins have been born, my treatment sets have slacked and I haven't been exercising. Thus I saw a drop in my PFT's. Before I went to clinic on Monday, Monica and I had already discussed that we needed to do whatever necessary to make sure I'm getting my treatments in and exercising. Gotta get those numbers back up!

So for me, reading this post was just what I needed! God always knows when I need some inspiration and motivation. This time, as many other times past, it came from your blog! Thanks Ronnie!
Beth Peters's avatar

Beth Peters · 614 weeks ago

To Tracie, who wrote, "It seems to me that the people that take such strong offense to this post may be the exact ones that need to work harder. To only look at this post in an offended mindset is completely missing the point," you are absolutely missing the point. This post offended me because I just lost my sister, who lived most of her life with less than 30 percent lung capacity, who lived to age 36 after being born in 1976 with CF, who lived for 10 years after her transplant and 1 year with acute (not chronic) rejection, while working for the Medical University of SC and fighting everyday for children and families with CF. To imply to her memory, to my family and to the thousands of families that lose children with CF, that they are LAZY, is irresponsible and morally wrong. And, as I wrote on Ronnie's fb this mornig, "Trite phrases and constant plagiarism don't change the fact that you need to consider that not every cf family or patient has the advantages that you have, that CF is biologically defined as a progressive illness, that children and adults die of it every day despite their best efforts in a very complicated world, and that their life or death is not a direct relationship to your perception of their holiness or Christianity."
1 reply · active 614 weeks ago
Beth Peters's avatar

Beth Peters · 614 weeks ago

Traci- Ronnie does plagiarize in his posts all the time. He NEVER cites the quotations he uses, and that is plagiarism. He never even cites the bloggers that he quotes. And, he does say a lot of cheezy things that I call "trite," and he misquotes even the bible half the time, trying to connect his health status and his Christian status in a way that is just wrong wrong wrong. I am writing my responses for the mothers out there with a kid in the hospital right now who read this and feel bad like they are failures. They are not.

And I've never attacked him personally, I have addressed the very public words that he writes.

Someday when you are sick I"ll make sure to send you this post so you can remember that in Ronnie's world, if you're sick you're a ) lazy and b) a bad Christian.

And this is the man you look up to? Try getting a real religion or a real relationship with God. Ronnie isn't the gateway to any of that.
2 replies · active 614 weeks ago
Oh man! So this MRSA I caught is my fault? The 10% decline in lung function I've had since I caught it is my fault? The cold I caught more than a month ago that sent my FEV1 plummeting to 27% is MY fault!? Why didn't someone tell me this sooner? I'm always the last to hear these things.

But wait...I do all the things you talked about. So, how is this my fault exactly?
1 reply · active 614 weeks ago
Oh, man its heated up in here!

I've thought about this, rolled it around in mind, swished it between my teeth and here's what I got. This journey with CF is as different for each person as the disease it's self is. Ronnie writes from HIS perspective. I personally don't always see eye-to-eye with what he writes or believes. But a good portion of it I do. It's for that reason I continue to read and participate. I, too, write a blog and Ronnie has commented a slightly opposing opinion on a blog post. I say this to show that one can read/participate without agreeing on every ounce written.

Just like many of you, there are parts of this post that make me a bit uneasy, but there are also parts of it that have me shaking my head in agreement with....for me...... from my perspective. I will not berate Ronnie because he is not wrong, nor is he right. This is HIS truth, HIS experience. Who am I to judge that. I'm not walking in his shoes.

I'm gonna take a leap here..... but I assume he puts his journey into words so that IF someone could benefit from something he's done then it's one more person than had he kept quiet. I truly believe he writes with sincerity and not from a throne to place judgement on anyone.

Ronnie, as your fellow Cyster and friend have heart. You've inspired many from making simple changes to drastic in order to life a full life. While I don't always agree with everything I do believe its from a good place. This blog is yours and yours alone to do with and write as you see fit. I'm just grateful we live in an era of blogging/FB/Social Media so we can share our differences. That's part of the beauty of knowing so many different people with CF, you begin to understand that their journey's are all different.

It's finding the common ground within the differences that connect us!
1 reply · active 614 weeks ago
Beth Peters's avatar

Beth Peters · 614 weeks ago

@Traci, I have a great amount of peace in my life. My disagreement with Ronnie shaming people is not an indication that I don't have peace in my life. You can run miles with me in this argument, I will win the race. Keep it coming.

When you cite a source (you should have learned this in 5th grade), you should put the quoted text in quotation marks, then list the author, title and page numbers of the text. If you choose to paraphrase, that section of text goes in [] brackets. For example, Shakespeare wrote, "To be or not to be, that is the question," (Shakespeare. HAMLET. Act III Scene I line 64). Shakespeare might have meant, "To [live] or not to [live]," but that is highly debatable.

When you quote an internet source, the proper format is (Cite, Available Date) as in (RunSickBoyRun.Blogspot.com Available 6/26/2013).

When you quote the Bible, the Book and line numbers are usually used, just like in Shakespeare.

When you put a bunch of crap in quotes, that is called plagiarism. :)
1 reply · active 606 weeks ago
Traci Johnson's avatar

Traci Johnson · 614 weeks ago

The argument here isn't about plagiarism; it's about attacking Ronnie on a personal level, which is unnecessary and disrespectful. I never said Ronnie does or does not plagiarize (and I don't personally care since he's not selling quotes to make money), I said he doesn't deserve to be attacked, especially for something that has nothing to do with the post at hand.

I personally find it offensive that you're saying, "Someday when you are sick, I'll make sure to send you this post so you can remember that in Ronnie's world, if you're sick you're a ) lazy and b) a bad Christian.
And this is the man you look up to? Try getting a real religion or a real relationship with God. Ronnie isn't the gateway to any of that."

I know Ronnie personally and your above statement is absolutely meaningless.

I'm not continuing this conversation with you because I don't live my life in anger and blame. You win.
Most people are not that lucky, and it's not because they are lazy. You should all google images of cf lungs and look at the majority of the tissue - is scarred, not just diseased...!!!
Ronnie, As the mom of a 17-yr old with CF who is in the hospital (day 11) , I just wanted to let you know that this post is a very positive encouragement to us to keep it up, this constant fight against CF and to not ever let it be an excuse. Everyone has issues they deal with, but the point here is focus on your part and do what you can, and then do a bit more! I found this post to be so encouraging and positive and I am shocked at the negative responses, but as you know, you can't make everyone happy all the time -- there are always going to be naysayers. Just know, this post made me happy today almost two years after you wrote it. Thank you and may God continue to bless you and your family! Keep it up!
1 reply · active 518 weeks ago

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