I realize we are just getting started helping our children and family as a whole unit live and succeed with chronic disease. We have definitely had more experiences in the hospital and at the doctors than an average family, but know there are other families that absolutely have had more experience than us. Watching each of our infants experience at some point an extended hospitalization left us feeling confused, afraid, lost, guilty, and often very angry. In the beginning I remember a toe to toe nose to nose discussion with one pulmonologist on call one day in the hospital with my 7 month old son (who heart breakingingly screamed bloody murder through every IV). The pulmonologist told me to “get used to this mom, you have to get used to this, you have children with a chronic disease you need to expect weeks in the hospital.” I was furious. I told her I refused to accept the hospital as normal and I refused to quit asking to go home as soon as we could as often as I could. She never came back to our room, and I never saw her again. She asked another pulmonologist to handle us (lets be honest me). I think I would like to let her know now that I apologize and I understand. I’m not happy about it, and it still feel angry about it a lot of the time but I understand that being intermittently hospitalized is part of my children’s life. We also understand that our emotions are second to helping our kids do their best to prevail with positivity and hope. Our attitude will be mirrored and magnified in them especially if it’s a negative one.

Thursday, June 18, 2020

Living Pandemic Life for 13 Years

Technically we have been living "pandemic life" for 13 years and counting. In 2007 with a tiny new baby in our arms we met and listened to the first pulmonologist we had ever met. This pulmonologist explained what life would be like for our cystic fibrosis baby. He asked us about our habits as a family and then very honestly gave us his advice on how that will change in order to most protect our baby. In addition to the vital daily lung treatments we would give our daughter to keep her body in as healthy condition as possible he also gave us guidance on our time spent outside the home. He recommended we get rid of our dog, stop attending church, avoid crowds at all costs, and stay away from symptomatic people in general. He meant very well, he wanted to start us on the right foot. He wanted us to understand the importance of keeping her environment as healthy as possible.  

It was very shocking to us. We did not understand cystic fibrosis then and the very dangerous effects of nickel and dime damage caused by repeated respiratory illness. We had to accept that the lives we had lived as children would be different in many ways than the life we needed to give our child. It was hard to understand what to do. The burden particularly on me as the mother was very heavy. I lived in a great deal of fear and trepidation as I tried to do my best to protect my daughter. My hands would shake in public places, I was terrified to touch anything and I kept hand sanitizer and wipes everywhere. I was always thinking about when I could wash mine or her hands next. My stomach lurched when other people would touch her or ask to hold her, even family. I felt that I was always putting her in danger or potentially exposing her to something that would send her into a tailspin of cystic fibrosis exacerbation.  

Soon that pulmonologist left to work at a hospital on the east coast. A new pulmonologist became our daughters caretaker and helped us have a more balanced approach to life. He advised not to keep our daughter in a bubble but to live life as best we could with appropriate caution. He helped us to slowly feel more comfortable in managing cystic fibrosis in our family. 

But my hands still shook in public places and I was always worried. Everyday it felt like rolling the dice on her health. I very quickly realized that naturally no one else, outside of my husband, would understand the degree of burden I placed on myself to keep her healthy and how seriously I took it. I felt insane with anxiety many times and shock at other peoples lack of general healthy behaviors in regards to coughing, touching, and washing hands. 

Twelve years later I still am always looking sideways and backwards for some exposure I may be missing oftentimes to the point of insanity. Also in the past 12 years I’ve seen my kids spend a few weeks in the hospital, have surgeries, struggle with their health and help them repeatedly overcome low lung function, related weight loss and a myriad of associated physical and mental  distress of chronic illness. We’ve also watched as seemingly healthy cystic fibrosis adults and kids around us “catch” just the “wrong bug” and die. Quickly. 

Sitting here now with a virus impactful enough to literally break and shut down the entire globe it feels like I’m holding not one but 3 completely vulnerable infants in my arms watching for danger. There are 6 of us in this family. Three with cystic fibrosis and three without. One of us gets sick and the dominos fall for the rest. We are grateful for the people around the world who see this pandemic for what it is and what it means for people who are already struggling with health. What an amazing opportunity to teach people about acting in ways that benefit the whole community and not just heightening the importance of personal convenience.  

Wednesday, February 19, 2020

Letter to a newly diagnosed family


Dear Newly Diagnosed family of a precious cystic fibrosis human,


When my daughter was diagnosed with Cystic Fibrosis at 6 weeks old I felt buried under the ruble of what I thought her life would have been. "Fortunately the sun has a wonderfully glorious habit of rising every morning," and slowly but surely this initial cloud of misconception cleared (quote by JC George). We managed together as her support system (including family, friends, CF Clinic team, and fellow CF families) to climb each challenge of meds, routine treatments, and nutrition. Now I see my teenage daughter soaring through life experiencing all things with arms wide open and it is in great part her Cystic Fibrosis that has molded her into the confident, brave, smart, fun woman she is! Since her diagnosis we have had three more children. Three of our four children have cystic fibrosis so we have a unique take on life and on cystic fibrosis.

Here are 3 beginner cystic fibrosis nuggets of life that we love and live by.



1.       Be an exemplary hand washer. Nothing prevents getting sick better than clean hands. Simple, true, and easy to do!

2.       
Keep enzyme supplies close always. For non pill swallowers that means squeezable applesauce packs for the road, and bottles of applesauce in your pantry always. However in a pinch we have used jam or ketchup (the kid loved it). Pill swallowers should never leave home without enzymes. Pass out extra bottles of enyzmes to family and friends whose homes you frequent.


3.       Keep the end in mind from the beginning. When physically and mentally possible you want a strong self capable human ready to live with Cystic Fibrosis on their own to me this means they need to learn three things from you as their parent.

a.       Routine, routine, routine. Find what works for your kid and family and stick with it. Our families experience on treatment routine and treatment responsibility is its own separate essay. Routine changes many times as kid grow from infants to toddlers but never give up, keep trying, and appreciate your efforts! It’s a big deal that you are dealing with!   

b.      Positive attitude. The more accepting and matter of fact you are as the parent of treatments being an essential part of a regular day then the more your CF child we adopt that attitude themselves.

c.       Celebration. Taking care of your body is worth it! Accomplishing that everyday for anyone is a celebration but particularly those who have extra medical requirements tacked onto their regimen. Celebrate your successes and talk positively about them. Cheer your heart out for your baby and for yourself for helping them do challenging things! Let them hear you speak positively and see you celebrate with them. Their attitude is most often a reflection of yours.

It has also helped us to find positive cystic fibrosis role models. Through a fantastic CF podcast called Breath In we have met an inspirational Harvard gradudate, a Canadian farm boy who grew up to invent a life changing inovative vest (out of a sewing machine motor) for himself and his fellow CF peers, and many other mind blowing awesome CF success stories. The cystic fibrosis community is full of hope, kindness, and indiviudals and families who appreciate every breath of life. You got this! You can do CF!


Keep on the sunny side,


Kamarah Adams