Living with Cystic Fibrosis |
Living with Cystic Fibrosis
Cystic Fibrosis is a life-shortenting genetic disease that primarily affects the respiratory and digestive systems. While the disease is serious, researchers are constantly learning more. Treatments and therapies have significantly improved life-expectancy over the past few decades. Each new discovery brings hope for the future.
Almost four years ago, I met a woman. We became best friends. We fell in love. We were married. She is a special for so many reasons. She also faces special challenges. She was born with a genetic disorder called Cystic Fibrosis. At first it frightened me. I read all that I could. It scared me to think about it. But she is healthy. And she is strong. And time marches on. We have dealt with hospital visits, home IVs, daily therapies, medications and appointments. But we have also climbed mountains, explored other countries, had adventures and loved each other more everyday. We are learning to live with Cystic Fibrosis.
What causes Cystic Fibrosis?
Cell
Cell
It all starts with a gene. The defective gene is carried by 1 in 31 people in the United States. Cystic Fibrosis, however, results only when a person inherits two defective genes. There are currently 30,000 people in the United States with Cystic Fibrosis.
In a healthy cell there is a protein called CFTR (Cystic Fibrosis conductance Transmembrane Regulator) that controls the transport of Sodium, Chloride and other charged ions into and out of the cell. When the protein is working, a healthy salt balance is maintained.
Healthy Cell
CFTR Protein
Cell with Cystic Fibrosis Defect
In the cell of a person who has Cystic Fibrosis, the CFTR protein does not function properly and the charged ions cannot pass in and out of the cell as they normally would. This causes the salt content around the cell to be abnormal, changing the consistency of the mucus in areas of the body such as the lungs and the pancreas. The thick mucus blocks ducts in the pancreas and leaves the lungs prone to infection.
What does CF do?
One of the classic signs of CF is salt. People with CF have abnormally salty sweat. In fact, the simplest way to test for Cystic Fibrosis is a sweat test, which tests for salt content in sweat. My wife and I laugh after she works out because when she's finished she tastes like a potato chip!
The respiratory system is greatly affected by Cystic Fibrosis. The thicker mucus coats lungs surfaces and leaves them prone to infection. Each time a person with CF goes to the clinic, he or she has their lung capacity tested.
The pancreatic ducts are clogged by the thick mucus. This blocks digestive enzymes from exiting the pancreas, complicating the digestive process.
One of the strange conditions associated with CF, as well as other respiratory ailments, is that of club fingers. There aren't any harmful effects associated with club fingers, and I find them beautiful.
Is Cystic Fibrosis dangerous?
The short answer is yes--Cystic Fibrosis is a fatal disease, without a cure. The longer answer gives me hope. In 1962, the life expectancy was 10 years. When my wife was born, it had reached 18 years. Today, life-expectancy is nearly 37 years. We hope and pray that this trend will continue.
Infection by bacteria is a major problem in the respiratory system of people with CF.
How is Cystic Fibrosis treated?
There are many different treatments and therapies for Cystic Fibrosis. While no cure exists, these therapies and treatments have both lengthened and improved the quality of life for people with CF.
Airway Clearance Therapy is important for Cystic Fibrosis. In this picture my wife is wearing a vest that fills with air and then vibrates. This helps shake loose mucus and clear her airways. The mouthpiece she is using is part of the nebulizer, which allows her to inhale an antibiotic. People with CF must also take enzymes evey time they eat so that they can digest their food. There are various other treatments and therapies that can be prescribed by a doctor to help treat CF.
Does Cystic Fibrosis limit what you can do?
Cystic Fibrosis requires careful and consistent care. Does this limit your activities? I can only speak from our experience. My wife takes her enzymes after eating tacos from a street vendor in Mexico City. She does her airway clearance therapy in the morning before exploring Tikal. She takes her antibiotic at night after a climbing trip. She takes a bit of extra rest when we hike. Does it stop her from doing what she loves? No, not at all.
Of course, as the disease progresses, activity will become more difficult. But we will always make the most of what we have, and we are loving our life so far. We are living with Cystic Fibrosis.
Where can I learn more?
A great place to start learning more about Cystic Fibrosis is the CF Foundation website at www.cff.org. The website provides information about CF as well as news on research, treatments and how you can get involved.
To anyone who wants to learn more in depth about Cystic Fibrosis, I recommend the book Cystic Fibrosis, A Guide for Patient and Family by David M. Orenstein. This book explains the details about the disease and how it affects the lives of all involved.
And how will our story end? I don't know. I am confident that there are many chapters still to write. We look forward to living them, one day at a time.
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Chris - this is a touching and courageous summary of your challenges together. Thanks for educating me!
Posted by Dave
1 year ago
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Thank you for sharing a story of love and hope and how to truly live life.
Posted by CurtisJMorley
1 year ago
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