Tuesday 29 January 2019

Orkambi. Still waiting.

Orkambi is a drug which should be available right now for the many throusands of people with Cystic Fibrosis for whom it will work. 

“Children & young adults with CF endure lifelong suffering & early death. They need Orkambi and other precision medicines as they are developed. Sufferers in the EU, US & Australia can access the drugs, but not the UK. Hundreds have died in the 3yrs since these drugs were licensed”.

To urge Vertex, the pharmaceutical who developed Orkambi, to negotiate further with NHS England, please click here, it will take just a minute. 
To sign the petition urging NHS England to never give up, please click here. 

CF is unfair enough already without having to fight for drugs which might save your lungs from further decline. 

Saturday 19 January 2019

Can we get off, please?

Seems like we’re on an endless ride that we never queued up for in the first place.

IV antibiotics for two to three weeks at a time, at home if we’re lucky, on the ward if we’re not. Or a mix of the two....
On IVs he feels worse to begin with, but his lung function steadily increases (massive relief)....
Following IV’s he enjoys a few weeks of good health. Maybe six weeks if we’re lucky? Just two or three if we’re not...
But sooner or later the symptoms increase and his lung function falls (massive disappointment)...
We might try oral antibiotics (these used to work more often, why not now?) but more often than not, we’re back on IVs and the ride continues.....

During an exacerbation (CF talk for when his live-in bug, Pseudomonas, has a little flare up and makes him much more symptomatic than he usually is) of course he coughs alot, but how he feels can vary from being able to go to school, CrossFit, football.... to lying on the sofa all day, pale and exhausted,  or in hospital, needing supplemental oxygen. 

Right now, he is exacerbating. He missed football today, but he is well enough to stay home, try two lots of extra antibiotics and wait and see where this one takes us. Yesterday his doctor was saying that even the density of bacteria growth that the lab find in his sputum is not indicative of how poorly an exacerbation might make him - people with CF can have a light growth and be very poorly one week, or a heavy growth the next, but be able to stay home and cling on to a normalish life. I’m endlessly looking for rhyme and reason where there might not be any. 

In the meantime, increased physio, and they are looking at his bloods for aspergillosis levels (a fungus that he has previously grown in his lungs too) and to see how well his kidneys and liver are coping with not only all this treatment, but the amount of painkillers he also takes (he takes some sort of pain relief most days, mainly due to his GI problems). He was given a small lecture about adherence to his Creon (the pancreatic enzymes he needs to take with food, which we think he ‘accidentally’ forgets at school), but he took it well. It’s not awful to miss it, the main consequence being pain and malabsorption, but it doesn’t help his overall well-being. 

For a number of reasons (other family stuff included) this week has been a very hard one. But I have also been reminded of all the support we have around us, and we’re so thankful for our family and friends that wrap us up with love. Thank you x 



Lucio Fontana - Concetto spaziale, attese 1967.


Saturday 5 January 2019

All that glitters is not gold.

I said I would write about this last year. For Isaac and for us, it was one of recovery and adjustment. For me, one of fear, anxiety, sadness, hope, laughter and love. 

But that’s just life, right?

Isaac’s time in intensive care gave us a glimpse of how bad things can be; dependency on oxygen, wheelchairs, a complete and utter reliance on the healthcare system that wrapped itself around us. A profound insight in actual breathlessness, the impossibilities of walking,  getting to a bathroom, to wash, to eat, to do anything normal that a lack of O2 entails.  

Overcoming that exacerbation, getting home, getting back into life after a month in hospital... amidst all of that I never could have told you how stressed out I was. It’s only now, looking back, that I can see that I shook for months without really realising why (do stress hormones linger in your body that long?). Literally shook. And that was just me - what must Isaac be thinking? 

Then adjusting to a new norm. Instead of hospital and IVs once or twice, max three times a year, now to six courses a year - two to three weeks at a time. That is a whole lot of life to live with a needle in your chest, maybe days per year, hooked up to a drip/pump to administer drugs directly into his blood stream, fighting a battle with a bacteria that he won’t really win (he is considered colonised with PseudoA, so the fight now is to keep it in check, rather than eradicate). 

Not to mention two lots of surgery, one very painful and the other for a permenant IV device in his chest. This portacath was an addition that at first he was adamant he did not want. But he came around to slowly as his veins became shot and it became harder and harder each time to get a line in. A permenant reminder of disease. A marker that he never wanted, but that now we are so thankful for (makes intravenous access and a speedy IV kick off so much easier). 

When Isaac is sick, there are clear obstacles to his everyday life. Six nebulisers a day takes up a lot of time. Add IVs to that, and he’s house bound for 2-3 hours more at least, he can’t swim or shower, and to bath he needs to be wrapped in cling-film. His exercise options are limited, sleep is difficult, not to mention that he can feel terrible. But I was thinking today about all the smaller, everyday things that being chronically ill with CF might mean; 

When you cough that much, would you enter a small shop, a lift, a cinema for fear of those LOOKS? The jokes about giving up the twenty a day habit (so not funny)? People running for cover thinking you’re the contagious one? The fear of the dreaded cough-cough-vomit? Would you want to go out for a night in winter, when the cold air/hot air transitions make you cough more? Would you want to cook/eat out, when cough/treatment induced nausea might mean you can’t eat anyway? Would you want to join a gym, when exercise induces just more coughing? And you’re surrounded by peers that don’t have the invisible disadvantage of reduced lung function meaning you can’t ever keep up? Do you carry on accepting invites from friends and family, if you so often have to cancel last minute if you’re unwell? (Or worse, do they stop inviting you?) Would you apply for a job when you knew that it would mean not having the time/energy for all your treatments? Would you wish for that promotion if you knew you might be absent due to hospital stays more and more often in future? What about relationships, when your condition affects your fertility, your ability to travel, your being able to PLAN ANYTHING are all affected? 

The list goes on, and OK, so I may have drifted off the ‘everyday’ theme there, but my point (that I meanderingly get to) is that on the most part, CF is an invisible disease, but it affects sufferers in a thousand different ways, a thousand times a day. I hope by raising awareness here I can increase mindful consideration of life with this and other chronic disease. 

To support our fundraising for the Cystic Fibrosis Trust who fund seriously groundbreaking research, please click here. CF is actually one of the areas of medicine where a cure is a realistic idea, but they lack the funding to achieve this potential. As such, myself and a bunch of my amazing friends will walking the Great Strides walk in the Surrey Hills in June 19. For me, a bonkers 67km in a single day 😬 x 

All that glitters; listen here x 




Gorgeousness from Hilma af Klint. 


Friday 4 January 2019

Smuglessness and a new year

Happy new year lovely people! I may have spoken a teeny bit too soon in my last post, smugly saying how well we all were. I was feeling a lot less smug on Christmas Day eve, when poor Anouk had a thumping headache and a fever of 39.8, and positively smugless over the next week, when we all passed round such a stinking head cold/tickly cough thing that we couldn’t sleep for spluttering and no one knew where one bug ended and another started. 

Thankfully Isaac stayed well, although his junkiness is definitely picking up again day by day (junkiness/fruitiness/rattleiness are all genuine medical terms in our eyes). After IVs so recently, and the fact that there are so many viruses around right now, it’s too soon to call clinic. Instead he was back at CrossFit today trying to physio the junkiness out of his lungs with sweaty panache. 

2018 felt like a year of recovery and adjustment for us, following black October of 2017, and facing more regular courses of treatment than ever before (I’ll write more about this in my next post) - but looking at where we are now, since this time last year? It ain’t all bad - just look at these three x