31 Days of Cystic Fibrosis: Part 3 May 11th – 15th

May is Cystic Fibrosis awareness month, and this year I’m doing 31 Days of on Facebook and Instagram. Please feel free to follow me.

May 11th – May 15th

31 Days of Cystic Fibrosis. May 11
Julie

Sometimes, best friends have no qualifying factor. I can’t tell you why Julie was my best friend. Only that she was.

We grew up going to CF camp together, attending clinic together and in between times we wrote to letters one another. Letters filled with oh-so-important growing up stuff. Even as housemates, we continued to write to one another although we’d graduated to exercise books by this time. Often we’d sit at the same table, pens frantically writing away. I once wrote six pages on how she rejected the bread, and in return, I received four pages complaining about my six pages.

We went on stealth missions together; we danced, we painted our faces like Kiss to pick up pizza, there was the mysterious case of the higha-woofas, urtundidi, the occasional “There’s not something wrong with the hammer” and drawings. And so, so much laughter (which always ended in coughing fits).

Through everything, Julie always called me Bird or Birdie. Biiirrrrdiiiie when she was especially chipper. I wanted her to know that I’d carry the nickname she had given me forever, so I had a ladybird tattooed on my stomach a few weeks before she died.

Julie dealt with everything that CF threw at her with grace and a dignity that was well beyond her years. Of all the friends that CF has taken from me, the loss of Julie cuts the deepest.

Bonus Fact: I once went to bed and left Julie in charge of a party.
Bad, bad, bad move.
When I woke the next day, all our garden furniture was on the roof.

31 Days of Cystic Fibrosis. May 12
Growing Up When Your Mum has CF

Having a baby, I was told, is hard. As time passed it would be inevitable that my mothering instincts would kick in, I would sacrifice my medical needs to care for my child, and my health would decline.

I ensured my health did not decline by continuing to be an avid reader. Would I have been a reader if I did not have CF? Most likely. But perhaps reading would have been something I could have sacrificed as life got busy.

As Jarryn grew, I continued to read. I read a lot. Because reading has always been my way of pacing myself. To slow down, to rest, to be selfish and look after me. When Jarryn was a baby, I’d often drive to my Gran’s house, and let her look after Jarryn while I lay on her bed and read.

As he got older, I read while he played. On the days I didn’t feel I had the energy to keep up with Jarryn and his friends, I’d let them ride their bikes, play on the trampoline or climb the tree while I sat on the curb and read.

I often wondered what Jarryn thought of his childhood, and if he felt he missed out on things because I had CF, so I asked him.

“I was always busy, riding bikes or my Green Machine, jumping on the trampoline, playing with the dogs or games with my friends. Mum was always there. Sometimes she rode the Green Machine or jumped on the trampoline with me, and other times she would read while she watched me play.
Looking back now, I realise that the times she read instead of joining in were the times she was sick and needed to rest more. Back then, however, I had no clue. She was just Mum who liked to read a lot.”

Extract from ‘Growing Up When Your Mum Has CF Part 1’
Read Jarryn’s Full interview 

Bonus fact: A 31-year-old competitively racing Green Machines against eight-year-olds may not be very dignified, but it’s a great way of doing physio.

31 Days of Cystic Fibrosis. May 13
Mum (Mother’s Day)

This post is well out of chronological order, but I thought it best saved for this day. At eight, my mum made me responsible for taking my medications. At nine she handed over responsibility of drawing up my nebs. At twelve I took over my physio. At fourteen, my team at PMH suggested a transition period. The first appointment went smoothly, I went in first, told the team what had happened since I had last seen them, then Mum was called in, and they told her what I had told them. The team envisioned this ‘transition’ would take several years, but they didn’t factor my Mum into the equation.

On my next clinic visit, I caught the bus to Subiaco, then walked to the hospital. I was called when it was my turn, then they asked for Mum. To say they were gobsmacked when I replied I’d caught the bus is an understatement.

So they rang my Mum.

She replied that this was my disease to manage, not hers. And she didn’t attend another clinic appointment for 24 years, and then it was only because I was on oxygen and needed a chauffeur.

Mum’s reasoning was based on her statement to the doctors about CF being my disease to manage. She had witnessed friends children with CF go rapidly downhill when they hit adolescence, mostly due to rebellion and non-compliance. She hoped that by handing me control, I wouldn’t rebel quite so much.

The added bonus was that when I left home at 18, she knew I’d been managing my health for four years, so my health management wasn’t something she needed to worry about.

The result is that I’ve never been shy about advocating for my own health.

It wasn’t until I was a mother myself that I realised how difficult this must have been for her. So thanks, Mum.

Bonus Fact: I’m not going to lie and say I was perfectly compliant all the time. At the time the CF diet was still low fat, and I had a rather large dislike to the powdered milk I was supposed to drink, so I would wait until nobody was home to hop into the full cream milk. Some mornings I would skip my physio and say I hadn’t or just lay on my physio table and read. My first few admissions were a direct result of taking these shortcuts, and the lesson was quickly learnt.

 

31 Days of Cystic Fibrosis. May 14
Hospital in the Home
Jarryn was three when a sinus infection spread to my lungs and tipped my health upside down. It was an infection that ultimately cost me 10% of my lung function. For the first time in years, everything else failed, and I needed IV antibiotics. Fortunately, by this time, the Hospital in the Home (HITH) program was up and running. It meant that a person with CF could spend the first few days in hospital, and then continue the IV antibiotic course at home. Cystic Fibrosis WA organised nurse and physio visits at home.
I always liked to do things differently, and I had Jarryn to look after, so I always skipped the first three days in hospital, had my PICC line placed as an outpatient and went straight home. A PICC line has advantages over IV cannulas as they last for the entire course of IV’s. The line is inserted into a vein near the elbow and threaded through to end in an artery near your heart.

HITH meant that I was responsible for both drawing up my IV medications and then giving myself the push dose through the PICC line. Dependant on the antibiotics, dose schedules could be twice daily, every eight hours and occasionally every six hours.

This flexibility allowed me to continue to work, look after Jarryn and go to the occasional wedding. (As far as I know this is the only picture I have where my PICC line is still visible. This was normal life for me, so we never saw a reason to capture it on film.)

Bonus Fact: I’d always taught Jarryn that when having a new playmate over, he should show them around the house, so they know where important things like bathrooms are. We had recently moved, and Jarryn had started a new school, and his first friend had arrived. I was pre-preparing my IV medications for the next dose, as Jarryn took his friend through the house saying, “This is my room, this is the bathroom, here’s the fridge and that’s my mum shooting up her drugs.”

31 Days of Cystic Fibrosis. May 15
Disability Discrimination

Disability discrimination comes in many forms. Often, people create barriers because of what they perceive to be the problem rather than the actual barriers created by disabilities. I’ve experienced disability discrimination in many forms, and I’ve always felt more disabled by society than from my actual limitations.

Possibly the earliest episode I can remember is from my year seven teacher. He was ‘kind’ enough to inform the class that they should be nice to me because I was going to die when I was in hospital, yet also comfortable enough to tell me to, “Go and put your head in a bucket three times and pull it out twice,” when my coughing annoyed him.

The frenemy in high school who blamed all of my achievements on the fact that I had CF, and as a result, I was receiving ‘special treatment’, rather than putting in the hard work.

The job application I passed with flying colours, only to be failed by the company doctor who told me. “I don’t know how you’re still standing, but CF is a childhood disease. You can’t possibly have long left. Why would you want to work anyway?”

Another job interview, “Work and study? That’s a bit ambitious for you. A normal person perhaps, but not you. Study first, work later.” This privileged male, hired his ‘mate’ for the job I had applied for, assuming I would continue to stay on as a volunteer. I did not.

From a medical receptionist at CF clinic. “Thailand? Oh well, I suppose they can always medivac you out. I’ll watch for you on the news.”

Sadly, some of the more recent discrimination I have experienced has come from within the CF community as the cross-infections guidelines tighten.

These are but snapshots, it’s my experience that true equality is a myth, and on more than one occasion, I’ve had to perform to a superior standard in order to be treated as equal to the able bodied. However, there are times when being disabled can be an advantage – I am tough, stubborn and used to fighting to stay alive, I’ve conquered worse foes than discrimination.

Bonus Fact: Despite the fact that CF is not contagious, during flu epidemics like the Swine Flu or the Bird Flu, my superpower was the ability to clear entire supermarket aisles with a single cough.

31 Days of Cystic Fibrosis: Part 4 May 16th – 21th

Growing Up When Your Mum Has Cystic Fibrosis. Part 3

This last part of my interview with my son  deals with his thoughts when I was called for a transplant.

Part 1 deals with Jarryn’s childhood and Part 2 his decision to move to Sydney when I was listed for transplant.

 

Where were you when you heard that your Mum had been called for a transplant?

The first week at my new school I made my regular teachers aware of mum’s situation and knowing that if Mum rang the call would be important, they had all given permission for me to answer my phone if she called.

I was in film class when my phone rang. My step-brother Ronan picked it off my desk and said, “Your Mum is calling.”

I grabbed my phone and went to race outside but the relief teacher held his hand up for me to stop. Ronan explained the situation for me, but by the time I got outside, the phone had stopped ringing. I immediately rang back and Grant answered the phone. My heart stopped for a second thinking this was bad news, but Grant said, “Your Mum’s having an x-ray, she’ll be out in a minute with some news for you.”

I don’t know what we talked about while I waited for Mum to come to the phone, but the first thing Mum said was, “I’ve been offered a set of lungs.”

What was your first thought after the phone call ended?

I have never been so freaked out in my life and I wondered if I had just spoken to my mum for the last time.

What happened next?

I sat down for a while before I went back to class. Everyone asked what was going on. I hadn’t told many people that my mum was sick and they all stared at me when I said, “My Mum is going into surgery to have a lung transplant.”

There wasn’t anything anybody could do or say that would help me. I just had to wait.

And it was a long wait.

The next pieces of information arrived by text. Due to the time difference between Sydney and Perth I knew Mum would be in surgery until midnight. The first text Grant sent said that the surgery had started. I didn’t know what I was supposed to do, I felt helpless. The deputy principal let me sit in the library for the rest of the afternoon.

Waiting for the text to arrive was torture. That next one informed me that Mum’s right lung had been transplanted and they were starting on the left lung. Just after midnight, I learnt that Mum was in recovery.

In the morning, my Grandma rang to tell me she had been to see Mum and everything was progressing well. In the afternoon Grant sent a text to say Mum was off the ventilator and breathing on her own.

On Sunday , when the phone rang I thought it was Grant with bad news. But it was Mum! She didn’t say much, but I instantly felt calmer. I could hear that she was no longer gasping for breath.

Despite this, I was still worried. I was used to Mum being sick, but this felt different. I didn’t know what to expect next, and I didn’t know what the warning signs would be.

I was booked to fly to Perth a few days after Mum left hospital. I’d been warned that because Mum’s immune system was weak it was really important that I was honest if I got sick. If Mum got sick at that stage would be dangerous, so if I had a cold or other symptoms I’d have to stay at Grandma’s house. I was paranoid that I was going to catch something, so I kept my distance from everyone.

The plane ride took forever. I knew Grant was going to pick me up while Mum stayed home (keeping infection risks to a minimum) and that as soon as I got home I would have to shower (plane germs) before I could see Mum. I thought not hugging her was going to be hard, but she waved at me from the lounge room and I could see straight away that everything was okay.

All my tension melted away.

Is your mum different post transplant?

A little different, it’s like the Mum I saw at home when I was younger, everyone else sees now too. As if this is who she was always meant to be, and her old lungs held her back – that she didn’t have enough energy to be herself around other people. Now she seems to have more energy, and she’s happier, and she talks a lot more now too – but she’s still my Mum.

Jarryn and Sandi - Scotland 2013

Jarryn and Sandi – Scotland 2013

Growing Up When Your Mum Has Cystic Fibrosis. Part 2

In Part 1, I mentioned my surprise that Jarryn had picked up on the significance of the word ‘hospital’ with regards to my Cystic Fibrosis and accepted my various treatments as just another part of life.

For me, the revelation in the second part of this interview was the extent of his compassion. I’ve always been aware that Jarryn had a compassionate nature as  he’d always been very patient and considerate of our elderly Gran, however, I was too close to see that his compassion also extended to me.

Did you notice anything different before your Mum told you she was going on the transplant list?

The first thing I noticed was that Mum had been doing IV’s for ages. She didn’t seem to be any better than before she had started them, then she went into hospital, which I knew she didn’t like, (the last time was three years ago when she’d had a bleed, she preferred to do all her treatments at home).

When she came home from hospital, she brought an oxygen concentrator with her. That had never happened before. Even though she only needed oxygen at night, it worried me. I also noticed that she didn’t seem to walk as fast as before and she was getting very puffy when she talked.

But what concerned me most is how Monkey (our dog) started being protective of Mum and following her around like a shadow. Monkey knew something was wrong.mum-and-monkey

How did you feel when your Mum told you she was going on the transplant list?

A mix of being both worried and relieved.

I was worried that she might die, but at the same time, I was relieved that there was something that could be done to make her better.

You moved to Sydney to live with your Dad a few months after your Mum was listed on the transplant list.
Was that a hard decision to make?
And what factored into your decision?

Mum told me that it didn’t matter if I stayed in Perth or if I moved to Sydney. Either she would be a match for a set of donated lungs or she wouldn’t. My physical location wasn’t going to change that outcome.

After that, I thought about all the things I was doing to help her, going to the shops and the library and I worried a bit how she would cope once I was gone. Then I realised how much she was still doing for me and I figured there would be less shopping and less for her to worry if she didn’t have to look after me. I knew it would be easier for Grant too, then he’d only have to worry about looking after Mum.

I also thought about when my Pop had died. We’d seen him a few weeks beforehand, but when the call came for us to go to the hospital to say goodbye, Mum decided not to go. She said she wanted to remember him the way he had been. I thought about that a lot and figured Mum would probably want me to remember her the way she was and not watch her getting sicker.

Once I’d thought about all these things, the decision to move over east to live with Dad was easy.
I knew it was the right thing to do.
But it was still hard to leave.

You came back for the next school holidays. How did you feel?

Mum was really sick. She was on oxygen all the time and she was also using the BiPap a lot. She could barely walk or talk. Monkey was super protective.
This time when I left I was really really worried.

And it was a lot harder to get on the plane at the end of the holidays.

with-mum-2011
Part 3 Covers Jaryn’s feeling on the day he received the phone call telling him I was going into surgery.