Depression on a rainy day is no fun. Depression itself is no fun to live with. Depression on a holiday where we honor the men and women who paid the ultimate sacrifice for our country is not easy either. Reading/hearing all the stories of the fallen heroes is hard when you are not having a good mental day. I got teary eyed (as usual) as the XM radio’s “The Highway” played “Taps” to honor those killed in action. This weekend has been hard one for me and I don’t really know why. Continue reading
|1938||Dorothy Andersen, M.D., writes the first comprehensive medical report on cystic fibrosis.|
|1953||During a heat wave in New York City, Paul di Sant’Agnese, M.D., and others connect the extra loss of salt by people with CF to the disease’s underlying cellular problem.|
|1955||The Cystic Fibrosis Foundation becomes incorporated as the National CF Research Foundation and awards the first research grants to Dorothy Andersen, M.D., Paul di Sant’Agnese, M.D., and Harry Shwachman, M.D.|
|1961||The Foundation establishes the accredited care center network by creating two centers devoted to treating CF.|
|1962||The CF predicted median survival age reaches 10 years.|
|1962||A total of 30 Foundation-accredited care centers are in operation.|
|1964||To investigate CF at the cellular level and find answers about this complex disease, the first basic science committee is established.|
|1966||Patient Registry launched to collect health information of patients seen at Foundation-accredited care centers.|
|1978||The number of Foundation-accredited care centers totals more than 100.|
|1982||The Research Development Program, a network of research centers at leading universities and medical schools nationwide, is established.|
|1989||A team of Foundation-supported scientists discovers the defective CF gene and its protein product (CFTR), opening the door to understanding the disease at its most basic level.|
|1990||CF researchers achieve “proof of concept” that gene therapy (in the laboratory) is possible.|
|1993||The U.S. Food and Drug Administration (FDA) approves dornase alfa (Pulmozyme®), which is proven to thin the thick mucus in the lungs and is the first drug developed specifically for CF.|
|1997||The Foundation establishes the Therapeutics Development Program.|
|1997||The FDA approves inhaled tobramycin (TOBI®), the first aerosolized antibiotic designed for CF, which is proven to reduce hospital stays and improve lung function.|
|1998||Specialized clinical research centers are designated as the Foundation’s Therapeutics Development Network.|
|2000||Cystic Fibrosis Foundation Therapeutics Inc. (CFFT), a nonprofit research affiliate of the Foundation, is established to govern drug discovery and development efforts.|
|2000||Foundation-supported scientists map the entire genetic structure of the most common cause of CF lung infections, the bacteria Pseudomonas aeruginosa.|
|2002||A CFFT-supported study shows the antibiotic azithromycin improves CF lung health.|
|2003||CFFT-supported scientists at Structural GenomiX Inc., determine the three-dimensional structure of a portion of the CFTR protein, opening the door to more drug discovery opportunities.|
|2004||CFFT-supported studies in Australia and at the University of North Carolina show that inhaled hypertonic saline helps clear CF mucus and improve lung health. It becomes a therapeutic option.|
|2006||Ivacaftor (formerly VX-770), an oral drug in development that targets the faulty CFTR protein, enters clinical trials. Ivacaftor is designed to open chloride channels that do not function correctly in people with the disease.|
|2008||Phase 2 studies of ivacaftor in people with the G551D mutation of CF show unprecedented improvements in key signs of the disease. The studies achieve “proof of concept” that it is possible to treat the root cause of CF.|
|2010||The FDA approves a new antibiotic, aztreonam for inhalation solution (Cayston®), to treat CF lung infections. The drug offers an alternative for people with CF who battle recurrent infections and develop resistance to existing antibiotics.|
|2012||The FDA approves ivacaftor (Kalydeco®) for people with the G551D mutation of CF ages 6 and older. The drug is the first to address the underlying cause of CF and opens exciting new doors to research and development that may lead to a cure for all people living with the disease.|
|2014||The FDA approves ivacaftor as a single therapy to treat people ages 6 and older with one of nine other rare CF mutations in addition to G551D, and later extends approval to children ages 2 to 5 with any of these 10 mutations — representing about 8 percent of the U.S. CF population.|
|2015||The FDA approves the lumacaftor/ivacaftor combination drug (Orkambi®) for people with CF ages 12 and older who have two copies of the most common CF mutation, F508del — representing about a third of those with CF in the United States.|
|2016||The FDA approves lumacaftor/ivacaftor (Orkambi®) for children with CF ages 6 to 11 who have two copies of the F508del mutation. The decision means that about 2,400 additional children in the U.S. are eligible to receive the drug, bringing the total number of those eligible for the treatment in the U.S. to nearly 11,000.|
|2017||Two Phase 3 clinical trials of tezacaftor (VX-661) in combination with ivacaftor (Kalydeco®) demonstrate positive results not only for people with two copies of the F508del mutation, but also for those who have one F508del mutation and a second mutation that results in residual function.|
|2017||The FDA expands the use of ivacaftor (Kalydeco®) to people ages 2 and older who have at least one of 23 residual function mutations in the CFTR gene. The FDA’s consideration of laboratory evidence coupled with clinical data to address the needs of people with CF who have less common mutations is an important step forward for the CF community.|
|2018||The FDA approves tezacaftor/ivacaftor (Symdeko™) for individuals with two copies of the most common cystic fibrosis mutation, F508del, as well as for individuals who have a single copy of one of 26 specified mutations — regardless of their other mutation. This approval paves the way for new, more effective triple combination therapies (treatments consisting of three different modulators, including tezacaftor), which are being tested in clinical trials.|
|2018||The Foundation maintains a robust pipeline of potential therapies that target the disease from every angle. The more drugs in the pipeline, the greater the odds of producing successful therapies and a cure for all people with CF.|
I have not been feeling good for about 3 or so week, maybe more. I did the 2 weeks of IVs 2 weeks ago and wasn’t much better but that is probably due to the fact that my pseudomonas is multi drug resistant. We are limited on what will “work” on the stubborn drug resistant bug (pseudomonas) in my lungs. I made the dreaded call after the 4 days of 40mg of prednisone and no improvement. I need something more therefore I had to call with all the I have coming up. I have a busy 5 weeks ahead. Next weekend we are going to the Zac Brown Band Concert, a bucket list item for myself. Then I have a girls trip to the Gulf Shores the next week. Then in 5 weeks we have our good friends wedding weekend. Continue reading
Cystic fibrosis (CF) is an inherited chronic disease that affects the lungs and digestive system of about 30,000 children and adults in the United States (70,000 worldwide). A defective gene and its protein product cause the body to produce unusually thick, sticky mucus that:
- clogs the lungs and leads to life-threatening lung infections; and
- Obstructs the pancreas and stops natural enzymes from helping the body break down and absorb food.
May is Cystic Fibrosis Awareness month. This is the month many CF Foundations do their Great Strides fundraising walks. I am very aware of CF every day obviously. Now is the time to educate others. If you have questions about CF or what I have to do every day feel free to comment on this post and I will answer them. Continue reading
I haven’t had any more hemoptysis (blood) since the second embolization. Yay!!! My groin is very sore where they went in for both embolisms. They went in on the right side for both embolisms. My chest is a little sore. Since I’ve been laying in bed for the last 4 days, it doesn’t take much for me to ‘overdue’ it. I washed my hair in the sink and it was just enough to make the pain in the groin more noticeable. Also, I get short of breath more easily right now due to the embolisms. Basically, my lungs have had a bit of trauma over the last week. Continue reading
Well today didn’t turn out the way I planned at all! I woke up around 3am coughing up blood. It was a few tablespoons or a little more. It finally tapered off after about 30 min. Back to sleep for me, not good sleep but some sleep.
Then my day started off with a fantastic visit with a great friend. Then it was time for all of my errands. First stop of weekly labs at UT. I have to have labs 2-3 times a week when I’m on IV antibiotics to monitor my kidney levels, liver levels, blood counts, etc. Then it was on to my errands. First stop was Staples to pick up more Shannonigans flyers and donation letters! Then of course I had to stop by Sun Tan City to get tanning points because they went on sale today! They are for when I’m off of IVs…Hopefully that is sooner rather than later. Next stop, Target for a few things.
When leaving Sun Tan City I started coughing at 12:30pm, I started coughing up blood again. I drove to my next destination, Target, while coughing up blood. I sat in the car coughing and hacking up blood for a good 30 minutes. It finally subsided enough to streaks so I could “run” (we all know I am not running anywhere) into Target to get 2 polo shirts for the teenager. He goes to his moms for the summer and they will be doing family pics so he needed something nicer. Next up was a run through the bank, a stop at the pet store for dog food and then Hobby Lobby for a quick tour. Did some window shopping and took pictures of what I liked for the teenagers room makeover this summer (it’s a surprise). His room has been the same for 5 plus years. I don’t usually talk about the kids for their privacy and out of respect for their mom. This has been a monumental month….the teenager turned 16 and is now street legal in his new car. He is doing decent on his own so for. The young adult child is going great in college and getting her first apartment. She is growing up and adulting!! We all are very proud of them both, myself,their dad and their mom.
On my way home I realized that I still needed to get a watering can for plants and to dilute the boys (dogs) pee so they will stop killing grass and plants by peeling on them. Hahaha
I got home and was taking care of all of office stuff and once again the blood mama pouring out! This was at 3:30pm. I texted my husband and asked him to come home. I made the dreaded phone call to my nurse and she called back in about 8 minutes. She said my doc wanted me to go to the ER and that he had already called all the people he needed to to let them know I was on my way and what was up. He had already requested a bed for me and all. He also had written down what he wanted them to do for/with me. All together I coughed up probably 3-5 ounces. Heck a little bit is enough for me to not be a fan of it.
I got checked in and triaged quickly, then the wait was on for an ER room. Then off to chest CT for a scan with contrast (thank God for ‘Pollie’ my power port). The scan didn’t show any active bleeds at that moment. After the scan, I was whisked away to my room. I am in the CVICU (cardio vascular ICU) for monitoring due to the massive blood espisodes. I will hopefully see my CF doc tomorrow. I’m hoping it’s one of the duckling doc I know and like. It makes my life in here easier. I am on IV Zosyn (just like I was at home every 6 hours), IV Colistin (every 12 hours IV push) and staying on the oral high dose Bactrim (1600mg three times a day).
I have no idea how long I will be in lock up. My husband seems to think it will be a short stay but we shall see. I am NPO after midnight just in case they need to perform a procedure of some sort like a bronchoscopy or exploration in IR (Interventional Radiology). I just stuffed my face with a cheese burger and Mac and cheese?
The plus is, I got all of my errands run. The negative is, I didn’t get all the phone calls Made, or the laundry done, or office stuff organized…. Oh and I was short of breath all day AND I coughed up blood 3 times. The day started off good even with the middle of the night blood situation. It was a beautiful day in East TN and now I’m in lock up! Ugh
5/24: Tomorrow is the Texas Hold’em tournament, silent auction and 50/50 raffle!! It is at Tanners in Lenexa at 7pm. Invite your friends even if it’s just to hang out. It is being held in my moms memory and to raise funds for the Shannonigans Lung Fund Texas Hold’em Tournament, silent auction and 50/50 Raffle
6/5: The deadline for Shannonigns Gear online sale!!!! Please try to budget it in for your last paycheck of May. I REALLY don’t want anyone to miss out in this fabulous design. Http://design.goteez.com/Shannonigan_strong Ready, set, shop……
9/17: 2nd Annual Shannonigans Cornhole Tournament held at the Casual Pint-Northshore at 2pm. Lots of raffle items including a custom set of cornhole boards! 2 Annual Shannonigans Cornhole Tournament
To make a direct donation to the Shannonigans Lung Fung, there are 3 ways:
Personal (non rubber) check made out to myself.
I am super tired. I’m off of here and I hope I didn’t forget anything. I’ll update tomorrow when we have a news worthy update.
Until next time….
Our time in the ER and getting settled in my room. I look thrilled huh?