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From the Editors Desk
Sam Hillyard
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CF Clinical Research:
A journey with a Destination

(Versión en Español)

Andre Cantin MD
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Meeting Review:
Genome Medicine:
Gene Therapy for the Millennium

(Versión en Español)
Anna Rudeberg
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Timing for Referral for Lung Transplantation
Arie Auggarten, MD
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Update on the
Merge into CFW

Mitch Messer
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Quality of Life in CF:
Implications for
Ethical Dilemmas

(Versión en Español)
Dr Elizabeth Chapman
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ICF(M)A Newsletter
September 2001

Herman Weggen, President
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Treating Depression in
Adults with CF

(Versión en Español)
Lynda L Ison, MS
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Personal Experience:
The Big "D":Dreary Despair of Depression
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Personal Experience:
Living and Singing with CF

(Versión en Español)
Indigoblue
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And the Question is ? ? ?
The 5TMutation in the CFTR Gene
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Book Review:
What they don't tell you

Susan Sawyer and
Charlotte Roseby
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Burke P Bear: Update
Bob and Linda Derr
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Hygiene Awareness:
The "Wash" Hands Button/Badge
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Mailbag: Letters to the Editor
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MailPostMAILBAG

ARGENTINIAN THANKS

Dear Editor

I'm a doctor here in Argentina. I regularly receive the IACFA Newsletter for which I am thankful. I'm head of a Pulmonology Section in our Children's Hospital with approximately 55 CF patients.

I only wanted to thank you for your help and wish you all a happy New Year.

Eduardo Lentini
Head Pulmonary and C.F. Section
Children's Hospital
Mendoza
Argentina

Editor's Response:

Dear Eduardo

Thank you so much for your kind words. May 2002 be a good year for you,
your colleagues and patients.


SEX RESPONSE

Dear Editor

Thanks for your article on "Sex and CF" in Issue 60. Sex remains a somewhat taboo subject and therefore more difficult to discuss than many other CF topics. Your light touch and straightforward approach have resulted in an excellent, if rare, opportunity to air these important issues.

Ron Trueworthy
Arlington, Virginia
USA
ron@cystic-l.org
http://cystic-l.org


HARD DECISIONS FOR PARENT WITH CF

Dear Editor

My name is Ingela Ahlm, I am a 34-year old woman suffering from Cystic Fibrosis and over the past 2 years my condition has progressively deteriorated. In 1998, I gave birth to our much longed for son Andreas (test tube fertilisation) and when he started playschool both he and I caught a bad infection. Andreas recovered, but since then I have had recurring lung infections. Nebcin(a), which is the only medicine I tolerate, hasn't helped and the pulmonary values have continuously decreased. My FEV1 value is 25% and FVC 35%.

I suffered from very difficult muscle conditions and examinations have showed that I have an overall infection in my body that, among other things, have caused muscle atrophy in the legs causing pain and weakness, even when I am not doing much. The infection probably stems from the lungs and according to my doctor a lung transplant is now my only option. I have recently been evaluated for a transplant and everybody is now awaiting my decision. I am finding it very hard to decide! I was very ill during the summer and then felt it was more important to undergo the evaluation and maybe go on the waiting list.

My condition stabilised during autumn and I have good and bad days. As long as I have good days and can cope with every day chores, I am hesitant and can't face making such a huge decision as to whether or not to go through with the transplant. I keep thinking about my husband and my son who I want to be able to be with for many years to come. I don't want to risk undergoing such a huge operation, the after effects and a possible rejection, if I don't have to. On the other hand, I don't want to hold off for too long either, since the waiting time for organs is long and I might run out of time.

There is nobody in Sweden suffering from CF who has children and who has undergone a transplant. I wonder if there are any IACFA readers out there who have experienced what I am going through now? What were your thoughts when you had to make the decision? How was the time after the transplant - did you get infections from your children and did you have to be isolated from them?

I have so many questions and thoughts and I am frightened and can't make up my mind, it is so very difficult! Maybe somebody with the same experience could get in touch with me? It would make me very happy to talk to and to exchange experiences with somebody who has already been through this. Please get in touch as soon as possible! Time is slipping away…

Ingela Ahlm,
Strindbergs stig 4
245 32 Staffanstorp
Sweden
ib.ahlm@telia.com

PAIN RESPONSE

Dear Editor

I am an adult with CF (39 years) from Australia, and have just read the latest IACFA Newsletter (Double Edition Volume One 2001), which I found very interesting.

The article that I found really exciting was the one PAIN A GROWING CHALLENGE IN CF CARE. This article was spot-on to what I go through here in Australia in getting doctors to listen to me and understand the amount of pain that I can suffer at times.

Sue Parker
Australia
nickysue2@yahoo.com.au


SIDE EFFECTS?

Dear Editor

I just picked up a copy of the Newsletter at my daughter's clinic. My daughter Sarah is 20 years old and was diagnosed at the age of 3. She has been very healthy through the years.

Three years ago while taking Cipro for a lung infection she started experiencing a 'foggy head' feeling. She feels this way constantly - it never goes away. However, she is not dizzy. Although we have seen many doctors and had many tests, no one has been able to give us an answer. Her brain tests and inner ear are normal, and although her sinuses are congested, they are not given as an explanation. In fact the doctors indicate that they have never heard of these symptoms before. We are told that if Cipro were the cause that the symptoms would have gone away once Sarah was taken off of this medication.

Perhaps one of your readers will have some more information that may be of help.

Sherry A Casebier
Kentucky
USA

Editor's Note: If you have or are having a similar experience, or can shed light on Sarah's symptoms, please write to Sherry via our email address: editor@cfww.org and we will pass this onto her.



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Editors Desk
| CF Clinical Research | Meeting Review | Timing and Referral for Lung Transplantation |
Merge Update | Quality of Life in CF | ICF(M)A Newsletter | Treating Depression in Adults with CF |
Personal Experience:The big D | Personal Experience: Living and Singing with CF | And the Question is? |
Book Review | Burke P Bear Update | Hygiene Awareness | Mailbag | Subscribe here | CFW Home