Note:
This interview features a person with a primary immune deficiency.
It was not written by a healthcare professional and is not meant
to replace the expert care of a qualified physician. Please consult
your physician with any questions you might have about your health.
Q: How did you find out that you had a primary
immune deficiency?
Right after my daughter was born (she is now 5 1/2), I started
getting sicker than what was "normal" for me. I always
had lots of sinus, ear, and skin infections throughout my life,
but it really intensified. I was on antibiotics every other week,
and went to countless doctors, but to no avail. Finally, after
[I was] rushed to the ER because of a dangerously high fever and
diagnosed with double pneumonia, a doctor did the right test and
we realized I was immune deficient.
Q: How often are you (or your child) infused?
I am currently infused every four weeks, via IV, at my doctor's
office. I bring my daughter along, since I am a stay-at-home mom
right now, so we pack up a lunch, movies for the VCR, coloring
books, and crayons. We are there about 3 1/2 hours. We enjoy our
"doctor day" time together! Both of us still cannot
watch the needle go in yet! My doctor says we look like we are
at "camp" in his office!
Q: Describe your experience with your immunologist?
I now have a wonderful doctor, who is knowledgeable and caring.
It wasn't always this way, though, and I feel very fortunate to
have found him. My husband works for a large food company and
we have been relocated three times since my diagnosis. I have
had to find a new doctor and battle the insurance issues in three
states. I didn't always end up with the best doctor for my disease,
but I didn't know that, at the time. I was lucky to just be able
to keep my infusions going so I could stay healthy. I am back
in my home state now, where the care is outstanding, and we are
blessed to have some doctors that understand PI. As I found, many
do not.
Q: Have any organizations or support groups
helped you cope with this chronic disease?
The Immune Deficiency Foundation (IDF) has been a wonderful
help. I attended the first-ever national conference they presented
in June 2001. I learned so much and met many great people, all
affected by a PI. It was great just to know I was not alone. After
the conference, I was even more motivated to work to help others
with PI in my location and realized there was no local chapter
here in Wisconsin. In April 2002, I was fortunate enough to be
asked by the IDF to become a "peer contact" volunteer
for my state. I attended a training session in Washington, D.C.,
and got to meet the other person asked to do the same from Wisconsin!
Together we organized our first local seminar in October 2002.
My goal is to continue to help people in my area diagnosed with
a PI realize they are not alone.
Q: Can you suggest any Web sites where you
have found helpful information about primary immune deficiencies
and the therapies used to treat them?
The IDF, Jeffrey
Modell Foundation, emedicine,
National Organization
for Rare Disorders, and the NIH
are all Web sites I find helpful and visit frequently.
Q: What's the most difficult part about
living with a primary immune deficiency (or caring for a child
who does)?
Mostly, it's coping with the symptoms that the medical community
has not found answers for mitigating at this time. I, like many
patients with CVID, experience gastrointestinal problems that
I have no relief from. Many days, I am unable to leave my home,
as I am not able to control my stomach issues very well. Other
than this, I am overall healthier – now that I receive treatment
– than I have ever been in my life, so it's been great to
be able to get through a winter without having sinus infections,
flu, lung problems, and the like on a continuous basis.
Q: What advice would you give a person newly
diagnosed with a primary immune deficiency (or the parent of one)?
What advice would you give to that person's family?
You are not alone! There are many of us here that want to help
and support you any way we can. The future looks bright, the medical
community is making new discoveries every day, and we will only
continue to be able to improve our lives with this information.
Q: Describe your experience with your insurance
company?
I have been in an HMO, through my husband's employer, in all
three states I have lived in, which has helped keep the costs
to me relatively low and has meant I have not had to deal with
insurance companies for the most part. As the medical costs keep
going up, however, the employers are putting more and more of
the costs on the employees. Many of the HMO options are being
eliminated, and I fear I will soon be paying much more for my
treatments from my pocket.
Q: Is there any "silver lining"
to having this condition?
The friendships I have made and the knowledge I have gained,
in areas that I would have never really paid attention to in the
past, are both wonderful "side effects" of this disease.
Also, as perhaps with any chronic illness, I have learned to take
life slower, discover what is really important in life, and be
grateful for each day.
Q: What improvements in your IVIG would you
like to see from processors of IVIG therapies?
I would like to see more research on, and wider use of, other
methods of delivery (e.g., subcutaneous) of IG. Being able to
self-infuse, at home, would be a great thing, and would allow
me to have greater flexibility in my schedule.
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