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?
My son, Takoda, had infection after infection since his birth
in 1996. We had a general practitioner who – although she
diagnosed his infections each time – told me that I was
acting like an over-protective first-time mother (which I am not
– Kody has three older siblings).
I knew that something was wrong, though, and was very worried.
So I changed doctors to a pediatrician. Within just a short time,
the new doctor commented that Kody should not be getting sick
this often, and he asked if it would be okay if we ran some tests.
Kody made no response to the pneumovax on five different occasions,
which prompted further immune testing. By this time, my son was
four years old. Before the immune results were in, my son got
very ill with an osteomyelitis infection in his knee. Shortly
after that, he started intravenous immune globulin (IVIG) for
the first time. He continued getting pneumonia and other infections
during his first year on IVIG. Then the dosage was raised, and
although he does still get infections, he has not had any more
pneumonias or life-threatening infections since. He has, however,
developed a seizure disorder; he has asthma, GERD (Gastroesophageal
Reflux Disease), and also is developmentally behind and is being
tested for either high functioning autism or PDD-NOS (Pervasive
Developmental Disorder – Not Otherwise Specified).
Q: How often are you (or your child) infused?
He is infused at our local children's hospital, DeVos Children's
Hospital in Grand Rapids, Michigan. We usually are there from
9 am to 4 pm. Not all that time is [spent] being infused; it usually
takes a while to get the IVIG up from the pharmacy. Actual infusion
is usually about four hours. We normally watch videos (I don't
know what I would do without Disney!). Kody plays with his gameboy
or his little action figures. I usually make sure I have a good
book with me or bring some crafts with me.
Q: Describe your experience with your immunologist?
Our first immunologist didn't have a clue what to do with Kody,
and even after his osteomyelitis, [the immunologist] insisted
that he did not have an immune problem, but that all of his problems
were due to second-hand smoke. (Apparently, she didn't hear the
part where my husband does not smoke ever in our home –
only in his garage!). Then my pediatrician asked a good friend
of his – an adult immunologist (the first one was a pediatric
allergy/immunologist) – to see Kody. He agreed, and the
rest is history! We love our immunologist; he is wonderful with
Kody and clearly knows what he is doing, and I am very confident
in his care of Kody. [Kody] has been a patient of our current
immunologist for almost three years now.
Q: Have any organizations or support groups
helped you cope with this chronic disease?
The Immune Deficiency Foundation (IDF) is the core of all of
my information on Kody's diagnosis. They are fabulous. Other groups
that give me support are a pediatric primary immune deficiency
e-mail support group, through Yahoo! Then – because Kody
has more than one diagnosis – I started my own e-mail support
group for parents of children with multiple special needs (www.geocities.com/schmidtzoo/SNAK.html).
Both groups have offered me invaluable support. I do not have
anyone near me with a child with Kody's diagnosis. So e-mail is
the only contact I have with parents of children like Kody. My
parents are exceptionally supportive, especially in helping me
with our older children when Kody is sick. My mom has never missed
one IVIG treatment since they started three years ago. She is
always there for me.
Q: Can you suggest any Web sites where you
have found helpful information about primary immune deficiencies
and the therapies used to treat them?
www.pedpid.com
Q: What's the most difficult part about
living with a primary immune deficiency (or caring for a child
who does)?
The most difficult is knowing your child could get very ill at
any moment. You can't make plans like sign up to go on a field
trip with your children's schools because at the last minute you
may not be able to go. You worry when you take your child out
in public that someone will be walking around with a contagious
condition and your child will pay for it. You spend so much time
in the hospital that you know the workers by name. But the worst
part is holding your child's hand while he gets his pokes. My
son can handle one poke, but with more than that he freaks out.
The worst part was last Friday when the first poke didn't work
and he had to have a second one; he held my hands so tight my
rings made my fingers bleed and I had to listen to him cry that
he wished he'd never been born. That is the worst part.
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?
My advice to a newly diagnosed person is to gather all the information
they can on their particular diagnosis, pay attention to their
gut and act on it (I believe this has saved my son's life on more
than one occasion), and get a second or third or fourth opinion
if you are not completely satisfied with the level of your care.
Ask questions, ask questions, ask questions. As for families,
do not be afraid to bring new information that you may have found
yourself through immune support groups or through the Immune Deficiency
Foundation to your doctor. You are your child's best advocate
– you must speak up and speak out! Doctors can be intimidating,
but you have to get past that and make sure that you understand
everything and that you feel it is best for your child. Most PIs
are "hidden" diseases; your child may not look sick
to others, they may not understand and try to give advice –
like, my personal favorite, if I just gave my son vitamins or
herbal immune stimulators he'd be fine. My advice to you is to
learn to smile and walk away. My best advice: laugh. Always find
the funny in things. If you don't, you'll spend your time crying
too much.
Q: Describe your experience with your insurance
company?
Our insurance company has overall been pretty good. Kody has
primary insurance through my husband's work, but we also have
state insurance for special needs kids through our state Medicaid
office. It is not a financial need-based program, and I suggest
that you look into your particular states' similar programs. We
do not pay any out-of-pocket expenses for any of Kody's particular
diagnosis, except for the developmental things – they don't
cover that.
Q: Is there any "silver lining"
to having this condition?
I think the silver lining is that my whole family has learned
what is really important in life. Our priorities are totally different
now. And I have a unique relationship with my son that is so precious
to me.
Q: What improvements in your IVIG would you
like to see from processors of IVIG therapies?
Improvements? Well, someday I would love it if my son didn't
have to get poked anymore.
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