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?
From birth, Chris was congested, having a combination of asthma,
bronchial infections, and constant sinus infections. Even his
belly button did not heal properly, so cauterization was necessary.
After repeated infection, breathing difficulties, asthma, croup,
bronchitis, and tests, it was evident that Chris needed to be
seen by an immunologist.
Q: How often are you (or your child) infused?
Chris has his home infusion of intravenous immunoglobulin (IVIG)
for eight hours once every three weeks. Chris spends the time
watching TV, playing video games or board games, eating, reading,
doing homework, or spending time on the computer.
Q: Describe your experience with your immunologist?
Our first experience with an immunologist was frustrating. It
was complicated, since Chris is IgA-deficient along with having
common variable immune deficiency (CVID). In the beginning there
were conflicting recommendations for treatment. Our pediatrician
was reluctant to administer IVIG, but we figured things out and
are fortunate to have an allergist and immunologist familiar with
the disease.
Q: Have any organizations or support groups
helped you cope with this chronic disease?
The Centers for Disease Control and Prevention (CDC), National
Institutes of Health, the local library, Immune Deficiency Foundation,
public health department, and the FDA.
Q: Can you suggest any Web sites where you
have found helpful information about primary immune deficiencies
and the therapies used to treat them?
I visit many Web sites to learn about what is new in the medical
field as it relates to primary immune deficiency. A few are: Immune
Deficiency Foundation, National
Institutes of Health, and NIH
Clinical Trials.
Q: What's the most difficult part about
living with a primary immune deficiency (or caring for a child
who does)?
As a parent, I run into constant challenges and problems. An
example would be the smallpox vaccine and how it would affect
Chris. I try to remain positive. It is difficult to realize the
vulnerability of the disorder and to rely on your faith for strength
and perseverance.
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?
Research and resources are necessary, with moderation. Seek out
good medical care, a knowledgeable immunologist and nurse. And
a relationship with your insurance company and understanding of
your policy are a must. Be your own advocate. Find support and
peace to live well. If you get the proper treatment, you can have
a fairly normal life expectancy. The trick is first being diagnosed.
Q: Describe your experience with your insurance
company?
We have a sole proprietary policy – a conversion policy
from COBRA enforced by a company restructure in 1994. Most of
the family resources are devoted to keeping the child well and
stable. Those of us with chronically ill family members find that
our credit is destroyed because you can't meet all your
obligations. Face it, if it comes between paying a utility bill
and buying medication to keep your child alive, there's
no choice.
Q: Is there any "silver lining"
to having this condition?
Yes, closure in having a diagnosis. Also meeting other families
and patients gives one a true sense of knowing and understanding.
There is much support in realizing your providence is the perseverance
of faith.
Q: What improvements in your IVIG would you
like to see from processors of IVIG therapies?
I would like to see a truly safe product. Other improvements
could be needle-less infusion access, viral safety measures, and
improved donor screening. Additionally, I would like to see education
for patients, families, donors, and manufacturers. This might
bring them together to work more closely and improve product and
processes.
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