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?
Our youngest child was born in 1976. She was six weeks early.
She was sick immediately and stayed sick for months, when our
family doctor told us something else was wrong. He sent us to
an immunologist and he diagnosed her with hypogammaglobulinemia,
which is now common variable immune deficiency.
I was diagnosed with common variable in 1994. I developed pneumococcal
pneumonia in 1992 after exposure to a patient. I was an emergency
nurse. I ended up on a ventilator due to respiratory failure.
After that I had 18 hospitalizations that all started in the [intensive
care unit]. I went from doctor to doctor. I went with my daughter
for her check-up with her immunologist and asked him if he saw
adults as well. He was a pediatric specialist. He reviewed my
charts and told me that I had the same problem as my daughter.
All of the test results were there, but no one had recognized
it. I have developed low IgA and have antibodies to it. When the
IVIG shortage occurred, the hospital changed my brand of gamma
and I slowly became as ill as I was before. During a retreat with
the Immune Deficiency Foundation, we found out that I was getting
too much IgA in the brand I was receiving. We immediately changed
back to [my original brand] and I am doing great. Our oldest daughter
was diagnosed yesterday with it. However, we caught it early and
the outlook is great. I will never take any other product than
[my current brand]. I work full-time as a nurse case manager,
and I only have minor restrictions on activities due to damaged
lungs.
Q: How often are you (or your child) infused?
I receive 25 grams every two weeks at home. My husband starts
my IV and I sleep while it infuses. It must infuse slowly over
eight hours; therefore, we start it and sleep while it infuses.
I pull the IV the next morning and go on with my daily routine.
Q: Describe your experience with your immunologist?
We have been with the same immunologist for 26 years. …
We have a very good working relationship that is more of a co-op
relationship. He listens to me and we discuss all matters until
we are both satisfied.
Q: Have any organizations or support groups
helped you cope with this chronic disease?
The Immune Deficiency Foundation
is great.
Q: Can you suggest any Web sites where you
have found helpful information about primary immune deficiencies
and the therapies used to treat them?
National Institutes
of Health and Duke
University Medical Center.
Q: What's the most difficult part about
living with a primary immune deficiency (or caring for a child
who does)?
I had to give up bedside nursing and I loved it. I try to remember
my bad experiences in the medical world trying to get treated
with a rare disease and pass that on.
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?
Do not let it rule your life. Find your limits and work around
them. My daughter danced, is a cheerleader, plays tennis, jazz,
gymnastics, and anything else she wants to do. We paid attention
to the weather, cold and flu season, and good nutrition and good
rest. If you give in to it, you will be miserable and depressed.
You can win with a good team approach: you, family, doctor, and
friends.
Q: Describe your experience with your insurance
company?
I have gone through three HMOs during my time. We had an indemnity
plan with our daughter. They were great. Coverage 100% through
[the home care company]. The HMOs have put me through it. They
had me go to the hospital for infusions. I spent close to 12 to
14 hours there, between waiting on the medicine to come up and
then the infusion. I caught every bug in the hospital. They also
changed my brand which made me sicker. They now leave me alone
at home and give me the brand that I have to have. It has been
one year since I was in the hospital. Yea!
Q: Is there any "silver lining"
to having this condition?
I have met a lot of great people through the Immune Deficiency
Foundation.
Q: What improvements in your IVIG would you
like to see from processors of IVIG therapies?
It would be great to have a better method of administration.
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