C/O 84 Beresford Road
Lowestoft
Suffolk
NR32 2NG
United Kingdom

NB: this is a forwarding address for the Pal, we do NOT disclose home addresses

Email Pal

Seren S's Parents/Guardians

Becky and Adrian

Seren S's Siblings

Pal Dylan

Seren S's Interests

Drawing, making things, watching films, riding her bike and scooter, spending time with family. She also loves cats, The Chronicles of Narnia, Playstation II games, Nintendo DS, going to Brownies, Sunday School and attending Church, and dance class, Sylvanian Families, talking books, Hannah Montana, iCarly, Harry Potter, The Saddle Club and horses.

Seren S's Favourite Colour

Red and Purple

Is Seren S able to read?

Yes

Is Seren S able to use hands?

Yes

Is Seren S visually/hearing impaired?

No

Does Seren S suffer from any developmental delay?

No

Story written 2007

Seren was suspected to have Cystic Fibrosis from 22 weeks of pregnancy, as her bowel was echogenic on ultrasounds. At birth, a blood sample was taken to test her for Cystic Fibrosis genes and she was found to have CF. Her treatment started the following day at the hospital. She was started on prophylactic antibiotics, Flucloxacillin, Creon capsules to digest her milk for her, and daily supplements of a multivitamin and extra Vitamin E. At four weeks old she began a thrice daily regime of chest physiotherapy to clear the sticky mucus from her lungs. At sixteen days old, I had to stop breastfeeding and start giving Seren SMA Gold formula, as she was drastically losing weight. She took well to this and did start to gain weight, but by 7 weeks old, she had dropped from the 50th centile at birth, to the 9th centile, so she had to start SMA High Energy, which worked wonders. In her first year she had a lot of throat infections which made her poorly and then at 13 months, she grew her first bug on a cough swab, Haemophilus Influenzae, which she received a course of extra antibiotics for.

She then had a much better second year, and stayed healthy with good weight gain until around her second birthday, when we had to wean her off the SMA High Energy and onto cow's milk. This caused her weight to drop and we struggled to get her weight up. Then at 23 months, she grew a bug called Pseudomonas and had to start some very strong oral antibiotics which made her ill, and a nebulised antibiotic as well. The treatment worked and she cleared the bug well and hasn't grown another bug on cough swabs since.

She finally, for the first time in her life, discovered an appetite in autumn of 2004. She finally started gaining weight nicely and since then, her weight has usually been good. We have to work hard though to keep it at an acceptable level, frying as much of her food as we can, making sure she eats lots of high fat foods such as crisps and chocolate, and trying to get her to drink plenty of milk.

From Christmas 2004 to April 2006, her health was very good. Her CF was very well controlled and apart from the occasional constipation, she had no real problems. Then in April she started full time school and her asthma, which had previously been very mild, needing inhalers only once a month or so, suddenly went haywire. Through the summer and autumn, Seren started needing inhalers more and more frequently and so in October, she was started on a Becotide inhaler in addition to her Ventolin. This still wasn't enough and so the Becotide dose was doubled last week and she has been struggling to come to terms with having asthma as well as Cystic Fibrosis and hates her constant cough.

At the moment, her medications are as follows: Ventolin inhaler, 4 to 6 puffs as necessary. Becotide inhaler, 4 puffs twice a day. Fish oil capsules, 2 per day. Vitamin capsules, 1 per day. Vitamin E liquid, 1 ml per day. Flucloxacillin capsules, 2 per day, Creon capsules, 3 with snacks, 4 with meals, Nasonex spray, 1 puff in each nostril once a day. At the moment, on an average day, Seren takes 22 tablets and has at least 8 puffs of inhalers, hence her struggle to adjust.

Update 22nd June 2010

Seren's had a pretty rough couple of months really. She was pretty well until 24th April, when she started complaining of nausea. This continued into the next day, and the nausea was so strong that we had to leave Church, and Seren insisted that she wanted to go to the hospital to see if they could figure out what was making her feel sick. She was examined by a registrar on the ward, who said that it could be her gastro-oesophageal reflux flaring up, so he increased her Losec from 20mg per day to 30 mg per day, and he wanted Seren to submit a stool sample, to check whether her Creon dose needed increasing, as apparently too little Creon could cause fat to be left in her stomach undigested, which would inflame it and cause nausea.

Her symptoms didn't improve over the next five days or so, and Seren had to sit out of class frequently during the day because of her nausea, and when the nausea hit, each time, she would need total silence to cope with it until it passed away again. She was also waking at night with nausea. It got to the stage where anything that went into her stomach, medications or food or drink, was making her feel incredibly sick, and it was REALLY making her miserable. She was also refusing to go to any of her after school clubs, or to Nanny and Grandad's house, because she was always feeling sick.

At this point, her consultant prescribed her some Gaviscon to take regularly through the day every time she felt sick, but it didn't help either. She barely ate anything all evening and had constant nausea and burning pain in her chest, and it took her until midnight to fall asleep, but then was awake again with nausea at 2am.

By the 30^th April she was still refusing to eat or drink and I ended up having to take her to the hospital with dehydration. She was seen by her consultant, who examined her thoroughly and found that she'd lost 1.5 kgs in just five days, taking her BMI down to the 17th centile. He started her on oral rehydration, 5mls of Dioralyte every 5 minutes for an hour, which she managed to tolerate, and she had a cannula fitted and had blood taken to check her liver function, in case the nausea was caused by the start of CF-related liver disease.

The bloods came back okay and so the consultant said that the nausea and burning pain must be caused by her reflux, so he prescribed her a 3 day course of Ondansetron, a really strong anti-nausea drug. This worked within an hour and Seren was OVER THE MOON! For the three days she was on it, her nausea completely disappeared and she was eating and drinking normally and enjoying life.

However, because it's such a strong drug, she was only allowed to take it for 3 days, and when the last dose wore off, her nausea and burning pain came straight back. She was so disappointed and the nausea was having a big effect on her life. She started refusing to sleep in her bed, or anywhere in the house, wouldn't sleep with bedding on or pyjamas, panicked if she was ever on her own in a room, and was too scared of feeling sick to go to any of her after school clubs.

She was seen at CF Clinic on 7th May and although she'd started putting back on some of the weight she'd lost, her lung function had dropped to 80-odd%, and her consultant found that her bowel was badly blocked. We felt that this was caused by the Ondansetron, because prior to her having it, her bowel hadn't been blocked, but the consultant felt that this had been missed and was the actual cause of the nausea. But either way, the blockage had to be cleared before Seren could start any new treatments for the nausea, so she started taking 10 mls Lactulose twice a day.

This cleared the blockage within a week, but Seren's nausea and burning pains were just as bad as ever, so the consultant finally started Seren on Domperidone on 14th May, to empty her stomach more quickly, three times a day. This worked a treat, and completely changed her life. She was able to take the tablet 20 minutes before a meal, eat as much as she liked, and not feel sick afterwards! Snacks in between meals were still making her sick, so she had Gaviscon after her snacks, and that solved that last of the issue.

More recently, the increased dose of Losec seems to have taken effect, and her stomach seems to have healed and become less sensitive, and so at the moment, she's not needing very many doses of Gaviscon or Domperidone, but we know what to do each time she does get symptoms - we bring out the Domperidone and the Gaviscon, and we sort it.

Seren also had a bit of a chest infection at the end of May and beginning of June, a viral one which started out as a cold and went onto her chest and had her coughing up thick chunks of yellow gunk. We increased her Augmentin tablets for a while as a precaution, and had her on lots of saline nebulisers and extra physio sessions, but she coped REALLY well with the infection and worked hard at clearing her lungs all the time.

She's just about back to normal now after a rough couple of months, and fingers crossed she'll have a good few months now. She has her Annual Review (MOT) coming up next month, and so she's got to go have blood tests and a chest x-ray done tomorrow, in preparation for the MOT.

She's also got her FIRST EVER hospice stay coming up next week, and lots of fun things planned at school, like Nature Club and Sports Day. And of course, in just 19 days, it'll be Seren's EIGHTH birthday!!! She's incredibly excited!

Thank you to Fiona, Kate Dee, Quistis, Postie Sarah, Helen Brierley, Kim, Martin Jackie & Jamie, Libby, Post Pals, Maria & Michael, Jon Paul O, Max, Liz in Manchester, Charlie & Lianne, Lucy, Liz, Lily at St Pauls Rainbows, Elizabeth Eckhardt, Claire, Sarah and Jenny for the beautiful cards! Thank you to Margret, Despina, and Claudia Meyer for the lovely post cards! Thank you to Caroline, Charlotte Poulter, Darren Shannon Daniel Owen Leah Matty & Missy, Karen Drew, CeeCee, Julie Deaves, Maria & Michael, Lydia, Stephanie Dominic Karen & family, Lindsay F, and Helen Brierley for the fantastic letters! Thank you to Fiona & Peter for the cuddly Little Miss Sunshine; to Helen Brierley for the seeds, the rabbit photos, the cat stamp and the letter and numbers stamps; to Post Pals for the organiser; to Maria & Michael for the make your own animal specs; to Jon Paul O for the knitted duck; to Caroline & Max for the chocolate chicks and bunnies; to Darren Shannon Daniel Owen Leah Matty & Missy for the skipping rope; to Karen Drew for the iCarly necklace and puppets; to whoever sent the fairies sticker and Polar book; to Kate Dee for the craft kit; to whoever sent the Hannah Montana purse; to Helen T for the grow your own fairy garden kit and fairy poster art kit; to Sheila for the hair dressing doll, Disney Princess card game, and design your own pencil case kit; to Postie Sarah for the Sylvanian Family village sweet shop and koala family, the Pony In My Pockets; to Joanna for the notepad and gel pens; to Lydia for the craft supplies; to Claudia Meyer for the Melinda book and bracelet; to Stephanie Dominic Karen & family for the knitted teddy, Bratz book, pencil and rubber and create your own diamante notebook; to Claire for the lucky dip gift; to Sarah for the mini monster; to whoever sent the dolls bedding; to Paul Stef & Keera for the cuddly dog; to Jenny for the booklet and make your own handbags kit; to Lindsay F for the knitted lion; to Post Pals for the bracelet, purse, make your own handbags, turtles and my sewing kit.

Update 27th March 2010

Seren had an incredibly difficult end to 2009. She became ill on 3rd December, and that was the last full day she spent at school that year. She had CF Clinic on 4th December, and her lung function was down to 80%, and she had a temperature and was tired and had a low appetite. By the following Wednesday, her lung function had declined even further (the CF Nurse wouldn't even tell me the results, so it must have been bad!) and she was struggling with a horribly thick chesty cough. She had a chest x-ray and was started on Ciprofloxacin oral antibiotics.

By the 12th December, she was incredibly lethargic, refusing to eat or drink, coughing constantly and barely able to breathe on times, and so we took her back into hospital. She had lost over a kilogram and was started straight on IV antibiotics via a short long line in her arm. The line failed the following morning and so she had another cannula fitted, which quickly became incredibly painful to use. So another cannula was fitted, this time a baby cannula, the smallest available, and incredibly, it lasted the whole of the rest of the 14 day course!

The IVs slowly worked their magic on the infection, but Seren was very poorly, requiring 6 nights overnight stay at the hospital, numerous saline nebulisers, inhalers and tons of extra physio sessions because her cough was the worst I've ever heard it, and she found it so distressing. There were many times when mucus completely blocked her airways and she was unable to breathe while she struggled with her coughing fits and her chest was recessing the worst I've ever seen it.

Christmas was a very weird time with the twice-daily trips to the hospital for her IV doses and all her treatments, but she still managed to enjoy her day, and by the time the IVs finished on the 26th December, she had regained most of the weight she'd lost and her cough was much improved. But it still took her another few weeks to recover completely, to get her energy back and to stop coughing altogether. She was just about better in time to go back to school in early January.

Since then, she has been very well, with just the occasional cold, and she did have a day off school after the second half of her Swine Flu jab, as she had a high temperature, lethargy and loss of appetite.

She had an appointment with a CF Specialist earlier this month, and we were amazed when her lung function had gone up to an AMAZING 125%!!! The highest it's ever EVER been! The specialist was really pleased and said that although late 2008 and all of 2009 were rough for Seren, she seems to have recovered really well and although her weight still needs a lot of work, she is generally doing well at the moment.

We know that she'll get hit again by another nasty chest at some point in the future, and she does have a slight cough on times at the moment, but the specialist has given us some new weapons to use on the gunk when that does happen (such as steroids, different inhalers and hypertonic saline), and so for now, we're enjoying this period of good health, as is Seren, although the fear of getting ill again is always there, in the back of her mind.

We are very much looking forward to the Easter holidays, as we are going to visit my family in South Wales for Easter, and then Seren has a 3 night Brownie sleepover when we get back and she can't wait!

Fingers crossed for a healthy, happy Easter!

Thank you to whoever sent the reindeer cards and reindeer get well card! Thank you to Kathryn, Carole Sinclair, Gracie, Debbie & cats, Post Pals, Matilda Loughtman, Despina, Ruby & Mr & Mrs Nissen, Lucy, Daniel, Lynzie, Helen T & Adrian B, Catherine, Jane, Jennifer Jain & family, Karen (Sami), Tez, William S, Katie, Kim Ginger, Laura H, Rockferry High School, Brabourne & Smeeth Brownies, Sarah, Selina, Lynzie Elf, the Homberg Family, Helen Brierley, Prancer, Lucy Ashworth, Zoe, Lindsay, Becky Paulinyi, Beth Wendy & Doris, Emma Gray, Martin Jackie & Jamie, Estelle (Taunton), Sarah Kidd, Sarah G, Kate Dee, Natsuki, Estelle Graham Kate & Lauren, Daniel & Joseph, Lucie Shaun Daisy & Molly Willby, Emma & Jayden Barclay, and Postie Sarah for all the cards received in December 2009 - they were invaluable at keeping Seren occupied and upbeat during her hospital stay and long period of illness!

Thank you to Elizabeth Eckhardt, Kate Dee, Kim Ginger, Alexia, Postie Sarah, K, Jannah, Kate Dee, Lily, Sarah G and Alison for the fabulous cards Seren has received so far in 2010, and thank you to whoever sent the anonymous Valentines card. Thank you to Kim Ginger, Nina, and a 'friend' for the postcards! Also, thank you to Beth Wendy & Doris, Becky Paulinyi, and Lily for the cards for Adrian and me. Thank you to Mrs Claus, Al the elf, Snowberry, Beddy Bear and Maria & Michael for the lovely letters! And thank you to Sarah G for the notes!

Thank you to Debbie & the cats for the paper chains and sand art; thank you to Jaxsons Blankets for the blankie; thank you to Al the Elf for the fairy dust and elf hat; thank you to Post Pals for the Rock On necklace, selection box and snowball bath fizzers; thank you for the Littlest Pet Shop Pencil case; thank you to Jennifer Jain & family for the cat book; thank you to Kathryn for the sweets and stickers; thank you to Vickie for the lolly; thank you to Sarah for the make your own Christmas decorations; thank you to Beth & Wendy for the Shining Stars cat, Hannah Montana mug, cookie mix, hair accessories, scrapbook kit and Buttons; thank you to Doris for the Lady & The Tramp book and Bratz activity annual; thank you to Jess in Taunton for the Narnia colouring book; thank you to Natsuki for the origami; thank you to Daniel & Joseph for the cuddly Santa; thank you to Lucie Shaun Daisy & Molly Willby for the Bratz Pampered Petz; thank you to Jessica Bryce for the biscuits; thank you to Becky for the mini scrapbook; thank you to Jenny Bridger for the personalised jar of sweets and cat diary; thank you to Tez for the cat and dog bag; thank you to Helen T for the smiley faces, the solar butterfly, the Naughtiest Girl in the School books, the Buttons, the Bad Girls book, the DS bag and GAME gift card, the Illustrated Mum book and the High School Musical stamper customising set; thank you to Postie Sarah for the Sylvanian Family rabbit and chipmunks and star fairy pyjamas; thank you to Al the Elf for the knitted dog in a bag; thank you to R Gallimore for the marshmallows, Hello Kitty cafe and mosaics by numbers; thank you to Grace Caterham-Ashford for the nail varnishes, Sylvanian Family gift shop, Hannah Montana activity pad and pen, the Russian doll bobbles and clips and Sylvanian Family cat; thank you to Becky P for the bracelet, bobbles and dragonfly necklace; thank you to Kim Ginger for the cheerleader pom poms. All the presents made a difficult December almost bearable! Thank you so much!

And thank you to the lovely person who sent me the Boots fruit cocktail toiletries; to Helen T for the russian doll; to Jenny B for the bottlecap keyring; to Helen T for the GAME gift card for Adrian; and to Jenny B for the bottlecap keyring for Adrian!

Also thank you to Sarah Kidd for requesting an Angel for Hope; thank you to Alison for the Camp Rock book and cat bookmark, thank you to Elizabeth Eckhardt for the stickers; thank you to Lily from 2 Stray Cats for the very beautiful Purddy Cat; thank you to Nina Saustrup for the handmade cat; thank you to Rhiannon for the doorhanger kit; thank you to Post Pals for the duck to swan kit; thank to you Debbie & the cats for the audio book.

And thank you for the gorgeous box of treats I was sent for Mothers Day! I got a card, a 'Favourite Prayers' book, 'God's Little Book of Comfort', a LUSH bath bomb, heart notecards and pen, a magnetic notebook and two more notebooks! :o)

Update 26th November 2009

Seren has had a pretty good couple of months, with a rough chest infection in the middle. 

On 16th September, Seren started swimming lessons and is so far doing really well!

On 27th September Seren came out in a heavy cold and by the following day it had gone onto her chest and was quickly making her poorly, but she insisted on going back to school on the 29th. The following day, I discovered that she'd been trying to hide her chesty cough from me, so that she wouldn't have to miss school, cheerleading or swimming, but although I let her do those things, she was exhausted and breathless by the end of the day. By the end of the following day, her cough was really nasty again.

On 2nd October, Seren had CF Clinic and they found that although her weight has gone up to 22.7 kgs and she's now 124.5 cms tall, it puts her on the 27th centile for her BMI so she's still got a long way to go to get to the 50th centile and her ideal CF-healthy weight for her height. Her SATS were okay, but the physio was concerned when she heard her nasty cough and wanted us to increase her physiotherapy to three times a day until her cough improved. And when she did her lung function, her FEV 1 was down to 80.3%, a drop of over 20% since July. Her consultant listened to her chest and there were a lot of crackles in her right lung as well, so he increased her antibiotics and said to make sure to increase her physio as well.

By Sunday, Seren's chest had got much worse. She was too tired to go to Sunday School and she was so tired that she barely moved off the settee all day and her cough was absolutely disgusting. The gunk in her chest was so thick that she was choking frequently. It got so bad that she was refusing to cough or have her physio, and so we started up a physio reward chart, so that she could earn a Miley Cyrus doll by working hard with her physio, and that really helped to motivate her.

Seren insisted on going to school on Monday, so I spoke to the CF Nurse about having a saline nebuliser to help her to break down the mucus more easily. She agreed and so we picked it up at the end of the day and she tried it for the first time that night. It definitely made a difference, and although her cough was still very rattly, she was able to cough some bits up.

She insisted on going to school on the Tuesday as well, but because of all the mucus she was coughing up and swallowing after her morning dose of nebuliser, she vomited three times at school that morning and had to be sent home. When I got to school to pick her up, her face was greenish-grey and her chest was incredibly rattly. She sounded absolutely terrible, so I took her home and rang her CF Nurse and arranged for her to see Seren at the hospital.

When she was examined, her SATS were lower than usual, and although her FVC was in the 90s, her FEV 1 was down to only 36%. Part of that was a reluctance to blow hard enough, because she didn't want to trigger coughing, but obviously, even allowing for that, her lung function was LOW. Her chest still sounded crackly and harsh, but as her swab results were clear, the consultant thought that it was probably some sort of viral infection. So he prescribed LOTS of physio, LOTS of saline nebulisers, LOTS of rest, increased her preventer and reliever inhalers, and wanted her to drink plenty of fluids to help thin the mucus.

So she was on a very intensive treatment regime, but it really helped in the end. She worked very hard with all her physio sessions and although she was choking on her mucus many times, she kept coughing until she'd cleared her chest for a while. She ended up having Wednesday, Thursday and Friday off school, and by the following Monday, she had recovered enough to go back to school.

On 24th October, Adrian (Seren's Daddy) came out in suspected Swine Flu, and was put on Tamiflu. Because of Seren's CF, she was given a 5 day course of Tamiflu as well, and despite all the horror stories about side effects from the Tamiflu, apart from complaining of mild nausea twice, she didn't have any side effects at all! And thankfully, neither did she come out in Swine Flu!

On 5th November, Seren had her flu jab and she was very brave!

Since then Seren has stayed very well, without a hint of a cough or cold. Fingers crossed for a healthy December and a fun Christmas! Seren has her Swine Flu jab coming up on Friday and CF Clinic on the Friday after, 4th December. She's already very much looking forward to Christmas, to putting up our tree, and to taking part in her school Christmas Play - she's going to be The Narrator! 

Thank you to Maria & Michael, Sarah, Tracy (Bristol), June Junko, Becky Paulinyi, Viks, Zoe Preston, Kate Dee, Kim Ginger, Sarah Gilligan, Jane, and Sarah for the lovely cards! Thank you to Sarah Gilligan, Lorna, and Tam from Japan for the postcards! Thank you to Claire McCartney, June Junko, Debbie Gray and Beddy Bear (aka S Gilligan) for all the letters and postcards! Thank you to Post Pals for the LEGO plane. Thank you to Maria & Michael for the skeleton straw. Thank you to Sarah for the Animal Hospital koala playset; and for the fish kit, caterpillar kit, popping candy, 2 bracelet kits, butterfly kit, 2 lollies, Princess Smartypants book, cat mask, needlepoint kit, dog mask, make your own jigsaw kit, cress kit, Rainbow Magic book, and Eco-Wolf book; and for the paper rabbit. Thank you to Post Pals for the flying lantern. Thank you to Viks for the chocolate bar. Thank you to Kim Ginger for the fairy activity book; and for the rub on stickers. Thank you to Jenny B for the Bratz runway game. Thank you to Debbie Gray for the cat game. Thank you to Post Pals for the Jonas Brothers book and the Wish Box. Thank you to Jane for the craft supplies. Thank you to Sarah for the 'Puffa Pouch'!

Update 13th September 2009

Seren has had a great summer and taking her Calogen up to 30 mls per day has made a big difference to her appearance! She is starting to fill out and looks much healthier!

She has really enjoyed her summer, having her friend round to play at the house, going to the bowling alley, going to Pleasurewood Hills, going to the cinema, going to a play farm, going on holiday to West Wales, staying overnight with my parents, going to the park, going to Africa Alive, playing in the fountains, and helping Dylan to celebrate his 5th birthday, including bowling free hand for the whole hour!

On 25th August Seren's physiotherapist came round and taught her how to use the PEP machine to do her morning physio. It is MUCH quicker than percussion physio, and involves blowing down a mouthpiece which has a resistor fitted to it, and each puff has to move the attached pressure gauge up by 10-20 bars. She has to do this ten times and then repeat it. She got the hang of it really quickly and it is a total life-saver in the busy mornings! In the evenings she still has her percussion physiotherapy on the physio bed.

On 26th August Seren had a GP appointment to see about her warts on her fingers and her frequent mouth ulcers. The GP put her name on a list to have her warts frozen off and gave her a prescription for a new paste to put on any future ulcers, apparently they are caused by her body being 'run down' by having CF. We walked back from the GPs and Seren's joints were causing her a lot of pain, so she ended up having to go in the pushchair for half of the way home.

On 3rd September Seren started Year 3 at school and was VERY nervous about how she'd cope with the harder work, but has settled in beautifully now! On 7th September, Seren went to her first session of Brownies! She looked so beautiful in her new uniform and she really enjoyed herself there.

On 9th September Seren woke up with very sore hips, after a) her first PE session of the term the day before, and b) forgetting to put her insoles back in her shoes after PE for the rest of the day, and so she needed a dose of Ibuprofen, but it gradually improved and she was okay the next day.

Fingers crossed for a healthy autumn and winter!

Thank you to Brittanie Lark, Tina, Amy Singleton, Viks, Helen T, Liz, Kim Ginger, Hanna and Jenny B for the lovely cards! Thank you to Estelle, Kate & Lauren, Sarah Gilligan, and the Schauer family for the postcards. Thank you to Brittany Henderson, Alexis Schoonover, Kameesha for the notecards (and the wordsearches!). Thank you to whoever sent Seren the cat newsletter, she loved it! Thank you to Lydia for the party bag full of goodies! Thank you to Jenny B for the gorgeous Hannah Montana bag, bobbles and hairband! Thank you to Debbie & cats for the beaded frame kit. Thank you to Helen T for the Hannah Montana stickers. Thank you to Kim Ginger for the lovely books! Thank you for the flannel lollipop. Thank you to Post Pals for the lovely pillow, the cuddly poodle and the pirate chocs. Thank you to the Schauer family for the Turtle magazine and Barbie stickers.

Update 18th July 2009

Seren has had a tough few months. On 27th April she was complaining of hip pain, so she had to skip PE at school, and when I spoke to the physio on 30th April, she told me that because it was causing her so much pain, Seren would have to completely avoid trampolines and only have two minutes at a time on a bouncy castle. She said the best exercise for her would be walking, swimming or cycling. Seren was NOT happy!

On 11th May, Seren was saying that she hates having Hypermobility more than she hates having CF, and it was really starting to impact negatively on her life as she was getting pain most days and was struggling to cope with the limits it was putting on her lifestyle. I decided that we needed some more input from her physio about her hypermobility. On 13th May she was complaining of even more pain, and then on 17th May, Seren had a bit of a meltdown and was incredibly upset, saying that she hated CF, hated hypermobility, and just wanted to be normal and to have a normal brother.

On 19th May she had more hip pain and so I ended up giving her ibuprofen for it, which helped. On 20th May she finally saw the physio, who answered Seren's questions about her hypermobility and re-assessed her joints (she scored 6 out of 9 on the Beighton Score, and her elbows, fingers, knees and ankles are her bendiest joints). The physio also picked up that Seren's ankles bend in and aren't supporting her legs properly, which is causing her knees and hips to twist, so when she's walking it's causing her lots of pain. To help with this, Seren needed to get some more supportive shoes, be fitted for insoles to re-train her ankles, and to start doing ankle exercises every day to strengthen her ankle muscles. She also said that Seren can try doing 5 minutes at a time on a bouncy castle and see how she copes. If she copes well, then she can increase it. As for other activities, such as a gymnastics class, she can try it and then see how much pain it causes and whether it's within tolerable levels. We said that we'd noticed that just before Seren gets a bad episode with joint pain, she gets REALLY tired and grizzly, and apparently that can be common with hypermobility syndrome.

When I picked her up from school that afternoon, her teacher said that he wanted to refer her to the Parent Support Adviser, who could get her into some after school activities to improve her quality of life and to act as a kind of respite from coping with Dylan and his challenges, to have some time for herself.

On 24th May Seren started with a dry cough and wheezing and seemed tired with very little appetite. The next day her temperature shot up to 40 C, her cough got worse, and she still wasn't eating. I took her to the hospital the next day when her cough was 40.4 C in the early hours of that morning and 39 C later in the morning. At the hospital, she was 22.1 kg and her sats were 97%, but while we were there her temperature shot back up to 40.1 C and she was very out of it, just zonked out on the hospital bed, and her face was a horrible red/grey colour. Her ears and throat were slightly red and one area of her lung wasn't getting any air entry (like in March), and if it hadn't been for the x-ray showing no serious infection and clear blood tests, they would have kept her in hospital and started her on IVs. As it was, they sent her home on oral Ciprofloxacin for a week, saying that it was probably some sort of viral infection.

When she got home that night her temperature was still high, but it broke overnight and stayed down after that. However, she was still incredibly pale and wasn't eating or drinking much at all. By the 29th, Seren was still very tired, snuffly and coughing, but she did eat a bit. The next day she slept late and was still very tired and grumpy, and that didn't improve over the next few days.

School started back after half term on 1st June, but Seren was still absolutely exhausted with no appetite. I did think her cough was starting to clear up, but that night she suddenly started with AWFUL coughing fits and a really nasty, thick, chesty cough. I tried doing a really intensive physio session that night but it didn't really help, as Seren could feel how thick the cough was and didn't want to cough!

She wanted to try going back to school the next day and so I dropped her off in the morning, but she was sent back home at 10.30 am because she was so exhausted, refusing to eat and coughing so much, and she was complaining of nausea. I rang the CF Nurse and she said that if Seren got worse before Friday's CF Clinic, then we should take her to the hospital, but if possible, it would be best to wait until Friday. She had a really bad day and that evening was so so poorly, she couldn't stop coughing, could barely breathe, her chest was recessing badly and physio just wasn't shifting it.

She was just as bad the following morning, so I took her to the ward and she had dropped over a kilogram in a week, taking her down to only the 10th centile for BMI, and when the registrar listened, the same patch of her lung still wasn't getting any air entry. She didn't want to put her on Ivs though until she'd had her lung function done, so we had to wait until Friday and she prescribed Seren some Augmentin tablets to get her through til then.

Seren had awful coughing fits again for the rest of the day and for most of the next day, but around tea time, Seren FINALLY found some energy and found a bit of an appetite and said that her chest felt a little better!

The 5th June was CF Clinic and although her cough was still really nasty, she ate and drank better, and when she was weighed, she'd put on 1/2 a kg to take her back up to 21.5 kgs, which was 13th centile for BMI. The real bit that scared us was her lung function, which had dropped to 81%, and I dread to think what it had been a couple of days before that. However, she HAD managed to clear the dull patch in her lung! Her consultant diagnosed her as having the flu which had given her a secondary chest infection, but that because she had started to show some improvement, he wanted to hold off on the IVs and continue on the Augmentin. If her lung function hadn't gone back up by her Annual Review in July though, she would have IVs. Due to her incredibly poor weight, her dietitian gave her Calogen supplements to try, 5 mls twice a day.

From 6-9 June, she had a slow and steady improvement and she was slowly regaining her appetite and energy, but her cough was still very wet and she was still sleeping an awful lot. On 10th June, she had her Annual Review bloods done and she was INCREDIBLY brave! When we saw her teacher that afternoon, he said that she definitely didn't look well enough to go back to school.

She finally went back to school on 15th June, and on 17th June, I saw the Parent Support Adviser about extra-curricular activities, and she got her into a dance class on a Thursday night! She also said that when Dylan turns 5 in September, she can get him into extra-curricular stuff too! Woo hoo! Seren went to her first dance class on 25th June and she loved it and didn't have any pain afterwards!

On 26th, Seren had her orthotics appointment to fit her for her insoles and she was very upset when the phsyio told her exactly what sort of shoes she'd have to wear once she got the insoles. They would have to be very sturdy t-bar shoes that she'd have to wear all day and she'd have to wear trainers instead of plimsolls for PE. She’d also have to get special trainers just for wearing indoors so that she could keep them on right up until she went to bed. She was NOT happy!

On 2nd July, Seren was complaining of lots of ankle pain because of all the practise they were doing at school for sports day and so she took her trainers into school to wear for PE to give her more support, which did help.

On 10th July, I did Seren's annual review nose throat and cough swabs, and she had her birthday party, and a VERY good school report! She got all Level 2 and 2b's, and in Reading and Science, she got Level 3! What a total star! Her teachers were SO pleased with her!

The 11th July was Seren's 7th birthday and she opened her presents first thing, then we all went on the train to Norwich and had lunch at Frankie & Benny's before Adrian took her to see High School Musical live show at the Theatre Royal.

The 13th July was Seren's sports day and she tried her best. Then on 14th July, she met her new teacher and gave her a little book I'd written called 'All About Me', which was written from Seren's perspective explaining about her CF, her astma and her hypermobility, and explaining about the problems she's faced over the past year, which should help her new teacher to understand her and help her.

On 16th she had her Annual Review, and her weight had gone up by only 200g to 21.7 kgs, which only took her up to the 16th centile for her BMI. However, her bloods and swabs were clear, which was great. Her Vitamin E dose needed reducing from 1 ml to 0.5 ml per day because her vitamin E levels were too high, but all her other medications stayed the same. The consultant acknowledged that this has been by far her worst year health-wise and knows that it is directly related to her poor weight gain, so wanted the dietitian to get involved. He wants us to increase her calorie intake, push the Maxijul powder as much as we can, and to bump up her Calogen dose from 5 ml twice day to an initial 5 mls three times a day before building up to 10 mls three times a day eventually. He also said that if her weight centiles haven't improved by this time next year, then we'll need to start seriously thinking about a gastrostomy, which neither Seren nor we want, if we can avoid it. She was also seen by the physio, who fitted her new insoles and said that she'll be teaching her a new form of physio over the summer, using the PEP machine, which Seren will be able to do by herself. This will be great!

The following day was her last day in Year 2 at school and her last day of Key Stage 1! Dylan was at the childrens hospice, so we went to the shoe shop and got Seren some Doodles and two pairs of trainers, one pair for indoors and one pair for outdoors, so she's sorted now until school starts back.

Fingers crossed for a happy, healthy summer holidays!

Thank you this month to Martin, Jackie & Jamie, Catherine, Tracy (Bristol), Sarah, Michelle Kendel, Becky Butler, Kim Ginger, Kate Dee, Claire McCartney, Estelle & children, Helen T, Helen Brierley, Maria & Michael, Julie (Daisy's Grandma), Debbie & cats, Charlee, Jack & Harry, Jenny Orpwood, and Linby for the lovely cards! Thank you to Maria & Michael and Despina for the postcards. Thank you to Nicky Walker, Helen T, Hayley, and Anne Gairn for the letters. Thank you to Margret Nagy for the note. Thank you to Helen T for the tray bake cake. Thank you to Tracy (Bristol) for the Clementine book. Thank you to Claire McCartney for the get well balloon, and the hair clips. Thank you to Kim Ginger for the paper butterflies and the inflatable guitar. Thank you to Estelle & children for the 'Wheelie Girl' book. Thank you to Anne Gairn for the make your own Address Book kit and Ella Courtney doll. Thank you to Anna for the Me To You Bear photo clip, bobbles and cuddly duck. Thank you Debbie Gray & cats for the furry cat. Thank you to Helen T for the Hannah Montana stickers, sticker book and 3D drawing pad. Thank you to Helen Brierley for the dressing up fairies book. Thank you to Charlee, Jack & Harry for the stickers.

Update 26th April 2009

Seren has had an up and down couple of months. On 16th February, Seren still had a wet cough, but she had a swab done on the 17th and it came back clear.

On 22nd February, Seren went to soft play and really wore herself out doing handstands and forward rolls and started complaining of joint pain. The next day, she was very very tired and didn't want to go to Rainbows after school because she was so tired. On 24th, she started swimming lessons at school again, and afterwards, she was still complaining of joint pain, and was still exhausted. I put it down to all the exercise at first, thinking that it was her muscles which were painful, but on the 25th, she was STILL complaining of pain, and it was in her elbows and knees, not her muscles, and it moved to her hips and knees. Seren still had the joint pain in on the 27th March, but she managed to go to Rainbows that week. People had been suggesting that her joint pain could be caused by her hypermobility and so I rang her physiotherapist to ask her advice. She said that yes, it was her hypermobility and that she needed a week of total rest, no walking to school, no playing outside at play time, no swimming, and no PE. So she had a week of total rest, which she found VERY frustrating, but it did completely get rid of the pain.

A week later, when I picked Seren up from school, I noticed that she was developing a chesty cough, so over the weekend we gave her extra physio and inhalers and kept a close eye on her. The cough wasn't any better by the Monday, so I took her into school and she had a lot of coughing fits on the way, so I asked her teacher whether he thought she was well enough to stay. We decided to let her try staying and she coped okay. Over the next few days, her cough kept getting worse, so she had a swab done again and we kept up the extra physio. The swab came back clear on the 29th March, but her cough was getting worse and she was starting to complain of stomach pains, and she had a restless night.

On 30th March, her temperature went up to 38.8 C, and she was still coughing and still had stomach pains. The CF Nurse came out to see her and said her chest sounded okay, but that if she was still unwell the next day, to get the GP to see her. Seren didn't eat much all day and her cough just kept getting worse. By the end of the afternoon she was having really bad coughing fits and could hardly breathe and extra physio wasn't helping.

We ended up taking her to hospital that night and when the doctors listened to her chest, there was a section of her lung which wasn't getting any air entry and so they were concerned that she might have pneumonia, so they sent her for an x-ray. Her lungs looked okay on the x-ray, so the doctors thought it could either be an infection or a plug of mucus, so they said to keep up the extra physio, took another cough swab, and started her on some Augmentin antibiotic tablets.

The next day wasn't much better, she still had no energy and was hardly eating, and her cough was really disgusting. She was still struggling on 1st April, so I rang her physio who came out and had Seren blowing bubbles and did her a physio session with huffing and vibrations, which shifted some gunk, and afterwards her chest sounded clearer. I tried her on walking to school to drop Dylan off and pick him up again and it tired her out and gave her coughing fits, but she managed it okay. The following day, there was a definite improvement, so we let her go back to school and she started coughing up chunks of thick, dark yellow gunk, proof that there was actually an infection in her lungs, but that because her symptoms were improving, the Augmentin seemed to be working.

On 3rd April she had CF Clinic and she'd put on a little weight and grown slightly, although her BMI centiles didn't improve. The consultant was happy for her to continue the two week course of Augmentin without resorting to IV antibiotics. Phew!

On 24th, after a hula hooping PE session the day before, Seren was complaining of joint pain again and is still sore today, so I think this is going to become a problem for her now, as she's so active and is getting more adventurous with what she's doing and is triggering joint pain. She doesn't like to have to tone down what she wants to do though, so it's going to be tough finding the right balance of activity without causing pain.

Thank you to Michelle Kendel, Jill, S, Rachel Wheeler, Nicky W, Lisa, Julie Barrett, Kim Ginger, Post Pals, Helen Brierley for the cards. Thank you to Julie for the postcard.  Thank you to Debbie Gray for the card you sent for all of us. Thank you to Helen T for the letter and thank you to Tor for the note. Thank you to SOLAK for the beautiful cushion. Thank you to Michelle Kendel for the paper doll set. Thank you to Sarah for the Narnia postcards. Thank you to Helen T for the 'Things to Make and Do' tin! Thank you to Post Pals for the cuddly teddy. Thank you to Post Pals for the balloon modelling kit! Thank you to Kim Ginger for the finger puppet and High School Musical wall planner. Thank you to Helen Brierley for the Disney books and rabbit mask kit. Thank you to Julie B for the decorating eggs kit. Thank you to Post Pals for the puppet kit. Thank you to Tor for the fuse bead kit! Thank you to Post Pals for the Beatrix Potter notecards and envelopes. Thank you to Debbie Gray for our DVDs and Seren's make your own hairband kit. Thank you to Post Pals for the growing eggs.

Update 15th February 2009

Seren's had a reasonably good time of things lately with her health, except for the past couple of weeks. On 26th January Seren up came down with a cold that hit her full force and she was very grizzly, so she ended up having the next two days off school while she went through the worst of it, but was back at school by the 29th.

On 6th February, Seren and Dylan had CF Clinic, and she got on very well. Her sats were 98%, her lung function was over 100%, she'd grown 2cms and she'd put on 1/2 a kg. But because of her height gain, it dropped her BMI centile back down to the 20th centile, so she's still got some hard work to do to get her weight up. Thanks to the Omeprazole tablets though, she's eating like a horse, the most she's ever eaten, so hopefully she'll put some more weight on soon.

We’d like to say thank you to Post Pals for the Blitzen and Rudolph cards, Seren especially loved them! Thank you to Helen Brierley, Sue & Ethan B, Jessica, Helen Brierley, Julie B, Kate Dee, Helen Bale, June Junko, Vikki, Helen T, Anne Gairn and Maria & Michael for the cards.  And thank you to whoever sent the anonymous Valentines card. Thank you to Kim Ginger for the postcard. Thank you to Michelle Kendal and Vickie M, and Jess the cat for the letters. 

Thank you to Helen T for the Pixel Chicks babysitter, shrinkies, glitter pens, piggy bank painting kit, dancing polly pocket, finger print drawing kit, and for the Disney Princess DVD. Thank you to Claire McCartney for the Winter Minnie Mouse, hair bobbles, clips, lip gloss and eyeshadow. Thank you to Anne Gamble for the notepaper and envelopes, card making kit, notebook and card making equipment. Thank you to Abbey and Alison for the Bratz doll and perfume, High School Musical handbag, knitted teddy and fairy activity set. Thank you to June Junko for the cat calendar. Thank you to Hilary & Muffin for the High School Musical t-shirt. There were a few other Christmas presents which Adrian opened with Seren and he wasn't sure who they were from, but thank you to whoever sent Seren the fairy sticker book, the sand art, the pendant, the Santa 3 drawer gift set, the paper flower funpack, Bratz stickers, lip gloss and the Disney Princess cup. Thank you to Julie B for the Power Palz rabbit game and toy, and for the stickers. Thank you to Helen Brierley for the underwater sculpting sand. Thank you to Helen Bale for the cuddly horse. Thank you to Vikki for the cat necklace. Thank you to Anne Gairn for the photo, pencils with toppers, pencils, ruler rubber and sharpener set and notebook. Thank you to Kate Dee for the cuddly Minnie Mouse and the camera. Thank you to Jess the cat for the Narnia book and activity book and rabbit keyring. Thank you to Julie B for the colour art kit. Thank you to Kim Ginger for the pencil, lip whistle, notepad, rubbers, bracelet, sticker and sweets.

Update 19th December 2008

From 17th to 19th November Seren was off school with a cold. She lost her appetite and was quite tired, but she was back to school on the 20^th. On 1st December, Seren was off school again because of a bad day with her asthma on the Sunday. But she was doing better by the afternoon, so I let her go to Rainbows, which she enjoyed.

On 5th December Seren had CF Clinic. She hasn't grown in at least 6 months and is still 120 cms (well, technically, she measured at 19.7 cms and she was 20.7 kgs which is 1 kg heavier than when she started her IVs in September, but she's still very thin and on the 26th centile for her BMI). Her lung function was 105%, and her SATS were 100%. The doctor was very pleased with Seren, her chest was clear, her bowels and liver felt fine, and she is doing well at school. She has been complaining of occasional nausea and stomach pain, so I raised the question that she might have a slight problem with acid reflux. It's something that is common in CFers, and something Dylan is still being treated for since 3 months old. Seren had very bad reflux as a baby, but then grew out of it, but lately has been complaining of random stomach-aches and nausea, so the Dr thought that it would be best to start her on Omeprazole. Hopefully, not only will the Omeprazole work on her stomach-ache and nausea, it should help her Creon tablets to work more effectively and help her to gain some more weight.

On 7th December we had a fabulous day in London, thanks to Post Pals giving us tickets to see Santa at Harrods! We went to the Natural History Museum first and then to Harrods and then on to see the Christmas lights on Oxford Street before getting the train home again. It was a fabulous day!

On 15th December, I had a chat to Seren's teacher, as she's been getting a bit stressed and upset about school and didn't seem as if she was settling into her new school as well as we'd thought. Her teacher explained that the most part of the problem is Seren seems under-confident, and self-conscious about her CF and the effects it's having on her. It meant that she went into her new school on IVs in September, it means that she's missed some school, it means that she's underweight, and it means that her stomach is bloated from her digestive problems, so she doesn't like that her stomach sticks out in her clothes. Her teacher said that it's more about Seren becoming more comfortable with herself and more confident in her friend-making abilities, than it is other people around her not accepting her or liking her. So we've got to work on her confidence.

Since then, Seren has been off school with a cold and looks very pale and washed out, but I'm hopeful that she'll be well enough to continue with the Christmas festivities. Autumn has been an awful season for her, health-wise, and she's never missed so much schooling before, so I'm hopeful that the rest of winter and next spring will be better for her.

Thank you to Jessica B, Jenn, Maria & Michael, Despina, Diane, Helen T, Martin, Jackie & Jamie, Julie B, June Junko, Sarah Gilligan and Post Pals for the cards. Thank you to Karen (Sami) and Jenn for the postcards. Thank you to Post Pals for the cards from the reindeer. Thank you to Julie B for the 'decorate a Christmas tree' pack. Thank you to Post Pals for the Polly Pocket Race to the Mall game and the stocking kit! Thank you to June Junko, Anna Gamble, Post Pals, Helen T and Claire McCartney for the wrapped Christmas presents. They are currently sitting under our tree waiting to be opened on Christmas Day!

Update 16th November 2008

Seren had CF Clinic on 4th October and she'd put on 300 grams (taking her up to about the 17th centile) and her lung function had gone up a bit more to 96.1%. Her consultant was concerned to hear how difficult the past month had been for her and how badly she'd coped with it all. He said that some time needs to be spent on helping her to come to terms with it all, and in reassuring her that her health is much better again now. Of course, we have been doing that to the best of our ability, but he didn't say whether he wanted to get the psychologist involved. He also said that if her residual cough doesn't clear up, or the bug comes back, then she might need a preventative nebulised treatment, but he said that she might not need IVs again for a good few years, which is what we're really hoping. Then we saw the dietician and he put her on Maxijul to help her weight gain. She doesn't mind having that in drinks, soups, spaghetti etc, so fingers crossed it'll help.

On 10th October Seren seemed very breathless on the way home and again once we got home. She kept stopping in the middle of sentences to suck in another huge breath and even when she was just playing her DS or watching tv, she was still really over breathing. I gave her 5 puffs of Ventolin which helped her breathing and seemed to enable her to cough up some gunk, but she really worried me because the gunk was YELLOW! That's a first for either of our kids. I rang the CF Nurse for advice and she arranged a hospital review for Seren for the next day.

We were very chuffed to see that Seren's lung function was up again to 101% and her oxygen levels were 98%! The consultant examined her and her chest was clear, so he said that he thought that the breathlessness (which she's never really shifted since the IVs finished) was possibly due to her asthma, and that as her lung function is up and her chest is clear, maybe the yellow mucus was just a plug Seren needed to shift. They did another cough swab, just in case, but he thought it was more asthma-related. So she had 5 puffs of Ventolin 4 times a day for 4 days and he gave her a prescription for steroids for three days to use if her breathlessness got worse.

On 17th October, Seren and I travelled to Wales to spend some time with my parents, because my Dad's end of chemo scan showed up a new tumour in his abdomen, so we went to stay with them before he started his new chemo regime. Seren's asthma was bad while we were there and I had to give her very regular inhalers. I was also wishing I'd thought to bring the steroids with me!

On 24th October, she came out with a temperature and a sore throat, so I delayed starting the steroids in case the throat infection was causing her asthma symptoms. Thankfully she was much better by the 26th.

On 3rd November, Seren was coughing a lot and said that she felt that she had something in her lungs that she couldn't shift, so when we got home I gave her some Ventolin which seemed to help. She looked very pale though, with dark shadows under her eyes, and was complaining of feeling very tired. Her cough was quite chesty and she was starting to get afraid to cough as well, like she was with her bad infection in September, so she was starting to freak me out a bit. I wondered if it could be asthma-related, or to do with her flu jab she had last Monday, but I still rang the CF nurse that night and requested a cough swab.

On 9th November, Seren's cough was really nasty again. I phoned for her swab results and it was clear of bacteria. On 11th November, I started Seren on the steroids, and she found them a bit difficult to swallow, but they made a HUGE difference to her chest! It's been the best it's been since she started getting unwell in August!

Seren also had a good report from her teacher at parents evening that night, saying that she is ahead of target in reading, and on target in writing and maths! Since she moved schools in September, the improvement in her abilities has been incredible!

Thank you to Kim, Julie Barrett, June Junko, Cathe Garnett, Margaret Nagy, Marge, Jenn, Linda B, Maria Carney, Diane, Milly P, Briannah Bolton, Kate Dee, Helen Brierley and Karen (Sami) for the cards! Thank you to Julie Barrett for the letter, the pencil, and the witch model. Thank you to Cathe Garnett for the cat picture. Thank you to Marge for the 'Bless You' token. Thank you to Jenn, Julie Barrett, Maria Carney for the postcards. Thank you to Diane for the stickers. Thank you to Milly P for the Webkinz cat. Thank you to Helen Brierley for the beads, and the story books and tapes! Thank you to Karen (Sami) for the bat whistle, pumpkin whistle, skull straw, rubber, pencil, pumpkin lolly, skeleton, and spider. Thank you to Heather Bergman for the letters and two packs of stickers! Thank you to Francesca for the stickers, pencils, pencil toppers, crayons and lion.

Update 27th Spetember 2008

Apologies for the late update, but Seren has had the worst month of her life to date. She enjoyed August very much, but she started to develop a cough, so we increased her inhalers, thinking it was asthma-related.

Then from 16th to 23rd August we went to West Wales for a holiday paid for by the CF Holiday Fund. While we were there Seren's cough worsened and inhalers didn't really seem to be helping, but she seemed well enough in herself, so we weren't overly concerned.

When we got back, Seren's cough wasn't improving, so I arranged for her to have a cough swab, which came back clear.  On 29th August she had a really bad day with her cough and even though the swab came back clear, I was very concerned about her chest, as she just couldn't stop coughing and was getting very distressed, and she had some chest recession. I gave her repeated doses of inhalers, but it didn't help at all. So we took her to the hospital. The first Doctor said that she had mild tonsillitis, but that wouldn't have caused her 'nasty chesty cough' and so he wanted her to have an x-ray. By the time she'd had the x-ray, the Doctors had changed shifts and an incompetent Doctor said her x-ray was fine, her throat was fine with NO tonsillitis, and she could have some Augmentin antibiotics and go home.  As we walked down the corridor from children's ward on our way out, Seren almost choked on her own mucus during a very bad coughing fit.

On 2nd September it was Dylan's birthday and Seren was very poorly again that day and it was clear that the Augmentin wasn't making any difference at all. Dylan's main present was a bouncy castle and she couldn't even play on it with him. Each time she tried, she'd get awful coughing fits and have to come back off exhausted. That afternoon Seren was very unwell again at Dylan's birthday party, she couldn't even play at the soft play zone, and she had to sit most of it out next to me, coughing and coughing and coughing. Her CF Nurse had seen her at a care plan meeting that morning at their new school and been concerned that Seren looked very pale and thin and had a nasty cough.

The next day was her first day at her new school and she INSISTED on going, so I dropped her off in the morning. I then rang the CF Nurse and told her how awful she'd been the day before and the CF Nurse said we should go into hospital for 12.30 pm for a review and she thought there was a 90% chance that Seren would need her first course of intravenous antibiotics.

At the review her weight had gone down yet again to just 19.6 kgs (which is lighter than she was a year ago!) putting her BMI on the 7th centile. Her lung function results had dropped from 109.2% to 74.9%. So her consultant put her on her first course of IV antibiotics, Gentamicin and Ceftazidime, and ordered another cough swab. This was Wednesday 3rd September. She had her first long line put in that afternoon (from her left wrist to her shoulder) and found it incredibly traumatic, due to her needle phobia. This line lasted until Thursday evening and then they saw a red line tracking all the way up her arm, indicating that the line was infected, so it had to be removed after her evening dose of IVs.

Friday 5th September, Seren had her second long line fitted (from her right elbow to her heart) and that lasted 25 hours before it clotted badly. So they had to remove it on Saturday morning and fitted a cannula in her left hand. By Sunday morning, her cannula was getting painful, and her cough swab came back showing a heavy growth of Moraxella Catarrhalis. The first bug she's grown in four years and it was hitting her hard.

On Monday morning, she had the cannula taken out, because she was finding even just flushes (let alone strong antibiotics) through her line so painful that she was screaming, jumping, throwing things and kicking out. Monday afternoon, they fitted her 3rd long line, from her left elbow to her shoulder. This line lasted until Day 13 of the IVs, the 16th September, when it started leaking. It was leaking very near the point where it entered her arm, so she had to have it removed again.

Her health was reviewed again, and it was found that her lung function had gone up again to 93.7%, and her oxygen saturations had climbed from their lowest at 93% to 98%, and she'd put on 1/2 a kg, taking her up to 20.1 kgs. So it was decided that she could stop the IVs and move onto Ciprofloxacin oral antibiotics. She was over the moon, as she found the IVs to be the most difficult thing she had ever experienced, and she didn't cope very well at all, so it was a horrible two weeks for all of us.

She is still on the oral Ciprofloxacin until 30th September and she does still have a wet cough, but cough swabs taken on 16th and 22nd September have both come back clear, which is a good sign that she has hopefully cleared this bug. She'll have another swab done when she finishes the oral antibiotics and fingers crossed that will be clear as well.

Thank you to Julie B, Bronte Hughes, Nicky W, Sheila, Helen Brierley, Helen T, William M and family, Jenny Bridger, Clair Fraser, Kate Dee, Shannon & Liam, Post Pals, Linda B, Claire and Jane for the cards!  Thank you to Helen Brierley for the Hunchback of Notre Dame talking book, bracelet and dangly fish! Thank you to Helen Turner for the two fairy books, the multi-coloured pen and the fabulous get well soon balloon bouquet! Thank you to William M and family for the cuddly polar bear. Thank you to Jenny Bridger for the Kinder egg, egg cup painting kit, bookmark, nail art kit, flapjack kit and badge! Thank you to Clair Fraser for the Bratz stamper set, the Bratz secrets book and gel pen, the Bratz Cloe doll and perfume, the Bratz Jade doll and perfume, and the four Bratz activity books! She opened your parcel and Jenny Bridger's parcel on the same day and afterwards, even though she was so poorly, she said "I'm the luckiest girl in the school!" so a HUGE THANK YOU to both of you.

Thank you to Kate Dee for the beautiful Hello Kitty balloon bouquet! Thank you to Shannon & Liam for the lovely drawings. Thank you to Jenn for the notecards. Thank you to Vickie M for the letter and stickers. Thank you to Becky Butler for the note and stickers. Thank you to an anonymous person for the two glow sticks, Seren loved them! Thank you to Estelle Jackson and family for the hair slides and nail varnish. Thank you to Karen (Sami) for the bracelet, lion puppet and Pooh bear toy. I'd also like to thank Clair Fraser for the card for us and Estelle Jackson for the face mask and nail varnish for myself. Much appreciated!!

I am so very grateful to Post Pals! My daughter has been going through a very rough time, but Post Pals brings so many smiles to her face. You cheer her up when nothing else can! Thank you.

Update 7th August 2008

Seren has had an up and down month, somewhat unbeknownst to her. She had her CF Annual Review on the 8th of July, which she was very brave for. Apart from a full bowel, he was very pleased with her. Her chest was clear, she hasn't grown a bug in over four years, her asthma seems well controlled at the moment, and she's growing well. She's lost a bit of weight, she's down to exactly 20 kgs, but hopefully we can build that up again.

The 11th of July was Seren's sixth birthday and she really enjoyed her day, and she had soooo many cards!!!

On the 31st of July, we had Seren's annual review results back, and they weren't as positive as we'd hoped. The doctor dropped a bombshell - her x-ray result showed bronchial wall thickening at the bases of her lungs, which was termed 'the earliest sign of CF'.

It has been explained to me that a person's chest is like an upside down tree. There's the windpipe, which then splits into two tubes, which then split into hundreds and thousands of little tubes, which cover the person's lungs. In Seren's lungs, the tubes at the very bottom of her lungs have started to thicken, so they are not as flexible as they should be, and won't work as they should. I asked if this was anything we could have prevented, or if Seren now needs extra physiotherapy, extra inhalers, extra antibiotics, nebulisers, or anything. But no, Seren's problem isn't caused by mucus in her lungs, her lungs were actually completely clear of mucus. The changes are irreversible, and there is nothing we can do to stop it progressing.

The physiotherapist said it's nothing to do with how well or not she's been, this is the normal progression of the CF disease in her body, and that she's done well to get to six years old before showing any signs of it. We had always assumed that as Seren had always stayed so well chest-wise, that she was managing to escape the effects of CF in her lungs, but obviously not. Although we've always been open and honest with Seren about her CF and why she needs her treatments, this is one thing we're going to be keeping from her for a long time to come.

Thank you to Julie B for the cards and for the Polly Pocket car and the 'Create a Sticker'. Thank you to Jenn for the postcard, and cards, note and Buttons cake mix. Thank you to Kate Dee, Jennifer C AKA Queen Lucy, St Matthews Sunday School, Michael & Maria Carney, Linda B, Jenny Orpwood, Hilary and Muffin, Erin F’s grandparents, Helen Brierley, Amanda, Rachel Cridge, June Junko, Isobel, Tracy, Gerry & Emily, Karen (Sami), Post Pals, Hayley Thorn, Jennifer and Grace & Linds for the cards. Thank you to Kate Dee for the painting by numbers, the cuddly elephant, the candy glosses, and the stickers. Thank you to Hilary and Muffin for the presents. Thank you to Erin F's grandparents for the WHSmiths voucher. Thank you to Helen Brierley for the magic money box. Thank you to Amanda for the charm. Thank you to Rachel Cridge for the stickers. Thank you to June Junko for the dolls picture. Thank you to Karen (Sami) for the pencil, foam stickers, Coke stickers and Pooh stickers. Thank you to Sarah, Hope, Ellie and William for the card and stickers. Thank you to Grace and Linds for the mermaid bookmark. Thank you to Claire for the letter.

Update 7th July 2008

Seren has had a good month, and has been out and about and enjoying herself!  She's got some very fun things coming up in the next month too, but she's not looking forward to her Annual CF Review at the hospital on 8th July, because it involves blood tests and she hates needles. It's basically a total MOT of her entire body, so it takes a long time. Luckily Nanny is coming with us to keep the kids entertained while I'm talking to the doctors, nurses, physio and dietician.

Then the fun starts, as it's her birthday on the 11th July, and we’ve got lots of fun things planned!

Thank you to Karen (Sami), Jenn, Post Pals, Kate W, Diane, Fiona, Hayley Thorn, for the cards. Thank you to Despina for the postcard. Thank you to Jennifer C for the Queen Lucy letter! Thank you to Hilary & Muffin for the letter and the stickers. Thank you to Vanessa Lomas for the letter and for the laminated poster, the nail art stickers and the Disney stickers.

Update 9th June 2008

Seren has had a good month! On 7th June it was CF Clinic and Seren got on well. She's now 117.6 cm tall and weighs 20.4 kgs, which means her height is on the 75th centile and her weight is on the 50th centile. Those measurements mean her BMI is on the 36th centile. Ideally, her BMI should be above the 50th centile, so we need to get some more weight on her. She had her lung function done, and her FVC was 98.5 % and her FEV 1 was 91.9% which is great. Her oxygen levels were fine too.

She was seen by the consultant and he was very pleased to hear that she is very compliant for her physio and her medications now and her behaviour has generally improved. When he examined her stomach, he could feel that her bowel was very full again (they found this in February) and he actually showed me how to feel for this myself on her, which was weird. He said that if she didn't open her bowels over the next couple of days, that we should give her a week of Lactulose to clear her out a bit. She didn't go that night, or during the day on Saturday, and I felt her stomach again that night and could still feel it all in there, so we gave her some Lactulose Saturday night. Thankfully, she's been to the loo today!

He also asked how she's getting on at school and we had to say that she's a little bit behind some of her peers and that she is taking part in the extra reading group and was doing an extra literacy course. I also said that they were keeping an eye on her about possible symptoms of dyslexia. He wanted to know exactly what they were doing to help and seemed satisfied by my responses.

The dietician was a bit disappointed to hear that Seren hasn't done too well with her task he set her of eating breakfast every morning and drinking milk every morning. I did say that she is drinking a lot more milk than she was, and he was pleased about that, but he did want her to try hard to eat breakfast every day. I said that most of the time she just picks at bits and pieces during the day, and then stuffs herself in the evening. So he said to just go with the flow and try and feed her up at night, to get her weight gain up, and to just do our best during the day. It's so weird, you can't get food into her with a crowbar until she gets home from school at about 3.30 pm and then she just won't stop eating!

Thank you to Kim Ginger for the card and for the ‘Werepuppy on Holiday’ book. Thanks to Jenn, Fiona, Kate Dee, Helen T, Karen and Isobel for the cards! Thank you to Kate Dee for the horse postcard, the handwriting book, the magic painting book and the Lazytown colouring book. Thank you very much to Jennifer C for the letter from Queen Lucy of Narnia!  Thank you to Anne Gairn for the Kitty in my Pockets and secret diary kit! Thank you to Post Pals for the two parcels full of little bits and bobs! Thank you to Helen T for the two packs of Cutie Cubes!

Update 7th May 2008

Seren's had quite a good month, health wise. The 21st April was Seren's Parents Evening at school and a few concerns were raised. She is still struggling with her literacy. Verbally, she's very advanced for her age and very imaginative, but she struggles with writing her letters the right way round and reading and spelling. She's still young yet, but she's behind a lot of her peers.

She is in an extra reading group at school to boost her confidence and she's just started an ELC to boost her literacy skills every day, but her teacher has recommended that if she is still struggling by September, then she should start the ball rolling for getting tested for dyslexia, as she has a lot of symptoms of it.

She's now just getting over a heavy cold, but it didn't set her asthma off too much and she's coped well with it.

Thank you to Helen F, Fiona, Jenn, Helen T and Kate Dee for the cards. Thank you to Rachel and Poppy the Snail for the note card. Thank you to Rachel Cridge, Seren loved the pictures of Mickey and Minnie. Thank you to Jenn for the postcard. Thank you to Helen F for the stickers. Thank you to Rachel Cridge for the stickers. Thank you to Helen T for the sticker book. Thank you to Kate Dee for the parcel. Thank you to Kate for the pink jewelled clip!

Update 12th April 2008

Seren has had a pretty good month! On 10th March we went to see the CF Specialist from Cambridge at Norwich.  She hadn't grown or put on much weight recently, and she's down to the 30th centile on the BMI growth charts (the goal is 50th centile or over) so we need to feed her up a bit at the moment. Her SATS (oxygen levels in her blood) were fine though, and her lung function was her highest ever, at 99%!

She generally had a good report, except that he said that if the Seretide and Ventolin become insufficient to treat her asthma problems, then we can start her on Singulair (Montelukast) like Dylan. Also, he said that her nose is still very inflamed and she doesn't have good air entry into her right nostril, so she has to start the Nasonex/Flixonase spray again which she's not too happy about, but as we told her, it should help her to breathe more easily. It worked last time, but I think this time she'll need to be on it much longer.

On Easter Sunday, she had quite a bad asthma attack and had a nasty cough for the rest of the day, but we kept up the inhalers all day, and so by Easter Monday her cough had cleared up.

Seren has got a trip to the dentist on Thursday, but there aren't any scheduled hospital appointments coming up this month, so fingers crossed it'll be quite a quiet month!

Thank you to Karen (Sami), Kate Dee, the girls at Georgie’s Fund, Kate Ware, Anne Gairn, Julie B, Jenn, Erin F’s grandparents, Michael & Maria, Julie, Martin, Jackie & Jamie, Post Pals team, Eloise, Chloe G and Fiona for the cards! Thank you to Vickie for the inflatable postcard with the sparkles, Seren loved it! Thank you for the Easter card from Israel, I'm sorry I couldn't read the signature to say thank you properly. Thank you to Sarah for the note card. Thank you to Anne Gairn and Kate Dee for the postcards. Thank you very much to Anne Gairn for the Littlest Pet Shop rabbit. Thank you to Karen (Sami) for the notepad, badge and ball. Thank you to the girls at Georgie's Fund for the Make Your Own Sequin Art and the Tinkerbelle cards! Thank you to Anne Gairn for the Polly Pocket Kerstie doll and accessories! Thank you to Julie B for the glitter stencil kit. Thank you to Julie for the play jewellery! Thank you to Kate Dee for the lovely poodle and bracelet! Thank you to Clare Bray for the beanie cat, Seren adored him! And thank you to Anne Gairn for the stickers and the Ella doll.

Update 5th March 2008

Seren has had quite a good month. She has needed extra inhalers now and then when her asthma's played up, but she has been good for her twice daily chest physiotherapy and in taking all her tablets lately too. I'm sure Post Pals has helped her here! Her appetite has been mostly good, but I don't know if she has put any weight on since her last clinic in January. She's going with her brother Dylan to see the CF Specialist at Norwich on Monday, so hopefully we'll know more then.

She's very worried about her grandfather though, who we call Bampie. It's my Dad, and he was diagnosed with a spinal cord lymphoma on 28th February. We only lost my grandfather to brain cancer last June, and so she's very worried about my Dad. She isn't sleeping properly and is quite unsettled, especially as I travelled to Wales last weekend to be with him and I'll be going again this weekend, so she's having a hard time with missing me as well. We're hoping to all go visit him during the Easter holidays, but if he does have the chance of chemotherapy, I'm concerned about how Seren will cope with seeing her Bampie lose his hair.

Thank you to Kate Dee, Jenn, Post Pals, Maria Carney, Anne Gairn, Susanna for the cards, and to whoever sent the two anonymous Valentines cards! Thank you to Sarah for the postcard.  Thank you to Jade for the letter. Thank you to Anne Gairn for the Design a Mirror, Design a Picture Frame and the Polly Pocket and car; and for the painting by numbers pack and Disney Princess sticker book and stickers! Thank you to Kate Dee for the Bratz pens and crayon by numbers. Thank you to Jade for the doll and the crown hairclips!

Update 30th January 2008

Seren hasn't had too bad a month. She has had a few problems with her asthma, but apart from that she's been pretty good. She's been doing well in school as well!  Her dietician is very concerned about her diet though, as her zinc intake is down to 40% of what it should be, her iron is down to 60% and her calcium 80%, so we are trying hard to boost her intake of these foods. It’s tough though, as she's an incredibly picky eater, and just doesn't like many foods that contain these nutrients, so if she's still low on these in another couple of months, we'll have to start her on supplements for them.

She has CF Clinic on Friday 1st Feb, and I want to bring up her recent hearing problems. She has been saying for the past few months that the tv needs turning up and up, and she finds it difficult to talk quietly lately too – she always seems to be shouting. CFers can be prone to glue ear, and I had it myself as a child (I don't have CF myself, I'm just a carrier, as is Adrian) and I had similar symptoms, so I want to get her ears checked.

Thank you to Denise Workman, Kate Dee, and Julie Barrett for the cards! Thank you to Julie Barrett for the book! Thank you to Holly Hall for the letter and photo. Thank you to Anne Gairn for the two letters, the fluffy star pen and the bead jewellery set.

Update 5th January 2008

Seren very much enjoyed the run up to Christmas, as she REALLY loved getting all the cards and parcels from the lovely people who sent them through Post Pals, they made her feel really special, and she really loved getting the letters from the Reindeers.

On the 23rd, she came out in chickenpox, and was very poorly with it. Her temperature kept shooting up as high as 40.3 C and she was horribly itchy, and calamine lotion and anti-histamines didn't really seem to help. Her torso was plastered in spots and they all grouped together and they were really sore as well as itchy. So she was really miserable on Christmas Day and Boxing Day, and she was so pale, she looked like a ghost, but opening her presents made her smile a bit. She's now feeling much better, and her scabbed spots are starting to go.

She looks quite thin though, so we're trying to feed her up a bit, but her appetite isn't too great at the moment.

Her asthma has been well controlled over Christmas, but the test will be going back to school and starting PE lessons again. She will be seeing the CF Specialist at Norwich on the 14th January, so we'll have more info then.

Thank you to Kate W, Despina, Helen T, Post Pals team, Julie, Sue and Alan Barrett, Becki, Laura H, Wend, Jenn, Jon Paul, and Martin, Jackie & Jamie for the Christmas cards they sent. Seren loved opening them! Thank you to the Post Pals team who sent the letters from the Reindeers, Seren LOVED having them read to her, and looked forward to getting them. Thank you to Emma Hoole for the letter and reindeer food. Huge thank you’s to Kate W, Helen T, Wend and an anonymous elf for being Seren's elves. Also thank you’s to Julie Barrett, Louise Woodcock, Chloe G, and Emma Hoole for the Christmas presents they sent, Seren loved them all. She was poorly on Christmas Day and opening her presents was the only thing that could make her smile.

Update 8th December 2007

Seren had CF Clinic yesterday and her consultant changed her inhaler from 4 puffs of Becotide 50 twice a day, to 2 puffs of Seretide 50 twice a day, as he said having to take 4 puffs twice a day long term would get on her nerves and so his choices were to give her the 100 strength of Becotide or switch her to the stronger Seretide. He chose the Seretide, as apparently Becotide is being phased out in the near future.

When he examined her stomach, he found that her bowel is very full of faeces, which is the first time anyone has ever said that after examining her. If left, it could cause a blockage in her bowel (called Meconium Ileus Equivalent I think) so he has prescribed her 10 mls of Lactulose once a day for a while to clear her out. CFers can have problems with their bowels at times, due to the lack of lubrication in the bowel, making it easy for the bowel to block, but hopefully the Lactulose will draw more fluid into the bowel and clear her out.

The dieticians are also concerned about her nutrition, as she's never been the world's best eater, and lately her diet has really gone downhill. She hasn't had any form of dairy produce in six months now and that really worries me, as people with CF are very prone to osteoporosis, and start having bone density scans at aged 10-12, so calcium is very important to them.

She is also low on iron, so we have been told to give her a substance called 'Spatone' to boost her iron intake and we have to complete a food diary to show exactly how little calcium she is having, so that they can prescribe her an adequate supplement of calcium.

She also hasn't grown or put on any weight, in fact, she's lost a bit of weight, so we need to try and feed her up over the Christmas period. Her asthma hasn't been quite as bad lately as it had been, but exercise is still a problem trigger for her. She had sports club after school on Thursday and she needed quite a lot of Ventolin after it. It's still better than it was though.

Last week, the Fantasy Charity Fund and the Family Fund paid for all of us to go to Disneyland Paris for 3 days, and it was an amazing experience! She has been exhausted since we got back though, as there was an awful lot of travelling and walking involved in the trip, and she's still recovering!

Thank you SO much to the fabulous Elf Kate W, and to Helen Turner, both of whom sent Seren some very exciting-looking packages! They are currently waiting under the tree for her and she can't wait to open them on Christmas Day!