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    <title>NetWellness Cystic Fibrosis</title>
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    <item>
	<title>Could I Have CF</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: My niece has CF, I am 40. I had double pneumonia dec. 2009, they tell me that it is all gone. I have stabbing pain in my lung area, both sides, shortness of breath, especially when I move around, I cough, sometimes i feel like I need to cough to catch my breath, sometimes I cough so hard I throw up. . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: &lt;meta http-equiv=&quot;Content-Type&quot; content=&quot;text/html; charset=utf-8&quot;&gt;&lt;meta name=&quot;ProgId&quot; content=&quot;Word.Document&quot;&gt;&lt;meta name=&quot;Generator&quot; content=&quot;Microsoft Word 11&quot;&gt;&lt;meta name=&quot;Originator&quot; content=&quot;Microsoft Word 11&quot;&gt;&lt;link rel=&quot;File-List&quot; href=&quot;file:///C:%5CDOCUME%7E1%5Ckkleman%5CLOCALS%7E1%5CTemp%5Cms . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: John Heintz MD, Cystic Fibrosis</description>
<link>http://www.netwellness.org/question.cfm/77261.htm</link>
    	<author>John Heintz MD</author>
        <pubDate>Wed, 27 Jan 2010 16:01:00 EST</pubDate>
		<guid isPermaLink="true">http://www.netwellness.org/question.cfm/77261.htm</guid>
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	<title>Do I have Cystic Fibrosis or Emphysema?</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: In June 2005 I went to the ER with chest pain and was sent home. I was called later stating I had a small collapse ( non injury ). In October of 2005 my entire lung collapsed and even with a chest tube would not stay up. The doctor did surgery to adhere my lung to the chest wall.   &lt;p&gt;Since then, my . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: &lt;meta http-equiv=&quot;Content-Type&quot; content=&quot;text/html; charset=utf-8&quot;&gt;&lt;meta name=&quot;ProgId&quot; content=&quot;Word.Document&quot;&gt;&lt;meta name=&quot;Generator&quot; content=&quot;Microsoft Word 11&quot;&gt;&lt;meta name=&quot;Originator&quot; content=&quot;Microsoft Word 11&quot;&gt;&lt;link rel=&quot;File-List&quot; href=&quot;file:///C:%5CDOCUME%7E1%5Ckkleman%5CLOCALS%7E1%5CTemp%5Cms . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Patricia Joseph MS, MD, Cystic Fibrosis</description>
<link>http://www.netwellness.org/question.cfm/76620.htm</link>
    	<author>Patricia Joseph MS, MD</author>
        <pubDate>Tue, 15 Dec 2009 16:12:00 EST</pubDate>
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	<title>Cystic Fibrosis</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: how do you know when cystic fibrosis is in its advanced stage in an adult, what are some of the things that would occur 
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&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: &lt;meta http-equiv=&quot;Content-Type&quot; content=&quot;text/html; charset=utf-8&quot;&gt;&lt;meta name=&quot;ProgId&quot; content=&quot;Word.Document&quot;&gt;&lt;meta name=&quot;Generator&quot; content=&quot;Microsoft Word 11&quot;&gt;&lt;meta name=&quot;Originator&quot; content=&quot;Microsoft Word 11&quot;&gt;&lt;link rel=&quot;File-List&quot; href=&quot;file:///C:%5CDOCUME%7E1%5Ckkleman%5CLOCALS%7E1%5CTemp%5Cms . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Patricia Joseph MS, MD, Cystic Fibrosis</description>
<link>http://www.netwellness.org/question.cfm/76031.htm</link>
    	<author>Patricia Joseph MS, MD</author>
        <pubDate>Fri, 13 Nov 2009 23:11:00 EST</pubDate>
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	<title>CF at 30?</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: I just turned 30 and have had a life of constant sinus infections - now being at least once a month, fatigue to the point where I am taking adderall, very low blood pressure, extreme difficulty with digestive system that got worse with age including painful gas bloating, vomiting, all of which would . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: Your pulmonary symptoms do not sound like CF, but sinuses can be. With intestinal symptoms and sinus symptoms, CF is at least a consideration. Sweat chloride testing (a CF skin test) is only accurately done at a CF certified lab. Ambry Corporation does extensive and complete genetic testing from blo . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: John Heintz MD, Cystic Fibrosis</description>
<link>http://www.netwellness.org/question.cfm/75891.htm</link>
    	<author>John Heintz MD</author>
        <pubDate>Thu, 05 Nov 2009 22:11:00 EST</pubDate>
		<guid isPermaLink="true">http://www.netwellness.org/question.cfm/75891.htm</guid>
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	<title>Mild Case of Cystic Fibrosis?</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: Since I was around the age of 9, I have had problems with shortness of breath. It seems like I can`t get rid of respiratory infections, whether it is a sinus infection, bronchitis, or even pneumonia. I am now 20 years old, and about 7 months ago, I started having sharp stomach pains in my left lower . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: I'm sorry to hear about your difficulties. The gold standard for CF diagnosis remains 2 positive sweat chloride tests (a special skin test) done at a CERTIFIED CF TESTING CENTER - this is very important - and/or positive genetic testing done in the setting of symptoms consistent with CF. Both of the . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: John Heintz MD, Cystic Fibrosis</description>
<link>http://www.netwellness.org/question.cfm/75688.htm</link>
    	<author>John Heintz MD</author>
        <pubDate>Tue, 27 Oct 2009 14:10:00 EST</pubDate>
		<guid isPermaLink="true">http://www.netwellness.org/question.cfm/75688.htm</guid>
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	<title>Cystic Fibrosis</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: i am 61 years old my dr.says i have some signs of cystic fibrosis can this happen to an adult at this age? &lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: Absolutely. Although most patients with &quot;classic&quot; cystic fibrosis are diagnosed very early in life, this is not always the case. There are variable degrees of disease severity and approximately 8% or patients with CF are diagnosed over the age of 15. Although uncommon, diagnoses much later in life&amp;n . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Patricia Joseph MS, MD, Cystic Fibrosis</description>
<link>http://www.netwellness.org/question.cfm/74598.htm</link>
    	<author>Patricia Joseph MS, MD</author>
        <pubDate>Tue, 25 Aug 2009 10:08:00 EST</pubDate>
		<guid isPermaLink="true">http://www.netwellness.org/question.cfm/74598.htm</guid>
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	<title>What`s the chance of a CF child?</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: my boyfriend has CF , we want a child of our own. i have four children from previous relationshps two which have medical conditions see specialists regularly , i want to understand what the risk factor is to have a CF child, we are looking forward to adding another to the clan but i have to go for a . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: I think the best answer would be to accompany your boyfriend to his next CF clinic appointment and have him ask his center to see if a genetic counselor could be available to speak with both of you during that visit. This might also be available though your obstetrician's office. You might also want . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Richard Shell MD, Cystic Fibrosis</description>
<link>http://www.netwellness.org/question.cfm/73730.htm</link>
    	<author>Richard Shell MD</author>
        <pubDate>Tue, 07 Jul 2009 12:07:00 EST</pubDate>
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	<title>My Son, CFand 260 lbs, Dehydration</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: my son diagnosed cf at 3 months..now 28 yrs old and 260 lbs tells me that being overweight helps him recover quickly from bouts of dehydration. he is a chef and subjected to very high temperatures in the kitchen..has on occasion collapsed and cramped up to the point of immobility...want him to see a . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: Weight and hydration are separate subjects. Hydration and adequate sodium intake are critical in CF, and, especially in a hot environment, those with CF MUST take sufficient amounts of both. This can be accomplished with water, rehydration drinks, and salty snacks. &lt;br /&gt;&lt;br /&gt;Weight is also importa . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: John Heintz MD, Cystic Fibrosis</description>
<link>http://www.netwellness.org/question.cfm/72754.htm</link>
    	<author>John Heintz MD</author>
        <pubDate>Wed, 20 May 2009 19:05:00 EST</pubDate>
		<guid isPermaLink="true">http://www.netwellness.org/question.cfm/72754.htm</guid>
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	<title>Cough syncope with cystic fibrosis</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: Our daughter is 21 and has Cystic Fibrosis and Cough Syncopede. The episodes are weekly and she passes out and coughs up large amounts of blood. What can we do to help her? The Dr`s that we have talked to have made no suggestions as to what we can do besides putting her feet up and pushing her hands . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: Cough syncope is a very difficult problem. Basically, with severe episodes of cough (a coughing fit), some patients black out. Although&amp;nbsp;several things&amp;nbsp;can contribute to cough syncope, the basic problem in CF is one of prolonged cough episodes. During these events, the pressure in the chest . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Patricia Joseph MS, MD, Cystic Fibrosis</description>
<link>http://www.netwellness.org/question.cfm/72588.htm</link>
    	<author>Patricia Joseph MS, MD</author>
        <pubDate>Wed, 13 May 2009 16:05:00 EST</pubDate>
		<guid isPermaLink="true">http://www.netwellness.org/question.cfm/72588.htm</guid>
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    <item>
	<title>Cystic Fibrosis</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: Can anyone please tell me how physicians/clinicians defined cystic fibrosis before the molecular nature was known?

&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: Before the time of molecular diagnostic capabilities, a CF patient was diagnosed using a sweat chloride test. This measures the amount of chloride in the sweat and gives a value that can be diagnostic along with clinical findings of CF.&amp;nbsp; I belive there is a very good description of this testing . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Richard Shell MD, Cystic Fibrosis</description>
<link>http://www.netwellness.org/question.cfm/71154.htm</link>
    	<author>Richard Shell MD</author>
        <pubDate>Fri, 13 Mar 2009 23:03:00 EST</pubDate>
		<guid isPermaLink="true">http://www.netwellness.org/question.cfm/71154.htm</guid>
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