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The doctors want us to do CPT 4x a day on Madison. I told him that that was

next to impossible unless we get up in the middle of the night and do them

and I was not going to do that as we all needed sleep. He lectured me on how

to set *high* goals and then if we only get 3 in a day then at least we tried

for a high goal. To me though, if we try for 4 and only get 2 or 3 in I feel

like a failure. Our average that we get in is only 2, one in the morning and

one at night.

I can see when she is sick that we need to get as many in as possible but

right now she isn't sick and her PFT's are up in the 100%'s.

yvonne

mom to Madi 12 wcf & Ariel 9 wocf

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,

EIlish is 3 and we actually do three physio's a day by choice (apparently).

Well it started when she was born they gave us a chart which had 3 sections,

fron/back, sides, and mids. So we divided it into 3 physio treatments. Then

when she turned 3 they gave us another chart with almost the same but still

with 3 sections. Then when she was in hsp in Nov. they couldnt believe

that we do physio 3 times a day and have never missed one (We feel guilty if

we do) except for the mornings of her birthday and christmas. They sais " no

you only need to do it either once and alternate the other to. Well no

explained it like that. But weve decided that whilst she not going to

school or anything well still do it 3 times as weve always done that.

Now it makes sense that in Nov. I rang the clinic to say Eilish was coughing

and they said to INCREASE physio. When I got of the phone I told

(hus.) and I thought WHERE are we going to increase it. Now I realise to 3

times.

(mummy of LIam 6 wocf and EIlish 3wcf)

CPT

> Hi,

>

> I read is doing CPT 3x a day

> I don't know how old your child is, but this seems an awful lot of CPT to

me

> ?

> Usually even CF adults only do 2 CPT a day.

> Personally, when Leo is fine, I do one physio and when he is sick, 2 to 3

> times a day

>

> , Mom to Leo 2 wcf

>

>

>

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LEisbeth,

No we do the 3 times ourselves. My husband does it in the morning before he

goes to work and I do lunchtime and again does the evening. Oh a

therapist would be great. We actually bid at a funraising auction for one

of the hsp. physio's for the day. We were going to go out and let him do

the stuff, its alright we know him well.

(mummy to Liam 6wocf and Eilish 3wcf)

CPT

> >

> > Hi,

> >

> > I read is doing CPT 3x a day

> > I don't know how old your child is, but this seems an awful lot of CPT

to

> > me

> > ?

> > Usually even CF adults only do 2 CPT a day.

> > Personally, when Leo is fine, I do one physio and when he is sick, 2 to

3

> > times a day

> >

> > , Mom to Leo 2 wcf

> >

> >

> >

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,

I feel a bit awkward replying to this but I am more than surprised by the

way you seem to do the CPT !! So you do the 3 body parts physio in 3

different sessions ???

From what we were teached at the Children's Hospital of Boston, it was to do

the upper, middle and lower lobes all in one session. We had to clap about

10 different body parts in different positions during about 2 minutes each

position. I am sure that other parents would explain that better than I do,

as I don't practice this kind of CPT anymore.

Have you been trained to do this CPT or have you only learned doing it

looking at the charts ?

I am fearing this message might shok you a bit, but I am just trying to help

and I think your CPT method must not be very effective from what I

understand.

I think the least you deserve is having a proper training and be sure that

your sessions are really effective.

, Mom to Leo 2 wcf

-----Message d'origine-----

De : Baxter

Envoyé : lundi, 11. décembre 2000 16:29

À : cfparentsegroups

Objet : Re: CPT

,

EIlish is 3 and we actually do three physio's a day by choice (apparently).

Well it started when she was born they gave us a chart which had 3 sections,

fron/back, sides, and mids. So we divided it into 3 physio treatments. Then

when she turned 3 they gave us another chart with almost the same but still

with 3 sections. Then when she was in hsp in Nov. they couldnt believe

that we do physio 3 times a day and have never missed one (We feel guilty if

we do) except for the mornings of her birthday and christmas. They sais " no

you only need to do it either once and alternate the other to. Well no

explained it like that. But weve decided that whilst she not going to

school or anything well still do it 3 times as weve always done that.

Now it makes sense that in Nov. I rang the clinic to say Eilish was coughing

and they said to INCREASE physio. When I got of the phone I told

(hus.) and I thought WHERE are we going to increase it. Now I realise to 3

times.

(mummy of LIam 6 wocf and EIlish 3wcf)

CPT

> Hi,

>

> I read is doing CPT 3x a day

> I don't know how old your child is, but this seems an awful lot of CPT to

me

> ?

> Usually even CF adults only do 2 CPT a day.

> Personally, when Leo is fine, I do one physio and when he is sick, 2 to 3

> times a day

>

> , Mom to Leo 2 wcf

>

>

>

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4x/day!? With pft's in the 100's, some things just warrant questioning.

Cheers,

Lou

evon91@... wrote:

> The doctors want us to do CPT 4x a day on Madison. I told him that that was

> next to impossible unless we get up in the middle of the night and do them

> and I was not going to do that as we all needed sleep. He lectured me on how

> to set *high* goals and then if we only get 3 in a day then at least we tried

> for a high goal. To me though, if we try for 4 and only get 2 or 3 in I feel

> like a failure. Our average that we get in is only 2, one in the morning and

> one at night.

>

> I can see when she is sick that we need to get as many in as possible but

> right now she isn't sick and her PFT's are up in the 100%'s.

>

> yvonne

> mom to Madi 12 wcf & Ariel 9 wocf

>

>

> ***********************

> This is a secular list.

> ***********************

>

> PLEASE do not post religious emails to the list.

>

> --------------------------------------------------

>

> The opinions and information exchanged on this list should

> IN NO WAY

> be construed as medical advice.

>

> PLEASE CONSULT YOUR PHYSICIAN BEFORE CHANGING ANY MEDICATIONS OR TREATMENTS.

>

> --------------------------------------------------

>

> Our webpage is at http://www.eohio.net/malbright/cfparents.htm

>

> _________________________________________________

> Post message: cfparentsegroups

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I agree. I finally confessed to our docs that we quit doing CPT. In the

years we had done it, we never saw any results. She hasn't had any lung

problems. Now, I realize how lucky we are, but CPT 4x a day seems like it

would just get everyone sick from stress and lack of sleep. If Mycah does

get sick, we'll have to either get her to allow us to do CPT or get a vest.

Meanwhile, we are kept busy trying to keep her eating. She seems to have

more digestive stuff than lung stuff at the moment. However, she is on

Pulmozyme and TOBI so that may be why!

Lori in Florida

Re: CPT

> 4x/day!? With pft's in the 100's, some things just warrant questioning.

> Cheers,

> Lou

> evon91@... wrote:

>

> > The doctors want us to do CPT 4x a day on Madison. I told him that that

was

> > next to impossible unless we get up in the middle of the night and do

them

> > and I was not going to do that as we all needed sleep. He lectured me

on how

> > to set *high* goals and then if we only get 3 in a day then at least we

tried

> > for a high goal. To me though, if we try for 4 and only get 2 or 3 in I

feel

> > like a failure. Our average that we get in is only 2, one in the

morning and

> > one at night.

> >

> > I can see when she is sick that we need to get as many in as possible

but

> > right now she isn't sick and her PFT's are up in the 100%'s.

> >

> > yvonne

> > mom to Madi 12 wcf & Ariel 9 wocf

> >

> >

> > ***********************

> > This is a secular list.

> > ***********************

> >

> > PLEASE do not post religious emails to the list.

> >

> > --------------------------------------------------

> >

> > The opinions and information exchanged on this list should

> > IN NO WAY

> > be construed as medical advice.

> >

> > PLEASE CONSULT YOUR PHYSICIAN BEFORE CHANGING ANY MEDICATIONS OR

TREATMENTS.

> >

> > --------------------------------------------------

> >

> > Our webpage is at http://www.eohio.net/malbright/cfparents.htm

> >

> > _________________________________________________

> > Post message: cfparentsegroups

> > Subscribe: cfparents-subscribeegroups

> > Unsubscribe: cfparents-unsubscribeegroups

> > List owner: cfparents-owneregroups

> > _________________________________________________

> >

> > WE HAVE A CHAT PAGE!!!

> > /chat/cfparents

> > _________________________________________________

>

>

>

> ***********************

> This is a secular list.

> ***********************

>

>

> PLEASE do not post religious emails to the list.

>

>

> --------------------------------------------------

>

>

> The opinions and information exchanged on this list should

> IN NO WAY

> be construed as medical advice.

>

> PLEASE CONSULT YOUR PHYSICIAN BEFORE CHANGING ANY MEDICATIONS OR

TREATMENTS.

>

> --------------------------------------------------

>

>

> Our webpage is at http://www.eohio.net/malbright/cfparents.htm

>

> _________________________________________________

> Post message: cfparentsegroups

> Subscribe: cfparents-subscribeegroups

> Unsubscribe: cfparents-unsubscribeegroups

> List owner: cfparents-owneregroups

> _________________________________________________

>

> WE HAVE A CHAT PAGE!!!

> /chat/cfparents

> _________________________________________________

>

>

>

>

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,

Yes we know about the 12 parts of physio. But the research showed (which

the hsp. gave us) that the more complicated the physio positions the less

likely they are to be done. So therefore we do 6 sides, 2 at each session,

which work really well. My daughter has no chest problems and no cough

either unless she is unwell. The 6 positions are the main ones and they

cover the top half of the body. Ive just e-mail a dr. friend in who asked

there physio and he basically said that yes the more to remember the less

likely to do it, which seems to be true as it seems alot of people dont do

much physio.

CPT

>

>

> > Hi,

> >

> > I read is doing CPT 3x a day

> > I don't know how old your child is, but this seems an awful lot of CPT

to

> me

> > ?

> > Usually even CF adults only do 2 CPT a day.

> > Personally, when Leo is fine, I do one physio and when he is sick, 2 to

3

> > times a day

> >

> > , Mom to Leo 2 wcf

> >

> >

> >

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Valérie,

That's exactly it, they have to cough during CPT. At least that's what we

are told, because everyone seems to be doing different things. It would

maybe be an idea to video sessions and exchange them. Would you be a

candidate to exchange with me, Valérie ?

We went to the a therapist with a lot of experience (the one of the Centre

at the Belgian coast) with and he said : she has to cough each

session ! 's therapists are now going to see him to improve their

technique. However, one of them is already very good. In fact, the quality

of CPT has been one of my major concern the last months. It has to be

effective !

To be honest, 3x or 4x seems to much for me. Why do they advice this when

the child is not sick ? It leaves no room for other things in live. We

always do 2x.

Liesbeth

(2,5wCF) and Kasper (1no CF)

> CPT

> >

> > Hi,

> >

> > I read is doing CPT 3x a day

> > I don't know how old your child is, but this seems an awful lot of CPT

> to

> > me

> > ?

> > Usually even CF adults only do 2 CPT a day.

> > Personally, when Leo is fine, I do one physio and when he is sick, 2 to

> 3

> > times a day

> >

> > , Mom to Leo 2 wcf

> >

> >

> >

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,

Wow ! I admire the way you handle it ! But it sounds like a very heavy

programme.

's grandparents (or our nanny) goes with her to the therapist at 09.00

(9 a.m.) in the morning and I go with her again at 19.00 (7 p.m.) in the

evening after work. Next year it will be 17.00 (5p.m.) in the evening which

is better. Only in the weekend we do CPT ourselves, twice a day. Tom usually

does it, when I do the nebulizing part.

Overhere (Belgium), therapists are partly reimbursed, say 60-70%. How's that

in the US ? Insurance ?

Liesbeth

(2,5 wCF) and Kasper (1no CF)

> Re: CPT

>

> LEisbeth,

>

> No we do the 3 times ourselves. My husband does it in the morning before

> he

> goes to work and I do lunchtime and again does the evening. Oh a

> therapist would be great. We actually bid at a funraising auction for one

> of the hsp. physio's for the day. We were going to go out and let him do

> the stuff, its alright we know him well.

>

> (mummy to Liam 6wocf and Eilish 3wcf)

> CPT

> > >

> > > Hi,

> > >

> > > I read is doing CPT 3x a day

> > > I don't know how old your child is, but this seems an awful lot of CPT

> to

> > > me

> > > ?

> > > Usually even CF adults only do 2 CPT a day.

> > > Personally, when Leo is fine, I do one physio and when he is sick, 2

> to

> 3

> > > times a day

> > >

> > > , Mom to Leo 2 wcf

> > >

> > >

> > >

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Liesbeth,

Im actually in Australia and we dont have district nurses that will come for

home physio. I dont know anyone that has anyone else come in and do there

physio. It doesnt seem heavy to us as weve never known anything else.

Although when Eilish sleeps a night a my mums and we wake up with no physio

or meds to do its bliss. Although there's so much time we dont know what to

do with it. We dont need private insurance in Australia. The stats say

less than half the population have private insurance. All the cf stuff is

free and the meds. are $3.20 each, and once you reach $171.00 then for the

rest of that year its free. And the hsp admissions are free also. So its

pretty good.

CPT

> > > >

> > > > Hi,

> > > >

> > > > I read is doing CPT 3x a day

> > > > I don't know how old your child is, but this seems an awful lot of

CPT

> > to

> > > > me

> > > > ?

> > > > Usually even CF adults only do 2 CPT a day.

> > > > Personally, when Leo is fine, I do one physio and when he is sick, 2

> > to

> > 3

> > > > times a day

> > > >

> > > > , Mom to Leo 2 wcf

> > > >

> > > >

> > > >

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Leisbeth,

With Eilish we do 3 minutes of physio, then she does 5 big blow, which we

use trick birthday candles that keep relighting and then she keeps trying to

blow them hard. Then 5 big huffs, thats our big bad wolf game , then five

big coughs from her belly. Then another 3 minutes of physio and so forth

for 10 minutes of actual physio each side. Were lucky that Eilish doesnt

have a cough and so when she does we know somethings on the way.

Juli (mummy to Liam 6 wocf and Eilish 3 wcf)

CPT

> >

> > Hi,

> >

> > I read is doing CPT 3x a day

> > I don't know how old your child is, but this seems an awful lot of CPT

> to

> > me

> > ?

> > Usually even CF adults only do 2 CPT a day.

> > Personally, when Leo is fine, I do one physio and when he is sick, 2 to

> 3

> > times a day

> >

> > , Mom to Leo 2 wcf

> >

> >

> >

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,

It's interesting to see the differences between Europe, US and Australia !

We don' t have district nurses either who do CPT, but independent

physiotherapists who work at their own home. We have two specialised in

respirational physiotherapy who do not live too far away from us.

does 5 minutes trampoline jumping, 5 minutes sitting while jumping on

the big physio ball while we hold her lungs at level of breathing out and

she has to blow, 10 minutes of blowing and pushing lungs (not clappping) in

different positions while blowing on the floor, 5-10 minutes flutter and PEP

mask. While we hold her lungs down and you feel mucus moving up, she is

asked to cough. This is the most difficult part. She wears 3 bandages around

her chest during CPT to increase effectiveness of the therapy. We are

learning and trying to improve every day. It's not easy and different

everywhere. We don't have a vest in Europe. Do you have that in Australia ?

Liesbeth

> Re: CPT

>

> Liesbeth,

>

> Im actually in Australia and we dont have district nurses that will come

> for

> home physio. I dont know anyone that has anyone else come in and do there

> physio. It doesnt seem heavy to us as weve never known anything else.

> Although when Eilish sleeps a night a my mums and we wake up with no

> physio

> or meds to do its bliss. Although there's so much time we dont know what

> to

> do with it. We dont need private insurance in Australia. The stats say

> less than half the population have private insurance. All the cf stuff is

> free and the meds. are $3.20 each, and once you reach $171.00 then for the

> rest of that year its free. And the hsp admissions are free also. So its

> pretty good.

>

>

> CPT

> > > > >

> > > > > Hi,

> > > > >

> > > > > I read is doing CPT 3x a day

> > > > > I don't know how old your child is, but this seems an awful lot of

> CPT

> > > to

> > > > > me

> > > > > ?

> > > > > Usually even CF adults only do 2 CPT a day.

> > > > > Personally, when Leo is fine, I do one physio and when he is sick,

> 2

> > > to

> > > 3

> > > > > times a day

> > > > >

> > > > > , Mom to Leo 2 wcf

> > > > >

> > > > >

> > > > >

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Liesbeth,

It is intersting to see the difference that each country has to almost

everything. Father christmas is bringing Liam and Eilish a big trampoline

for x-mas. She has a small one but there's no 'danger' falling of off that

so a big one will be more exciting. Pep masks are used here once the child

is over 8 instead of chest claps. When I first came on-line and heard

people talking about vests I asked the doctors and physio's. They all

agreed that they were no better than manual physio (I know alot of people

will disagree, but thats the advise we were given). Plus no-one sells the

vests in Aus. One of the fathers in the clinic comes from somewhere in USA

and said the actual mechanic box bit is quite large? I have no 1st hand

experience though. I think whatever you find that helps do it. Whatever

people say helps them and can prove it Id give a shot. I think its quite

strange that although all the kids have the same disease there's no

'standard proven, helpful treatment like other diseases. I think that would

be helpful as alot feels like a trial and error guessing game. Especially

for newly dx parents as your afraid to try anything in case you do something

wrong.

Good night (here)

(mummy to Liam 6 wocf & Eilish 3 wcf)

CPT

> > > > > >

> > > > > > Hi,

> > > > > >

> > > > > > I read is doing CPT 3x a day

> > > > > > I don't know how old your child is, but this seems an awful lot

of

> > CPT

> > > > to

> > > > > > me

> > > > > > ?

> > > > > > Usually even CF adults only do 2 CPT a day.

> > > > > > Personally, when Leo is fine, I do one physio and when he is

sick,

> > 2

> > > > to

> > > > 3

> > > > > > times a day

> > > > > >

> > > > > > , Mom to Leo 2 wcf

> > > > > >

> > > > > >

> > > > > >

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I think Doctors sometimes don't put enough attention on the quality of life.

We do our CPT, but as of yet there hasn't been any conclusive studies to

show it even works. There has been anecdotal evidence that if you don't do

it for a while your PFT's, etc. go down, but that is all. Now we all know

how much the Dr.s won't rely on anecdotal evidence when we are asking

something from them, but when it just means us dealing with an extremely

upset child multiple times a day - then it is okay. I sound bitter don't I?

Anyway we do CPT once a day when things are well twice or more when Scout is

sick. I don't, however, let it become a burden in our lives. I try to always

do it of the morning, but if we are traveling or have a play date it may get

pushed to the evening. With CF there are enough things we can't be flexible

about and until the CPT study is done and we know if it makes an impact I am

not going to stress about it.

Lori

mom to Scout 2 wCF

Re: CPT

> The doctors want us to do CPT 4x a day on Madison. I told him that that

was

> next to impossible unless we get up in the middle of the night and do them

> and I was not going to do that as we all needed sleep. He lectured me on

how

> to set *high* goals and then if we only get 3 in a day then at least we

tried

> for a high goal. To me though, if we try for 4 and only get 2 or 3 in I

feel

> like a failure. Our average that we get in is only 2, one in the morning

and

> one at night.

>

> I can see when she is sick that we need to get as many in as possible but

> right now she isn't sick and her PFT's are up in the 100%'s.

>

> yvonne

> mom to Madi 12 wcf & Ariel 9 wocf

>

>

> ***********************

> This is a secular list.

> ***********************

>

>

> PLEASE do not post religious emails to the list.

>

>

> --------------------------------------------------

>

>

> The opinions and information exchanged on this list should

> IN NO WAY

> be construed as medical advice.

>

> PLEASE CONSULT YOUR PHYSICIAN BEFORE CHANGING ANY MEDICATIONS OR

TREATMENTS.

>

> --------------------------------------------------

>

>

> Our webpage is at http://www.eohio.net/malbright/cfparents.htm

>

> _________________________________________________

> Post message: cfparentsegroups

> Subscribe: cfparents-subscribeegroups

> Unsubscribe: cfparents-unsubscribeegroups

> List owner: cfparents-owneregroups

> _________________________________________________

>

> WE HAVE A CHAT PAGE!!!

> /chat/cfparents

> _________________________________________________

>

>

>

>

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,

I am so glad you posted this, because I was starting to wonder if I was doing

's cpts hard enough, or good enough, because he doesnt cough either.

He does seem to get a little out of breath when he goes up the steps or jumps

around, but he doesnt cough unless he is getting sick.

Take care, and hope you have a great holiday season.

, mommy of 4, , 16 with a much older mind, Caleb, 6 and a

kindergarten pro, finally, , 5 and the next famous artist, and ,

17months with CF and reflux and a beautiful smile and bright blue eyes

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> Pseudomonas, liver and bile problems

What is pseudomonas? i looked it up and it said it had something to do with wet

soil in plants? My house is covered in plants. Do I get rid of them? What are

the liver and bile problems?

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> We went to the a therapist with a lot of experience

> (the one of the Centre

> at the Belgian coast) with and he said : she

> has to cough each

> session !

My children do not cough during cpt or vest therapy at

all unless they have an infection. They don't cough

when they run or jump lots either. There just isn't

really anything to cough up.

__________________________________________________

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Ditto here!

Lori

RE: CPT

>

> > We went to the a therapist with a lot of experience

> > (the one of the Centre

> > at the Belgian coast) with and he said : she

> > has to cough each

> > session !

>

> My children do not cough during cpt or vest therapy at

> all unless they have an infection. They don't cough

> when they run or jump lots either. There just isn't

> really anything to cough up.

>

>

>

> __________________________________________________

>

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Hi,

since Fiona hadn't had any kind of lung involvement from infancy on, we decided

to skip any kind of common CPT, which made the whole family feel uncomfortable.

Jumping, tickling, whistle blowing and many other fun activities have replaced

it and so far we think it has worked. Of course during those weeks with her leg

in the cast we missed the CPT and we will order a flutter at the next clinic

visit.

But as has already said, you need to feel well with what you are doing.

Bye-bye

Torsten, dad of Fiona 3.5wcf

e-mail: aberdeen95@...

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Very impressive!!! We don't do anything like that - at least not that I

have been introduced to.

Lori

RE: CPT

> > > >

> > > >

> > > > > We went to the a therapist with a lot of experience

> > > > > (the one of the Centre

> > > > > at the Belgian coast) with and he said : she

> > > > > has to cough each

> > > > > session !

> > > >

> > > > My children do not cough during cpt or vest therapy at

> > > > all unless they have an infection. They don't cough

> > > > when they run or jump lots either. There just isn't

> > > > really anything to cough up.

> > > >

> > > >

> > > >

> > > > __________________________________________________

> > > >

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Another alternative that appears safer for the little kids is a " jumpolene " .

It is inflatable with sides. I bought one on-line for my nieces at

www.toysrus.com. It was around $40.

Lori

mom to Scout 2 wCF

Re: CPT

>

>

> Hello Nele,

>

> Could you please explain what you do with the

> styrofoam balls, does Matias

> blow them across a table or something?? I am

> asking because is getting

> to the point where if he isnt tired, he fights his

> cpts bad. Would love an

> alternative, we are looking for a small trampoline

> to have him jump on as

> excercise, hopefully he will enjoy this. Take

> care, and it is great when the

> little ones are doing so well.

>

> , mommy of 4, , 16 with a much older

> mind, Caleb, 6 and a

> kindergarten pro, finally, , 5 and the next

> famous artist, and ,

> 17months with CF and reflux and a beautiful smile

> and bright blue eyes

>

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Becky,

Eilish has one of those trampolines, but father christmas is brining a huge

one. When she was first dx we were given a video which showed a child about

3 or 4 jumping on a mini tramp. What the father made was like a huge

tri-pod over the tramp. so the child could hold onto this and jump and try

to bring his bottom up to make it level with his shoulders, and boy did he

cough.

Re: CPT

> I had heard from a friend in the Netherlands, and from people at the CFRI

conferences in the past, that those mini trampolines work great for getting

kids giggling, coughing, etc. and are a great form of CPT. Ever since, we

have been keeping our eyes out for one of these to use with Ricky.

>

> Well, I was at my father in law's house at Halloween and he had an old one

(but still safe and sound) that he was going to throw out, and I told him my

idea. He actually brought it over to us! He has always been so supportive

of our efforts with Ricky and his CF, and of CF resesarch, but I think he

has not really known how to express it, so I think this made him feel good.

>

> Well, both boys (Ricky with CF and Andy without) love the trampoline.

Only problem is, we live in an apartment and have to keep the thing in our

enclosed patio most of the time, and bring it out onto the lawn on sunny

days for him to use. So for us it's not effective because he doesn't get

much of a chance to use it. Luckily though, since June we have had the

Vest! Hooray!

>

> Becky

>

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