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After Being Diagnosed
Precautions for Chronic Granulomatous Disease Patients
Patients with CGD are especially at risk to acquire unusual fungal infections. The following list can help you eliminate unnecessary exposure to fungi.
  • Do not work with or around mulch, hay, wood chips, grass clippings, or other yard waste.
  • Do not go barefoot outside.
  • Do not use playgrounds with wood chips under the play areas. Choose playgrounds with plain dirt or pea gravel.
  • Stay out of barns, caves and other dusty or damp areas.
  • If you must garden, wear a surgical mask to filter the air.
  • Do not repot house plants - mold frequently grows in the soil.
  • If you have fresh cut flowers, add a teaspoon of bleach to the water to prevent mold and algae. Have someone who does not have CGD change the water in the vase daily.
  • Do not renovate old buildings or go inside a newly renovated building until it has been thoroughly cleaned.
  • New construction should also be avoided, due to the dust generated both from the lumber and raw dirt.
  • Do not rip up or replace carpet or tile. Have the rooms cleaned thoroughly with disinfectant (bleach) before living in them. Do not sleep in the building until this has been done.
  • Pets are fine, but do not use wood shavings as bedding (for either large or small animals). Make sure the pets are up to date on all recommended shots. Keep their water dishes and bedding clean.
  • If you use a vaporizer, empty it daily and wash with bleach to prevent mold.
  • Wash all cuts and scrapes thoroughly with soap and water; follow with Betadine and a final rinse with hydrogen peroxide. Any redness or soreness around the area, pus, or fever should be reported to your physician as soon as it occurs.
  • Fever, especially if accompanied by a cough, should always be reported immediately to your physician.
  • Don't inhale smoke from marijuana. It may be contaminated with fungi. Donít smoke.
  • Do not swim in lakes or rivers. Swim only in well chlorinated pools.
  • Avoid eating raw sprouts of any kind (including alfalfa, clover, radish & mung bean sprouts. Unlike other fresh produce, seeds and beans need warm and humid conditions to sprout and grow. These conditions are also ideal for the growth of bacteria, including Salmonella, Listeria, and E. coli.
REMEMBER ó You cannot be too cautious with your health.
Early Signs of Infection
CGD patients should consult their doctor at the earliest sign of an infection, even if they are experiencing minor symptoms.
  • A fever that lasts more than 2 days
  • Warm, tender, or swollen areas
  • Hard lumps
  • Sores with pus or rashes
  • Persistent cough or chest pain
  • Shortness of breath
  • Persistent abdominal pain
  • Diarrhea
  • Frequent or persistent headaches
  • Night sweats
  • Loss of appetite
  • Weight loss
  • Vomiting, especially shortly after eating on a regular basis (gastric outlet obstruction)
  • Pain or difficulty urinating (granulomas of the urinary tract)
  • Difficulty swallowing food (granulomas of the esophagus)
Welcome to Holland
This piece was written by Emily Perl Kingsley, the author of the television movie, Kids Like These:
I am often asked to describe the experience of raising a child with a disability to try to help people who have not shared that unique experience to understand it, to imagine how it would feel. Itís like this.....
When youíre going to have a baby, itís like planning a fabulous vacation trip - to Italy. You buy a bunch of guidebooks and make your wonderful plans. The Coliseum. The Michelangelo David. The gondolas in Venice. You may learn some handy phrases in Italian. Itís all very exciting.
After months of eager anticipation, the day finally arrives. You pack your bags and off you go. Several hours later, the plane lands. The stewardess come in and says, "Welcome to Holland."
"Holland?!?" you say. "What do you mean, Holland? I signed up for Italy! Iím supposed to be in Italy. All my life Iíve dreamed of going to Italy."
"But thereís been a change in the flight plan. Theyíve landed in Holland and there you must stay."
"The important thing is that they havenít taken you to a horrible, disgusting, filthy place, full of pestilence, famine and disease. Itís just a different place."
"So you must go out and buy new guidebooks. And you must learn a whole new language. And you will meet a whole new group of people you would never have met."
"Itís just a different place. Itís slower-paced than Italy, less flashy than Italy. But after youíve been there for a while and you catch your breath, you look around, and you begin to notice that Holland has windmills, Holland has tulips, Holland even has Rembrandts."
But everyone you know is busy coming and going from Italy, and theyíre all bragging about what a wonderful time they had there. And for the rest of your life, you will say, "Yes, thatís where I was supposed to go. Thatís what I had planned. And the pain of that will never, ever, ever go away, because the loss of that dream is a very significant loss.
But if you spend your life mourning the fact that you didnít get to Italy, you may never be free to enjoy the very special, the very lovely, things about Holland.
The Two Large Pots

A water bearer in China had two large pots, each hung on the ends of a pole which he carried across his neck. One of the pots had a crack in it, while the other pot was perfect and always delivered a full portion of water. At the end of the long walk from the stream to the house, the cracked pot arrived only half full.

For a full two years this went on daily, with the bearer delivering only one and a half pots full of water to his house.

Of course, the perfect pot was proud of its accomplishments, perfect for which it was made. But the poor cracked pot was ashamed of its own imperfection, and miserable that it was able to accomplish only half of what it had been made to do.

After 2 years of what it perceived to be a bitter failure, it spoke to the water bearer one day by the stream. "I am ashamed of myself, and because this crack in my side causes water to leak out all the way back to your house."

The bearer said to the pot, "Did you notice that there were flowers only on your side of the path, but not on the other pot's side? That's because I have always known about your flaw, and I planted flower seeds on your side of the path, and every day while we walk back, you've watered them. For two years I have been able to pick these beautiful flowers to decorate the table. Without you being just the way you are, there would not be this beauty to grace the house"

Author Unknown

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