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My swimming girl

Catherine

Moderator
School holidays begin today, Sarah seems tired but maybe it end of school year.

Going recap the options we were given at last gi appointment, our sort plan of moving forward.

1. Remcide - Sarah does not qualify. Children index 7.5 in bad week, need score 30 plus, CDAI about 32 need to be over 210

2. Increasing aza - still awaiting blood results to confirm levels

3. IV steriods - the imflammation is much reduced as confirmed by mri. But she probably has fistual. Don't think this would help.

4. Surgeon - would like to wait and see. Happy with this advise. He can see why the radiologist thinks it could be a fistula. He never actually said it was a fistula but when I asked could it be the bowel healing he said no it could a fistula Review in 3 months when of pred.

5. Iron influsion? - rang gi and lefted a message I would like to go ahead with this. The receptionist asked whether we had private health insurance. Waiting call back.

6. Also going to push b12 injections - thank you David

I going to do everything I can to get this anemia corrected, the surgeon did say that this small 30 cm section of bowel could be reason for the anemia and the anemia may be a reason to consider surgery in the future.

We have a plan of sorts.

Any ideas or advice welcome.
 
No extra ideas - your list seems pretty thorough! Hope it gets going soon, so she doesn't feel so tired. I'm starting to have to write lists everywhere these days :lol:, between my mom, Amy and Andrew I never know which appt is which. Never mind about fitting myself in!
 

DustyKat

Super Moderator
Hey Catherine...:hug:

Ugh, end of year is always a tiring time but I imagine the anaemia may also be feeding into the fatigue.

My Sarah's GI always said that anaemia can be an insidious ongoing problem even without taking menstruation into account. Although blood often can't be seen, when disease is higher up, while ever inflammation is present you tend to have a dripping tap scenario. Of course then there is the issues associated with malabsorption.
I hope you able to get on top if it again soon. Good luck!

Has Sarah ever had Flagyl as a part of her treatment regime?

Dusty. xxx
 

Catherine

Moderator
No we used pred and aza. Gp put on something not long after dx for an infection but I 'm not sure what it was.
 

Catherine

Moderator
Sarah told the surgeon, the stomach pain she has this week is not crohn pain.. She just felt gassy and sick.

Gi is starting think Sarah has more symptoms than we believe, that it almost like she doesnot know what it like to feel well.
 

DustyKat

Super Moderator
Oh bless her...:hug:

That well be the case Catherine. When disease is chronic and insidious like Crohn's you have tendency to 'absorb' symptoms over time and they become normal to you. You do forget what it is like to be 'normal'.

I wonder too if these are new symptoms she is experiencing and that is why she doesn't relate them to being a part of her Crohn's?

Dusty. xxx
 

Catherine

Moderator
Dusty you are already good at making me think. Why did w havee the bloods and faecal calprotectin done early. She had gassy stomach pains, the bloods come back normal. She stopped having milk again and the stomach pains went away. We then had the trip to emergency with severe stomach pain (crohn pain) a couple week later, they started pred.

We saw gi week later due emergency visit but gi through we were there to discuss the higher faecal calprotection.

I don't think she ever mentioned this gassy pain prior to dx but doesnot mean she didn't have them.
 

DustyKat

Super Moderator
You are doing such a fab job Catherine...:hug:

It's so hard to remember all that happens when everyday life still goes on.

I think too that these kids develop such a tolerance to pain, hardship and inconvenience that the symptoms that don't have them doubled over or annoy the hell out of them don't rate a mention. Your Sarah said it best...

She just felt gassy and sick.
...it speaks volumes ay?

Dusty. :heart:
 

Catherine

Moderator
Sarah fine. Now down to 10mg pred. Has swum 6 session already this week. She doesn't seem to be as pale.

Made another call to the gi.

Just heard that Sarah's aunt has had a hip replacement, she only 54. Grandma also two hips done before 60.

Of to research pred and bones.
 

DustyKat

Super Moderator
Good to hear that Sarah is swimming so well. :) I am sorry to hear about your Aunt though. I hope she recovers well and speedily!

Dusty. xxx
 

Catherine

Moderator
Update on Sarah

She is down 5mg of pred today.

Sarah has decide to increase swimming over the school holidays, to await for 9 x 2 hours sessions per week.:ybatty::ybatty:

The only session she has decide that she doesnot want to do is dry land, she doesnot like running.

Still discussing iron infusion with GI.
 

crohnsinct

Well-known member
Wow! O is entering her first experience with doubles next week. Everyday except Christmas Eve and Christmas day.

O LOVES dryland though. Running is her other sport but oddly likes the squats, planks, and push ups...that apple defimitely fell way far from the tree...perhaps a differnt orchard!

I am so glad Sarah is feeling well enough to do all those practices!
 

Catherine

Moderator
Update

The mri has been reviewed by the professor at the Alfred. His opinion is Sarah has one small fistula. It also his opinion that remicade would not help at this time.

My request for an iron infusion is not going well. Her latest ferritin level is considered good and because she can swim 8-9 sessions a week her health is not being affected by the anemia.

The lab appears to have losted the test for aza levels so she is having that repeated.
 

crohnsinct

Well-known member
That is total crap about your iron infusion request not going well! O was going to school everyday all day and doing 2 hours of parctice a night...swam a three day meet and was admitted two days later and got three infusions. You can't judge these kids on what they are doing. They are ridiculously strong and can fool the best of us. God bless them!
 

Catherine

Moderator
Actually maybe i'm confused about where by request for iron is actually at. Gi actual words were it not urgent. She also said she could not have it done local hospital because she is under 18. We could have it privately but she doesn't have admitting rights and gi who does is away. Privately before 1 January would be no excess after than I have a $400 excess.

She could arrange for Monash or The Children these are public hospitals with awaiting lists but free.

As you can see I am confused about where by request is.

My language was wrong is my previous post, what mean is my request is no moving as fast as I hoped.
 

crohnsinct

Well-known member
Well I feel a little better about that...and I made a mistake in my post. It should have said transfusions not infusions.

Good luck with moving things along.
 

DustyKat

Super Moderator
Do they have any plans for the fistula or is it watch and wait?

I hope you can get the Iron infusions hun. :hug:

Dusty. xxx
 

Catherine

Moderator
The plan is to wait for the aza blood results to come in, and hopefully increase aza.

Gi was posting us a new blood form on Friday, as it looks like test has gone missing.

They all using word think there is fistula. Surgeon wants to see sarah in 3 months and off pred. He said we could make appointment early if necessary.

His opinion if they need to go in look at the area the piece bowel needs to be removed there then. He thinks this piece of bowel maybe causing the anemia.

I get feeling that surgery is in Sarah's future what we don't is whether it will be in the next 6 months, or 2 years or 10.

I have told the gi I would like the iron infusion done in January before start of year 12.

I am hoping if we get her hemoglobin levels up she will recover better if she need surgury
 

Catherine

Moderator
Dusty, now that saying they think it a fistula. I am right a fistula has two openning ,that means she has mostly likely got a tunnel between two pieces of bowel.
 

DustyKat

Super Moderator
That is right Catherine. It is a tunnel, and from what you are describing it does go from one bowel loop to another.

Dusty. xxx
 

Tesscorm

Moderator
Staff member
Sorry if I've missing something here, have misunderstood or am just plan naive :redface:... but aren't fistulas treated by remicade? And, if yes, now that they are saying it is, in fact, a fistula - doesn't that mean insurance MUST cover the remicade in this case?

Or are they hoping the aza will fix it?

Didn't realize that just one area of inflammation could impact iron levels to her extent! :( I hope you can arrange for the infusion!!!

And, I'm so sorry you're facing the prospect of surgery... I do hope the meds will help and you/Sarah don't have to deal with surgery! :ghug: :ghug:
 

Catherine

Moderator
Sarah a PDCAI score of 7.5, score needs to be above 30. She doesnot qualify for remicade:voodoo:

They hope that if they can increase aza that will fix the fistula.

This why I made comment your on thread that remicade use would a easy decision me for me to make I would use it but we won't get approval. So really easy for me to say I would use remicade when don.t actually have to make that decision.

Sarah iron levels have been low for years. It not that they getting lower it mainly there not moving up much.
 
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DustyKat

Super Moderator
Not wanting to throw a spanner in the works but fistula's that originate in the ileum are notoriously difficult to heal with medication, including the biologics. That is not to say that they won't work, I just want you to be aware that they may have a higher chance of not working when compared with with other aspects or areas of Crohn's.

Dusty. xxx
 

Catherine

Moderator
Dusty I do remember you saying that. It one of reason why I have totally accepted that we just monitor situation well almost. The other thing about this area of active disease is that it has been active for a very long time it could seem on ultrasound 18 months ago as thickening.

In any case I am thinking of starting asking what the options are for treating a small bowel fistula in Australia.
 

Catherine

Moderator
Sarah not completed two sessions of swimming this week. She has told me that she awake each morning feeling sick in the stomach, it get better as the day go on.

She stopped swimming both times due to stomach aches. Sessions at the moment are very hard. They have been told they will repeat the set to they PB.

For crohnscit, the session is:
1500 fr
4 x 50 IMO (IM order)
100 IM
800 fr
4 x 100 IMO
200IM
4 x 200 IMO
400 IM
400fr

The only break is that each is a dive start, except backstroke which is a in water start.

Thinking about ringing GI and asking for faecal calprotectin test.

Sarah has also said she not interested in doing EN.
 
Catherine, just thinking out loud - Do you have a lot of smoke from the fires where you are at? I think it really affected Jack this summer or at least that's what it seemed like, as soon as the smoke finally cleared out, he started feeling better
 
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crohnsinct

Well-known member
Mercy! Those are hard workouts! Must be that time of year. Are they swimming long course because if so that makes it even worse...no turns!

O just completed what her team calls "Hell Week" Doubles every day over vacation and hard workouts. She skipped a bunch also.

Maybe jm has something with the smoke theory? Yeah I would be getting that fecal cal also. Poor pumpkin..I know how driven she is!
 

Catherine

Moderator
Jm -no smoke from fires, only fires in our state are hundreds kilometres away.

This feeling sick on te mornings is not a new things. It just I found it when questioned the stopping due to stomach aches.

Maybe it heat thing, they use a indoor pool for morning training, the kids are always saying the water is too hot. On one days she stopped it was already in the 25c+ at 5 in morning.

Our swimmers do hard training now we are still in LC course but State Championship have already been completed in last week in December and kids are not back at school til start of Feb.
 

crohnsinct

Well-known member
Catherine...I just remembered something. Remember over the summer O was complaining about stomach aches and said she thought it was because she didn't drink enough. said she always gets that pain when she is dehydrated.

Maybe given the heat and the intense workouts she needs to up her water intake.
 
Sorry to hear about the stomach aches! I hope it is just the extra training and the heat. I never feel well when it is too hot. Must be frustrating for her when she wants to train. Hope it resolves on it's own. No harm doing the faecal calprotectin.
 

Catherine

Moderator
Some of Sarah's blood results are back.

She is no longer anaemia, hemeglobin is 11.7 g/dL (11.5 - 16.5)

They have even written the comment, essentially within normal limits.

MCHC 31.2 g/dL (32.0 - 36.0)
Lymphocytes 0.9 (1.0-4.0) - this has not changed in months

Serum Folate 27.2 nmol/L (>7.6) - look like they have changed the folate test

Ferritin has increase to 30 ug/L (15-165)
Iron is up 5 umol/L ( 7-27)
Transferrin Sat up to 8 % (13-47)

Maybe things are finally moving in the right direction:ghug::ghug:
 

DustyKat

Super Moderator
As I started reading your previous update Catherine I was thinking the same as Crohnsinct, do you think dehydration may be playing a part in some of this?
I think your thoughts on getting a calprotectin done is a good idea. I always like having that extra bit of reassurance one way or the other...whether it reassures me things a good or whether it reassures me that I have done the thing in pursuing things...win/win. :)

Sooooooo good to see bloods that are heading in the right direction! Woohoo! Long may it continue that way! :thumleft:

Dusty. xxx
 

Catherine

Moderator
Sarah completed the hard set this morning, only 84 seconds over her PB from before dx. The coach said it was the best she had swum the set in ages.
 

Catherine

Moderator
Took my youngest daughter to the doctors today for unusual pimples and cold sores.

Dr said that sores were actually school sores. I asked how do you get school sores when she had not been in contact with any children, and my other girls don't them and they look just what Sarah gets with a crohn's flate. He then asked she was stressed, 13 year old girl who has been on holiday four weeks stessed.

After going though Sarah's history end up with blood tests. At least now I will have baseline levels.

It amazing how you get what you want when bring up Sarah's history with the doctor who didn't order a colonscopy because in was too invasive for a 16 year old and dx ibs.:hug::kiss:
 
I know the feeling, our paediatrician was a bit more careful with Amy after misdiagnosing Andrew for a year and a half! :lol:
Hope the sores go away on their own!
 

Catherine

Moderator
We have doxycycline for the pimples and Bactroban for the school sores.

They do seem to take my concern more serious now.

He also said Crohn's runs in families, so he would do bloods.
 

DustyKat

Super Moderator
I hope your daughter is soon on top of things Catherine. :hug:

BTDT too with the docs! Sarah undiagnosed for 18 months and nearly dead, Matt diagnosed within 2 weeks. What a difference a guilty conscience makes! :eek2:

Dusty. xxx
 

Catherine

Moderator
Thanks Dusty

I don't think this one has crohn's but I do have a problem with doctor saying stress without any testing.

We first found out 4 years ago that had Sarah low iron when our then gp tried to say that her being tired all the time was due to stress.
 

Catherine

Moderator
No swab done, doctor said he could they weren't were cold sores by looking at them.

There are two on lips, one under her nose, another on the line between nose and corner of lips. She had these previously and then gp dx cold sores.
 
Location
,
My son use to get sores under his nose all the time. The DR told us it was impetago.
He would give him cream and antibiotics till one day he did a swab and said no they're cold sores just use some cold sore cream. So all those years he was taking antibiotics for nothing

Get him to do a swab
 

Catherine

Moderator
The cold sore cream is not working. If he right the new cream should work in a couple of days.

The other medication for is for acne on her hairline which is not healing and starting to scar.
 

DustyKat

Super Moderator
@upsetmom - was the impetigo bad? Usually antibiotics aren't prescribed unless it is severe.

I hope the cream does the trick Catherine.

Dusty. xxx
 
Location
,
Dusty that's what they always thought he had till they did the swabs and said no its only a cold sore. It use to cover an area of about a 20 cent piece
 

DustyKat

Super Moderator
No offence to the doc but even if it was impetigo oral antibiotics seems like overkill, even worse since it wasn't. Ugh!

Dusty. xxx
 

Catherine

Moderator
The GI office has managed to locate Sarah's aza levels results. She had trouble finding because the testing lab did not keep a record of where it was sent.

Hopefully the will lose the bill as well. This test is purpose to cost $140.

Won't get the results until Friday when the GI is in next but what's another week when the first missing test was done 2 months ago.
 

Catherine

Moderator
The sores have started to clear, but the one under nose looks like it going to scar. The big pimples are also starting to clear but she has developed lots of little ones but she is happy her face is looking better.

Her bloods test have come in normal range but due to my trust issues with doctors I am going to have get copies and see for myself.
 

Catherine

Moderator
Sarah results are back, her levels are not in range. We are going to start gradual step up. Moving to aza 125mg tomorrow.

She level is 180 range should be 235-450.

This is a good thing we can move up the dose and hopefully stop the fistula.

No bill as yet.
 

Catherine

Moderator
Sarah was in pain this morning, rated pain at 4, didnot go to training. When she got up 8 it was only 2.

This afternoon she completed a two hour swimming session, pain is gone.

She has been eating watermelon I have asked her not to eat the seeds.

We received a copy of the thiopurine metabolite testing results in today mail.

6-TGN 169 (235-450 pmol/8x10^8RBCs)
6-MMP 298 (<5,700 pmol/8x10^8RBCs)
6-MMP:6-TGN ratio 2 (<20 (11-20 bordline)

Back to monthly FBE and every second month LFT.
 

Catherine

Moderator
She only had test done once. I must have got the number wrong when given over the phone. But her numbers seem low. She says she has not missed any doses.
 

Catherine

Moderator
Sarah is in pain again. She is rating her pain at 6 is waking up in pain. She doesnot want to go emergency, saying they will only do want they did last time. She wants to ring her specialist in the morning.

I don't think aza is working, maybe just because the dose has never been high enough.
 
I hate to hear that she is in pain. I hope that the increase in the AZA will eventually get it under control. It bites that they "lost the results" and she has been taking too low a dose all this time!
 

Tesscorm

Moderator
Staff member
I'm sorry that she's having pain regularly! :( I hope the increase can get it under control! :ghug:
 

Catherine

Moderator
First available with GI 1 feb.

Went to gp for check up and new referral. GP Rang GI back on 30mg pred

Had x-ray to rule out bowel obstruction. Had blood drawn, she looked so bad they keep asking whether she need to lie down. She end lying down for draw.

Then she threw up all over herself and the car.

Sarah now sleeping while we watch tennis.

I rang and spoke to the GI. She said has quite severe disease with few symptoms:frown:

New plan if she in severe pain in the next couple of days we are to go emergency and have them ring her for treatment plan, which will be to start IV steroids. This will either get her into proper remission or result in failure of steroid treatment, which is the first step for getting approval for remicade.

Does anyone know what the dose required to be considered failure of steroid treatment, the GI said 50-60mg but sure I read somewhere in was 40mg. (This question relates to the Australian Medicare system approval process for remicade).

Sarah has severe disease
Dusty i know you told me the fistula meant severe disease but it sounds much worse when GI says it.
 

Dexky

To save time...Ask Dusty!
Location
Kentucky
Catherine, she's had 3 pred tapers in a year. What is the criteria to prove "steroid failure"? Who gets to make that call?? Doctors or ???
 

Catherine

Moderator
Sarah will do 50mg pred for 2 weeks from today then taper.

This will either put her in remission or will help with qualifying for remicade.

She feels fine today.

We have a evening swimming comp, where she will swim 4 50 and hope to qualify for Victorian State sprints.

Tomorrow she is still planning to swim Brighton open water swim, starting with 5km and back up with a 1.4 km.:yfrown::yfrown:

@dexky, a course pred of 40mg with taper for least 6 weeks is needed as part of the qualifying process for remicade. She previous courses were only 30mg. This course will tick that box :shifty-t::shifty-t: So has to be done.

If happens again we will look at doing EN, I do not want her on pred:mad2::mad2: but boxes have to ticked.
 

Tesscorm

Moderator
Staff member
So sorry to hear... both about how Sarah's feeling and also that treatment must be decided according to insurance's check boxes! :ymad: It's so unfair that this must be a factor in the treatment for our kids! :voodoo: :voodoo:

But I do hope it gets her into remission and feeling great!!!

Thinking of you! :ghug:
 

Catherine

Moderator
Sarah is fine , she has no pain.

She completed her 5km ocrean swim and then back up a little over hour for the 1.4km swim with her younger sisters.

I am having trouble giving 50mg pred to this seeming healthy and fit girl.

The tears are very close to surface at the moment. Sarah was dx a year ago yesterday.
 

DustyKat

Super Moderator
I'm so sorry I am late to this Catherine. Had to work an extra day this week so have fallen way behind. :(

Ugh! I wonder why in heaven's name they started her Pred at 30mg???

I don't recall if I have asked you this before but do you use the brand Imuran or the generic Azathioprine?

Anniversary's surely dredge up the raw emotions ay Mum...Sending loads and loads of love, luck and healing thoughts your way. :heart:

Dusty. xxx
 

Catherine

Moderator
We use imuran.

When Sarah dx there was miss match between level disease and symptoms. My understanding is her disease was mild but the inflammation had already become chronic.

She is now the other way her disease severe but symptoms have gone almost completely.

30mg of pred worked well for her.

The first course of 30 I understand but second course needed to be higher so that could be used to met the first part of qualifying for remicade.

The main problem here is the maintence med is not working.
 

crohnsinct

Well-known member
Dear Lord! Over an hour of swimming in open water?! That girl is my idol! O's too!

I despise how confusing this disease can be and hope that soon you all get the answers and treatment that makes sense and that she totally kicks that 50 back...is the season done now? Does she have to wait for next season? In the US 13 and over swimmers no longer swim the 50's except for the 50 free. O swam the 400 IM, 200 breast, 200 back and 200 free with a sprinkling of 100's last weekend. 7 swims and only 3 best times! Not a fun weekend.
 

Dexky

To save time...Ask Dusty!
Location
Kentucky
7 swims and only 3 best times! Not a fun weekend.
Having no experience with swim comp., what is the expectation there^^?
7 seems like a lot for a 2 day meet and to have 3 personal bests in those 7 sounds incredible! Is that what that even means??
 

crohnsinct

Well-known member
LMAO! Yep you guessed it...7 events and 3 best personal bests. The jury is out on how good that actually is. Our team only competes once a month so the expectation is that they would do a lot better. Doc also uses times as a barometer of how she is doing so the slip down to less than half best times was potentially sucky on both fronts. However, coach says they are training hard and a bit broken down and I scanned everyone else's times on the results and she wasn't the only one so I am guessing it is a training issue...doc agreed to let her keep swimming...yay!

Now she wants to run a marathon in October. Rules are she can't till 16 but she can run a half...which means she needs a training buddy...any volunteers?
 

crohnsinct

Well-known member
Yep! Even at my best pace that is 4 hours of running...there better be a fireman with a bottle of Cabernet at the finish line!
 
Glad she is feeling better. Sorry she is having to take the Pred. Drives me nuts the things our kids have to do so they "tick the boxes". Andrew's test was borderline that he would tolerate Aza, but they cannot prescribe the 6mp without failing Aza first - madness. Hope this course of Pred kicks her into remission.
 

Catherine

Moderator
We are still in LC season but she has no further chances to qualify. Sarah has not PB anything. She has times under the qualify times all 4 50 but they are to old.

The 5km took her under 1 hour and half. 1.4 km took 24 mins.

She had a blood nose in the 5km and keep swimming. (She got a kick to the face).
 

Catherine

Moderator
Pick up the girls' results

Kerry are normal, although there one result David wouldn't like

S 250 vit D 88 nmol/L (75-250)

I'm going to watch:

Her lymphocytes are slightly low
Ferritin is 31 ng/mL (20-200)

I was told Sarah were normal, these were taken before starting pred again.
Below are the results out of range

ESR 72 mm/hr (<20)
Total protein 60 g/L (65-85)
Albumin 37g/L (38-50)
CRP 13mg/L
Lymphocytes 0.7 (1.0-4.0)
Comment: there is a mild lymphopenia. Essentially within normal limits

Good results
Hemoglobin 12.2 g/dL (11.5-16.5)
B12 638 pmol/L (150-700)

We have a mix bag of results.
 

Catherine

Moderator
Been to the GI today.

Going to stay on ped 50mg for another 3 weeks, as her stomach is tender and test inflammation makers again before tapering. This course will either work or it will a clear fail of steroid treatment.

Her inflammation makers are high for her.

Her b12 is in the middle of range now will continue to supplement. Her iron is still far too low.

We will reduce iron back to one tablet per day of it can causes constipation

The x-ray was clear as there was no obstruction, but it showed constipation involving the whole colon. So we now have constipation but normal bowel movements.

Treatment are constipation.

- Metamucil 2 tsp daily or psyllium husks (on going treatment)
- Movicol (per week)
- Dulcolax (short term), starting with one tablet tomorrow night, need to be home for at least 24 hours

Diet increase - fibre
- prune juice
- pear juice
- prunes
- kiwi fruit
- oranges (not juice)
- dried fruit
 

Catherine

Moderator
We now have the gi mobile number.

Being given this number makes me nervious. That the gi thinks we are going to have an emergency and to contact her urgently.
 

Catherine

Moderator
Sarah swum five events today, 100 fly, 100 br, 100 bk, 100fr & 200 Im

She did a long course PB in her 4th event the 100fr of just over 2 seconds. :soledance::soledance:

Sarah's GI is female, I don't think she many teenager patients, and Sarah would be one of a handful if that she has had from dx.

The mobile phone number was mentioned when were discussing what action to take in the event of severe pain and weather we should go to the er. She said we could call her.
 
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I think it's good that your GI gave you her phone number and may just reflect that she has a soft spot for Sarah and knows your not the sort of patient/patient family who are going to abuse having it.

Liam's GI gave us his mobile number at Liam's first appointment, I suspect he doesn't have any other child patients either.
 

crohnsinct

Well-known member
GOOOOOO SARAH! A PB of over 2 seconds in a 100 LONG COURSE?! That is fantastic and so well deserved!

I agree..I would take receiving the cell number as a compliment...that you are a parent that will not abuse it and who can access a situation properly and knows when an emergency is indeed an emergency.

Now here's hoping you never ever have to use it!
 

Catherine

Moderator
Sarah saw the date for her next colonscopy in my diary.

She says she is over 16, so it her choice whether she has it and she not having it. I said no it my decision she not 18 yet. I still have control for another 6 months.
 
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