My one and only reader wants a post about 'risk'. Who am I to argue?
I have to agree that CF involves countless risks. The problem is, having known only this body, I tend to assume it is just "life" that is riddled with risk. I don't think I'm too far off the map, and I credit my parents for raising me with the 'im not different' attitude.
That said, 'risk' for me since losing significant lung function in the past couple years, has become a panic that strikes amidst previously low-key events. Getting sick, for example. I now feel that the consequence of getting sick once can range anywhere from what a 'healthy' person would experience, to the beginning of my transplant journey.. or worse.
My other type of risk-awareness comes from a few bad experiences this past year of feeling helpless. Limiting myself to one example: while walking our dog I found myself feeling faint and short of breath. In the moment I worried about fainting in the heat and dropping my dogs leash on the busy street and him running onto it. Afterwards, I felt angry that I was unable to go out confidently on my own and express my independence. I should also note, that my parents decided after this event to buy me a medic-alert necklace for when I am alone. I'm glad the medics will now know how to treat me, but I still don't want to be in that situation!
These perceived risks that are ever-growing shrink my world. I tend to say 'no' to things more often than 'yes' because the burden of doing it all seems so large. It's hard to put into words how even if I feel well (relatively) I experience feelings of weakness, or vulnerability in my body. I've considered the possibility that these feelings are, in fact, psychological, but theres even a risk involved in believing that!
Illusion is a wonderful eliminator of perceived risk. It allows you to mentally live your life to the fullest while perhaps physically shortening said life. Since CF often progresses slowly, then suddenly very fast, its not hard to imagine that you're really not all that sick at first. Add to that the critical time-frame of youth being the stage when things can be going downhill and you've got a big risk of inadequate treatment (because kids tend to feel invincible).
CF is really difficult when it comes to weighing risks. I can imagine myself having my current level of awareness and better lung function. I can imagine thinking that I must give up everything necessary to preserve my lung function in order to be ready for the wonderful drugs that clearly seem on the horizon. I can imagine foregoing nights out with friends, or that extra shift at work in order to do so. Yet I sit here with borderline transplant SAT's, and every missed treatment or late night could mean a quicker trip to the operating table, if I get there. And that's exactly it. The drugs may not come, or work. It might be years before large enough steps are made in controlling CF. I certainly don't expect to enjoy the benefits of them. Permanent lung damage is what it is. Even the severely damaged lungs, that doctors advise me/us to "hold on to as long as you can" might give way to new lungs that just don't work with my body. I might live 2 months or 15 years past transplant.
So, each of us has to manage and balance our risks, to our own discretion. This is our life, and there may never be another chance to have that night out. We have to live as long as we can, while enjoying everything we can.