Tuesday, August 25, 2020

Eighteen months: Let the Good Times Roll

     

Rejoice in hope, be patient in tribulation, be constant in prayer.

Romans 12:12



July 24, 2020 marked the end of 18 months with the miraculous gift of new lungs.  I don't think anyone could have predicted how just odd the last six months would be.  However, I am breathing well, I had another birthday, and I had a wonderful week on the beach with extended family.  Post- transplant life is still a full time job, I had a scary hospitalization, and......there was (is) COVID-19.

We had a pretty mild winter, but we did have one light snow.


At the end of January, I was not feeling great, and the transplant team sent me for some tests.  Guess what?  I had coronavirus!  Not COVID-19, just the plain boring variety that causes mild symptoms of a cold.  I also had a re-activation of cytomegalovirus. Apparently CMV loves to join the party when you have another virus. Why have just one virus when you can have two? With my immune system suppressed it was a tough fight, but I did not have to go to the hospital. They just added another pill.


I worked in Maine for a few days in early February.  I wore my N95 mask in the airport and on the plane.  A man boarding behind me asked me if I was from Wuhan.  So funny.  I replied that I had a double lung transplant.  You should have seen the look on his face, and he was a surgeon!  

I had never been to Maine before, and here is my comment about Maine in February:  Why????


Later that month, I saw my rheumatologist, Dr. Susan Kroop, for the first time since transplant.  I have been seeing her for years, and wanted to include her picture in my blog.  Interestingly, her husband is a kidney/pancreas transplant surgeon.


We had been planning on a family trip to the beach before my transplant, and of course we cancelled it when I received my lungs.  We re-scheduled for this March-my first vacation in almost two years.  My mom, my husband, our girls and our grand daughters, along with my sister's entire family, got together for a week at a beautiful home on Grayton Beach.

Henry had to get attention from my mom before we left.  Look at those sad puppy eyes.

 

If you are driving to Florida, I am pretty sure it is a law to stop at Whataburger.


This is how you play on the beach when you take anti-rejection drugs that make you very susceptible to the sun (and therefore, skin cancer).  I was told that I look like a movie star, so it's all good.


A week full of smiles and laughter.


The whole clan.  I know my dad and my sister were with us.


Silly girls!



We went on the best dolphin cruise ever!


My favorite picture of my mom.  She loved the dolphin cruise.  We have a video of her dancing on the boat to "YMCA."  Text me and I might share it with you.


I am not a huge fan of seafood, which is a good thing because I think they ate all the crab legs in Florida.




Near the end of the week, COVID-19 got real.  They started closing the beaches and restaurants.  Here is what the breakfast meat section looked like at Publix.


Thankfully we had enough food in the gourmet kitchen at the house, so we ate there and played Skip Bo for the rest of the week.


By the very end of the week, COVID -19 got REALLY real, and flights were cancelled.  My niece Amanda and her fiance' Pat had to drive a looooong 17 hours to Connecticut. We were looking forward to traveling to Connecticut this November for their wedding. Thanks to COVID-19, it is now postponed.


Once we returned, schools were transitioning to on-line, businesses were closing, and there was a national toilet paper shortage.  People were told to stay in, wash their hands (what a revolutionary concept!) and wear masks.  Welcome to my world.  

Another birthday came for me, courtesy of my donor.



Henry graduated from KinderDOGen!


The beach vacation wasn't enough, so I booked a stay at the Vanderbilt all-inclusive resort and spa in May.  They still aren't exactly sure what happened, but I had a severe infection called sepsis.  There was bacteria (pseudomonas) in my blood. I was hospitalized six days and I do not remember much of it.  Just to share a little about the world of COVID-19, I stayed in the ER for 12 hours and Michael waited in his truck the entire time as he could not go in.  They did let him come to my room once I was admitted.  Good times.

After a few days, they let me eat ice cream from a styrofoam cup.



 Vanderbilt, THIS is the kind of ice cream you need to serve.  Gelato from the beach!


Yum, broth, jello, pudding!  I know your mouth is watering.

Finally, graham crackers and peanut butter.  Best food ever.  I would have throat punched anyone who got between me and this gourmet food.


Apparently the stay at Vandy was not enough either, because the night after I was discharged I ended up in the ER with 12, yes 12, kidney stones that fortunately passed. But wait, there's more- a week later I had another one. Lucky 13!

During the last six months, I have had bloodwork every 1-2 weeks, clinic visits, a bone marrow biopsy (yikes!) , and frequent medication changes.  I am still having kidney issues, and I had to take shots to increase my white blood cells twice. They added a second steroid this week to try to keep my potassium down.  Yay. Double the steroids, double the fun. 


There is an upside to having the frequent lab work and medicine changes.  I get to talk with two of my favorite people every week or so.  Elizabeth, the best post-transplant coordinator EVER, and Ginger, her sidekick.  They have been with me through all of the mountains and valleys.  I love these ladies.


Henry and I are avoiding any place that does not require masks, with the exception of my pool.



I was looking forward to seeing all my Vanderbilt Lung Transplant Buddies at the annual spring picnic.  Thanks to COVID-19, there was no picnic.  Each of us has had some ups and downs; and one of our friends is having severe rejection.  She has had intense treatments but her spirits are high!  Two of our lung transplant friends went to be with Jesus during the last 6 months. I sure hope we can all see each other soon- it is such an inspirational, encouraging group of people. We share a bond that others can never really understand.

On behalf of transplant recipients everywhere, thank you for wearing your masks- and making sure they cover your mouth and your nose.



Michael and I were supposed to be in Germany for ten days in July. Part of our trip was to see the passion play in Oberammergau that happens every 10 years.  We were both so excited!  Of course that did not happen either, thanks to COVID-19. They postponed it for 2 years- so God willing, we will still get to go.

In July we celebrated Anna Kate's 13th birthday.  She chose a taco bar and a pool party.  So thankful for the breath and strength to participate.


I wrote to my donor's family in February but I have not received a reply.  I pray they have not been affected by COVID-19- particularly that they have their health and jobs. As much as I would love to thank them in person, I respect their decision.  I cannot imagine their grief.  You might remember the tree I adopted in my donor's memory- it is growing stronger every day and even has leaves on it!  The growth of the tree represents the growth of my gratitude.


I can't wait  to see what the next six months bring.

I press on toward the goal to win the prize for which God has called me Heavenward in Christ Jesus.

Philippians 3:14


Saturday, February 1, 2020

The 365 Day Roller Coaster Ride



Because of the LORD's great love we are not consumed, for his compassions never fail. They are new every morning; great is your faithfulness.

Lamentations 3:22-23


According to UNOS, the average one year patient survival rate after lung transplant in the US is 87.4%.  I am now part of that statistic.  At three years, an average of 69.5% are living, and at 5 years, 55% are living.  Of course, we know that statistics suggested that I should still be waiting for my transplant, instead of celebrating a year with healthy new lungs!  

My friends who have had organ transplants told me this would be a rough and "bumpy" year, but that it would get better.  Looking back, I can tell you they were right!  It has been a roller coaster, but I am all the better for having taken the ride.



There are many words I could use to describe the past year- grateful, excited, scared, amazed, surprised, confused, humble, but there are no words in the English language that will adequately describe many of the emotions I have felt.  What I can tell you, is that through all of these ups and downs, God's faithfulness has prevailed.

Here is a recap of the last year.  When I started this blog, I was advised not to "sugar coat" anything.  I have been transparent, but also I have tried to be encouraging.  Some of the things you will see ahead may not seem so positive, but in the end, it's all good!

An angel, my hero, gifted me his/her lungs and I had the miraculous surgery that would change my life on 1-24-19.



Dr. Erin Gillaspie and Dr. Matthew Bacchetta, surgeons extrordinare!




Over the last 365 days:

I have  had more IVs than I can count, including one in my foot


I have taken at LEAST 7500 pills (true statement)



I have been cared for by the best lung transplant team ever (Dr. Robbins, Dr. Norfolk, Dr. Shaver, Dr. Trindade, Jean Barnes, Elizabeth Gerstenfeld, Erin Mwizerva, Ginger Whittaker, and so many more!)







I have experienced two episodes of rejection


I have had had 9 (I think) bronchoscopies


I have had two sets of GI studies to be sure there is no reflux


I lived in a tiny apartment across the street from Vanderbilt with my husband for three months- and he survived!


I received sweet gifts, cards, and visits from friends
















I had at least a million gallons of blood drawn


I  have met fellow transplant recipients who are now like family to me (Terry Nixon, Stacey Cox, Amber Runions, Rachel Stanley, Courtney Nichols)






I received much encouragement from friends who received organ transplants before me- Karen Mitchell (double lung), my rock Ashleigh-Anne Hughes (liver),  Cynthia Simmons (liver) and Jay Bernheisel (liver).





I grieved the loss of one of our 2019 Vanderbilt lung transplant buddies- Bridget "Sunshine" Perez, relentless fighter!


I met friends who have not yet had their transplants (Kristin Mitchell, Bushonna Early)



I had at least 5,000 pulmonary function tests


I developed high blood pressure from the anti-rejection drugs


I developed Stage 4 chronic kidney disease from the anti-rejection drugs, and got to have a fun kidney biopsy courtesy of the amazing Dr. Natalie McCall.  (Take a look at the needle- I did not feel it even though all you get is lidocaine.)



I attended my nephew's wedding, and celebrated my birthday, and Mother's day with plenty of energy!  I was even able to blow out my own candles.




I spent quality time with family









I endured three months of intense rehab, and walked my first 5K at 96 days post-op!




I was able to return to the job I love and colleagues who are prayer warriors and friends.  Also,  I did not miss any graduations!






I missed two mission trips to the Dominican Republic (two of the hardest weeks of my life)


I visited the emergency department four times, and was admitted to the hospital three times. Several of our graduates took care of me!

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I met Sandi Patty and Point of Grace!



I spent time with friends





I became a Donate Life ambassador


I did all of these things without supplemental oxygen.  I came out of surgery without it, and I have not needed it since.

I learned how powerful body image is.  Prednisone generally causes a puffy face and weight gain in certain areas of the body.   Please do not tell transplant patients "Your face looks better fuller."  Do not say "You needed to gain weight."  Steroid weight is not healthy weight, it is a side effect of a drug.  When we look in the mirror we do not see ourselves.  We see Alvin, Simon, or Theodore.  It is distressing.  We know you mean well, but it hurts our feelings when you argue with us about it.  After a while, it even makes us angry.  You have no idea what this is like.  As a matter of fact, you probably complain when you take a short course of steroids for poison ivy.  We take large doses to begin with, and will take it at some level for the rest of our lives. If you want to say something, tell us our skin is so pink, or our eyes are brighter, or comment on how energetic we are.  (Sorry if that was harsh.)


I learned that one of the most important things you can do is register to be an organ donor.  21 people a day die in this country waiting for organs.  Sign up now at:


I learned that transplant is VERY expensive.  We had to stay within 10 minutes of Vanderbilt for three months. Our apartment was $2800 per month.  Hotels in the area are several hundred dollars per night.  There are almost daily drug copays in the beginning because medications are changed so frequently. Your caregiver has to stay 24/7, and FMLA is often unpaid.  We were blessed because we had resources.  Many people don't.  Some insurances have a small allowance for lodging, transportation, and food, but most do not. If you hear of a fundraiser for someone please participate.  Lung transplant patients have to raise $10,000 before they are listed. Some of my good friends from church brought us frozen casseroles, and my work family filled our cabinets like an old fashioned "pounding,."  It was hard to receive these gifts as we prefer to be the ones helping others, but we swallowed our pride and enjoyed it.  If you are looking for something to do for a patient right after transplant- those are great ideas.


I sent a card and letter to Tennessee Donor services and they will send it to my donor's family if they would like to receive it.  I really hope they do.  It was so hard to write because I did not know what to say except "thank you."  My words seemed so inadequate.


I adopted a tree in Union's arboretum in memory of my donor, and in appreciation for the lung transplant team at Vanderbilt.  It is a shagbark hickory and is a high oxygen producer.  Although it is just a seedling now, it will be meaningful to watch it grow as I pass this milestone each year.  I hope to show it to my donor's family some day.



So, year one is a wrap.  Although there were some "downs" with the "ups," I remained grateful.  At first I felt guilty that I was not always cheerful and bubbly, and even grew weary of some of it.  Post-transplant life is a full time job.  Then I learned that others had the exact same feelings.  I realized it was possible to be grateful and frustrated at the same time.

There is nothing I can do to show my appreciation for the miraculous gift I was given.  I pray the family can find some peace in a life well -lived.  May God bless them, comfort them, and give them peace.

I hope this story- God's story- encourages others. I don't know why he chose me to be a part of this.  All I can do is give him every bit of the glory for anything good that has happened to me.