Showing posts with label biopsy. Show all posts
Showing posts with label biopsy. Show all posts

Tuesday, October 2, 2012

Best appt yet, BIG THANKS, and a visit from the dad-in-law

Whew. The last week has been full of activity! Some I was involved with, some I wasn't, but all were awesome and left us feeling even more thankful and blessed than ever. God's grace continues to bless my family and I continue to be in awe of how incredible this journey has been. I know Ive said this over and over, but I am still so overwhelmed by all that has happened the last two months. As soon as I think Im getting used to this new life and all the incredible things that have come along with it - BAM! I get more news that just completely floors me! Thankfully, all this flooring news has been GOOD flooring news, so we'll just hope this trend continues!

As some of you may have seen on my FB post last week, I had my standard Mayo work up, which consists of blood work, chest X-ray, pulmonary function tests (PFT) and the lovely bronchoscopy and lung biopsy. Everything went well the day of testing, as it usually does. Everything at first glance looked great, but as usual, you never really know the full results until the next day. What I did know for sure though was that my PFTs were again improved from the previous week - up to 88%! This was the first PFT that resulted in completely NORMAL results! For the first time, the doctor reviewing my results looked at me and said, " Great news, you are officially showing NO red!" To which I replied, "Huh?" She explained that all the different measurements we took, when entered into the computer, either appears black or red. Red is below normal, black is normal. For the first time since I can't even tell you when, prolly high school or earlier, ALL MY NUMBERS WERE BLACK! I am officially breathing with a NORMAL lung function!!! And she says that for the next month they will continue to climb gradually, as opposed to the near 10% jumps Ive been seeing, but that she wouldn't be surprised if I hit 100% before I head home! Can you even believe that?? I can't! To think that exactly two months ago I was hardly breathing at a sad 21% and today I am breathing at 88%!--incredible. You cant imagine the prayers Ive been sending up lately! I cant thank God enough for the amazing gift He and my donor have given to me. I have always believed in organ donation and the importance of it, but until I went through this transplant the full magnitude of it was lost on me. I have a completely new understanding of the incredibly LIFE CHANGING gift this is and the amazing sacrifice my donor and his family have made. Without his decision to be an organ donor I may not be here today, and I absolutely wouldn't be breathing NORMALLY if I was! If you get a chance, please send up a prayer for my donor and his family. Losing a member of your family is possibly the hardest thing any family can go through especially when the person is young, healthy and taken from you suddenly. Also, if you'd like more information about transplant and becoming an organ donor, please check out the donation and transplantation page of my blog!


PFT HISTORY -- look at those numbers! :)


Where were we? Oh yeah - test results! So as you can imagine I was thrilled with the PFT news! But as the recent past has dictated, that doesn't mean everything is perfect. I still haven't completely figured that one out, but oh well. My past few biopsies has showed mild rejection. We have made modifications to my meds and continued my pulmonary rehab. Its been about three weeks since my last bronch, and as I have mentioned, I have been incredibly anxious about the length of time between biopsies. I know that if things were getting worse there would be indicators - fever, congestion, fatigue, pain, etc. Luckily Ive had none of that, but honestly I never did, and still had rejection. So needless to say (as most of you know from previous posts) my anxiety level going into my follow up appointments is always through the roof, and learning about the rejection never helps. This week tho, I walked in anxious, but walked out of there on cloud 9! My doctor told me that not only was he thrilled with my PFTs, but that my X-rays were perfect and that my biopsy came back showing no infection and NO REJECTION! Finally!! As of now, my recovery is going PERFECTLY. We adjusted some of my meds, reducing the amounts of meds I am taking, which is always the goal. Of course we have to keep an eye on my blood work and the PFTs, X-rays and bronchs to make sure everything stays going well, but for now everything looks great! My only issue was that my magnesium levels were low again ( a combination of medication side effects and my difficulty with absorption due to my cystic fibrosis ). So the next day I had to head back over to Mayo for FOUR HOURS of IV magnesium to jump my levels back up before we increased my daily dosage. So for now, Im doin really well and just continuing with my weekly appointments and rehab, presumably just for another month before it'll be time to head home!

Speaking of rehab, I officially hit the two month mark post transplant this weekend (whooo hooo!), which means my weight lifting restrictions have been lifted and I am officially done with supervised rehab. Now I can finally lift more than ten dang pounds and I can do my rehab workouts at Mayo alone (you have no idea how great this is gonna be) and at my own pace (which, again, is going to be so much better) . Up until now the last few weeks have been very frustrating with so many limitations on what I can do and how fast I can go. I mean don't get me wrong, I understand the reasoning. Apparently studies have shown that by overdoing it at rehab, i.e. lifting too much weight too soon can cause wounds to open or the sutures within the lung to fail and the patient survival rate drops to only 50%! So thats def not something I want to happen so I have been going along with it, but I haven't been happy about it. This happened just in time, as my patience with the snails pace has been dwindling down to a dangerously low level.

Also last week, three fundraisers were held to help Chris and I with our ever increasing medical bills resulting from this transplant. Id like to say a huge thank you to everyone who attended the Premier Jewelry party and to jewelry consultant, Ashleigh Hinson, who donated 50% of her sales to us. If anyone would like more information about Premier Jewelry or to order some really fantastic jewelry give me a shout and Id be happy to pass along her information to you.


Premier Jewelry consultant Ashleigh Hinson, and the party hosts - my sister Jillian Stallings and her mother-in-law Donna Stallings.

Another fundraiser was actually an annual golf tournament in Albemarle NC, Chris and I's hometown. The Green Gopher Invitational is held by a number of young professionals in Albemarle every year. Each year the proceeds from the tournament go to locals who are in need of assistance and/or local charities. This year Chris and I were humbled to be one of the recipients of the GGI gift, along with the William M Hudson Memorial Scholarship Fund. We are so grateful to Ben Lisk and the other organizers of the GGI and the generosity of everyone who sponsored or participated this year. We hope everyone had an amazing time at the Friday night kick off party and during the tournament on Saturday!

The final fundraiser was a cornhole tournament held Saturday at the bowling alley in Albemarle. Ashley Huneycutt and Jennifer Coble worked hard to put that one on and I am again, so grateful. We have been shown so much love from our hometown of Albemarle and it continues to overwhelm us. Thanks to all who participated in this event as well. That was one I truly hated to miss! ( yall may not know this but Im kind of amazing at cornhole...just sayin )

Speaking of Friday, Chris and I had a visitor! Chris' father Wayne was in Jacksonville for just one day due to work obligations and we were able to spend some time with him. It was great because we don't get a chance to see his family much because of work schedules. His mother and older sister came to Jacksonville right after my transplant but Wayne wasn't able to join them, so it was great to have the opportunity to have him here! We picked him up and went to Waffle House, then we headed to the beach to relax for most of the afternoon. I sat under our canopy in my clothes and took a nap, while the Taylor men relaxed and enjoyed a little QT together! Let me tell you..those are some entertaining men haha :). After that we headed back to the apartment where we grilled out and relaxed in front of the TV. A pretty low key visit, but it was great to catch up with him and I was glad Chris got the chance to see his dad. And I think Wayne enjoyed his time at Jacksonville Beach so I think we've sold him on a return trip! :)


Chris and his father Wayne enjoyin some father/son time at Jacksonville Beach.


Cut to today. Another appointment at Mayo. I met with Dr Rosser today, the liver transplant doctor. Some of you may remember that at the beginning of this whole transplant journey I was being evaluated for both a lung transplant and possible liver transplant. Because of my cystic fibrosis, my liver has some mild scarring and blocked bile ducts resulting in less than stellar liver function. One of the main concerns with that was the possibility of liver failure immediately after such an intense surgery like a lung transplant, which would be deadly because they would not have been able to go in and transplant the liver afterwards. Partly because of time limitations, partly because it would be too traumatic of a surgery to do right after the first was completed. So the possibility was that I would need both lungs and liver at the same time. I went through the evaluation process and it turns out that currently my liver is not bad enough yet to transplant. So we went ahead with the lung transplant, but will continue to monitor the liver function closely and reevaluate as needed. So meeting with Dr Rosser today was about how we will continue to monitor the liver once I go home and what issues we are currently facing. Right now my liver enzyme levels are a little elevated. Im not having any symptoms of liver failure though so he's not really concerned. Apparently three medications I am on cause this rise in enzyme level and if adjusted early enough liver failure can be avoided. So he is going to discuss my medications with my transplant team. The good thing is he says is that my liver is "consistently off" so even though the numbers are elevated, they are fluctuating within a 20 point range and not rising. He is going to continue to monitor my blood tests and has scheduled a follow up MRI at my return appointment once I have been home for three months. Then we will follow up with MRIs and ultrasounds every 6 months for the first two years and then will probably drop to once a year if everything remains stable. So as it stands, everything liver wise is pretty much where it has been which is great news. Sometimes the trauma from a surgery like that and the follow up medications can cause serious problems so we are glad that the decision to hold off on the liver has proven to be the right choice for now! He gave me a laundry list of symptoms to look for which could indicate deteriorating liver function and instructions to come straight to the hospital if any appear. So prayers that my liver function would remain stable, or hey if your really feelin frisky, prayer for IMPROVED liver function - that would be even better!

So thats pretty much it for now. This week is pretty low key, just working out and some X-rays and follow up appointments later this week. Thank you all again for continuing on this journey with us. The continued support and love is so important to us and we are eternally grateful.

Much love...
Erin

Friday, August 24, 2012

Gotta love when a plan comes together!

Have I mentioned how much I LOVE my transplant team here at Mayo Clinic? Cause I do. These people are brilliant. Every person here at Mayo is amazing. I have never had such an incredible experience at any hospital Ive ever been at. I can't say Im surprised though...I mean its Mayo. If you ever find yourself in need of a specialist for anything, please consider this amazing medical center. Ever person, from housekeepers, to nurses, to the physicians runnin the show have the most incredible compassion, drive, and professionalism. They truly are the epitome of what customer service and health care should be. To be cared for in the way I have been...I'd pay more. Lots more.

Last week I posted about my biopsy results coming back showing mild rejection. As you may remember, its something expected, something most transplant patients experience the first month after transplant, but still...not anything fun, and def not what you want to hear. My team at Mayo worked so quickly to make the necessary adjustments to my medications, that
I had not even had the opportunity to experience what it would feel like to be in rejection. This past week has been nerve-wracking for me as I went through my routines, hoping that the treatment they prescribed was doing what it needed to to fix the rejection. Praying hard that if nothing else, it wasn't getting worse.

Wednesday was a typical appointment at Mayo - blood work first thing in the morning, followed by a chest xray, pulmonary function tests and a bronchoscopy and biopsy. The standard stuff. But this one was one that was particularly stressful for me cause it would give my doctors and I a look at how the rejection was doing, as well as if I was still clean infection wise. Luckily, as the appointments went on and my chest xray came back looking fantastic and my pulmonary function tests we up 10% from the week before, I began to feel certain that the rejection must at LEAST be staying the same, and not getting worse. While I was having my bronch, they decided I needed IV magnesium, so my appointment turned out to be two hours longer than usual as that completed infusing. Apparently the low magnesium was the only "issue" that needed to addressed! But, of course, I still had no idea the status of the rejection and wouldn't until the next day. I left that afternoon -- all my staples FINALLY moved by the way! (yay for a fast healing incision!) -- feeling better, but still on edge. I had nearly the exact same initial report when I had left the week prior, only to be told I was in mild rejection not 24hours later.




Yesterday's X-ray - see all the black? That's air people! And lots of it!


Cut to Thursday, midday. I was back at Mayo, waiting on my Doctor to give me the word. Not a few minutes after I FIRST walked in the exam room, my anxiety level went through the roof. Moments later, my hearts racin and I am all but dripping with sweat. I could feel myself completely shutting down if that doctor didn't get in there NOW and give me some kinda news. Any news at this point. Luckily he didn't keep me waiting long, and boy he didn't disappoint with the news! Of the 5 samples they took during the biopsy, all but ONE was completely normal!!! I have officially moved from A2 rejection to barely A1 in 9 days! He told me that it usually takes about 3 weeks for it to correct itself so they were THRILLED with how quickly and completely I was responding to treatment. Thank you GOD! You have no, no, NO idea the complete RELIEF I felt in that second! Not that I can't return to A2, or even higher, rejection by this time next week -- but for now, all systems are GO! Oh, and still NO infection at all. :)

This "dance" with rejection and infection, unfortunately, has just begun. That is seriously the toughest part of this transplant business. I mean the surgery and the recovery is brutal...but the mind war this other STUFF is waging on me is enough to make me completely crazy. I can't believe how stressful this all is. I just have to keep prayin and tellin myself that this is where I need to be, where I am supposed to be, and that all this came my way the way it has for a reason. I usually have no problem talkin myself into anything. But man...this is not easy people. I'm gonna hafta work on my sales pitch or Im gonna find myself shufflin down the road in a bathrobe and slippers mutterin things to myself while a group of professionals in a white van with a straight jaket close in quickly behind me...

Pray for me people. Seriously. I need all I can get.

On a lighter note, I started cardio pulmonary rehab today. Talk about wearin a person out. Ive been feelin so good lately I had forgotten how COMPLETELY OUT OF SHAPE I am. Didn't take long for me to get alllll caught up with that though! Did some cardio on the treadmill, which truly wasn't bad at all. But then came the weight lifting. Ever tried to lift weights with no muscle? Not easy. In fact, pretty embarrassing. I think I was able to lift more when I was in the 5th grade. And the fact that the 70 year old woman next to me at the weights was doubling anything I even tried didn't help my feeling of complete and utter humiliation. Ugh...here's hopin this doesn't last long. Its not good for my ego! :)




Leavin Mayo...future's so bright, gotta wear shades!


But Im excited. As whooped as I was after ( took me about a 2.5 hour nap when I got home ), I still felt fantastic. It has been sooooo long since I could work out in ANY CAPACITY without it turning into a complete nightmare. As pathetic as my performance was, I am so happy I was able to just get through it. That in itself is HUGE. God is good...everyday. Have you noticed that? :)

So, its finally the weekend. Oh, and Dad came down yesterday! So Im excited to spend some time this weekend with both my parents and Chris...and its lookin like tomorrow is gonna be a great day weather wise, so I am hopin to maybe hit up a flea market or somethin. I'm still lookin for some inspiration for a "recovery project," so maybe I'll get somethin goin tomorrow.

Thanks as usual to all for the continued love and support. It never goes unnoticed or unappreciated! Your thoughts and prayers are keepin us truckin down here. Please, keep them comin!


Much love



Erin

Tuesday, July 17, 2012

Mayo Visit - Monday June 16

Yesterday (Monday) was another Mayo visit. As I mentioned in my previous post, it was hopefully the final procedure I have to do in order for the liver transplant team to make a decision as to whether or not I am a candidate for a liver transplant along with my double lung transplant.

My day started around 10:30am for admissions and pre-procedure work up. This consisted of the usual changing into a hospital gown, going over medical history and the dreaded IV access. This procedure was one I have been dreading, mainly because I had had a similar procedure during my initial eval and to say it was terrible would be kind. Luckily, this procedure went WAY more smoothly than the last. The staff at Mayo is so awesome and they took great care of me. They had me so out of it I didn't even mind when they went in to access the jugular vein and were unable to access it because of my crappy veins and had to start over on the other side of my neck. This of course is a more difficult way to gain access but like I said - my nurse kept the juice flowing and I stayed happy.

The procedure itself was done up in intravenous radiology so that also helped. They weren't just shovin probes into my vein blind. This procedure is (usually) done by accessing the jugular vein in my neck and inserting a stent so they can access the vein with a probe. They inserted a probe into the vein and attempted to access the liver from there. When that was unsuccessful they started over on the other side of my neck. They were able to get into a good vein and send a probe down into the area of the liver and take blood pressure readings. After that they removed the probe and inserted a different one that takes small pieces of liver tissue. They took about 4 samples that are being sent to pathology. I should hopefully have the results of that later this week, although I won't get the final word on the liver decision for a few weeks. Right now I am back at home resting and nursing a VERY sore neck. I'm trying to take as few pain meds as possible so right now I'm holding an ice pack to it. I have a feeling I'll be caving in and takin a dilaudid very soon.

So. As it stands right now, I THINK things are looking good liver wise. A previous procedure done a few weeks ago resulted with a MELD score (model for end stade liver disease) of 7. A MELD score is a numerical scale that determines a patients need for a liver transplant. Less ill is less than 6, gravely ill is 40. However, do to the nature of cystic fibrosis, other things need to be considered for my case, thus the latest liver biopsy and blood pressure tests. The higher the pressure the more likely the need for a transplant. The doctor that performed the procedure said that my number was a 6. Normal range is between 0-5, so mine is just slightly abnormal, but on the low end of abnormal. So hopefully that will be a good result, not a bad one! Again, I won't know the results of the liver biopsy until later this week.

Based on MY understanding of the procedures I've had done and the results of each, I think I'm gonna be able to skip the liver transplant - for now. BUT, again those are just my thoughts, and is no way the official word on this. There could end up being things that I am not aware of that factor into this that may affect their decision. And just because I don't hafta get one now won't mean I won't need one later. Regardless, I still have liver disease and if it continues to get worse, chances are I WILL need a liver transplant at some point, even if its not now. So, we're still waiting for the final word. It will probably be a few weeks before we get a decision one way or the other. More waiting - as usual!

I wanna take this time to send out HUGE thank yous to all of you who have been keeping up with me, Chris and my family through this. The prayers and love that have been sent our way have meant so much to all of us and are truly carrying us through this process. Please keep us all in your prayers as we wait for the word on liver transplant. If they decide I need both liver and lungs, many more tough decisions will hafta be made.

For now though, its time for some pain meds and some TV. Much love to all...Erin