Tuesday, October 25, 2011

The Aftermath

Packing myself on the way into the Operating Theatre

It's been a strange few days around here. After all the panic and stress and tension and fear, I came back home with lots of needle holes and bruises, and still a little bit high from the lovely calming drug that they gave me in theatre.

I haven't been quite sure what to do. How do you just go back to your normal routine? Everything still seems a little off-kilter.

When I think about it, I feel nauseous. I can't eat. It's the same feeling I had after a traumatic event a few years ago.

I was supposed to do some contracting work this week. I had to cancel.

I remember lying on the operating table. I was all prepared and ready - all the lines were in and all the monitors were attached, and I was thinking about how there was a family somewhere who lost a loved one early Friday morning.

It all just seems surreal now, like it didn't actually happen, like that phonecall was just a dream in the middle of the night.

Tomorrow, I'll go and have my intragam infusion just like I always do, and Friday I'll go to Pulmonary Rehab just like I always do.

Routine is good. Structure is good. Control is good. Did I ever mention how much I hate surprises?

Friday, October 21, 2011

Oh What A Night

Well if you've been on Facebook or Twitter today, you've probably already heard all about all of this excitement and drama.

I was in sound asleep in bed thismorning when the phone suddenly rang at 4AM. Virtually no-one has been given my home phone number, so even in my half-asleep stupour, I knew exactly what that call meant.

The Transplant Co-Ordinator was on the other end of the phone telling me that they had found some new lungs for me, and that I needed to be at the Alfred by 6AM.

It probably took ten minutes for it to really register. I quickly called my sister. She asked me if I was 'tricking her'. I wouldn't call anyone at 4.15AM if I was just tricking!

Then came the mild panic - I was completely unprepared. I never expected to receive a call this quickly.... it's only been 7 weeks.

I jumped in the shower and covered myself in Phisohex (including my poor hair), got dressed as quickly as possible and then thought about what else I needed to do. My sister arrived and packed my bag as I did my nebs, tried to close my online shops, emailed stockists, emailed people waiting for orders, emailed my physiotherapist.

I think we finally made it into the car at 5.15, and headed towards the city. I called each member of my immediate family, and then spent the entire trip writing instructions - leave money in the meter box on Wednesday for the gardener, call to change certain appointments etc. Then I had to write a massive list of all my bank accounts / online accounts etc just in case my sister needed it. There was so much that we were already in the city by the time I'd finished.

Arriving at the Alfred, we headed straight into emergency and around to x-ray for a couple of chest films, then it was up to the 5th floor to start preparations.

The doctor put in a cannula and took bloods and filled in the paperwork, and I received my first dose of anti-rejection meds. I then just had to wait until theatre were ready for me.

At 8AM we headed down to theatre. It was at this point that I had to say goodbye to my sister.

Once inside, all the preparations began - lots of monitors connected - a line into the artery in the wrist to measure O2 levels, another large line in the arm for fluids, four lines in the neck, and five attempts at an epidural. Unfortunately due to my bone density problems, I've lost height and my vertebrae are too close together causing a nightmare for the poor anaesthetist.

The next step was to put me to sleep, but this doesn't happen until the new lungs have been inspected by the surgeons.

Unfortunately at 10.30, upon further inspection, it was found that the lungs couldn't be transplanted.....

Yes it's disappointing, but I need perfectly healthy lungs to give me a chance of a good outcome. I still have time and I'm quite sure that my new lungs will come soon.... and at least now I know exactly what to expect!

Thursday, October 20, 2011

Not that sort of rehab...

I don't know if I've ever blogged about Pulmonary Rehabilitation. I wrote an article for DiVine recently but it just gave a very basic overview.

Anyway, the local hospital that deals with all of my inpatient admissions classified me as a HARP patient in 2004 (meaning that I'm at high risk of taking up a hospital bed on a regular basis). Lucky me.

I was referred to the physiotherapy department and began a pulmonary rehabilitation program. At this stage, I had no idea why I needed a fitness / education program. I was working full time, travelling for work, living a fairly normal life. Luckily the medical professionals were a step ahead of me, and knew what was lying ahead.

The hospital gym program normally runs for 8 weeks, and then you have the option of joining a community run group. The sessions are run as a group of around 6-10 patients with 2 physios, and each person stays for the 8 weeks before moving on.

As I was always going to be heading towards transplant, I've been allowed to stay on within the hospital program under medical supervision. I'm extremely grateful because it's wonderful to be able to review my progress with the physio on a weekly basis. A small change in fitness can be an early indicator of a problem.

 I started in the program at the age of 30, and I'm now 37. In the last 7 years, I've literally met hundreds of patients who have been through the program. I'd estimate that 90% would have been over the age of 60 and ex-smokers.

I can't really explain the experience much more than that tonight.... but I have a very special guest blog post coming up next from someone who explains so much more eloquently and more humorous that I ever could.

'Til then!

Saturday, October 1, 2011

Following on with the story this week....

I'm sure everyone is now up-to-date with the lung transplant funding crisis this week, but there are a couple of really good articles in the Age today.

Lack of cash could de-rail transplant program
Politics at play in the Gift of Life


I'm going to add links to all of the articles from this week, just as a reference point:





I'll keep adding to the list as the long saga continues....

Thursday, September 22, 2011

A Call for Help

I just arrived home from the Hello Etsy event that was on tonight, to find the following email in my inbox from the Heart and Lung Transplant Trust (Victoria) Inc

Page Link



The Age newspaper reported on 17 September that The Alfred is considering restricting the number of lung transplants it performs due to budgetary constraints. 


If there is one issue our Trust should take a stand on it is this one.
As we all know, transplant is lifesaving surgery and the suggested reduction in the lung transplant program will mean likely premature death for some of those on the waiting list.  In addition, it will also have an adverse impact on donor rates which defeats the purpose of recent government expenditure and advertising that has gone into this great initiative.

The Trust is deeply disturbed by this report and is considering how best to address the issue with The Alfred and various government stakeholders. 

The Committee urges all members to take up this fight with their State government representative. 

We would also encourage letters be sent to the following recipients:

Minister for Health
The Hon. David Davis, MLC
GPO Box 4057
Melbourne
Victoria 3001
david.davis@parliament.vic.gov.au
 This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Premier of Victoria
The Hon. Ted Baillieu, MP
Office of the Premier
1 Treasury Place
GPO Box 4912V V
Melbourne
Victoria 3002
ted.baillieu@parliament.vic.gov.au
 This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Andrew Way - Chief Executive
The Alfred
P.O Box 315
Prahran
Victoria 3181
Andrew.Way@alfred.org.au
 This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Members may wish to use the following wording to help their drafting.

Can you spare 15 minutes for me.... please?

Friday, September 16, 2011

So what's it really like?

Beware - Whiney Post Ahead!

I get bizarre comments from people all the time (this week it was at the Supermarket and at Captain Snooze).

Most of them are along the lines of "Gee that must be a real pain to drag that trolley around everywhere you go?". Ummmm well of course it is! I don't do it for fun and hi-jinks.

But I think the thing that I find even more frustrating is that unless you have a lung disease, and you can't breathe, then there's no way that you can appreciate just how hard it is to do anything and everything. I get short of breath just from talking!

You can sort of think of it like this - imagine that your mouth is firmly taped shut and you have to sprint for a kilometre only breathing through your nose.

You can't get enough air in and out of your lungs to provide enough oxygen for your body.
The lack of oxygen is making your heart race at over 140 beats per minute as it speeds up trying to distribute the small amount of oxygen left in your bloodstream.
You start to feel dizzy and nauseous, and you can't see properly.
Everything is just black.
You can't think.
You can't talk.
Then you feel like your head is in a vice and your brain is about to explode.



It's absolutely exhausting.

Friday, September 9, 2011

9 Days

Gosh just realised that I hadn't been back to update this poor little forgotten blog!

Well, I've been on the transplant waiting list for a whole nine days now.  I'm slowly sorting things out and ticking things off the'to do' list.

The first thing that I had to sort out was the problem with my intragam infusions interfering with my blood results.

Every four weeks, I have to have a cytotoxic antibody screening test. In very simple terms, this is to do with matching donor and recipient organs to prevent organ rejection after a transplant. I've had to change the intragam routine to four weekly so that I can go to pathology just prior to have the CYT blood test and then head upstairs to have my infusion. They'll monitor my IgG levels, and if they drop too much from the time extension, they'll look at increasing the dose that I receive.

I also managed to go to the furniture shop and order some new single beds for the spare room. I can't really make my mum sleep in a bunk bed for 3 months!

The third thing I did this week was buy myself a huge bottle of phisohex from the chemist. When I get the call, I have to have a shower and completely cover myself with the stuff to make sure I'm nice and disinfected before I get to the hospital (oh, the joy)!

So thats it for the moment... no more news on this front, although I did make a little joke on twitter yesterday.

My sister (who'll be my official carer) is in hospital at the moment, and my mum (who'll be my live-in babysitter afterwards) is scheduled for surgery this coming Friday.
What are the chances that the transplant co-ordinator will call?