Wednesday, January 13, 2010

Odds and Sods

I feel like I've had a busy couple of days emotionally. Nothing too extreme, really.. just feels it.

Yesterday I had clinic. I've been working a bit more consistently at my wii fit for a week or two, taken the time to drink a few more ensures, and it showed. Up a % in lung function (which still is 2 or 3 % away from where I feel comfortable) and up a pound in weight. Yay me.

I had a plan to ask about getting home oxygen. We might be flying somewhere on vacation in the next couple months so the absolute only way I am willing to do that, is with O2, since on our honeymoon my usually-generous oximeter said I de-satted to 85 on the plane. yikes. Well, as it turns out, I COULD have used the bloodgas I received during my admission to qualify me for home O2 so long as it was within a month of getting it done. I asked someone back then, and they said that ABG's taken when you are on iv antibiotics are invalid because they are not representative of the baseline value for a patient. Apparently, however, that person must have actually meant that if you are uncharacteristically sicker during an admission, its not a good idea.

ANYWAYS, so I swore (the staff in the pft lab encouraged me to) and sucked it up and requested yet another bloodgas to be taken. I got a different person this time and WOW.. I thought last time was good.. I didn't even feel the needle go in! I sat there holding my moms hand and shaking while waiting for it and as I sat I felt the characteristic chu-chug of my blood at my wrist. At that moment, E asked 'are you alright?' and I said 'yes, just hate waiting through how long this takes' and she said 'oh, well I'm just waiting for your blood to flow out enough, but I'm in there'. I was shocked. I felt nothing other than the creepy chugging thing. Actually I find clotting it up afterwards feels worse than any other part. Its icky imagining letting go of the dressing and seeing blood squirt a metre across the room. At least thats what I picture based on how it feels.

After all of that, well... technically before all of that... my nurse did her usual thing, but started with 'have you been assessed for transplant?' which I've been getting alot lately from the nurses. It frustrates me because shouldn't it be written somewhere? And why ask me so much now all of a sudden? So, I got assertive and asked the doc. She mentioned the obvious fact of my lung function (though its been relatively stable for 4 years as she later pointed out) and the conversation led all the way to her saying that she thought it was time to at least book a referral to the transplant hospital. I didn't really know how to take it. I knew all of this was nearing, but it baffles me how it had to be me asking to make her say so much. I worry for my family and how this will make them feel. My mom was there with me and she took it really well, but I told the doc that I didn't want her to send the referral right that minute, because I needed time to let us all absorb this much. She fought me, but when I reminded her that if I hadn't have brought it up she wouldnt' have suggested it, she gave in. I will allow her to book the initial meeting with the tx hospital in a months time when I next have clinic, and I think I'm goign to aim for spring for the 4-day assessment.

I've been assured that more than likely, I will not be considered ready to be on the 'active' list just yet, and that I should think of getting assessed as 'insurance'. Good, because that's all I'm ready for, but I think its healthy to get moving on this.

4 comments:

  1. So what are your pfts and when do you finally make the list? I too wonder these things...my docs simply say, well you know your pfts aren't good and your lungs don't look good. The docs in West Virginia said lung tx don't work...wth? We haven't talked about it yet in Cincinnati.

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  2. My tx talk happened only when I got them listening that I was ready to be assessed. The same thing. Wbich makes you think, is anyone checking out that I've been unwell for the past year? hmmm...
    The thing with lung function is that it can only stay in the low 30s for so long. And the crash that happens (could be a cold, a bad day who knows) is too big to recover from when you are in that tx-talk pft range. So I agree with 99% of what you are saying, but I think holding off this process (the assessment) is not in your best interest. It takes so long for everything to be booked, so dive in there, do the assessment which they say if 4 days, but not really. It's super easy. And have that insurancee. Then you have all that over with, and you keep working on yourself so that you are well for the operation. Being assessed only means that they have your file, nothing more. Being listed is a whole different ball game and that can happen much later.
    Stay positive and keep up the work outs. Be brave Michelle, that's all we've got!!

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  3. Keep up the hard work Michelle, you have managed to get through quite a few hurdles for you lately and thats great. Keep on working those lungs to keep them the best that you can.

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