Cruisin with the Real"s

Cruisin with the Real"s
Joe and Nancy Grand Cayman 10-07

Loma Linda Medical Center

Loma Linda Medical Center
Where the magic happens........
Showing posts with label TRANSPLANT. Show all posts
Showing posts with label TRANSPLANT. Show all posts

Monday, December 29, 2008

The Kidneys join the Team !!!!

After my visit to the Doctors last Friday and the Dr's said let's try it with no dialysis I have been peeing up a storm. When they said it will start as a little bit, gain momentum, then they will just open up....Well, gotta trust the Dr's experience with things... They were right. (Thank God)

Here are a couple of pics on my first few days of dialysis while in the hospital. They would come to my bedside which makes it convenient and comfy for me.....Just make sure you do everything you need to do in the bathroom and get good and comfy for awhile because there were times I couldn't sit up or get out of bed for 6 hours. This has gone on 3 times a week for about a month even though we graduated to going to the dialysis center and sit in a room full of people, machines, and dialysis nurses.

At this point the catheter for the dialysis is in my neck and yes, the tubes of blood (my blood.....yikes) is warm, very weird concept and feeling.......but you get very cold during dialysis.......

So, long story short....No dialysis for now...I will get the final word on Friday after I get some blood work done and see the surgeon.....

I haven't felt very well all day today...nauseous, tired, just not right over all...but tomorrow is a new day.

My wonderful friend Kim is here keeping me company and cooking some wonderful things for us this week.......THANK YOU, KIM.....she flew down from the Bay Area the day after Christmas and will spend New Years with us as well.....

Next week I plan on going back and posting on the transplant....my views, feelings, some pics, (yikes) from what I remember.....

Good Night for now...

Wednesday, December 24, 2008

Merry Christmas Everyone!











I am here....a bit later than promised but we made it to Christmas and feel very blessed and happy to say that.


Thank you all for being patient with me. We passed the 1 month mark last week. This Sunday will be 6 weeks since the big day... I am feeling really good. Getting stronger and making progress every day! It is all about the little things... I can now get up and around with no help at all. A little slow and I don't know quite how far I can walk without taking a break but I now can go to the kitchen and make my own food...., bend over, get myself dressed, take a shower or bath from the chest down, wash my own hair in the sink.....(I have to keep the dialysis catheter in my chest dry), etc, etc.

Last week we had snow which closed the only pass between us and Loma Linda and the dialysis unit. That required some reorganizing as did the fact that Mary had to make an emergency trip to Arkansas as her brother in law passed away. So, Joe and I were on our own and because he works up the street now and things sort of shut down up here we did fine. My dialysis unit helped me arrange for a couple of temporary visits to a local dialysis place and we bundled up and enjoyed the snow. We are at 3,000 ft here in the high desert so we love the snow when we get it as it only happens about one day a year. This one lasted a couple of days and was absolutely beautiful...............................................

We also had our annual Transplant Support Group Christmas Party......Which is a big deal at LLU for us...I didn't think I would go initially as I wasn't walking and still being a month after transplant , I am highly immunosuppressed. but everything aligned...... the snow stopped and the pass was clear. I had been up and walking around without assistance and felt good, so Joe took me down to the party for a bit. It was so good to see everyone !!!! The photo's are of me hugging Judith, my pre-transplant coordinator and of Dr. Mendler and myself...

My liver is doing well, we need the numbers to come down a bit more.....My kidneys seem to be kicking in.....I am peeing more....yesterday I peed 700ml's, up from dribbles in the hospital. 1000 ml's is our magic number so I am trying.....hard to do when I still can't drink to much...

Joey will be here tonight and through the weekend for Christmas. We are having a nice quiet Christmas with a turkey dinner courtesy of Marie Callendars.....(well, and our CC.....LOL) I was going to attempt a simple meal with the help of Joe and Mary but with 2 non cooking caregivers in the kitchen with me trying to direct them just reeked of trouble and kitchen fighting so I decided to let Marie to the cooking and we can do the reheating......I would much rather have a peaceful day.... I did put up a Christmas tree in my bedroom area....old fashioned, family ornaments and all...I am feeling very nostalgic this year...

My love and thanks to you all for your support, notes, e-mail or otherwise, calls, prayers during this time... If I haven't responded to you personally yet, I will......but know that everyone brings a big smile to my face and heart when I get it.....

Merry Christmas and may we all have a wonderful year full of health and love of the people around us....

Nancy

Saturday, December 6, 2008

Exit Day!

I just had a visit from my Surgeon, (on of them) Dr Franco.......And he gave the official word that I can go home today.....There was some concern this morning that they may want to have kept me over the weekend for various recent events.....but I wanted to let you know that I feel better each day....They are getting the fluid off with dialysis and fluid restriction, slowly but surely. My kidneys still aren't functioning... I will tell you more about that later....They have good blood supply and the hopes are still for a full recovery with them......My liver numbers are still a bit higher than they would like.....but things are well.

I should be home by tonight.......

Talk to you then!

My liver and I have been together 3 weeks tomorrow!

Tuesday, December 2, 2008

Hi from TRANSPLANT CENTRAL AND ME !!!!!!!!


HI HI HI HI HI........ I MADE IT !!!!! I CAN SEE THE LIGHT ON THE OTHER SIDE OF THE TUNNEL !!!!!!

As you can all imagine I have tons to share with you and chew over with you all over then coming weeks but for now........ I just want to say hello, I am here, getting stronger....if I talk to much I will cry so I will just tell you. My family, friends, extended family and friends, all who prayed and held hands and waited with me, supported my family and hoped for for all good things......Thank you from the bottom of my heart.... I will be in the hospital probably until the weekend....so maybe we will have more time to chat later..... Hugs and Kisses, Nancy

Sunday, November 16, 2008

This is IT

We are on our way to the hospital...about 5 min away...watch the blog... they are going to get my liver. I should be in surgery by noon...

Hugs,
Nancy

Friday, November 14, 2008

VIVA LAS VEGAS PHOTOS








Hello from Montana!

As promised I have finally loaded the pictures from our trip to Vegas where we got to spend time with Nancy and Joe. Doug and I had an opportunity to make a quick trip to Vegas and siezed the moment to coordinate a visit with Nancy and Joe.

It was wonderful to see them both. Especially nice for Doug to spend some time with his sister before surgery. In spite of Nancy saying how her glow was a "liver tan", she looked great! You wouldn't know all of this was going on in the background.... hats off Nancy!


Since it was a quick trip for all, we jammed as much into our visit as possible. Nancy and Joe managed to make money on the slots, where Doug and I just watched it dissappear, one nickle at a time... I guess gambling isn't our forte... We ate great food, saw a show, and ate more food, loved both! Unfortunately, we didn't have enough time to do the expected "girls go shopping" thing, but my wallet was safer for it.


Time as always, went by all too fast, before we had to catch our plane, and part ways. We plan to fly down as soon as we get the call, so hopefully we will see each other before Christmas. In the meantime, enjoy the pictures, and notice how both Doug and Nancy have smiling eyes. Happy Fall to all. - Kelly

Wednesday, November 5, 2008

A must attend So Cal seminar !!!!!!

Fighting for Health in the 21st Century


A golden opportunity to hear experts and ask questions regarding..

· Managing diabetes and kidney disease

· Cardiovascular disease, tips for senior health

· Cancer—promising new research and treatments

· How to obtain health insurance from an expert

· Social security benefit claims—the “how to” from an attorney

· Updates on Liver & Kidney Transplant Surgery

· Fatty liver, get the skinny on fatty liver disease



Presenters:



Rodolfo R. Batarse, MD, Nephrologist, Palm Springs, CA: Managing diabetes & kidney disease

Charlie W. Shaeffer, Jr. MD, Cardiologist, Rancho Mirage, CA: Tips for insuring Seniors’ healthy hearts

David Young, MD, Oncologist, Rancho Mirage, CA: Promising new Cancer Research & Treatments

Tom Perkin: Need help getting medical insurance? Tom is the expert to assist you

Bill La Tour, JD, Social Security expert and attorney: The “how to” on SSDI & SSI benefit claims

Okechukwa Ojogho, MD, TX Surgeon, LLUMC: Update on Liver & Kidney Transplant Surgery

Donald Hillebrand, MD, Hepatologist, Scripps Hospital: “Get the Skinny on Fatty Liver Disease”

Where

Desert Regional Medical Center, 1150 North Indian Canyon, Palm Springs

Martin Anthony Sinatra Education Seminar Auditorium



When

Sunday, November 23, 2008 1 – 5 P.M.


No charge for Admission
Refreshments & Fellowship


For Further Information Phone 760-200-2766


A Presentation by the FAIR Foundation Liver Disease & Transplant Support Group


Sponsored by Roche and Astellas

Tuesday, November 4, 2008

Let's talk Liver.....Fatty Liver in particular (NASH)












The slide on the left shows fat accumulation in liver cells. The slide on the right shows healthy liver cells.



Ok, Enough with the pretty pictures and back to the subject at hand....Liver disease.


This photo as you have guessed by now is one of a fatty liver. Fatty Liver is one of the steps towards Cirrhosis. It doesn't always end up as cirrhosis but a lot of the time is does.

It can either be alcoholic related or not. NASH stand for Non-Alcoholic Liver Disease.

I am going to repost a little bit here and give you a couple of links to look at but what you should know is that it is becoming more and more prevalent and is effecting younger and younger people. Even children who are overweight. It is a serious health care problem today.

I will tell you how it relates to livers available for transplant in a minute...

Nonalcoholic fatty liver disease

Definition

Nonalcoholic fatty liver disease (NAFLD) describes a range of conditions involving the liver that affect people who drink little or no alcohol.

The mildest type is simple fatty liver (steatosis), an accumulation of fat within your liver that usually causes no liver damage. A potentially more serious type, nonalcoholic steatohepatitis (NASH), is associated with liver-damaging inflammation and, sometimes, the formation of fibrous tissue. In some cases, this can progress either to cirrhosis, which can produce progressive, irreversible liver scarring, or to liver cancer.

Nonalcoholic fatty liver disease affects all age groups, including children. Most often, it's diagnosed in middle-aged people who are overweight or obese, and who may also have diabetes and elevated cholesterol and triglyceride levels.

With the increasing incidence of obesity and diabetes in Western countries, nonalcoholic fatty liver disease has become a growing problem. Although its true prevalence is unknown, some estimates suggest it may affect as many as one-third of American adults.

Because early-stage nonalcoholic fatty liver disease rarely causes any symptoms, it's often detected because of abnormal results of liver tests done for unrelated issues. Treatments for nonalcoholic fatty liver disease include weight loss, exercise, improved diabetes control and the use of cholesterol-lowering medications.

Here is a link to more technical stuff from wikipedia talking about the differences between Fatty Liver related to alcohol or not....

One of the reasons I bring it up is PLEASE have your blood drawn at regular physicals and ask your physician in particular about your liver enzymes. ALT and AST. If they are high you need to pay attention !!!!!

I wouldn't be where I am if I had.....But then nothing is going to happen to ME !!! or so I thought. There won't be any outward symptoms....You won't FEEL sick but your liver may be screaming at you.

Something I learned from my coordinators at Scripps I find interesting. Usable livers available for transplant are getting scarcer as they can take a perfectly healthy looking donor. Get all the approvals for transplant from the family. Be ready to get the organs of that generous person ready for transplant. With a liver that includes a biopsy. And low and behold the liver is a *FATTY LIVER*, therefore NOT good enough for a transplant.

This is happening far more these days than in days past. There is more obesity, more diabetes or pre-diabetes etc and it is effecting the liver so much that it is no longer a viable organ for transplant.

ALSO, the increase of fatty liver in the general population is increasing the number of people who NEED transplants...

As you can see, it is becoming a huge problem and is effecting transplant from both ends. Donors available and an increase in recipients listed for transplant.

Hope everyone got out and voted today!


Sunday, October 26, 2008

All the reasons you might need a liver transplant


I thought you all might find this interesting...............................



Reasons for Liver Transplants

Liver Diagnosis CategoriesLiver Diagnoses
NON-CHOLESTATIC CIRRHOSIS
Laennec's Cirrhosis (Alcoholic)
Laennec's Cirrhosis and Postnecrotic Cirrhosis
Cirrhosis: Postnecrotic--Type C
Cirrhosis: Cryptogenic--Idiopathic
Cirrhosis: Postnecrotic--Autoimmune-Lupoi
Cirrhosis: Postnecrotic--Type B-Hbsag+
Cirrhosis: Postnecrotic--Type Non A Non B
Cirrhosis: Postnecrotic--Type B and C
Cirrhosis: Postnecrotic--Other Specify
Cirrhosis: Drug/Indust Exposure Other Specify
Cirrhosis: Postnecrotic--Type B and D
Cirrhosis: Postnecrotic--Type A
Cirrhosis: Postnecrotic--Type D
PNC CAH
CHOLESTATIC LIVER DISEASE/CIRRHOSIS
Primary Biliary Cirrhosis (PBC)
Sec Biliary Cirrhosis: Other Specify
Sec Biliary Cirrhosis: Caroli's Disease
Sec Biliary Cirrhosis: Choledochol Cyst
Choles Liver Disease: Other Specify
PSC: Other Specify
PSC: Ulcerative Colitis
PSC: No Bowel Disease
PSC: Crohn's Disease
BILIARY ATRESIA
Biliary Atresia: Other Specify
Biliary Atresia: Extrahepatic
Biliary Atresia: Alagille's Syndrome
Biliary Atresia: Hypoplasia
ACUTE HEPATIC NECROSIS
AHN: Etiology Unknown
AHN: Type B- Hbsag+
AHN: Drug Other Specify
AHN: Non-A Non-B
AHN: Type C
AHN: Type A
AHN: Other Specify
AHN: Type B and C
AHN: Type B and D
AHN: Type D
Hepatatis C: Chronic or Acute
Hepatitis B: Chronic or Acute
METABOLIC DISEASES
Metdis: Alpha-1-Antitrypsin Defic A-1-A
Metdis: Wilson's Disease
Metdis: Hemochromatosis-Hemosiderosis
Metdis: Other Specify
Metdis: Tyrosinemia
Metdis: Primary Oxalosis/Oxaluria-Hyper
Metdis: Glyc Stor Dis Type II (GSD-II)
Metdis: Glyc Stor Dis Type I (GSD-I)
Metdis: Hyperlipidemia-II-Homozygous Hy
MALIGNANT NEOPLASMS
PLM: Hepatoma--Hepatocellular Carcinoma
PLM: Hepatoma (HCC) and Cirrhosis
PLM: Cholangiocarcinoma (CH-CA)
PLM: Hepatoblastoma (HBL)
PLM: Hemangioendothelioma-Hemangiosarcoma
PLM: Other Specify
PLM: Fibrolamellar (FL-HC)
Bile Duct Cancer (Cholangioma-Biliary Tr)
Secondary Hepatic Malignancy Other Specify
OTHER
Other Specifiy
Cystic Fibrosis
Budd-Chiari Syndome
TPN/Hyperalimentation Ind Liver Disease
Neonatal Hepatitis Other Specify
Congenital Hepatic Fibrosis
Familial Cholestasis: Other Specify
Familial Cholestatis: Byler's Disease
Trauma Other Specify
Graft vs. Host Dis Sec to Non-Li Tx
Chronic or Acute
Benign Tumor: Polycystic Liver Disease
Benign Tumor: Other Specify
Benign Tumor: Hepatic Adenoma

And now with the news!


After much running around and having various poking, prodding, testing, phone calls, faxes, e-mails interspersed with waiting and some extreme bodily functions while preparing for said testing... or recovering from......................................

On Thursday afternoon I was OFFICIALLY LISTED with Scripps at a MELD score of 21.

AND, I am their highest B (blood type)

Which means....all things staying the same..(which they don't) If a B liver becomes available today and it FITS....extremely important...It's MINE!!!

Now, as I have explained before THE LIST is a constantly changing thing....They don't check you off in a 1,2,3, fashion. But it does mean that hopefully soon they will be calling me to tell me it is my turn...........

I am also still listed at Loma Linda but they have many more folks who need their livers first in the LA, One Legacy area than in San Diego.

I have to thank my coordinators and Dr's ......all of them in helping me make this process very easy and quick. They all are great, wonderful and efficiant in thier jobs and in making this happen.

So, that is some of what I have been up to these last 3 weeks......

I have BIG NEWS


But THIS is way more important.......................................... Click Here

And don't forget the tissues...............................

Sunday, October 19, 2008

Time to play Catch Up



Hello everyone....Ok, I am ready to play catch up....

It has actually been about 3 weeks since we talked. I think the thing that kind of stopped me in my tracks was that I had several friends who were in trouble medically. I just started getting to me a bit.

A few people in my support group have been going through some very rough times, including both the patients themselves and of course their spouses and families.

We had one person who had been in the hospital for about 5 months fighting for his life pass away. He got so close to being transplanted at one point they had found a liver for him, and as he was being wheeled into surgery his lung collapsed and they had to abort his transplant and put him on a ventilator which he was then on and off until he passed away. I saw him the day before he died. He was about my age.

There is David and his wife Sharon who I have posted about and you have the link to his blog in other posts that I worry about and pray for daily.

My friend Corina and her husband Frank. She had a stroke unexpectedly about 2 months ago and has been in and out of the ER and hospital as she tries to recover from that.

Sweet 6 year old Annika, who I only know from her blog, going in for her 3rd liver transplant last week.

Anyway, you get the idea...............It is of course them and not me who I am concerned about but I think I just felt I wanted to shut down and shut it all out for a bit.

Joe and I have been doing a bunch in the past few weeks though as well and I want to share those things with you too....

Let's start with the escape cruise to Cabo shall we???????

Sunday, October 5, 2008

The Listing Committee - Scripps





The Organ Transplant Waiting List

In the United States, more than 84,000 men, women and children are waiting for organ transplants. Their struggle to live depends on a complex and technologically-advanced organ allocation system that links patients with organs donated by strangers.

Subjected to intense scrutiny by the federal government, the public, and the medical profession, no other aspect of modern medicine is more analyzed and debated. Such scrutiny is essential. Organ transplantation is built upon altruism and public trust. If anything shakes that trust, then everyone loses.

In 1984, the National Organ Transplant Act established the Organ Procurement and Transplant Network (OPTN), a national organ sharing system to guarantee, among other things, fairness in the allocation of organs for transplant. Since 1984, the nonprofit United Network for Organ Sharing (UNOS) located in Richmond, Virginia, has operated the OPTN, under a contract with the Division of Transplantation in the Department of Health and Human Services. UNOS maintains a central computer network containing the names of all patients waiting for kidney, heart, liver, lung, intestine, pancreas and multiple-organ transplants; the UNOS "Organ Center" is staffed 24 hours a day to respond to requests to list patients, change status of patients, and help coordinate the placement of organs.

Organ transplantation is built upon altruism and public trust. If anything shakes that trust, then everyone loses.


Transplant Journey


Transplant Journey Website
- stories of donation and transplant

Above I posted some photo's and interesting links for you. The first phot is of the Call Center at UNOS. I have found some interesting things to share with you this weekend as we head into fall but first let me share with you about my status for being listed at Scripps.

They did present *me* before the transplant committee last Monday and they came back with a YES, we will list you at Scripps....(YIPEE!) conditional upon completing and clearing a couple more tests...

They would like a colonoscopy... I am excited about THAT one.... but at this point you might as well look there as well. LOL

They also would like to check the status of my heart again with a 2D Echo.... no big deal as long as I pass. That test last year lead to a stress test and an angiogram to which I had to spend the night in the hospital in order to have a transfusion of platelets and plasma before undergoing the heart catheterization.

My Dr's at Loma Linda are also going to be ordering at least a stress test in November so we are working on trying to co-ordinate what everyone needs so I only have to do it once.

Sounds easy until you get the insurance company involved and then it comes down to who needs to place the order for which tests so they know who to pay, etc, etc.

So, I spent much of the last week on the phone, sending e-mails, faxes and heading to the hospital for (which is why I haven't posted yet).

I want to say to fellow patients and caregivers...MAKE SURE THAT YOU ARE PROACTIVE in making sure that the tests you need done get done in a timely manner. What I mean by this is ask if there are other options for completing the tests or lab work that might get them done sooner.

At Scripps, for example, they are the transplant center ordering the procedures but they aren't the closest to me geographically and they were also backed up to December on the colonoscopy. Now, this is something that doesn't HAVE to be done THERE... I am the one who wants it sooner so I have to be the one to MAKE it happen sooner. It isn't' a problem to find out what you need to do, you just need to take control of the things YOU CAN in your health care. Think about what needs to be done and why, Ask questions, Make phone calls.... In this case for example I have an order from Scripps scheduling both procedures, an order and referrals from my primary care doctor so I can have it done other places and My Dr's at Loma Linda are also looking at it and working on their schedules as well as calls to my insurance company for prior approval for the various places.... That way I can choose what is the faster, better choice for me so I don't have to wait 3 months for one test....

What I am saying here.....is open your mind, look at the options and make something happen.. Don't just wait around...It is your health. Your primary concern is YOU...They have lots of patients... All my health care providers have been very appreciative that I help in the process. Don't worry that you are being a pain...you are not...and even if you ARE.....so what! Just remember to thank everyone that helps you and ask nicely...you will be surprised at the help you can get with a pretty please, a smile and a thank you!

So, this is GREAT NEWS! I am NOT on the list officially yet...as in my name is not in the hat yet but it is ready to be thrown in as soon as I jump through the proper hoops.... Kind of reminding me of the kids board game *CHUTES AND LADDERS*. I will let you know when it is official and we are packing bags.

Regarding packing bags.......There isn't too much that the patient needs to bring to the hospital for the first couple of days as they will be in surgery, recovery and ICU etc for awhile. The people who REALLY need to pack are the people that will be waiting for you and the further away from home you are the more you should think about this.

Immediate Family and Friends who are most likely to be in the waiting room a lot will need a few things. Comfortable clothing, a few changes, a blanket, medications, toiletries, laptop, cell phone, chargers, magazines, crosswords, etc... Lists of phone #'s. any folders of things that have been prepared, places to stay, copies of advance directives....

Ok, well I am off to have a late Sunday breakfast with Joe and Joey....more to share about our get away cruise next....today, I promise!

Saturday, September 20, 2008

donorcycle: Organ Donor Awareness Month

donorcycle: Organ Donor Awareness Month

Here is another post from donorcycle on donation.

donorcycle: The Real 24

This afternoon I recieved an e-mail from a fellow blogger, a recent kidney recipient in Austrailia. How I LOVE getting mail from my readers. Makes my DAY! His blog is The Ballad of Bill the Kidney Funny, maybe Bill the Kidney is friends with BillyBob the Liver. tee hee... (see the blog list)... This is what John had to say about the Real Life...............

Nancy is an American cruise fan who is working towards a liver transplant. Her blog is very out-there and well worth reading.

Anyway, one thing leads to another on the web and next I found a Blog called Donor Cycle written by a Transplant Coordinator. Both very good reads.

I am going to add them to the blog list below and wanted to post a couple of articles written by TC.

The first is an article that tells a story of one day in the life of:.... as he goes through a process of the day of an organ donation. A liver...

donorcycle: The Real 24

Sunday, September 14, 2008

INSTEAD.....I went a picked up my last year in book form and we are .........


Hand carrying it to the Transplant Coordinators tomorrow morning...Tom and Kara..... before we have a day full of meetings....
























Now don't get me wrong...we are very grateful to them for making this happen all so fast and in such an expedient manner...Joe had ONE day off in the next 6 weeks that he could accompany me to San Diego and they arranged 4 appointments for us in that one day.....

The Surgeon, the social worker, the financial coordinator and the transplant coordinators....

We are all hoping to get all the I's dotted and T's crossed so that they can take my case before the committee to get me on the list here officially.... It should be a big day and I will have a full report for you...

We came down to San Diego this afternoon and looked at a few extended stay hotels to try and figure out post transplant places for me to stay...

They want you OUT of the hospital ASAP which at first I wasn't to keen on until I realized the reason was because they don't want you to get ANY infections and with your immune system basically non existent .....well....you get the drift.

CAN YOU BELIEVE THE BOOK THAT IS MY MED RECORDS FOR THE YEAR! Size of a very large phone book with yellow pages and all......

That is enough story telling for tonight.... I have to get up early.....

nite, nite........................................................

Scripps San Diego Transplant Class



On Wednesday I drove down to San Diego..... I left home at 10:30am for a 2 hour class and got home at 8pm...I only stopped for gas/potty break twice and a 30 minute shopping break at the pottery barn outlet. It was a very long day...It's a 5 hour round trip.

I enjoy the time alone....I always have liked to drive and when I am alone I have lots of time to think, sing to the radio, talk a bit on the phone.......etc.

The class was very good....very different than the class I took at LLU. I find the differences interesting and an opportunity to learn more from different people who are very knowledgeable.

There were 2 classrooms being used at the same time next to each other. One for Kidney Transplants and one for Liver Transplants. During that time the transplant coordinators spoke to us about what transplant entails regarding the organ that you need replacing...The why's, what, when, how, etc ....etc. Very informative.

Some differences between LLU and Scripps. I am not sharing opinions here just facts...

LLU only does whole liver transplants from deceased donors as do the majority of transplant centers.

Scripps does whole liver transplant, and also will split livers from deceased donors. I.E. If a liver were to become available that could be used by a child and and adult....(same blood type, etc) They can use, say, 20% for the child and 80% in the adult. Both grow to full functioning organ within a year and save 2 lives. It can be a longer and more difficult time of recovery for both as the liver has been severed and also has to heal... They do this rarely as the opportunity doesn't always present itself but that is sometimes an option.

They also do a small percentage of living donor transplants.. In kidneys this is common but in liver, not so much.....I am not going to go into detail as I am not very educated about this... I do know that it is a very serious surgery and recovery for BOTH the donor and the recipient. It can be even harder for the donor during recovery. Both need full time caregivers and it goes on and on....Not something I am interested in doing to a loved one even if I did qualify.....

Another thing that is different is that the anti rejection drugs used post transplant and forever...
Scripps tries to use a steroid free approach which helps avoid a lot of the complications that can arise just from the steroids...(I will talk about that later when we get to a *medication talk*)

After our individual classes they opened the dividers between the rooms and a couple of other speakers talked to all of us as these things would effect all of us.

The Social Worker on the support we would need, housing issues, follow up appointments, support group, compliance to appointments, medication, etc. Insurance....

The Pharmacist talked about all the different types of drugs, what they were, how they were used and combined, side effects....THE SIDE EFFECTS!!!!! If anything scares me that is the biggie. It is one thing to think that your organ that controls so much of how your body operates is not functioning well......another to face the traumatic surgery......another to deal emotionally with having your body cut wide open and have another persons organ placed inside your body,.....another to deal with the months of physical recovery and the fact that you will most likely never have the health you once had......BUT...for me the thought of being place on these drugs which YOU HAVE TO TAKE FOREVER......AS LONG AS YOU WOULD LIKE TO KEEP YOUR NEW PRECIOUS ORGAN..... which is a good idea.....but all the things that these drugs that will save your new liver will also CAUSE to happen to you..... (again...when we have the drug talk....) But....of course it is manageable BUT that doesn't mean it doesn't scare me or I have to like it.................................................................................

All in all it was a very informative and well taught class! Kudo's to Scripps and the Transplant Team there.....They did a great job.

Tuesday, September 9, 2008

The wonderful people who are waiting for a liver at Loma Linda


Today was *support group Tuesday*.

Loma Linda University Medical Center has a wonderful and very active Transplant Center with many patients. Not only liver but kidney, kidney-pancreas, heart, bone marrow and stem cell research and transplant.

In our support group we meet strictly with liver or liver/kidney patients and there are quite a lot of us undergoing treatment in various stages, all very serious if not life threatening.

Today was a difficult day. Almost EVERYONE that was there today is dealing with very difficult symptoms of liver disease.

Encephalopathy, confusion,
Edema,
Acsites,
Very Bloody Noses...(wake up with blood all over pillow)
Esophageal Varices
passing out,
collapsing,
insomnia, no sleep in 3 days,
total fatigue, can't stay awake
change in sleep patterns, sleep all day, awake all night,
Leg cramps, hand cramps with no relief,
severe itching,
stroke,
heart problems,
pulmonary problems,
diabetes,
beginning kidney failure
dialysis,
bruises,
wounds,
weight gain,
weight loss,
pain,
relationship problems,
depression,
fear,
and liver cancer

I am serious! Every one of these was a problem someone was having today!

Lucky for us we also have some incredibly generous people who have been through all the symptoms,and fought through them to transplant, recover and a renewed life.................

THANK GOD FOR THEM! They give the rest of us so much hope. If we didn't have them to look at, watch them breathe, walk, share and live normal lives......Well we owe them a lot.

Today our post transplant volunteers who were in the meeting were post transplant 4, 9, 10 and 13 years..... They give up their day to show up for US. All this time past their transplants when I am sure they have better things to do and they come and give freely of their time.

They don't need us....

They do it because we need THEM! We need to look at the living hope and know that one day that could be us.

So, I want you to know that we appreciate you spending your time with us!!!!

We also appreciate the caregivers out there who are dealing with our issues and didn't sign up for it.....We don't say thank you enough...sooooooooooooo THANK YOU.

There are 2 others I would like to bring to attention for prayers...

Tim, who has been in the hospital for 4 months waiting for a liver. He is VERY ill and needs a liver yesterday.

David who received his new liver 2 weeks ago and is struggling. His liver is functioning well but his body is having a difficult time recovering. His new blog his family started is here.

I am not trying to be depressing just letting you know that across the country there are 19,000 people waiting for a liver. Most won't get one in time to save them and it is not a comfortable way to live or ...........

Please, if you so desire and haven't yet done it please go to donate life and register as an organ donor and encourage your circle of friends.. Then talk to your family to make sure they know what your wishes are. Right now they have final say. Donate Life America YOU NEED TO GO THERE EVEN IF YOU HAVE A PINK DOT ON YOUR LICENSE!

Read this below from their website:

Right now nearly 20,000 Californians wait for an organ transplant. That's 21 percent of the 94,000 people waiting across our country. Tragically, one third of them will die - waiting.

Until now, no Registry has existed for those of you who wished to give consent to be an organ and/or tissue donor. Historically, while signing a donor card and placing the pink dot on your license served as an important symbol of your intent, it did not place you on any list or Registry.

Now, Donate Life California allows you to express your commitment to becoming an organ, eye and tissue donor. The Registry guarantees your plans will be carried out when you die.

Since July 1st of 2006, individuals who renew or apply for a driver's license or ID with the DMV, now have the opportunity to also register their decision to be a donor in the Donate Life California Registry, and the pink "DONOR" dot symbol is pre-printed on the applicant's driver license or ID card.

You have the power to donate life - sign up today to become an organ and tissue donor. Your generosity can save up to eight lives through organ donation and enhance another 50 through tissue donation.


Tomorrow I am off to San Diego to the mandatory transplant class at Scripps in my effort to get a new liver sooner than later....

Wednesday, September 3, 2008

As we begin Year #2 in this Journey..........our new beginning at Scripps


I want to write a bit and tell you about our visit to Scripps Green Transplant Center and my feelings about going there.

First of all I want you to know that I was hesitant for a long time to pursue health care outside of Loma Linda with whom I have entrusted all my beliefs, hope, support and extraordinary medical care to.

On some level I felt a sort of waywardness about this. Like I was being unfaithful or something. Like a child venturing into an unknown world. I didn't want the people I trust to feel betrayed. This includes my Doctors, my transplant team, my wonderful friends in my support group and even you, my readers. Odd isn't it? I have spent the last year of my life following their lead and I have learned so very much.

Most of you know that I am also very pro-active in most everything and especially my own health right now. I want to know what ALL my options are. Get different opinions from EXPERIENCED, KNOWLEDGEABLE PEOPLE. Leaders in their field. I need to get a feeling that the general consensus among the experts is that I am doing the best thing for the condition that *I* am in. My body and my situation may be similar to lots of others that are suffering from End Stage Liver Disease but it is uniquely different that anyone elses also.

I have continually had/have an internal battle with Do I keep my God given liver as long as possible and be thankful for the health I do have and wait patiently OR do I do as my mother taught me and that is pursue the thought that *God helps those who help themselves?* and explore ALL my options.

As you can tell I finally chose the later. (Always listen to your mother!) And after discussions with my LLU Dr's, my transplant team, friends, family and extended family the consensus is that we/I should do whatever is necessary to do the best thing to keep me alive! That means getting a new liver, a GOOD liver at a great transplant center with a high level of long term success. And following my instincts.

Joe took the day off from his patients and came with me to meet Dr Hillebrand and some of his staff.

We were more than impressed with our visit. His staff is friendly, helpful, knowledable and respectful. So was he. We really liked Dr H. We spent about an hour together. He went over my medical history with me carefully and we spoke about all the steps that would be needed to be dual listed, how the transplant centers coordinated efforts to reduce duplication of tests and visits along with what would happen when the time for transplant came and follow up.

The next step after meeting him is to meet with the rest of the Transplant Team. The Surgeons, the social worker, and the coordinators which I can do with one more visit which we arranged to do on 9/15. After that my case will go before *the commitee* just like before to decide if I should be placed on thier list. There are more details on all of this early in my blog.

So, we are off to the races!

After my meeting on the 15th I will continue my regular care, Dr appointments, Labs and other testing at Loma Linda and we go back to waiting for the call.

Right now, I was informed that I may be the *highest B blood type* they have on the list. If not I am close. So, in reality by dual listing I will most likely have my transplant in San Diego as that is the way the #'s are in my favor.

One thing that I want to share with those of you who are suffering from any kind of disease or are the caretaker of someone who is....

#1. Find a really good or great Doctor that has experience, is well respected in his/her field, that will answer your questions and lay out all your options for you. YOU CAN FIND ONE.... They are out there.

I did spend 2-3 years running around in circles trying to get help from Dr's who didn't know what to do with me except pass me around. 2 weeks before I ended up in the hospital with a MELD of 37 and my Doctors saying I might not make it, I was in my *regular* Dr's office BEGGING for him to send me SOMEWHERE, ANYWHERE that I could get help! I looked like death warmed over, bright yellow, my body totally swollen all over, legs as big as tree trunks, feverish, I had been vomiting, was terribly constipated, lost 30# because I couldn't eat, crying for help, all kinds of nasty things, and he told me once again to get blood drawn, and come back in 3 weeks... I was almost dead in 3 weeks. I might not be waiting for a liver transplant if I had found a good Doctor earlier. (the only reason I ended up in Loma Linda was I told Joe I needed to go to the emergency room and to take me directly to LLU....)

SO FIND A GOOD DOCTOR....then listen to and trust them.

#2 Educate yourself. Learn. Find GOOD information about what your body is doing and what you can do to help yourself. Your Doctor can be good but they are also VERY BUSY. There is no way you will get all your information just from your Dr.

It is your responsibility to learn about your disease, your symptoms, what is *normal*, what to watch out for, and what the future holds. You can learn a lot from people who have the same thing. You can find them online and in support groups. I have learned invaluable information and gained alot of hope from my support groups.

#3 Write things down. Keep a health journal. If you can't, have a loved one keep track of things. Your weight, your drugs, your diet, blood pressure, appointments, attitude. Anything that is relative. Show it to your Dr. Write down your questions. Go to your Dr appt's prepared.

#4 Let your Dr's and medical staff know when something isn't right. Now that doesn't mean they need to know you stubbed your toe but if something is really a problem, DON'T WAIT UNTIL YOUR NEXT APPOINTMENT to let them know. Make a phone call and tell them. Let them decide if it is important.

#5. Be proactive. It's your life. You have people who love you and care about you. You need to care about you. Share with them, spend time with them and yourself. Enjoy life, especially the little things. You may not be able to do all the things you once did so enjoy OTHER things...
go outside, people watch, pet your dog or kitty, hug your kids, take up a new hobby, be nice to the people around you....

Those are my thoughts tonight as we start year 2 in this adventure...Gosh, I am ready to go through the next step of this but I am faithful that I am doing what I can and I do have patience even though it may not sound like it.

Good Night !!!! God Bless.......

Tuesday, September 2, 2008

A Liver Transplant Patient Guide published by USC (University of Southern California)



This is a Patients Guide to Liver Transplant by USC available on their website. Here is the link.

Joe found this in looking for anatomy on what exactly happens surgically during a liver transplant. I had asked him to help me find out what exactly the surgery involves and this is the best information we have found so far. An amazing resource!