Thursday, July 22, 2010

The waiting is the hardest part

So here I sit waiting for my treatments to be over. As I sit I'm thinking of how much longer I'll have to wait until the heat & humidity break and I'll feel better. Then I wonder if I'm really just waiting for the perverbial shoe to drop and face another exacerbation. Lying beneath the surface of all this I'm still waiting on my big trip to NC to get evaluated at Duke for lung transplant. And last but certainly not least I'm waiting for new lungs. This is the hardest kind of waiting of all.

Why is this waiting hard? Well the eternal optimist in me (although sometime's her voice has been a bit quiet lately) is hoping these lungs make it AT LEAST another 2 years or so. Really I do think this is possible. But is another five or more possible? Lately my body is giving me signals no. Not to be a Debbie downer or anything but my body is just getting more tired of fighting. My energy level is down quite a bit from my late 30s. Of course maybe it's just that hitting 40 means things start falling apart a bit anyhow. But way down deep I'm feeling that my lungs are like an old junker car that you love and keep gimping along but really needs replaced with a new model.

Of course the yogini in me says hey enjoy the wait and live in the present moment. That voice needs to yell at me a little louder too by the way. But sometimes even though I know that's the truth it's hard to listen. And to be honest sometimes you need to feel a little bummed about the realities of what's going on, admit it, embrace it, and then move on. I guess writing this blog today is my way to do that. It's OK for me to be tired, OK to feel frustrated by being so tired, OK to need to vent, and eventually be OK with accepting all of the above and move forward with the rest of life.

For now I'll wait for that acceptance phase and hope as always for the best. Thanks for listening.

Sunday, July 18, 2010

Such a good time I forgot I had CF

Well kids it's been a fun weekend for sure. Some of our dear friends were in town for the Umphree's Mcgee show downtown in Indy. At first we thought only 2 were coming but it was even more fun having more last minute. Linda, Mitch, Jodie, Steve, Dave, Will, and Robbie are friends we met in various ways through Jamcruise (see Soul Vacation post for details on that one). Having them in town made me realize two important things. 1) How lucky we are to have such cool, fun, and caring friends and 2) that I need to not let my daily struggles make me withdraw from such wonderful people.

To be honest lately it seems that I'm getting to be too much of a homebody. But this weekend was different. Last night was the perfect night out. The concert had great lighting but even more exciting was the lightning in the sky. Seems like the lighting tech had control of it somehow and coordinated it with the music. The wind brought awesome breezes and AMAZINGLY it only sprinkled once for a short time. Basicially the best weather ever for a show. Saw a group of our local friends at the show and later at the American Legion for an afterparty. Again, definately need to get our more. Had so much fun and energy that I really felt like my old self. AND IT WAS FUN!!!

Thanks again to all of my friends and family for understanding those times when I get detached for various reasons. Today my body had CF but my mind and spirit did not :)

Thursday, July 1, 2010

In my mind I'm gone to Carolina

First post in a long time. Lots to cover for sure. I've been neglect in posting because of said "lots to cover". Probably because it is such a daunting task. But then I got some big signals that it's time to blog again. First, my wonderful cousin Julie keeps asking about me. Thanks Julie :) Then, a CF friend Piper had a transplant (YEA!!!). I've been following her blog for some time. I realized how much her blog (and others) helped me stay positive about my disease. And then it hit me...maybe my blog is or could be the same for others. So I'm back.

So where have I been lately? First, I've been in yoga teacher training since last March. I took the training just to deepen my practice but may end up being a teacher at some point anyhow. The experience and my classmates & teachers are the most amazing people. Namaste to them all. Of course we have traveled quite a bit too. The horse races in Lexington in April. Camping in Arkansas in June. Etc etc. In fact today we are off for North Carolina to celebrate the 4th of July with my family. Its an annual tradition complete with themed dinners & drinks (Mexican, Carribean, All American), lots of talking and not a lot of sleep. Hence in my mind I'm gone to Carolina (in the words of one of my favorite singers James Taylor).

But there's another reason my mind is gone to Carolina. Lately I've been doing OK but my infections are getting more frequent and more severe. Within the last 12 months I've been hospitalized 3 times and only off antibiotics about 30% of the time. Plus I have a strain of Pseudomonas Aeriginosa that is getting very resistant to antibiotics. Pseudomonas is the bug I grow in my lungs that damages them the most. At the end of April I had my annual check-in with Dr. Reynolds of the Clarian transplant team here in Indy. In light of my recent illnesses and low lung capacity, we decided it is time to proceed with evaluating me for transplant. I'm not sick enough to get listed yet but who knows when another serious infection could put me over the edge.

The evaluation process is a week of medical tests, meetings, etc to evaluate how you would do physically and mentally during the transplant processs. They want to insure you don't have cancer or some other illness that makes you ineligible. It's also important that you and your support network will be able to handle the mental demands that will come. So Clarian started setting up my testing and clearing things with my insurance. Then I got the news; Clarian is currently out of network for my insurance company. YIKES!!! Could it be possible that my center which has been following me for 17 years is really out of network???? We double triple checked it and yes for sure 100% it's true. That may change at some point in the future but right now the only transplant center in Indy is not a possibility for me. It's a total bummer because I really love Dr. Reynolds and think he would be great to have as my doc post transplant.

So the next step was to find out where I could go. In the midwest Cleveland Clinic and Barnes-Jewish St. Louis are the best options. However, I have lots of family in North Carolina and Duke is in network. After lots of thinking, consulting my local docs, and asking questions of the centers via phone, I decided on Duke. It is one of the best centers for lung transplant in the country and has the best pulmonary rehab program. In addition they specialize in transplanting  CF people with drug resistant bugs like my Pseudomonas. Seems like a great fit. The distance will be a challenge but thankfully my insurance does cover travel and lodging up to a certain amount. We will have to relocate for about a month pre-transplant and three months post. Since Randy is self employed and works from a laptop we should be able to manage it fairly well.

My evaluation at Duke will be the first week in August. So my mind has been going to Carolina a lot lately. I'm very excited to meet the team down there. However, I'm also a bit worried that they might do all my tests and either a) find something that would disqualify me, or b) say not only are you a good candidate but due to your Pseudomonas progression we think you should be listed now. Granted I don't think either a or b will happen and I'm guessing they will say c) you are a great candidate and we will accept you in our program and will follow you until it's time to put you on the active transplant wait list.

For all of you that are freaking out about this whole transplant thing, know that I've been down this road before. Back in 1992 I was evaluated and put on the active list here locally. At the time I was in right heart failure and on oxygen 24/7. Exercise and a new drug Pulmozyme saved me and transplant was put on hold. Of course it was a major freak out back then to think about transplant at 23. It's easier now but still a lot to wrap my head around. I'm still shooting for growing old with Randy of course and don't want to leave him anytime soon. But the days are getting harder and my energy level is getting lower. Back in 92 my doctor Mason Goodman talked about quality vs. quantity of life. Of course back then I still wanted to hit 35 because that was "old". Now I'm thinking more and more about quality. I've had an amazing and adventurous life up until now and want to have the lungs to forge ahead even if it's only til 50 or maybe even 60. There are still lots of dreams to accomplish and I'm at a point now where it's time to give back and I need more energy to do so.

I'm fully aware of how really lucky I've been and grateful for it every day. CF has given my a wonderful perspective on life. Also, for having CF I'm one of the lucky ones.  A recent article (http://www.ctpost.com/news/article/CF-patients-live-longer-some-diagnosed-as-adults-531674.php) had another shocking stat. Only 5% of people with CF survive past the age of 40. When you consider that includes people that have been transplanted it's even more amazing. So without transplant I'm already at 41...yes I'm definitely lucky :)

I guess that's it for now. Thanks for indulging me and listening. Now I'm off to Carolina both in my mind and my body.

Peace, love and happy 4th.
Steph

Monday, March 1, 2010

If pigs had wings...away they'd fly!!!

In honor of National Pig Day (March 1st), I'm finally getting around to explaining this pig thing.

To be honest I'm not 100% sure where it all began. One of my favorite childhood books is Charlotte's Web. I loved the fact that Wilbur the pig escaped his destiny and lived a long life. Maybe even then I knew something would be extraordinary about my life (both good and "bad"). Other pig moments included appearing as one in a 3rd grade play and getting a card from my Grandma addressed to Stephie Piggie Dickie. Ever since getting that card the pig thing has taken on a life of it's own. Now I've gotten so many pig gifts that occassionally duplicates are received.

Of course pigs are so cute and I'm sure that's part of my interest in them. However, the real magic is in the concept of the flying pig. I really fell in love with flying pigs back when comedian Heywood Banks sang "If pigs had wings...away they'd fly". If a vertically challenged pig might get lucky enough to grow wings and fly maybe there was some hope for me.

Having CF has made me both vertically and horizontally challenged. A pig is limited by it's weight and girth. I'm limited by my ever declining lung capacity. If a pig can grow wings then maybe I can make it till I get wings of my own. My wings would be in the form of a double lung transplant. How wonderful it would be to fly or even just run a block. Someday hopefully the dream will be a reality.

Of course there is no guarantee with a transplant. So until then I'm trying my best to get by with my lungs for as long as possible.  This has gotten more difficult over the last few years. I'm sick more often and have less energy than before. But I'm still as determined as ever :) . I just walked a slow six miles today and start a yoga training program tommorrow. Maybe this pig does have wings...

Happy Pig Day!!!
Steph

Monday, January 11, 2010

Soul Vacation

Getting back into the groove after a week of grooving. Confused yet? Wasn't I just posting about being in the hospital? How on earth could a hospital be considered "groovy"?????

I was sprung from the Taj on Tuesday December 29th after a nine day stay. I had hoped to get out much sooner but a few glitches and an unexpected bronchoscopy kept me in a bit longer. Didn't get home for Christmas but did for New Year's Eve and more importantly Jam Cruise!!! Jam Cruise is a charted music cruise that we have been doing annually for the last six years. It's six days packed with live music, costumes, great friends (some which we only see annually), and one of the best times we have all year. Far be it from me to let a little pneumonia get in my way of having a good time ;)

It was a very difficult decision whether to go or not. Our flight was on Jan 2nd and therefore we only had a few days to prep for the trip. Not only that but I was still finishing up IV antibioitics and needed supplemental oxygen after I got discharged from the Taj. Obviously my body was not in the best shape for travel and six days packed full of non stop action. As I thought about going I kept remembering all of the old people with COPD that take cruises because they are very handi accessible and can be restful. In the end I decided (and reassured my mom multiple times) that six days on a cruise ship might be the best place ever to get well. Thanks to some quick action on my part and help from my various medical providers, I went on the trip with a portable oxygen concentrator and finished up my IVs the night before we boarded in Ft Lauderdale. I had every drug, piece of equipment, etc. that I could possibly need, so everything that I could do at home I could do on the ship. Of course including costumes etc this put at us two 50lb checked bags, two roller carryons, a backpack, and the portable oxygen concentrator. Of course I'm a bit of a clothes horse so the medical stuff can't be blamed for all of it ;)

The first part of the trip was all about me not being too proud to admit I was struggling. At the Indianapolis airport I asked for wheelchair service to help keep myself rested. It made things so much easier especially getting through security in a relaxing way. Friends picked us up in Ft Lauderdale and we headed to our hotel for the night. The hotel was packed full of Jamcruisers and it was great to catch up with so many. Everyone was so supportive and it made my wearing of oxygen in front of them so much of a non-issue. My friends we just happy to see me and vice versa. I also made things easier on us by "cutting" in line getting on the boat. The Jam Cruise and MSC cruise staff made my boarding process a piece of cake. Thanks!

Once on the ship my top priority was health first. I was very strict about completing all of my treatments, getting enough rest, etc. While this meant I missed out on some of the music etc., I learned that I enjoyed the times I did get out and about much more because I felt better :) Listening to my body really paid off this time. Every day I got better and was able to do more. And because I was able to do more (dancing, walking etc) every day I felt better!!! By the end of the cruise I was off oxygen (except while sleeping for a safeguard), and even did yoga the last day. YIPPEE!!!!!

Now I'm back home and reintegrating into my "normal" life. Whatever that is. The love of my friends, the fun, the music, the salt air, and the experience gave me just what my body and more importantly my soul needed...a vacation. Thanks to all who helped make it possible and to my family, friends, and doctors who supported my decision to go.

Now off to my workout. My next adventure is training for the Mini-Marathon in May. Who knows if I'll finish it but it's more about the trying than anything.

Peace,
Steph



Sunday, December 20, 2009

Ho, Ho, Hospital???

Well it certainly has turned out to be a December to remember. That head cold I mentioned last post got quite a bit worse. Probably a flu but no official diagnosis yet. I've had three days straight of fevers in excess of 102. The highest was 104.5 and ibuprofen wasn't keeping things under control. Thankfully my wonderful nurse/mother helped my through a long delirious night by making me ice my neck. You know you're in trouble when sleeping upright on your couch using a bag of ice as a pillow is comforting.

After two nights of ice pillow snuggling my fever finally broke this morning. However, I was so exhausted and congested that I finally threw in the towel and checked in to Clarian North Hospital (aka the Taj Mahal). I'm pretty tough but realized that the best way to get better fast and effectively was to have 24/7 intensive therapy.

My master plan is to be out by Christmas Eve. We are still hoping to host Randy's parents and have a fun and relaxing holiday weekend. Also, I need to be in good shape for our annual music cruise in Jan. We leave in 13 days...YIKES. Thankfully all my exercise recently is helping me get through this episode better than I would have expected. Of course Randy & my mom have been amazing and I can thank them both enough. Yes Hillary it does take a village :)

If you've called me, emailed me, facebooked (verb?) me, etc lately I probably have not responded yet. Frankly my energy/focus is shot to heck. So this is the quick and easy way to keep you all up to date.

Will post more frequently this week. Hope you all are having a wonderful holiday.

Love,
Steph

Wednesday, December 16, 2009

Hey Debbie I'm still alive and doing well...sorta kinda

OK it's been a while since I posted. Not only do I know this in my heart but also because my aunt Debbie let me know via my uncle John that I needed to update my blog. So this update is for Debbie with lots of love.

Yep as the subject line says I'm still alive and actually doing well...sorta kinda. I felt great yesterday. In fact it's probably the closest to "normal" I've felt for a while. In October my oxygen saturations were not where they should be and I started using supplemental oxygen during exercise or while doing things around the house. A normal person should have an oxygen saturation above 90% even during strenuous exercise. However, mine went down into the mid 80s with exercise. At rest it was above 90% but my heart rate would be above 100. So using supplemental oxygen was a way to give my heart a rest while recovering.

Mentally going on supplemental oxygen is not an easy thing to do. For me it is an indicator that the progression of my disease is accelerating. So what to do? Give it my all to reverse the way things were headed. I decided that December would be my month to do some hardcore rehab. So the last few weeks I've been hitting it hard almost everyday and trying to increase my exercise tolerance each time I work out. And the great news is that my December to remember has been as success!!! I'm not using oxygen at all right now...WOO HOO!!!

So if I'm doing so great what's this "doing well...sorta kinda" stuff? Even though yesterday was great, I woke up in the middle of the night with a killer sore throat and major stuffed up head. Looks like the cold & flu season finally found me. Hopefully I can get through it quickly and back to my workouts. For now I'm enjoying chicken soup lunches with my sweetheart and hoping for the best :)

Love,
Steph