Showing posts with label tx. Show all posts
Showing posts with label tx. Show all posts

Thursday, 17 September 2015

Mental journey through transplant

This is a hard topic to get down onto paper to help others as we are all so different when it comes to dealing with everyday things in everyday life, never mind having to come to terms with the possibility of dying depending on your own actions and choices. My experiences and will be completely different to anyone else's who has had a transplant of any type, it'll be a similar story, and on the whole a similar recovery but the only unique part is each recipients mental progress/thoughts and emotions before and after the transplant.

I'd like to think of myself as a very positive person, but before I went to Papworth for my initial meeting I struggled to sleep the night before and was worried sick that they would say I wasn't unwell enough to be considered, I was scared that if I wasn't unwell enough with less than 17% lung function with no quality of life, how unwell did I have to become. That was my first emotion I felt towards transplant other than hope!

As you can imagine I went through a roller coaster of emotions from the minute transplant was mentioned. The first emotion I experienced if I'm honest was relief, I was over the moon the consultants at Nottingham Wolfson CF Centre agreed with me that we had tried everything, and nothing was improving my lung function or even sustaining my health at the poor level it had reached. I was completely relieved that I was going to have a safety net put under me, a safety net that would possibly be the saviour of my life one day.

From the time between transplant being mentioned and my initial assessment I was anxious and asked on a daily basis how long it'd take to get the paperwork sent off to Papworth and how soon they'd see me, I was excited at the thought of having new lungs and being able to live a normal life, I was at no point worried about not coming out the other side or anything going wrong, this was my one and only chance now nothing else worked, so in my head it was going to happen and it was going to go well and work!

After being listed the first week my head was all over the place, I didn't know what to do with myself, I was in hospital and bored but also feeling really unwell so most the time was taken up watching my phone and having a mini heart attack every single time it vibrated or the lights came on wishing it was my call, it probably took a little over a week before that stopped, but the entire first week I said to everyone I wouldn't wait long, I was convinced I'd have my transplant within 6-8 weeks at the most and I'd had that feeling all my life. The first week I was all over the place mentally not knowing if I'd done the right thing or if I was ready, then I'd think to myself are you stupid, without these new lungs you'll be dead and your not ready to die yet! For me the help mentally was sought by talking to ANYONE on the ward while I was an inpatient throughout my time on the list, I'd ask anything at all that came to mind, be it a really serious deep question, or a trivial silly question that I just wondered about there and then. As it transpires no question is a silly question as you'll ponder about the answer forever if you don't ask.

After the first week of being on the list some family members were still telling me it isn't a quick fix to a long term problem, and asking did I realise the magnitude of what I had signed to go through and if I'm honest, I have never sat and thought of the transplant as major surgery, or even considered that I've been through a massive trauma. I still have complete numbness across my upper body along the chest area, but that's normal so I don't mind now.

As you all know I was on the list for 29 days in total and I would say I had negative thoughts and doubted I'd ever get a transplant for less than 24 hours in that whole time. I was certain I would get my call and certain it would go well. I have the benefits of being tall and having a big frame on my side as well as other medical results that made my chance of a match pretty good. I would wake up and be gutted I hadn't got the call in the night as that's the most common time to receive your call, but I'd get on with the day as best I could with the limited energy and health I had. I was positive and excited that I'd get my new lungs, not much entered my head prior to the op that was bad.

I often lay in bed at night and moaned that I hadn't had my call yet, but then I got bought back down to earth by Emily when she said you've been on the list for 10/12/15 days, it'll come just keep doing what you have to and you'll get the call. I would be lay there saying I would give anything or I'd trade a bad recovery for the lungs this week or oh I hope I get the call tonight, but obviously the call didn't come on those occasions.

Once the call came, I didn't have a chance to feel any emotion until I got to Papworth other than hoping the lungs would be a match and the op could go ahead, as the day went on and the wait got longer I began to start to convince myself at times that I wasn't going to get the yes on this occasion but then I'd convince myself five minutes later that they'd be starting the operation in the next 15 minutes, I was a strange day for emotion, but my overpowering feeling for the day was boredom!

After the transplant my emotions appeared to disappear for around 2 weeks, other than amazement at how I could breathe and how thankful and grateful I was to my donor and their family I felt no emotion at all, I even said on several occasions I don't feel up but I don't feel down, I felt flat, like I didn't feel like I could be happy as that was disrespectful to my donor, but I also couldnt be unhappy as I'd been given the chance to restart my life and do all the things I've ever wanted to do! It was a very very strange couple of weeks. Once my emotions started to return I was overjoyed at my own progress, and how quickly I had recovered for the operation. However, on the days I struggled I questioned if I had made the right decision but of course I had, even though when the pain was unbearable and I couldn't sleep or get comfortable or didn't want to eat looking back of course it was worth it and I hate myself for feeling like that. I feel extremely ungrateful for feeling like that, but of course I am grateful and over the moon with the gift of life!

I couldn't believe how short a time I spent on the list, but deep down I knew it wasn't going to be long. I was asked by several people including close friends and family if it was bravado or I genuinely thought like that and hand on heart I felt like it, I had the same conversation with many people and now I've got the lungs I can say I genuinely believed I wouldn't wait long.

I don't think this blog will really help many people because we are all so different, wether you are a naturally positive or negative person our time on the list will be filled with different highs and lows, you may recieve false alarms i was extremely fortunate not to, but that will evoke many different emotions as well. However I hope it's an insight into what I went through, and I hope it helps you guys understand my journey a little more. If it helps one person during their time on the list though then the blog will be worthwhile!

Monday, 25 May 2015

The assessment days

Tuesday 5th May,

Tuesday morning, my alarm goes off at 6am, followed by a knock on the door and a shout from my dad, but that's to no avail as I still manage to fall back to sleep, only to be woken at 6.30am the time we were supposed to be leaving by my mom going spare!

I jump out of bed, which isn't wise as being on oxygen doesn't allow your body to move quite so quickly so I instantly sit down on the edge of the bed, luckily the night before I had packed my bags for the overnight stay at Papworth so I wasn't in much of a rush I just needed to wash, get dressed and pack my NIV machine.

We finally get onto the road and the traffic is horrendous, most of the way, then when we hit the A16 where we sit in stationary traffic for over half an hour causing us to be late, and I hate being late.

We arrive at Papworth and mom drops me at reception and goes to park the car, I check in with reception and make my way up to Baron ward, where I settle into room 13 and just as mom comes onto the ward we are whisked away to lung function to start the day of assessments on my lungs and heart.

I have 3 different types of lung function tests done then I get a break before having to do a 6 minute walk test in which I managed to walk a meager 140 metres. After that I am wheeled back up to the ward where I get to relax for about 30 minutes before being take for a heart ECHO scan.

This takes around 45 minutes to complete, this is an ultrasound scan on the heart looking at all the different chambers of the heart to make sure it's strong enough to cope with the transplant operation. Once that was finished and I was taken back to the ward again.

As I get back into my room two very nice phlebotomists come in to attempt to take another 10 bottles of blood off me, unlike the lady in transplant clinic they were very unfortunate and stabbed me several times and got nothing out of me.

After giving a urine sample and two sputum samples that was my day of tests complete so me and mom relaxed for a few hours and even got to sample the delights of the mallard ducks that come and graced us with their presence outside the window of the room for a while before we got ready and went to weatherspoons for a meal.

Wednesday 6th May

Another early start to the day with a wake up call from the nurse at 8.30am as I was booked in for my lung CT scan at 9.30am so she wanted me to have plenty of time to wake up and get dressed.

I went to the toilet and came back to the room and the porters were outside my room at 8.45am ready to take me to CT so I rung my mom and told her to meet me at transplant clinic as straight after the CT scan I was being taken there to meet Sadie the nurse, Paul another of the Transplant Co ordinators and Dr Jas Palmer the other of the two Transplant consultants.

After breaking the CT scanner while I was having my scan I was wheeled round to Transplant clinic where I was met by the goose and we sat and chatted for a while, I was then called in to speak to Sadie and she gave us a lot of facts and statistics about the transplant and the operation.  a lot of our questions were answered by Sadie as they came up through out our chat so we didn't feel like anything was left be be asked at that point.

I was then stabbed a few times to get the bloods the guys failed to get the day before! Then it was my turn to go into speak to Paul which was very brief as Dr Palmer came in and we commenced with our consultation. He was a little worried about my compliance issues I'd had previously but he was convinced I'd turned the corner and said I was an ideal candidate for new lungs and said I would need to come back next week to meet the surgeon and anaesthetist to make sure they were happy then they would discuss listing me!

I was over the moon and could finally allow myself to see a glimmer of light at the end of the tunnel but I knew it was still only a tiny glimmer and it was very very far away!