Wednesday, February 12, 2020

Birthday musings


Today I am 41 years old. 

A year ago I had a huge blowout bash to celebrate my 40th birthday. The party was spectacular, but there was definitely a grim intent behind it. At 40 years old, I knew that I had far exceeded all expectations regarding my life expectancy. I was increasingly aware of this as my health deteriorated in recent years, and particularly when my lung function dropped sharply during the 3-4 months immediately before my birthday. I was keenly aware that I might not have that many years left, and I wanted to celebrate with as many of my family and friends as possible while we still had the chance. It was a very deliberate "come to my birthday, not my funeral" celebration. 

Even with all that, I had no idea just how quickly my fears would be realized. At the time I thought I had at least a few more years left, and I was just taking advantage of the 40th birthday milestone. Little did I know that just a few months later I would be in respiratory failure, on the verge of being ventilated, fighting for my life and waiting desperately for a lung transplant. Things got so bad during that time that I had multiple conversations with my loved ones about dying, trying to prepare them as I had been preparing myself. By the end I was so miserably uncomfortable that I actually wanted to die just so the suffering would be over. I was holding on by my fingernails, surviving one day at a time. I certainly wasn't thinking about my 41st birthday, and if I had it would have been to wonder whether I'd even see it.

Yet somehow, miraculously, here I am, celebrating yet another year of life. It definitely isn’t the life I would have expected a year ago, both for good and for bad. On the one hand, I can BREATHE, to an extent that I had forgotten was possible. I’ve mostly lost my trademark CF cough. I’m putting on weight without even trying, instead of struggling to hang on to every pound. My health is SO much better than I could ever have imagined! On the other hand, I’m still recovering from an incredibly difficult, complex, painful, and invasive surgery. I’m managing both short and long term complications, and may develop additional problems as time goes by. And I must always live with the knowledge that rejection could strike at any time, and that there’s no way to predict if or when that or any number of other complications could take me out.

It’s definitely a mixed bag – but, I’m alive! And as long as I’m alive, there’s always hope for better things and positive outcomes. Hope is a somewhat unfamiliar and, honestly, frightening emotion for me, and I’m still learning how to integrate it into my life. For some reason I have a much easier time anticipating and preparing for the worst. But I’m trying to learn how to infuse more positivity into my life, and to start anticipating the best for a change.

I’m 41 years old, but my lungs are only 20. Against all odds I’m still alive, yet for some reason my dear donor lived only half as long. I unfortunately don’t know anything about my donor, but it’s clear that their life ended before it even really began. In a way, every birthday that I celebrate extends their life just a little bit longer. They are an essential part of every experience I have, every single breath I take. I hope that I can use those breaths and live my life in a way that would make them and their family proud.

I spent my entire adult life expecting to be dead long before now. Suddenly, I’m trying to imagine what it might be like to continue living for another decade or two. That’s a lot of birthdays I never expected to see! However many I get, I hope I can make the most of them, and always remember how fragile and precious every moment of life truly is.

Monday, February 10, 2020

I'm a professional, really!

Getting ready to pretend to be a Real Social Worker and go to an actual CEU training! Partially because I'm trying to get my head back in the game, but mostly because I've been a liiiiiittle distracted this licensing cycle and have only done 3 of the 30 credits I need to complete by the end of August. Really praying no one in the room has a cold... Also, I'm a little intimidated about being the blue haired freak in a room full of professionals!



Sunday, February 9, 2020

Up and down but mostly up


What a week!

Last weekend I decided it was time to do something new with my hair, since most of the purple had washed out. One box of hair dye and a few hours later, I had successfully turned my hair, my skin, and my bathtub a stunning shade of Sonic the Hedgehog blue. Apparently allowing a bottle of hair dye to fall into the hands of a novice was a disaster waiting to happen. Anyone considering using Splat’s Midnight Indigo, be warned: that stuff is basically a nuclear bomb of color! I loved what it did to my hair, but was less than thrilled about becoming half Smurf in the process, and about the Jackson Pollack paint spatters all over the bathroom. Fortunately most of the extraneous color came out with a lot of scrubbing, though I keep turning the bathtub blue all over again every time I take a shower. After all this I may never touch blue hair dye again, but at least it’s fun for now!

On Monday I had my monthly bronchoscopy. Usually it just leaves me groggy and with a moderately sore throat for about a day, but for some reason I had a much rougher recovery this time around. When I woke up afterwards my throat was KILLING me, I was nauseous and had a headache, and I was very groggy and wobbly. It took me days to feel human again, including one night where I didn’t sleep at all due to persistent coughing because my throat was so scratched. So that was loads of fun. On the plus side, my doctor said my airways definitely looked better than last time. Nothing was clogged with debris, and though the airways were narrowed, they weren’t AS narrow as the previous time. He said it’s still too early to see real results from the Sirolimus, but hopefully it will have an impact by the time I have my next bronchoscopy. And HOPEFULLY soon we’ll be able wait more than 4-6 weeks between bronchoscopies.

Side note, the Bronchoscopy Collection is growing nicely. Right now they all live on the coffee table, but a few more bronchoscopies and they may need to find a new home!

On Friday I had an appointment with my transplant team, and did pulmonary function testing. Since I was several days post-bronch, my airways were pretty much at their best. Even so, I was surprised to find out that my lung function was up to 90%! That’s the highest I’ve managed post-transplant! It was very exciting to break into the 90s, so of course Katherine and I had to celebrate with Classic Cake!

It was an up and down sort of week, but fortunately I did eventually recover from the bronch, and definitely ended on a positive note. Hopefully everything will continue on an upwards trend from here!