This 30-something's journey with Cystic Fibrosis, Lynch Syndrome, CFRD and the Lung Transplant process
Friday, December 13, 2013
Home from the Hospital
I was admitted last Wednesday night and for some reason on Thursday afternoon I spiked a fever. 102.3 at its highest. No flu, no blood infection. Nothing out of the ordinary except that fever. Tylenol brought it down and by Friday night I was back to normal.
The doctors started me on Q36 for the Tobra this time since we always end up at that point anyway. Seemed to work well. Then I came home. I had 3 doses total when the nurse drew my labs Wednesday morning and I was told yesterday to stop taking it. Kidneys are not happy. WTF!? So now I am on oral Bactrim, oral Cipro and IV Ceftaz, aka. cat piss. Hoping my FEV1 came up a bit so that I can stop the IV Ceftaz before Christmas. I have clinic on Tuesday. My body never responds to orals. This is just wonderful.
Yesterday, Thursday, I had my follow up appointment to my colonoscopy. It was a little disconcerting. My colon polyp was adenoma as usual. That wasn't concerning. But, like I mentioned before they were finally able to biopsy that pesky cyst on my pancreas. Turns out it isn't CF related at all. Its a precancerous cyst related to my Lynch Syndrome. Like the adenoma in my colon, if left untreated it has the potential to turn to a cancerous tumor. "Biopsy of your pancreatic cyst revealed benign cells and CEA level 825 with amylase less than 3. This may be consistent with a mucincous type of precancerous pancreatic cancer." Fabulous. We didn't' discuss removing the cyst. Honestly I was a bit in shock that it WAS something that I forgot to ask about surgery. She wants to monitor it every 6 months with MRI/MRCP's again, and if it grows, I can talk to a pancreatic surgeon then. I am going to email her about just having it removed. I don't want that shit growing. On the bright side, I don't need mammograms just yet...
That is all for me. School is over and I am doing lots of crocheting and sleeping. I will post an update next week after my clinic appointment.
Thursday, December 20, 2012
Transplant and Cysts
Today I also had my GI follow up to the colonoscopy and endoscopic ultrasound back in November. Mostly good news. :) OK actually its all relatively good news lol. The 9 polyps removed from my colon were benign adenomas - cancer polyps IF left untreated for many MANY years. She said there were 4 on the left side and 5 on the upper right side and that sides don't really matter as far as developing cancer. But 9 is a lot especially for only being 18 months since my last one. I was told I NEED to come back every 12 months at the most. Looks like every Oct/Nov I get to clean my gut out.....yaaaaaay.....
The pancreatic cyst is still concerning to the docs. I had thought it went from 1.5cm to 2.2 cms, but it was 1.2cms to 2.2 cms. She said if I was JUST CF I would be told to have it checked every 1-2 years. But since Lynch Syndrome can also affect the pancreas they are slightly worried it almost doubled in size in less than a year. So while I am inpatient in Jan they are going to do an MRI with sedation (I can not do them because I have anxiety issues and they NEED one done so they are knocking me out lol) to get a better look at it. She said they wanted to get a biopsy but its in an awkward spot. The GI doc who did the tests is one of the best at Dana Farber and she couldn't get it so they need to go with the MRI and possibly surgery for a biopsy. So after the MRI I am meeting with a pancreatic surgeon to, as she put it, cover my bases like with the transplant evaluation, I don't need it quite yet, but just in case. Not overly concerning issues, but still issues that need to be followed up on.
There ya have it. I am cancer safe for now, and hopefully after follow up tests I will remain so....
Thursday, November 22, 2012
Bravo Disappointment
Shall I start last Wednesday when I got a phone call with a totally different time for my procedures than I had been told?
Shall I start on Friday when I finally talked to someone about the discrepancies in the times and was told a totally different time again?
Shall I start on Sunday when I actually began my prep for Wednesday's procedures?
Shall I start on Monday when I had to field a call that my health history doesn't allow me to do a phone pre-op and needed to come in mid-prep for it now?
Shall I start on Wednesday when those procedures where scheduled to go down?
Let's start on Friday..................
I finally received a phone call back from endoscopy about the discrepancy in the times. I had been told the week before when everything was switched to Wednesday the 21st that my new time would be 2:15pm. The phone call I received said 3pm. When I spoke with the woman in endoscopy she told me 2:30 but I needed to be in at 1:45. She also told me that I would get a phone call on Monday to do my pre-op screening since they were running slightly behind. I said no problem.
Sunday I started my prep. Yes SUNDAY. 4 days before anything was to be shoved in, up, down and around my body. I have an extremely SLOW digestive system and this is the only way to ensure I am clean enough to get anything done on me. So Sunday started my chicken broth, lemon water ice and lemon jello diet. Yummy huh? I also take 2 ducolax pills to get my system started.
Monday I receive a phone call from the SAME woman I spoke to on Friday. She tells me that due to my health history I can not have a phone pre-op assessment and I need to come to BWH Tuesday morning at 9:45. I nicely as I can after not eating anything of substance for 24 hours, that I am in the middle of my prep and that sitting in a hospital waiting room for 2 hours is not an option. She tells me she will speak with someone and get back to me. So she calls me a couple hours later and lets me know that they can get me in at 10am on Wednesday before my scheduled procedures and asks why I am prepping already. Again I nicely as I can explain why. I have also started my prep and finished 2 64oz bottles of apple juice with a total of 30 Miralax doses in them. I am in the throws of "cleaning out." I take 2 more ducolax pills to keep it going over night.
Tuesday is more of the same however, I am drinking magnesium citrate. I don't feel it is working as well as I would like so when P is on his way home I ask him to get me another bottle of apple juice. I added another 15 doses of Miralx to that and drank it for the rest of the night. I take 2 more ducolax to again keep it going over night.
Wednesday morning. I am nervous I am not as clean as I need to be. I decide to use an enema for good measure. Are you keeping track? That is 45 doses of Miralax, 2 bottles of magnesium citrate, 6 ducolax pills and 1 enema. Phew! I was lucky enough to have my SIL drive me to the hospital and wait for me. She is a doll! Especially since we had to be there at 10am and my procedure wasn't until 1:45. We kept each other company and got to chat, just the two of us.
So at 1:30 we get to the endoscopy center and I sign in. They take me back shortly after and we get started on all pre-op in op that we need to do. I change and we go over what I am supposed to have done that day. But wait? There is no BRAVO on the list!? I explain that I was scheduled for it on the 28th but was called to move everything to one day (Wednesday) to make it easier on me. She says OK I will look into this. So right there I am a bit annoyed that things get screwed up. I go into the bathroom one last time and when I come out there is this doctor having a hissy fit about something. I immediately realize its ME and the BRAVO procedure. I hadn't met the doctor doing my scopes yet, and now I am totally annoyed that she is annoyed.
The nurse comes over and gets me into a bed. Well, my heart rate decides to sky rocket because I am so frustrated. Resting its still in the 140s. No one is too happy about this and all the deep breaths I take is only making it go higher. They decide they need to do an EKG to make sure there is nothing wrong. Great. I try to explain that stress raises my HR and resting I am around 110-115. EKG is fine, of course. All I keep thinking is if they cancel this because of my HR I am not going to be happy! They decide its OK since this is normal for me (they listened yay!).
Finally they wheel me into the room where the procedures will be done. Everyone is great and the doctor (the one who was having the hissy fit) comes in. I have calmed down some and she explains to me that there is NO record of my ever having been scheduled for the BRAVO in the system. She is very nice, I should add. She says she paged my transplant doctor, Dr G, and she said there is no need for me to have the BRAVO. Um excuse me? I explain to Dr L that I NEED this test for my transplant evaluation and that I am supposed to be presented in December and can not be without this test. She said since there is no record of me being scheduled and my doctor said I don't need it, they can not do it. Now it is entirely out of endoscopy's hands. I am LIVID at the transplant center. I tell Dr L I will be seeing her again soon. Again, she was VERY nice and there is nothing they can do. They can't just do a test on me that isn't OK'd by my doctor.
At this point they drug me up and I wake up right before they wheel me out and back into the recovery area. All went well. I spoke with Dr L again after and she let me know what they found. There were 9 small polyps (all 1cm and under) in my colon that they removed. My ultrasound showed that the cyst on my pancreas grew from 1.5cm to 2.2cm. They were unable to get a biopsy of it due to the location. She said they are slightly worried that it grew but that my GI doc will go over all my options in December when I meet with her. She said they may have to operate to get it off, or biopsy or whatever. So I have that to look forward to. But I will get the result of the polyps in my colon when I see her as well. Other than the growing cyst everything went well. I was clean enough to see everything so my absurd amount of prep actually worked!
Here is the size of the polyps in my colon, the original size of the pancreatic cyst in January and the size it is now. And a dime for reference.
So there you have it. I sent an email to the NP at transplant clinic and I hope to hear back from here on Monday. I told her I was not happy and they need to work on their communication up there. Confrontations are not my style but I am sick of this run around shit. Someone needs to figure things out and I am so furious this got fucked up. Being presented in December might not be an option now, and I suffered for 5 days without ANY antacids for no reason. But shit happens and hopefully they fix this.
Happy Thanksgiving everyone!!!
Thursday, June 23, 2011
20cm is HUGE!
Saturday, May 14, 2011
Hospital Stay
I went into the hospital on Thursday expecting to get my picc line placed on Friday, have a CT scan at some point and a colonoscopy on Monday. My biggest worry was the picc placement given the reaction my body had last time to it. Turned out to be the least of my worries...
Thursday night they wanted to get an O2 reading done on me again. I had had that one back in November after my 3 week IV course and it showed I didn't need O2 with sleep. Of course my lungs were in great shape so I didn't need it. Thankfully they did another. However, it was different than the first one I had. They hooked me up to the finger monitor and the monitor was hooked into the nurses station computers. Unfortunately the sound could not be turned down lower than 10% so when I would dip below 90% it would beep and I would hear it. Every time I relaxed and just about feel asleep I would dip, it would beep and I would wake up. Finally she came in and put the O2 on me since it kept beeping. Slept like a rock the rest of the night!
Friday morning bright and early I was wheeled down to have my scan done. I didn't have my morning meds yet so inhaling and holding my breath was not happening. Of course they ask to do so and I try but I failed. Such is the CF life. By the time I got back to my room the picc nurse was ready to poke me. Dr BE (name has been changed) ordered a shot of Benadryl to be given to me via IV so I would be awake but not anxious. It worked. I was pretty much dead to the world for the rest of the day!
PT came to my room to do a 6 minute walk test on me. I did well considering I am in the throws of an exacerbation. I walked 1270 feet in 6 minutes (average for someone my age is 2500-3000 feet) and only needed 1L of O2 while walking. We were going to attempt no O2 but my sats just standing there were 89%. The Benadryl really messed my lungs up that day.
Saturday was to be the start of my colonoscopy prep. Just clear liquids all day which meant jello and chicken broth. Yum! Sunday I started the clean out part. By the time I went to bed that night I was pretty sure I was ready for the next day. My CF gut had other plans however.
I was able to do the upper but not the lower. I was too full to get any ideas of what was going on in there. When she told me this I got upset. I was frustrated, annoyed, angry and depressed. I had already felt kind of crappy to begin with before the procedure and afterwards just threw me over the edge. When I met Dr BE in my room later I was crying. The nurses were great and really tried to cheer me up. Poor Dr BE. Last time I was in I was crying with him and again this time. The guy must think I am a mess! I could see the sympathy in his eyes and it made me feel better. So now instead of looking forward to a yummy solid meal, I had to do another FULL round of cleaning out. But what was the question.
At first Golytely was the choice. But given that last time I tried it I basically got one cup down and threw up, I wasn't for trying it again. I decided to just have an NG tube placed and have them push the Golytely down in and have it work that way. That didn't happen. We tried the placement and I think I had an anxiety attack during. I could feel it scraping my chest and then I was gasping for air. A cyster had told me getting the tube through the sinuses was painful. Ironically I barely felt that part. They pulled it and we decided to give the Mag Citrate a go. It was not as bad as I had remembered it from when I was 18. I drank 3 bottles of that and stayed up till 2:30am to make sure there wouldn't be a mess in the bed overnight.
Colonoscopy take 2 was a success. I was still not entirely clear but enough so that she was able to remove the polyps she found and send them out for biopsy. So lets review this. Friday night I took 2 ducolax to start the process. Coupled with no food except a turkey sandwich that day, I was pretty empty - stomach wise - by Saturday. Saturday was just clears. Sunday the same thing, but I took 15 one dose packets of Mira-lax. Monday I was not clear at all so I took 5 more packets of Mira-lax and 3 bottles of Mag Citrate
(which is a normal dose for a clean out). All in all I did more than 2 full clean out regimens and was still not clear. WTF?!?!?!? Talk about a slooooow system! I'm not sure how many polyps they removed but when I go to clinic this Wednesday they should have the results. Last time I had a few benign polyps and one that was pre-cancerous. Hopefully these are all benign.
Today I got the results of my CT scan. Well I should say today I was lucid and sane enough to hear the results. It was quite the informative scan I received! My lungs show obvious signs of CF. There was a pocket of infection which of course, was why I was there in the first place. It showed some nodules on my thyroid which my doctor is not so much concerned about, but given my family history of cancer he gave me a number for an endocrinologist to see (he joked that I was on my way to seeing every specialist doctor at BWH! not far off either). My thyroid is working properly though. They ordered blood work to be sure there were no issues there. They also saw lymph nodes in my lungs - odd - that they want to monitor, again because of the family history. So in 3 months I will get another CT scan done. And finally they saw an air pocket below my heart that is undamaged but inaccessible. It looks like I had an infection when I was a child and the healthy lung grew around it and blocked this part off. So basically the lower lobe of my lung is shut off, yet unharmed. It could explain the low lung functions even as a child. That was it for the CT scan. I told you it was informative!
My culture showed that the Steno Malt is still there. Seems to me it hides when I am "healthy" then rears its head when it feels like it. I have a feeling this is what is going to send me to transplant land much sooner than I had thought. Speaking of which, my records have been sent over so I just need to call and make the appointment to meet with the team.
Funny...after hearing the words the first time I assumed, or rather hoped, it would not be mentioned again for a bit. Now every time I see the team it is mentioned. So I guess it really is something they feel I need to pursue now to be safe. I've wrapped my head around the idea even if I am still unsure why me. Though I know the answer, I just wonder why me sometimes. And not in the "woe is me" way. But more along the lines of "but I'm not THAT sick, am I?" way.
Thank you for reading this jumbled mess of a blog post. I will be sure to keep you all informed of what results come back and all my upcoming appointments I have with the 5 different docs this month...
(edited - this was posted on Wednesday but for some reason blogger was messed up and it didn't register till Saturday)
Thursday, May 13, 2010
My brother is a free man!
again here is the post explaining it all.
Funny, my brother sent me a text message to tell me (he is working albeit with my dad) and it said "God must have been in a bad mood when he made you cause I don't have the gene, you got the short end of the stick".
I was so happy I almost cried! My niece and nephew and any more babies they may have are in the clear as well.
You might be thinking "aww poor Amy, she has this", but PLEASE DON'T. I don't want pity, I don't want to have anyone feel sorry for me. I am glad it was all placed on me and not my brother. A lot of Cystics feel this way about getting the disease over their siblings. It has nothing to do with feelings that the other could not handle it, but rather that they don't have to deal with it. I am much happier having my brother live a normal life and have me be screwed. It's something I just can't explain. Plus I don't think I could live with watching my brother die. I don't know how my brother will do it, and I try not to think about that.
Is it selfish to say that I am almost thankful that I probably won't have to watch my mom, dad and brother pass? Because if it is then I am guilty of being selfish :)
Same goes with this whole hMLH1 gene. I am glad that I have it and have to deal with the testings for it rather than my brother, who most likely would not have had them done anyway LOL.
Let the CF end with me, and let the Lynch Syndrome end with me as well. Granted there are 5 other siblings of my dad who have has polyps and/or cancer and that also have kids, so it might not end with me entirely. But it's a start with me and my brother!!!!!
Tuesday, April 27, 2010
Cancer...it might run in the family
I just know that he doesn't have it! I was positive I had it, and it turned out I was right. And I feel just as strongly that my brother doesn't have it. I hope I am right again.
Please keep him in your thoughts that he doesn't have the gene and will not pass it on to his 2 children.
It scares me to think he could have it too. But if he does, then he will know and he will be able to get tested each year like I do. And if he doesn't, he won't have to get a colonoscopy until he is 45 or so.
To find out more about this read my blog posts:
my-colon-cancer-screening-visit
colon cancer screening results
Monday, September 7, 2009
Just another Manic Monday...
Another painful blog for my readers. I swear I will be out of this funk this week. I will make sure of it!!!!!
I did have a fabulous weekend so that can make you all smile.
This week there were 5 new babies born to 4 of my friends. Yes one set of twins. FIVE KIDS IN ONE WEEK! And all of the parents are friends of mine (well at least one of the parents is anyway). And no my brother and sister in law are not among them though I will have a niece or nephew by September 14th if they don’t wanna come out on their own.
So for obvious reasons it kinda depressed me. I love babies and I am so stoked for all of these people. But it also reiterates that I can not have any of my own. It depresses me when I look at all the pictures of the newborns and see the happiness and glow on the new mommy and daddy’s faces. I want that. Of course that leads into my real reason for this post…
Hysterectomy. Yeah the big H word.
I have thought about this and with my family’s history of cancer (granted only colon and one uterine) I have been considering having mine removed. Added with the cervical pre-cancer cells found and I am all about avoiding Chemo and the like in any way I can.
However, this is a permanent decision. One that once done, can NOT be reversed. Sure there are plenty of positives to this…no more periods, no chance of getting pregnant on a one night stand, reduced risk of cancer. But what about the negatives.
My BFF asked me Saturday if I got it done, would I regret it. I told her I would regret it until the day I die, but there is nothing I can do about it. I can’t have kids and getting rid of it makes sure of it. It is like a security thing. This way I won’t go do anything stupid like get myself knocked up. Not that I would but hell in the heat of a passionate freak out I might get that brilliant idea. I tend to act then think so it isn’t entirely out of the question.
This is obviously something I need to think about for much longer than a few days and I plan on it. I won’t be jumping into serious surgery anytime soon. I will discuss it with both the genetic cancer people and my CF dr.
I know that I can’t/shouldn’t have kids but a part of me secretly hopes that someday I will anyway. That maybe I will get that chance to feel the baby move inside me and to look at their face after they are born and feel unconditional love for another human being. To play with their feet and hands, kiss them, change them, feed them. Its not the same when it is someone else’s child. No one can ever mimic the feeling of holding your own baby, your own flesh and blood. When I die, this will always be my biggest regret. So taking out the one piece that can give me babies scares me. It is admitting that I will
I’m asking all of you to avoid the whole adoption and surrogate mother talk. It has
Friday, September 4, 2009
Emotional roller coaster continues...
Thursday, August 6, 2009
Going home tomorrow
My other fabulous news is that the polyps are nothing. We caught them way a head of time! So I'm safe from the cancer bug for now!!!! My dad will be super happy! Well my mom too of course but considering its my dad that has almost no colon I think it will be a much happier thing for him.
Speaking of my dad...I enjoyed a nice long chat with him last night. He was telling me about when he had colon cancer. I was 7 weeks old and he asked the DR if he would get to see me talk and walk and go to school. The DR said he couldn't answer that. And look here it is 29 years later and my dad is going strong!
I must admit that I feel awesome! I haven't felt this great in a long while. It really does become the "norm" when you can't breath and you just deal with it. Then when its all done and over and you've been "fixed" that's when you realize just how sick your lungs were! I shall be starting my "get to 50" goal on great footings when I get home.
I'm a healthy CFer and its about dam time I start acting like it! Dancing, socializing, sex, the whole nine yards :)
Sent from my Verizon Wireless BlackBerry
Tuesday, August 4, 2009
Colonoscopy etc...
After 2.5 days of not eating I FINALLY got my system clear enough that they could remove the polyps they found. I was whisked away at 7:30 this morning hoping that I was not going to puke. I drank the 3 bottles of Gatorade in 3.5 hours ending at 1:30 am. I was supposed to start at 8 but we all know how shit goes in the hospital. That's why I was so surprised they came to get me so early! But hey I was back in my room by 10:30 so I can't complain
And to make the day better the resident in with the DR was CUTE!!! So of course he was looking at my bare ass and the insides ick! LOL
They did find polyps. There was a really big one in there and then some smaller ones. They have to biopsy them to make sure they are not cancerous yet. Luckily they just snip them out when they are in there looking around! The DR told me that I still have some hard stools up by my appendix and colon where they meet so they took a biopsy of that just in case. If it comes back there are polyps there then I have to get another colonoscopy in a month. If not I'm free for a year!
They were able to do the endoscopy yesterday and he said that came back clear. I have some irritation etc but that is from the coughing. My throat has been sore since yesterday but that's the only side effect I've had from both procedures so far so I'll take it.
There is a woman a few rooms over who has been screaming for days. I don't know what her issue is but they need to shove an effin sock in her dam mouth! I'm getting sick of hearing it! And its not constant just every now and then but at 1am you don't want to hear that crap come on!!!!
I've finished 2 books so far and am working on the third. This one is a bit longer so it will last me. I've also finished one Christmas present and have the yarn to start a second one. One of the RTs brought me in Twilight to watch so I'm watching that tonight! She said she hates vampires too but that this was a great movie...we will see!!!
Hugs going out to all my fellow cysters that are in lock up right now too!!!! And to all those feeling like udder shite! I love you all!!!!!!
Sent from my Verizon Wireless BlackBerry
Sunday, August 2, 2009
My Clean Out day
I started drinking the GoLytly around 12ish and I have used the bathroom maybe 3 times. I was expecting to be sitting in the bathroom all day long. Instead I have napped for a large majority of the time. I'm exhausted and blame the Zyrtec. I'm thankful I can sleep at night now but man I'm good for nothing during the day. But anyhow...I am somewhat crampy and hope that this will be the extent of it. After midnight tonight I can eat nothing nor have anything to drink. Of course my colonoscopy and endoscopy are not scheduled until the afternoon and there is no set time yet. Basically I will be pushed back since I'm an elective procedure. Pooh on them!
I'm kinda nervous about it. What if they do find polyps and what if those polyps have passed the cancer stage and I end up with colon cancer like many of my relatives? The body can only take so much and I don't know if I could handle chemo. Of course I'm just letting my mind run away and I'm sure if they find anything it will be minimal.
Dr H has me back on fluids through IV since my mucus is not thinning out at all. Production has decreased through out the day but I still wake up hacking out a huge glob of clayish goo.
Boredom has begun to take hold as I have finished one book, am halfway through another and halfway through my SILs Christmas present. I'm hoping my mom can bring me some more books since this one might be finished by tomorrow.
She was supposed to come down today but her boyfriends best friend was found dead in his pool this morning. He drowned. So sad. So if you could all say some prayers for his family.
That is all I have for now. My mood is slightly bleak right now and I'm still so tired. But I must get to my dinner of green jello and lemon water ice. The chicken broth is just too blah!
Sent from my Verizon Wireless BlackBerry
Wednesday, July 29, 2009
In the hospital
My numbers were actually UP today!!! I was at 43% this morning up from 35!!!! Which is awesome but I still feel SOB and congested. So we decided a stay in here with the big boys would get me higher and keep me from dropping any lower.
So I'm in for a few days to get the meds started and to get my colonoscopy done too.
My room is fabulous!!! So big even though the view blows lol! But hey I have room for a stationary bike and a treadmill and guests :) even though I'll only get the bike and guests lol!
Well that's all from my front. I'll be sure to keep everyone posted!!!
Sent from my Verizon Wireless BlackBerry
Wednesday, July 15, 2009
Clinic Appointment Yesterday
Monday, July 13, 2009
Colon Cancer Gene Results
Thursday, July 2, 2009
My colon cancer screening visit
There are 4 known mutations of the gene. They are hMSH2, hMLH1 (which is the one my family has), hPMSI and hPMS2. Since the gene is a dominant gene it does not require 2 genes to be passed on to offspring, as is the case with CF. So obviously my dad has the gene (given he had cancer at the youngest age out of his 8 siblings) and there is a 50% chance that he passed it on to my brother and I. If my brother has the gene, he has a 50% chance of passing it on to James and the new baby. My brother has no desire to get tested as of yet, and refuses to get colonoscopies. Consequently, I am hoping I have the gene so that he will get tested (the genetics team thinks I’m crazy LOL).
This quote from the print out will help calm anyone out there that is thinking