Lung Transplant Consult

Two and a half weeks ago I had a consult with a Vanderbilt Lung Transplant doctor. We had a long discussion about my medical history and looked over the results of my latest Pulmonary Function Test (holding steady with FEV1 at 22-24% (“severe obstruction”), a new CT of my chest (“stable diffuse brochiolitis obliterans related to Graft vs. Host Disease”), new chest x-ray (“hyperinflated lungs with bronchioectasis”), and a 6-minute walk test (“44% of predicted indicating severely decreased exercise capacity”).

Prior to the appointment, I received a packet in the mail from the transplant team with some general information and brochures. I knew that a transplant was serious stuff and I knew that rejection can be a big concern (and I’m already comprised of myself and my bone marrow of 100% donor cells, so how does a third person enter this picture?) However, I was really surprised that not only is the first year challenging, but the average life span after a transplant is 6-8 years! My regular stem cell doctor hasn’t given me anything close to an “end date”, so that was pretty shocking to read. My quality of life has been greatly impacted, but not to the point that I want to shave off years to breathe fully for a while.

After speaking with the lung transplant doc., he felt like my main disqualification would be my previous lymphoma cancer diagnosis.  I’m almost 3 years cancer-free (yay!), but they generally have a waiting period of 5 years.

He called me last week and verified that they were denying me because of this rule, and that if needed they can re-evaluate me in 2 years. However, he mentioned how impressed he was with the study drug that I am on.  He said I’m very stable and that’s good, and he was actually talking to my drug study medical director to see if he may be able to try it on some of his lung transplant patients. I had learned during my consult, that most transplants eventually end up right in my type of situation as the years go on.

Lungs are the least successful of all transplants.  I had no clue.

Right now, I’m happy to be denied. I really don’t want to go through another transplant (he said it would be similar to the other two [stem cell] I’ve been through) and I even question if I have the stamina right now.  I’m still recovering in so many ways.

So, I’m praying for healing from God. I’m meditating on the time Jesus healed the sick in the Bible. I’m visualizing the Holy Spirit living within me and repairing my lungs. And I’m thanking God for the breath I have. I also know that new treatments are constantly in the works and who knows what breakthroughs will be made.

 

7 thoughts on “Lung Transplant Consult

  1. Thinking about you on this beautiful Colorado morning! May you have a wonderful day! Hugs to you!

  2. April,

    After our chat yesterday I decided to try to find your blog. I am so glad I did. I am inspired by your faith and authenticity. I join you in praying for healing. I too can imagine the Holy Spirit healing every cell of your lungs and I pray for that. I am looking forward to our Bible study with our girls. It’s a true gift from God to have the chance to connect with you, who has faith that is so refined. You are a true blessing!!

  3. My prayers are always for your healing and gratefulness for you and your wonderful family. Thank you again for letting us walk this journey with you. Love to all!

  4. I too am glad you were denied Little April, it just did not sound like the right thing to do, and like you said they are coming up with new things concerning transplants all the time. I love you so much and pray for you. Aunt Marianna

  5. After reading your update, I am glad you were denied the transplant also. Still thinking of you often. Love to you and your beautiful family.

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