It’s been a while . . .

I’m not sure where the time has gone, but I can’t believe that I haven’t written since my December discharge from the hospital.

The few months around the holidays and after are a bit of a blur, and I’m thankful that they are. Next to the fear of a cancer diagnosis with an unknown prognosis (I’ve been in remission for 2 years now!), these last months have been the most uncertain and harrowing. It is hard to put into words all that has happened, but in many ways it has been harder than the deepest throes of my cancer treatment.

As Jonathan mentioned, I was having increased breathing trouble, coughing, pain etc. I went into Vanderbilt for a lung lavage (wash) to see what microbes may wash up. My “lavage” team  likened it to water boarding – I actually saw the humor in it too, so don’t be turned off – they were a great team. I had chosen this washing instead of another lung biopsy because the previous lung biopsy had ended in a lung collapse and somewhat of a downward spiral.

The results from the wash showed a fungus, aspergillus, had infected my lower left lung. It is something most people fight off naturally but with my continued suppressed immune system and Graft vs Host Disease of my lungs, it easily evolved into a nodule. While admitted, they began IV treatment (as Jonathan also mentioned earlier).

I realized during this hospital stay that I’d never had a full-blown panic attack before – I’ve had anxiety attacks that were scary enough, but these new attacks were horrific. They were happening several times per day, and there was nothing my care team could do except try to calm me down with their words. My mom prayed and held my hand, and some special nurses tried singing to me (sounds crazy, but worked) even if it was, “right now I’m adjusting your pillow . . .”  I was hyperventilating like crazy for minutes upon minutes – maybe 45 minutes, I have no idea. I thought my body was going to give out on me at any time because I was so fatigued and frightened.

Jonathan mentioned a scary moment a few posts back.  I have no memory of it, but he says I said, “I’m dying!” and then I immediately went stiff and my eyes were wide open. He called for help and a doctor came in and yelled my name a few times and I woke up.

Along with the panic attacks, my medicines were being overhauled and I experienced agitation to the point I finally knew clinically what that word meant. I experienced never-before feelings that I couldn’t live like this.

On top of the mental distress, my body had gone completely weak from the many days in bed. I couldn’t sit up and I could not even move out of the bed to use the bathroom. When I did gather the strength to move to the bedside commode or chair, it would trigger a panic attack – so I wasn’t feeling too motivated about moving. But, I knew I must continue to push myself to make it home and get better.

I was more than thrilled to be discharged from the hospital on March 10th. There is nothing like be disconnected from all of the wires and IVs. Even if I could barely make it to our bedroom bathroom when I got home, I was improving slowly, and that’s exactly what my doctor continues to tell me:  be very, very patient. AND I haven’t had a single panic attack since the hospital.

I had physical therapy and occupational therapy see me at home for more than two months. I continued my 24/7 oxygen and my wheelchair when leaving the house. I barely left the house, but I did need to go to doctors’ appointments at the hospital and I had some sanity outings to the movies and restaurants. I’ve made progress through therapy. I can walk up and down our main stairs, walk laps around our downstairs, do some laundry and some dishes – they are all ordinary things, but exciting to me even if I have to take many breaks.

I began outpatient PT last week.  We are slowly progressing with exercises, but I made a huge accomplishment at my hospital visit last Friday. It had been months since I hadn’t used my wheelchair to make it to my doctor’s clinic, and this time I walked it with resting only one time! While I was there we discussed and I consented to a drug study for a medication that may help with Graft vs. Host Disease, which I have of my eyes as well as my lungs. My special scleral contact lenses have helped me a ton with my eye symptoms, but as soon as my lenses are taken out every evening, I’m back to the dryness and discomfort that leaves me with one eye closed. Thank goodness for the lenses.

We are having a good summer! My parents continue to rent an apartment in town so they are able to help us out with various needs almost every day. Our girls are visiting with their great grandma and great aunt this week on the coast of South Carolina, and our son  is with my parents visiting their home and then off to see my aunt and uncle and my sister’s family in Atlanta. So, lots of good summer activities for them. Jonathan is working as usual and trying to get in a little extra hiking while the kids are gone, and I’m  catching up on my blog :), getting PT, catching up on some paperwork and helping with finances for Jonathan’s business. I think we are all having a nice change of pace for a bit.

Thank you for your prayers and messages. They mean the world to me, and I can’t ever be reminded enough that God has this.

 

The last few weeks…

Hello. This is another late update from Jonathan. The last few weeks since April’s return home have been a steady improvement.

We did have a frustrating challenge around two and a half weeks ago. April awoke to a sharp pain and great light sensitivity in her right eye. We were at first concerned that is was a strong graft vs. host reaction. We were actually pretty relieved to learn that she somehow scratched her cornea – actually a pretty bad scratch. Scleral lenses are quite large, rigid, and require some tools to help with placement and removal – so that was the most suspicious cause.

After around a week, a dark room, pain, meds, and a bandage contact the scratch healed.

Since that time, April has been making great strides – weekly PT and OT progress, she went to Harrison’s tennis practice, went to a restaurant with me and the kids, saw Harrison’s Kindergarden play, and is more engaged in the day-to-day activity of the house.

Please continue to pray for her lungs and eyes.

This is a tremendous blessing. We are thankful, and look forward to her complete recovery. As Spring reminds me of re-birth and being made new, it’s hard not to see that parallel in April’s recovery. God is good.

Back Home!

I just wanted to pass on an over-due update. April came back home last Friday. She does feel much better, and is improving daily. The nagging cough has been reduced also. I’ll be back more regularly with updates.

Back on 10

April is back on the 10th floor – and out of the ICU. This is a great step, and after another 5 nights or so, we should be headed back home.

She needs to finish up the IV anti-fungal treatment, and begin to regain some strength. While she wants to be home, she also does not want to rush the recovery process. I’ll be back with more updates soon.

The “I” part of ICU

Not very long after Friday’s update, we had a very scary near-emergency. Well, to me, it was an emergency. Since that time, she has recovered and is much more stable – able to communicate clearly, and generally in a much better place.

She is also receiving the anti-fungal IV treatment, and the side-effects are minimal. So, all is well right now. Thanks for your prayers.

A quick update

Hello. This is Jonathan again.

Here is a very quick update since the biopsy:

• April has been experiencing some confusion brought on by the meds, and just being here again. She is also having some trouble with clear speech – not the mental aspect of it. But the actual sounds.

• Her breathing became even more labored on Wednesday (I think – it’s all running together), and she was moved to the ICU and placed on a positive-pressure breathing machine. The goal is to keep her from being intubated.

• This does look like a fungus. We’re just narrowing down the specific kind to tailor the treatment.

• But, while that happens, we have started a more aggressive anti-fungal IV drug. This comes with new concerns and possible side-effects.

• I think we’re looking at 2 weeks for this first drug. And they want us here to monitor her liver, magnesium, etc. Then we go home with an even strong drug – but in pill-form.

That is it for now. Please pray for healing. Specifically for strong lungs, relaxation for her, and healing from the fungus. God is good! Even in tough times.

Familiar Halls

Jonathan here again.

For the last couple of weeks, April’s cough has worsened. That came to a head on Friday with a pulled muscle. After a visit to the walk-in clinic on Sunday, it was decided that a trip to the ER for admission was wise. Unfortunately, the ER on the weekend is not a great place for someone with a suppressed immune system. But after only 4 hours (we were told that was quick), she was assigned a room back up on the 10th floor – The Stem Cell transplant unit.

The purpose of the “visit” is to see if there’s any infection that is causing the cough, and to make sure that the pain is simply a pulled muscle. We should have more answers later today after the CT results and cultures, and my hope is to have her home tomorrow or Thursday.

I’ll be in touch with details as they’re available. Please pray for complete recovery for her lungs, and wisdom regarding keeping her away from cold germs. That is key to her recovery.

Crazy Daze & Bionic Eyes

I’ve decided morphine is not my drug.

Jonathan has been so nice keeping you up-to-date – he probably knew if a keyboard was put in front of me, there’d be some crazy stuff on my blog. 🙂

The truth is, that I really don’t remember all that much. Which is really a weird preface when you just went in for a doctor’s appointment.  I remember my mom and I met with one of the stem cell MDs. We discussed the rapid decline of my lung function since August – it is so bad that I have to catch my breath if I get coffee in the morning, move laundry from washer to dryer, etc. It was a Friday and the doctor recommended scoping my lungs and getting a biopsy. We already had scans, xrays, function tests, but finding out if this is Graft vs Host Disease for sure meant getting a biopsy. We totally agreed and I immediately was admitted into the hospital for a Saturday procedure.

Let’s get to the interesting stuff. The tiny little piece of bronchiole was easily biopsied and found to be definitley GVHD.  And then. They tell me I coughed twice and caused a pneumothorax which collapsed my right lung.  This happens 1 in 250 people – and of course it was me.  They got me fixed up and inserted chest tubes hanging out of my sides.

I don’t remember being in recovery. My memory picks up with the many tiny 1-inch babies in the folds of my blanket. I was trying to get them comfy then it sort of faded away. Jonathan and my mom said it was a crazy experience. Every day from 4pm to 3am my craziness crept out. I renamed Jonathan, “Skippy” and unfortunately I told Jonathan that, “My father doesn’t like you.” (which is far from the truth) I also reverted back to the 1990’s, single, no acknowledgment of marriage, even my name was totally different. Small creatures would dash around my peripheral vision, then disappear – that was very distracting when my medical team was talking to me. They didn’t know these little beings were all around them. If you know me well, I’m not much of a fighter/arguer/ conflict person. But I lost it when I needed to use the bathroom and both Jonathan and my mom wouldn’t let me go. I see the door, I know where it is, and I’m headed that way. (I thought I was in a waiting room.) They said, “No, come this way.” Etc, it went back in forth I was actually yelling and grabbing at their wrists – I can’t explain to you the frustration and anger I was feeling. They wanted me to use a bedside potty! Jonathan said they were trying to explain to me that I had too many lines attached to me and we couldn’t reach the “real” potty.

Man, this disease has really ripped my modesty and pride to the core. I had to give in. I don’t really mind my mom in this situation (afterall, she is my mom and she’s a retired RN, as well), but prior to this sickness I had never even told Jonathan my weight, now there’s no stone unturned.

A little Tennessee snow. Just enough to shut everything down. . .
A little Tennessee snow. Just enough to shut everything down. . .

Later, I told Jonathan that there were a lot of people standing around us.  Hmmmmm. He thought perhaps this is spiritual and they could be angels you normally can’t see.  Then I told him about all on the ham sandwiches in my bed.  So he wrote that idea off. 😉

So, my overnight in the hospital turned to a week in the hospital. The pain from the chest tubes and the sensitive locations they were place left me in writhing pain, but the tubes eventually came out and I was able to return home.

It seemed like so much happened the week I was gone. My baby turned 14 and had a casual party at our house. It was run by my dad, Jonathan and my sister-in-law. I guess it all went well. AND our house was decorated for Christmas when we returned. My dad and my sister were the big players for that.  All the things that I stress about were taken care of just fine.

Jonathan’s parents were the next group to help out. We had a nice Christmas together, and it is so nice to have a mother-in-law who is an expert meal maker and house cleaner (and a retired RN as well).

My parents have decided to rent an apartment in town, so that they can help a lot, but all of us can have a little space as needed. It will also serve as my escape place in case someone gets sick in the house. We have strict germ rules, bc any illness sets me back on healing my lungs. Each cold is an insult to my lungs and delays the treatment I need. The fact that my immune system is suppressed makes it very dangerous for me in the midst of flu/cold season.

Elfie climbed up to the angel!
Elfie climbed up to the angel!

Onto the bionic eyes – something good, yay!  So my donor’s immune system is currently attacking my lungs and eyes.  My eyes are horrible! I’ve had dry eyes for years now, and I was treating them with artificial tears, and remember the right eye had a clogged duct so all moisture in my eye ran down my face. I looked like I was perpetually crying. I even had people stop and ask if they could help me.  Well, a few days before the surgery the radiation-scarred duct suddenly opened! No explanantion for that except prayer. Just amazing.

So my dry eyes and GVHD have hurt my vision, been painful with roughness in my eyelid, and often nothing can be done except drops and close my eyes. I’m actually typing with one eye closed.  At Vanderbilt, we’ve tried different moisturizing drops, flaxseed oil. Later we moved onto 3 different steroid drops – finally found one that worked and even got steroid injections into the inner lower lid. It has been truly debilitating. I’ve learned that breathing and vision and living pain-free are pretty important and a great blessing.

These lenses are called scleral contacts. Not many eye doctors do it, and it is very expensive – bc insurance looks at it like it’s not medically necessary. But, we decided we had to go for it for my sanity and quality of life. Thankfully Vanderbilt is helping us some and the OD is giving a cash discount.  I was fitted last week and oh, my just getting try some on was heaven for my eyes. These will provide full-time moisture and correct my vision.  I have to wait for the lenses to come in a couple of weeks and then there are more fittings, tweaking etc.  I Can’t Wait! I will be able to stop squinting, closing my eyes, doing drops and will read again!

So there’s about a week in there that I can’t really account for, but I believe we got some good answers and some plans moving forward like a possible clinical trial for GVHD, and my eyes will soon be a non-issue.  Our holidays were nice, we enjoyed all of our family, I enjoyed all of your cards and pictures, and thank you to those who have been kind to bring us food or helped out in other ways. I’m bored, restless and impatient most of the time, but I never feel uncared for – just loved. The Lord has been good to me even at my lowest and the love you all have showed me is overwhelming.

I’ll keep you posted on the next happenings. I forgot to mention that I’m on oxygen 24/7, so if we get to see each other, don’t be shocked. Hopefully that’ll be one of the things that will improve before long.

Elfie in the sugar pot!
Elfie in the sugar pot!

Home!

This will be a very quick update from Jonathan. But April is home! She slept soundly in her bed after 7 nights at Vanderbilt. The test results appear to be Graft vs. Host disease, which is not a surprise. More updates soon.

Back at Vanderbilt

Jonathan here again.

Over the past few weeks, April’s breathing has become more of a struggle. She has gone from hiking near Telluride, CO in June to needing O2 constantly at home, and unable to walk any distance.  This is likely due to GVHD (Graft vs. Host Disease – the new immune system that hunts any cancer is now attacking April’s body).

During one of her regular appointments on Thursday, the decision was made to admit her for the weekend to perform a battery of tests: CT, Cardio, lung biopsy, X-rays, etc. The lung biopsy happened around 5 pm yesterday. Unfortunately, her right lung collapsed after the procedure. This is fairly common (1 in 250), and we hope to have the chest tube removed in a day or two. Her pain is extreme, and we’re now trying to find the right balance.

We expect to be here through the weekend, and possibly a little of next week. April’s Mom and I are switching off, and that is very much appreciated. Unfortunately, April won’t be able to be at our oldest’s 14th birthday party tonight.

Please pray for good news on the biopsy. In this case a treatable viral or fungal infection is a very good thing. GVHD would be a more complicated recovery process. We are still trusting and walking through this day by day.