Showing posts with label transplant list. Show all posts
Showing posts with label transplant list. Show all posts

Monday, July 2, 2012

In Between Days

Here's another entry in the 'waiting for the transplant' journal.  What strikes me most about this one, is that this entry arrives nearly a full eight months after the first.  My guess for the gap is that I am really bad at keeping journals consistently, and because that year was my best as a dialysis patient.  Much of 2003 was the one year where I was fairly stable and managed to start to live a little again.  I find that I'm more likely to write, if I'm not feeling well and am less active. 

Some other things that stand out is what seems like the prehistoric use of the beeper.  This is only nine years ago!  I cannot imagine that they still use those things.  Also, the flat, nearly fond way I remember coming to in the ICU after having my kidneys removed is striking to me.  I certainly did not enjoy that experience, as evidenced by the blog I posted another time describing more bluntly and dramatically how that experience went down (this can be found here).  And finally, I cannot believe that people have started using the nasal tube (as feeding tube) as a method to lose weight quickly.  What a horrible idea!


Thursday, August 7, 2003.

I have a beeper now. Things are really moving along. Seven people have tested their blood to donate for me. Unbelievable! The generosity of my friends continuously amazes me. Why do they even care? I am so grateful that I cannot put it into words, but I also wonder if I deserve such kindness. I am such an asshole most of the time and have become even more tedious to be around since losing my kids. Maybe they offer in order to shut up my stupid mouth. Somehow, however, no one has been a match. Same blood type, but the old “positive cross-match” rears its ugly head every time. I’m not sure what this means. The “positive” must mean that my blood reacts negatively to the potential donor’s blood. The consensus seems to be that this is happening because I’ve had too many blood transfusions in the past (eight units in one sitting one time after bleeding internally for a few days post surgery). Yet, the lab cross-matched my blood to their 20 test samples on hand and they were all “negative cross-matches,” which apparently is a good thing. And there it is again. A sentence I have continually heard since this disorder (VHL) was discovered in my body: “I have never seen anything like this.” This is not something one wants to hear from a doctor. I hear it at appointments all the time. Every time I try and believe that I am somehow normal, I get reminded that I am a freak mutant without the fun super-powers that all good mutants are supposed to have.

Carrying this beeper is really crazy. It could go off at any second. In fact, it has gone off. It seems to “beep” on occasion for no apparent reason. One time I called the number on the display and it was a guy looking to get his car detailed. I don’t really know what that means, but it felt like a cruel joke. Other times, the number has led me to a non-stop ringing when I phone in. No one home. Wouldn’t that be a kind prank over at the transplant office? Or maybe unused or dead phone numbers come alive and contact other phone numbers. Maybe there’s an entire culture of zombie phone numbers out there hunting down other numbers to feed off of. Or maybe this is part of the Matrix that everyone is so afraid of nowadays.

The beeper is attached to me at all times. I play with it and check it and supply it with fresh batteries every few weeks to make sure that it’s fully empowered when it comes time to alert me when a kidney becomes available. It’s all the hope I have in the world jammed into that little plastic box.

I had a dream the other night that I had lost the beeper. Everyone around me had their cell phones and pagers ringing and beeping, while I was without. I was frantically trying to remember where I’d left it. Was it stolen? Did I drop it into a storm drain? Those storm drains have been daring me to accidentally drop my keys into them for years, so it wouldn’t surprise me. Was it going to alert me, when I couldn’t hear it? Was I going to miss my chance for a transplant, because I was without? Would I be dropped back to the bottom of the list? To search for it, I decided to climb into my Dad’s van. His cat Demando was driving. We were off to find the beeper. It began raining and the cat was struggling to keep the speeding van on the wet road. I was in the back seat, but leaning forward watching this cat work hard to turn the wheel around sharp corners, while wondering how its tiny legs could reach the pedals. We suddenly turned 90 degrees onto a side street that rose steeply uphill and then drove inside a Taco Bell. The cat ordered some food at the counter from the driver’s side with several “meows” and I paid for the food, when Demando and the kid working both glared at me. My friend Wil was already in the Taco Bell and climbed into the van with us. I woke up to my alarm at that point. Not to the beeper.

I have somehow convinced myself that I will miss catching the beeper if it does actually go off with the big news. Logically, I know the transplant people will try and contact me via phone at home or at work or at dialysis, before resorting to the beeper, yet I continue to believe that if I set it down or fall asleep or listen to music too loud, I will miss my chance to receive a new kid.

*****

I’ll never forget coming to in recovery after the surgeon took my kidneys. There’s that first question they always ask after shouting your name repeatedly to get you conscious: “How do you feel?” and/or “Rate your pain.” In this case, my pain rating on a scale of one to ten was something around “AAAAAAAAAAAAAAH!!!!”



The second memory I have is waking up in the ICU. I had missed my chance at being in the ICU the year prior when I had that giant cyst removed from my brain stem. The ICU was too full, so I spent the entire night in recovery with an ICU nurse nearby. ICU is the coolest place. You can receive complete nurse attention at all times along with a very private room and you’ll be surrounded by all kinds of high-tech equipment that beeps and squawks and hums all the reading things that your body is doing. It is difficult to move around in ICU, not because of the pain from surgery, but also because they have so many tubes stuck in all kinds of places. One wrong move and something serious could go haywire. My personal favorite tube was the one they stuffed into my right nostril. I didn’t know what it was or could be for. It made my nose itch, so I found myself scratching around that tube frequently very carefully. As my consciousness grew, my aggressiveness with the scratching the itch did too. It didn’t take long before I realized a correlation between my movements of the nose tube and the soreness of my throat. When the nurse caught me fiddling with the tube she strongly advised against doing that. I asked her what it was for and she explained that the tube is placed through the nostril and down through the throat and into the stomach. The idea is to suck out any bile that one could otherwise throw up, in order to avoid any disastrous events from the trauma that a violent vomit would cause to my freshly wounded abdomen. Well, that made sense, but her warning did not stop me from scratching carefully at that itch. The irritation was too much for me to avoid constantly thinking about it. I had nothing else to do in that dark room. Every time a caretaker of some sort entered the room, I would beg for it to be removed. Unfortunately, the act of removing such a device is exactly how one might think it would come out. Someone comes in and yanks it out through your nose. And, yes, it burns, the entire way and for a long time after. It was a relief to have it gone, but it didn’t seem worth it for a long time after it was gone.

Once some of the tubes and wires and machines were dumped and dragged from my room in the Hotel Intensive Care, I tried my best to enjoy the peace and quiet of the quiet room in the secured wing. They had all of this advanced technological equipment in there, but somehow the TV was awful. Every channel was fuzzy and shaky on the screen and the volume was set so low all I could ever hear was a low buzz or mumble. Maybe it was time to move to a regular room. I don’t know if I would be ready to face the world again. I knew I’d never be the same again.



Sunday, July 1, 2012

Push


Here is a second entry from the randomly kept journal I began once I found out the news that I had finally been given the chance to be placed on the transplant list back in 2003.  Looking back, it's odd for me to try and figure out what moments were worth chronicling, and what weren't.  I was pretty single minded at that point, so that may explain why the entries are so few and far between. 


Thursday, January 16, 2003.


Sitting at my desk at work, shuffling papers around, in an attempt to organize into piles what stuff I want to work on and in what order I want to do it. Some of the stuff is constantly being rearranged to the bottom of the pile. If it’s eternally in my to-do stack, then maybe it will solve itself and never have to be addressed.

It’s early. I am having troubles staying focused. I found out the other night that there might actually be a chance of one day finally receiving a kidney transplant.

I pull out a blank sheet of paper, once my desk has been straightened to my liking. I grab a KING SIZE marker pen and take a sniff from the tip. Whatever happened to those fruit smelling marker pens from childhood? Those were cool. I especially liked grape, or the purple one, which gets me to thinking about our societal approximation of grape. Though I enjoy grape gum and candy, it never tastes anything like any grapes I’ve ever had. They should give up the rouse and rename it “purple.” It’s not fooling anyone. I wonder if Grimace tastes like “Purple?” I shake my head to erase this thought, since Grimace would most likely not be an acceptable food for my dialysis diet.

On the blank paper I scrawl out a “Wanted” sign, which reads:

WANTED:
O+ Kidney
Right or Left
Take 6 weeks off!
Call: 503-413-XXXX

I stare at the paper for some time, as the glare of the bright white sheet reflecting the fluorescent beams above begins to burn my eyes. I see the rectangle now with every blink. The words blend together. Maybe I sniffed the toxic pen too much. I wonder what these things are made out of.

They’re only a couple of people in the office this early in the morning. One of the benefits of coming in so early is the gradual nature of beginning the day. The energy of the business picks up about an hour in, so by then I have a chance to try and wake my sorry ass up.

I wander downstairs to the bulletin board near the front desk. I look for a place to tack my sign. This seems like a bad idea. The sign will only confuse anyone that looks at it. I kept it vague, because I don’t want to be involved with picking my hopeful donor – but this is really more of a joke - a joke that no one will understand, because it's not funny.

Instead of tacking it up onto the fabric covered cubicle partition wall, I toss the paper into the recycling bin underneath the receptionist’s desk. A few actual work tasks get accomplished, and then another blank sheet of paper comes out. I scratch out another message:
LOOKING FOR:
O+ Kidney
Male or Female
Right or Left
Willing to take 6 weeks off?

Maybe I should mail this off to Willamette Week’s personals department. I’d rather have a date with a new kidney at this point than one with a hot blonde. Let me rethink that. I wonder what kind of responses such an ad would draw. Probably none, but if it did, they would undoubtedly be weird and scary. But, would it actually work?

I keep thinking to myself, how in the hell do other people find living donors? After dating a transplant patient last year, I learned that she received her kidney from her Mom. My Dad offered to donate, but the doctor’s almost laughed him out of the room, which only filled him with rage – like most things do. Apparently, he’s too old for his health to have a kidney removed without a lot of extra risk for both of us. So, that leaves out anyone in my immediate family. I’ve seen those feel good news stories about some random stranger donating a body part to someone simply because they are that damn generous and have been touched by the needing person’s story. How do I get my tragic story onto the local news? How do I get one of those sweet talking beautiful reporters outfitted in a bright turquoise pantsuit to tell my story so that some saint can give a chunk of their flesh to save my pathetic life? Is there a network out there somewhere that I am unaware? Is there a special store where news people buy their clothes? Maybe it’s because my story isn’t particularly tragic and it’s definitely not interesting. Still, for someone who has been strapped to a dialysis machine for over a year now, constantly inundated with kidney news and trivia and networks, I seem to be in the dark about how things work.

I toss the second sheet away and head back to my office upstairs. I really need to give my wonderful spacious private office up and move downstairs. It is becoming a struggle to climb these stairs several times a day. Somehow I always knew that cracking the age of 30 meant that I was officially old, but this is ridiculous.

Back at my desk, I bring up the Willamette Week personals page online. I do not see any ads for body parts. This is discouraging.

Typing “Kidney Transplant” into my search engine, I discover a website named Transweb. “Take the transplant journey,” it says. I couldn’t look any further.

Maybe a cadaver kidney is the way to go. I can handle another year or two or three of dialysis. Plus it would so exciting to be on call for a kidney. Maybe they’d give me a beeper, so they can reach me at any moment. Would the beeper call come while I’m sitting on the toilet, like all of my phone calls do?