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Tuesday, May 22, 2012

1st grade math

Today in my email was a link to a story about a gentlemen from my hometown who has twice been transplanted.  I met him last Christmas and we talked on the phone several times.  It reminded me that Thursday was the day we planned to start my 30 days of 1A time.  As things sit right now, we are not going to take the 1A time.  Last Monday I had pulmonary flow tests (PFTs), a right heart catheterization, and the vampire came to see me.  My tests all look very good and in light of how well I have done this past year my doctors think I am a good candidate to wait another year before starting the transplant process.  For every  year this LVAD lasts me it adds another year to my life (as a reminder the mean survival for heart transplant is roughly 15 years) and delays the immunosuppressive therapy that I want to avoid.  That is the crap that will kill me in the long run.  Awesome that I have earned the right and the faith of my doctors to participate in making this decision. As I have learned, this process is like choosing something to watch on cable.....the fewer choices you have the easier it is to chose.  In this case the more options you have the harder it is to make a choice.  There is NO book out there to make this decision and anything that I factor into the process ultimately feels hedonistic compared to my health.  Do I want to move or do I need to move?  Do I want to accept the promotion for work or do I need to take it?  The only way to take the wants out of the equation, or so it seems to me, is to put my family first.  Doing so tells me that choosing to stay on the LVAD another year, rather than "electing" to be transplanted, is the best decision based on something that really matters, my family.  The wait takes on a life of its own and it is hard on everyone around me, even when we don't talk about it.

I have had many people reach out to me the past few days for an update on what we are going to do.  People I haven't heard from in a long time, people I didn't even know knew.  I can't tell you have much that means to me that people care.  All I can say is thank you for the thoughts and prayers.  And thank you for reaching out!  It has been great to reconnect.

On a much more fun note, we went to see Van Halen on Saturday night, sat front row, center stage.  Amazing. See a couple of pictures, one of which shows me and the LVAD.  To quote the security person when we entered the arena, "What the hell is that, and can I touch it without killing you?"  Lol, suffice it to say security was easy.




Tuesday, May 15, 2012

The Final Countdown

It has been awhile now since my last post.  Time has been marching on.  I was in clinic yesterday for Pulmonary Flow Tests and a right heart cauterization.  Not too bad, but a very long day.  My case is going before the transplant committee tomorrow for the final determination on if I go to be elevated to 1A next Thursday.  In talking with one of my doctors yesterday at the hospital I think they may leave it up to me at this point.  The trade-off to be made is balancing my current health (which is good other than the heart failure and LVAD) against the risk that the pump could fail at some point in the future.  How do you decide when to have a transplant when you are otherwise healthy?  Please tell me:-)

I was at Baylor Heart Hospital in Plano, TX last week and had a really amazing experience.  I was taking questions from nurses about living with a LVAD and discussing in general the patient perspective.  One nurse approached me and after a short discussion shared that her son had donated his heart 20 years ago.  We had a moment and talked about the courage it took to make the decision to donate, and how happy she is that he made that choice.  She has built a relationship with the woman who received the gift and she talked about what a wonderful lady she is.  It was an amazing moment to be there and share it with her.  I hope that I have that type of experience with my donor family.........So, more to follow after the transplant committee meets tomorrow.  8 and a butt days...............

Monday, April 16, 2012

Friday, April 13, 2012

Friday the 13th........

Spent some time today at the hospital volunteering and supporting the doctors. Discussed my wait on the list and where I am at. What happens if I don't get a heart during my 30days on 1A? I was told it could be another year and a half before I get a heart. Wow, the wait at this point is starting to take on a life of its own. Hard to be mentally sharp and read for the effort it takes to be focused and ready for all the heart work. 42 and a butt days...

Wednesday, April 11, 2012

Telling the story

I am in Dallas all week for work. Great to see everyone again including my friends who are around the world but came into town. Lots of questions about this stuff hanging off of me which leads to shock and apologies etc. just ready for the next step, feeling hard to concentrate on things at times. I have been thinking about being back in the hospital and starting from scratch. Also have been wondering where I am on the list as a 1B since my transplant center won't tell me. 44 and a butt days.......

Sunday, April 8, 2012

April is "Donate Life Month"

How exciting.  Too bad it doesn't make a good Hallmark Holiday so nobody advertises it and it doesn't appear in any media.  Beautiful morning here and the kids were excited that the Easter Bunny came.  Looking forward to brunch and the Masters.  Last year I watched it while in the hospital.  I have started to think about 1A time, now that there are 47 days left till I move up to the top of the list.  I find myself drifting into thought...questioning am I afraid or am I excited.  I lost some weight this week which made me feel good.  Just a couple of pounds but it puts me smack dab on the goal weight I want to maintain.  I have been questioning if electing for transplantation is the right step.  I had a great and very exciting conversation with my good friend Chris about cycling, which I can't really do right now due to the blood thinners I am on as part of the LVAD therapy.  Between blood thinners and wearing cycling shoes that clip in to the pedals.....that makes for a bad day if I fell while on the bike.  To say nothing about the driveline and other attachments hanging out and off of me right now.  Thinking about what I could do after transplant that I cannot due right now definitely makes me lean strongly towards a transplant.

I am trying to figure out how to make comments that people leave me visible to everyone.  If you know how to do that on the blogspot.com tool please let me know.  Happy Easter to everyone.  47 and a butt days............

Friday, April 6, 2012

Finally Got out to Golf

Spent a wonderful day on the golf course today.  First time this year.  Wasn't bad actually, great weather and the golf was good.  Trying to golf with the LVAD is certainly interesting.  Thought of the day today was can't wait to golf without the LVAD.  49 and a butt days.........