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Superwoman? Perhaps.

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I haven’t posted in a few days because I felt like I was only posting about having a great day and then the next about how much pain I am had been in. I guess it was really bothering me more than anything and I didn’t want to face these ups and downs. And then my bad days turned into worse and worse… until I ended up at ER last night.

I posted on Tuesday how my hematoma was bothering me. Well, I guess I didn’t really let on how much it was bothering me because I wanted to focus on the fact that my stomach pain had improved… well it was replaced with horrible hematoma pain all day Wednesday and through Thursday morning. That pain started to dissipate Thursday and I developed a new pain, at the very bottom of my liver, in my back (which we thought was kidney pain because of its location). This pain was awful. I cried all day Thursday and on Friday at 1pm, it had got to the point where I was at a pain level equal to when I woke up from my 2nd transplant. Time for ER.

Now, during this time… did I allow myself to increase my pain meds? No. Why? Because certain people, especially the doctors, are so anti pain meds that I was terrified. They put so much fear into you that you will become addicted and you practically have to beg them to give you something. For someone who hates being on pain meds, this is difficult for me. I would love nothing more than to be off the pain killers and to be improving, slow recovery is not fun, but recover I will, whether it be slow or fast, I will get there! Anyways, so the pain was awful, and we went to ER….

It was quite the eventful trip down, we came upon a head-on collision, that was scary. We called 911 and had to continue on because I was in such horrible pain. Walking, breathing, driving, stopping, going, bumps…everything hurt! (By the way, everyone seemed to be somewhat ok and we called 911).

My ER doctor was great. I will make a long story short… they gave me IV dilaudid for the pain. That was the first time I had any real pain relief since my transplant. I cried because I was so relieved to have the edge off of the pain (though it did still hurt) for the first time. The doctor ran labs and did a CT with contrast (looking for kidney stones or something wrong with the liver). CT scan came back showing that I have pleural effusion, which is fluid between my lungs and liver. My ER doctor called a UCSF liver transplant surgeon to see what they wanted to do with me… he said to send me home (even though the pleural effusion doesn’t explain why I was in such severe pain). I was sent home, with no explanation (possibly the pleural effusion but nobody knows for sure). Granted, my ER doctor was awesome and very caring. He told me that it was absolutely necessary to increase my pain pills. Without pain control, I can’t breathe deep which may have caused the fluid between my lungs/liver and I can’t walk because it sends shooting pain to, well to where ever my pain decides to camp out for the day… so I have been taking my pain pills every 4 hours today.

And now guess what… oh yes, the pain has decided to move again. I apparently have migrating pain every single day! But severe, level 8-9 pain. It is now in my shoulder. Every time I get up from a chair, sit down, lean back, reach with my right arm… I have shooting pain that makes me yelp. I kind of sound like a sad puppy.

The doctor also reinforced that I need to breathe deep, and walk, walk, walk! Did I know these things? Yes. Is the pain too severe to do them? Yes! Do I have to do them anyways? Yep…

Even though I had severe pain today, I decided to go with my mom downtown. We went grocery shopping. I held my shoulders back (ouch!), took deep breaths (ouch!), and with every step I took tried not to cringe at the pain shooting through my body… But you know what, I did it. I also used my inspirometer for 30 minutes straight (breathing machine). I had always wondered how to increase your pain threshold. Well, now I know, increase your pain!

I looked up the side-effects today of prograf, they included: pleural effusion, severe back pain, excessive dry skin and multiple other symptoms that I have been having. This is probably because I am on a fairly high dose of prograf… I hope I can decrease it soon or change to a different kind of anti-rejection med.

So although this isn’t the happiest post, trust me, both you and I want it to be, I thought I would let everyone know what is going on…. Prayers greatly appreciated!!

Moral of the story: Sometimes the only way to get through the pain is to face it head on with God by your side. It is then that you learn, grow and can finally heal.

PS. In case you are wondering, my sister is doing great. She still gets tired but she is off her pain killers (lucky duck!) and I couldn’t be happier for my hero sissy! She has driven and gone grocery shopping by herself, made a trip to Reno and saw my oldest sister who recently moved there with my 2 nephews and sweet niece…. She still gets tired and will take long naps on some days, but that is expected as she grows that awesome liver of hers! I love you Kell!

Oh and….

Happy One month (and one day) liverversary my awesome liver! It is doing great, labs are always perfect in the liver arena….

Improvement

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Today was a big improvement from yesterday! Up and down, hey, at least it is more interesting this way and it gives me a better story to tell. Granted, I can’t wait until the day where all I have to talk about is God’s goodness (ok well that is EVERYDAY… God is good, ALL the time!!!), wedding bells and and shopping sales!

My pain has greatly diminished today, replaced by pure exhaustion. However, yesterday was a very long day. I’ve been snoozing a lot today. I also took my steri-strips off today, my scar looks great! I will have to take another picture soon, you won’t believe the difference of 3 weeks!

I also had my first bath today post-transplant. I got to soak in the tub, candles lit and music playing… I was finally able to relax, no staples, no steri-strips… heaven I tell you!

The only problem today is the hematoma on my liver has been causing me more pain, a lot of constant pain. It’s hard to keep track of the different pains (back pain, stomach pain, incision pain, hematoma/liver pain, referred shoulder pain, take your pick!)…

I just thought I would put up a quick post and give the good news that my stomach pain is a lot better (though the pain is still there for sure, it is an improvement from yesterday where I thought I was going to die from pain). Praise God!

Every good and perfect gift is from above, coming down from the Father of the heavenly lights, who does not change like shifting shadows. James 1:17

Long day @ UCSF

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Yesterday my transplant coordinator called and said that she was concerned about how much pain I have been having. She said that she wanted me to go to the clinic tomorrow (Tuesday mornings the liver transplant clinic is specifically for post-transplant liver patients and every week it varies which doctors work the clinic, and which doctor you will see). I called my coordinator back yesterday evening and told her I was doing a bit better and we agreed that if I was indeed better this morning, I wouldn’t go and if I was worse, then I would go ahead and come to my clinic appointment.

Well last night, after About 10 minutes of laying in bed, I was in tears. It takes a lot to make me cry these days because I now know what real pain is. I had to pull a roly poly move to get out of bed. Coleman tells me that I am a roly poly because when I am in pain, I curl up in a ball and when I need to get out of bed I have to rock back and forth and roll side to side. It’s awesome.

So, after 10 minutes I had to leave my beloved bed and move to the chair to sleep (which is where I have ended up the last 3 nights from pain preventing me from sleeping). I still didn’t sleep well in the chair and when I woke up with the sun this morning, I knew I needed to keep my appointment… or go to ER! The pain was intense. Think of lemmings starting a massive inferno in your stomach because that is exactly what my stomach felt like, constantly. At least if I kept the appointment, they would know what to do with me properly as UCSF is familiar with transplants, where as Kaiser, well not so much.

After my appointment with the doctor, he asked that I go get an ultrasound. At this point the pain was so bad that Coleman had to get me a wheelchair because I could barely walk. The ultrasound showed that I have a small hematoma on the edge of my liver. They weren’t too concerned about it and said that it’s common and should reabsorb on it’s own. Thankfully the other hematoma (blood clot) that was on my incision 2 days ago had disappeared by today. So no worries there. My arteries in my liver are flowing perfectly. I also got to see my new liver for the first time. Boy, oh boy! Literally… it is a big boy sized liver. =) That must be why it is working so well, mr gigantor blood filter. Then, we had to wait again and have a 2nd ultrasound done by the radiologist (not the tech). Then we had to wait for my doctor to call us to tell us we could go home or if we were going to be admitted… Talk about hurry up and wait… which is not any fun when you have a pain level of 8! We were there for 4-5 hours!

They did give us the OK to go home though. They gave me some suggestions for the pain and also decreased my cellcept (one of my antirejection meds) that can have side-effects of stomach issues. I hope these suggestions will help and the pain will subside sooner than later! Sorry for such a boring post…. it was kind of a blah day, even the weather was overcast. On the bright side, the doctor said I can take baths now, that my incision has healed up nicely! There is only one spot that still has a scab on it!

Dear Summer,
Please come back! I miss you and the smiling sunshine.
Thanks,
Your biggest fan

I hope had a terrific Tuesday!

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