I have no good excuses for not updating this blog. No news is good news. The good news is that Scott has been feeling steadily better for a year now! A few days ago we celebrated his 3-year anniversary with a new heart.
At the very beginning of 2011 Scott's main immunosuppressant was changed from Sirolimus back to his original Tacrolimus. Who knew what a differnce that would make?! After he switched to Sirolimus in early 2010 because of the BK virus, he started having digestive issues, lost 30 lbs that he didn't have to spare and felt generally fatigued and blah. I have to admit that it was a bad time. He cut back on work, was kind of cranky and didn't feel up to much. It was way better than not living, slightly better than heart failure but significantly worse than he feels now.
Each month of 2011 Scott felt a little better. The digestive issues resolved and his energy increased. He gradually added hours to his work week, he joined a gym and he started to have a spring in his step. I cannot believe the difference! He finally knows how it feels to be well. He comes home from the gym surprised and excited about how many laps he ran, how much weight he lifted and how much energy he has left after a workout. I wish I had the motivation he does! The contrast between well and not well is very obvious to me now. It's hard to smile and have a good attitude when you don't feel well. It takes a lot more effort than when you feel good. Now that Scott feels good, he is happier. The chain reaction is that I am now happier, our kids are happier and life is better.
THAT is the way a heart transplant is supposed to work. We met a few people with heart transplants while we waited on the wait list. They all seemed so normal and healthy. There was a time when Scott had been in the ICU for weeks that I felt frustrated. I felt that the only heart transplant experiences we had heard of were so much easier than what we went through. I watched others receive transplants and come and go while Scott had many setbacks and struggled to make tiny improvements. Truthfully I wondered if it would ever be worth it. I felt that life was just not fair. Why did he have to be in the ICU for almost 7 weeks after his transplant? Why did his kidneys have to fail? Why did his new heart not work right away? Why did he get the BK virus and cellulitis and Colitis??? I still don't have the answers to those questions but it just doesn't seem to matter now that those issues have passed.
The fact that someone elses' heart beats inside him will always be a part of our lives. He will always be immunosuppressed. However, sometimes I forget for days that Scott had a heart transplant. Health issues do not permeate every aspect of our lives anymore. Thankfully Scott remembers at least twice a day to take his medications. He also remembers when he can feel blood pulsing in his fingertips after exercise or he can walk briskly without getting out of breath because of the young, healthy heart he has been so blessed to receive. He is no longer fragile. He is strong. He is happy. I am happy.
We travelled to Italy in September. This is us in Milan on our last day. It was all worth it!
Showing posts with label tacrolimus. Show all posts
Showing posts with label tacrolimus. Show all posts
Friday, February 3, 2012
Saturday, April 24, 2010
Balance
Results are in.
The kidney biopsy showed mild kidney damage. We don't know if the BK virus is the cause or if Scott's previous kidney problems are. We can live with that. His kidneys are actually performing better than they ever have since his transplant. That is probably because the kidney-harming drug, Tacrolimus, has been stopped.
Tacrolimus - that brings me to the next result...Heart Biopsy. Not good. Rejection. His results were a 2R. Last time he had a 2R his steroids were increased massively and weaned down slowly. This time there seems to be a reason for the rejection. Changing all of the anti-rejection drugs is the probable cause. So the plan is to slightly increase the steroids, increase and monitor the other drug levels and biopsy again next Wednesday. Hopefully the biopsy result will be better without the huge steroid treatment. If not IV steroids will be the treatment next week.
I really hope for a good result next week!! It is such a balancing act keeping an immune system strong enough to fight off infections but weak enough to NOT attack a transplanted heart. I'm praying to finally reach that balance. I appreciate all of the added prayers from many of our family and friends.
Scott is feeling good right now. He is back to work, exercise and life. This is a 'silent rejection' at this point with no symptoms and I hope it stays that way!!!
The kidney biopsy showed mild kidney damage. We don't know if the BK virus is the cause or if Scott's previous kidney problems are. We can live with that. His kidneys are actually performing better than they ever have since his transplant. That is probably because the kidney-harming drug, Tacrolimus, has been stopped.
Tacrolimus - that brings me to the next result...Heart Biopsy. Not good. Rejection. His results were a 2R. Last time he had a 2R his steroids were increased massively and weaned down slowly. This time there seems to be a reason for the rejection. Changing all of the anti-rejection drugs is the probable cause. So the plan is to slightly increase the steroids, increase and monitor the other drug levels and biopsy again next Wednesday. Hopefully the biopsy result will be better without the huge steroid treatment. If not IV steroids will be the treatment next week.
I really hope for a good result next week!! It is such a balancing act keeping an immune system strong enough to fight off infections but weak enough to NOT attack a transplanted heart. I'm praying to finally reach that balance. I appreciate all of the added prayers from many of our family and friends.
Scott is feeling good right now. He is back to work, exercise and life. This is a 'silent rejection' at this point with no symptoms and I hope it stays that way!!!
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