Tuesday, July 28, 2009

From Addie

It has been exactly two weeks since Joan and I had our surgeries. We've had our ups and downs, but we are making progress, slowly but surely. What a gift of life Joan has given me and what an act of great love. Who would have guessed that when I brought Joan into this world that she would give me a new life. She claims she has no regrets even going through what she had to experience these last two weeks.

Pain is definitely the main challenge for both of us. Our doctors announced yesterday that we have to stop our pain pills and limit ourselves to Tylenol every six hours. We're trying our best.

Pete has been most patient doing everything for us. So far he's holding up and trying to enjoy the pool and his bike ride and daily walk to keep from burning out. He takes very good care of us.

Joy and Jade were here the first week while we were in the hospital. They were wonderful with their moral support and keeping Pete from stressing out. Joy is also helping the office with bills and ads and wherever she can help during our absence. She's working triple time: Cal Poly, my office and the baby. What a champ!

We've also been blessed with friends and relatives who have brought food & cooked, especially the first week giving support and running errands. We have felt the power of all your prayers and positive energy which really sustained us. I can truly say I was very much at peace the day of surgery and had no anxiety nor fear. The first night after surgery was a blur, but I was so lucky to have my wonderful nurse Amber who was by my side all night. I could hear her voice talking to me, but I couldn't wake up to meet her. It wasn't until the next morning that I asked her for her name when I finally opened my eyes. I thanked her profusely for her excellent care. I was very fortunate to have a private VIP room the first four days in the hospital. The team of doctors and residents and fellows came to see me every day while I was in the hospital. We all had one nurse for every 2-3 patients, so we got excellent care.

I was told during our training that my first month will be eating, sleeping and taking meds. I'm now a pro at administering my own meds from 8 a.m. to 10 p.m., adjusting on the immunosuppressant drugs as they get the results from my blood test twice a week. Joan has been cleared from her follow-up and will return for her two-month check-up. I still go to clinic twice a week and hopefully by next month only once a week. Next week I have two more IVIG infusions which will take two full days. Hopefully the nurse will come to my hotel to do my IVIG. (This is to keep me from rejecting Joan's kidney since we are not a perfect match.)

It has been a long journey since I was diagnosed with renal failure over three years ago. I have learned a lot about diets, discipline, how to adapt to a different lifestyle, staying positive, and how to do home dialysis. I have met a lot of wonderful people who have taught me knowledge I wouldn't have had and who have become my friends and support system. Having experienced and learned so much these past years, I can't help but marvel at the medical knowledge that we have and all the dedicated people who research and practice in order to enable me to take this journey. None of this could have happened if this were twenty years ago. We do have lots to be thankful for!

My heartfelt thanks to all of you who have supported us throughout this journey. We treasure and appreciate your friendship, concerns, prayers, etc. I will close with my favorite prayer:

God, grant me the serenity to accept the things I cannot change,
Courage to change the things I can,
and wisdom to know the difference.

Addie

Friday, July 24, 2009

TGIF

Hello friends and family! Joan here.

It's Friday afternoon and I finally feel like sitting in front of the computer for a while again and updating our blog. It's amazing how draining this little machine can be when you're not feeling well. I'm glad my dad posted our update earlier in the week, but I thought I should let people know that I am feeling much better than I did on Tuesday! That was another low point, but the days have gotten better for me since then. Today I sat outside and read a magazine for a while, then chatted with my friend Kata before she headed back down south, then took a nap and now have just taken a nice shower. That's all the adventure for the day.

My mom is doing quite well according to the doctors we saw yesterday during our check-up. She's been in quite a bit of pain the last couple days, but they say that is normal and she should be feeling better within the next week. Even in her pain, she's a pleasure to be around and has been in a pretty good mood and remaining as optimistic as ever. We were cracking each other up as we hobbled into the hospital together yesterday. It was pretty pathetic looking! My mom starting laughing first and then we were both trying not to laugh because it hurt too much!

Neither of us have felt very photogenic lately, so I thought I'd post a couple pre-transplant pictures that we took up here.

Here are a couple from our first day at our hotel.
Grandpa is reading to Jade in our room. Jade took her first dip in the pool!





























We arrive at Stanford Hospital on Tuesday.

Our support team.....


The patients.....

I think we're going to enjoy some Chinese take-out for dinner tonight. There are a lot of Asian restaurants in our neighborhood here. Mom and Dad both send their love to all. Thanks to everyone once again for your prayers and good wishes.

Tuesday, July 21, 2009

Tuesday -- It's my turn now -- Pete

Hi everyone -- Joy has left and Joan is not up to writing today. Addie has also been keeping a low profile on the couch. We spent part of the morning getting better acquainted with her bucket of meds; some to be taken at 8am, some at 10am, a few with lunch, a few more at 6pm, and finally, the last at 10pm. I have my cell-phone set to remind me. When it went off at 2:30, I was reminded to go to the the gym, but that's back in Morro Bay. Not today. I did go for a walk to check out the Whole Food market. It's like a giant New Frontiers market! I'm looking forward to a return trip! Luckily, Joan's friend, Kata is here to help! I went in to check on Joan this morning. She wanted me to give her the injection she has been looking forward to every morning. Just as I had rubbed down her arm with the alcohol swab, she felt queezy and laid back down on the couch. Kata was chopping ingredients for her "healing soup". I left the room for a few moments to check on Addie. When I came back, I knocked on the door. I heard Kata say she'd be there in a minute. When she finally came to the door, she had a pan in her hand with what I thought was ingredients for the soup she was preparing. Well, not so. Joan had just lost it and the pan was what Kata had found just in time! We had a good laugh. Even Joan was laughing! Addie and I had some of Kata's soup for lunch. The lentils, carrots, celery, chicken broth, and seasoning were very satisfying. Joan stuck to her chicken noodle soup and crackers. There's plenty more if Joan is ready for some tomorrow. Both Joan and Addie have been sleeping most of the day. I did take Addie out of the room for two walks up and down the hallway. Joan has been up to walk around in her room a few times. All in all, both are doing well, considering they have just been "home" a few days.

Before I sign-off, I do want to take this opportunity to thank all of you who have helped out in so many ways! We have all felt surrounded by your support and love! Addie and Joan are doing well and I'm sure it won't be long before we can all be home in Morro Bay again. I have to get there in time to harvest the corn! Regards and love, Pete

Sunday, July 19, 2009

"Sanctuary!" (by Joan)

If this were a Disney movie, I'd be Quasimodo running through the aisles and passageways of Notre Dame Cathedral shouting "Sanctuary!" But, instead, I'm the scary looking, sock-footed hunchback roaming the dark hallways of the Residence Inn whispering, "I think I can, I think I can...." Somehow if feels perfectly normal to be in a loose-fitting, somewhat-revealing (in all the wrong places) hospital gown roaming the hospital hallways when everyone who passes you smiles and gives you an encouraging nod, but if feels entirely different to be wandering up and down the hotel hallways in sweats and socks looking like you're either drunk or deformed and the people who pass you just try not to make eye contact at all. But I'm not complaining! It's great to be out of the hospital.

Joy and my dad are taking great care of me. I'm slowing learning all the things that are currently impossible to do, like bending over to pick up the piece of trash I dropped on the floor or opening the heavy hotel room door or opening the pudding package because I can't pull the foil top off. One should never take their core muscles for granted! My surgery and recovery was often compared to a c-section and as I lay in my hospital bed I kept thinking, "Oh, thank God I don't have a newborn baby to care for right now!"

I think Joy kept everyone pretty well up-to-date while my mom and I were in the hospital. But here are a few insights from my perspective:

1. Being a patient at Stanford Hospital is like living in the middle of a "Grey's Anatomy" episode. It was particularly surreal while I was sitting in pre-op at 6 am Wednesday morning. I sat there waiting for about an hour as all the doctors, nurses, interns and residents filtered into the surgery area. They were chatting about the softball game after work, gossiping about the attending physicians and surgeons and comparing notes on what procedures they were going to get to work on that day. I saw one intern very obviously kissing up to one of the surgeons and trying to impress him with all his background. One lucky intern was behind the curtain across from me assisting with a femoral artery catheter - it was all the buzz among the other envious interns! The poor little old lady who was having the procedure done had no idea what a stir she was causing just outside the curtain. Like any good red-blooded single girl on the set of "Grey's Anatomy," I kept my eye out for McDreamy. On my last day there I finally found him - well, the closest thing to him (cute, nice, young - but not too young - and not wearing a wedding ring). Wouldn't you know it, he showed up exactly once: to remove the catheter from my incision that runs from just below my belly-button to just above the rapidly-growing-five-o'clock shadow where they had shaved me before surgery three days ago! Who says God doesn't have a sense of humor?!

2. If my current job doesn't work out, there's always a place for me in the circus freak show. Apparently I could either be billed as "Joan - the human pincushion!" or "The woman with freakishly small veins!" By the end of our first night in the hospital before the surgery, I already been poked at least ten times. It took a couple attempts to put in my IV line, four more to draw blood, and then another four times that ended up being a complete waste. I had agreed to be part of a study that my nephrologist and surgeon are working on. They want to study how the kidneys of healthy kidney donors compensate for the lost kidney over a period of years. I was very supportive of being part of the study because I know that we all benefit from those who have been part of clinical trials and research in the past. However, after I signed all the papers and gave all my consent, the research nurse couldn't get a second IV in my other arm to do the draws that they needed, so she finally gave up on me. I was being especially patient and trying not to complain, but I almost punched her when she said that I could definitely benefit from starting to lift weights because that would make my veins bigger. A swift right hook would have shown her just how much I've already been working out......but I am not a violent person :)

3. It's prayer that gets you through the darkest moments. I tried not to be naive about what this procedure entailed and what I would feel like after surgery, but I definitely hit a wall at one point. It was Friday morning (two days after surgery). I had been trying to do everything they asked me to do and had managed to sit in a chair and walk to my hospital room door on Thursday, but not without excruciating pain. They told me, "The first time is the hardest. It gets easier after that." To this, I have one thing to say "Liar!" The first FOUR times are miserable, and then it gets slightly bearable after that. My breakdown included lots of tears (try crying after abdominal surgery - not fun!), a nurse whom I inwardly cursed (but later outwardly thanked and praised), a poor lab tech-in-training who stared at my arm like she had never seen a vein before, and some nameless resident who casually dropped by to give me the box with the instructions for the unexpected shot I was going to have to give myself every day at home for the next week. At some point it just became too much to handle and I just lost it. I couldn't see the light at the end of the tunnel. They told me I wouldn't feel better until I started walking, but I couldn't get past the pain to even stand upright. It was two days after the surgery and nothing felt like it was getting better. That's the point where you just give it up to God. I'm sure it's only the prayers that got me through it - both the prayers I offered up and the many from all of you who have been praying and thinking healing thoughts for us. I can't say "thank you" enough to all of you.

4. When you think you've got it bad, you don't have to look very far to see that someone else has it worse. In my case, I only had to look to my right about six feet. The first couple days in my room after surgery, I could only see my hospital roommate when she got up to walk to the bathroom. All I knew about her was that she was strong enough to get out of bed frequently to pee and she got "real" food at mealtime (I could smell it.) I was envious on both accounts. But as we talked more through the curtain, I learned that Taylor was awaiting her 17th abdominal surgery on Friday, but before that she will have surgery on her leg on Wednesday to insert a filter which will hopefully catch the blood clot that has formed in her leg after her last surgery. Her longest stretch in a hospital at one time was a month. She's lost 100 pounds during the whole ordeal. It wasn't too long before I too was making frequent trips to the bathroom and getting the "real" food tray at mealtime, and then I was packing up my bag to leave. It was then that I realized my ordeal had been so small in comparison to what others go through. My dad and Joy met a couple women in my mom's unit who had been coming to the hospital every day for four and nine months respectively. It sheds a real light on "in sickness and in health".

My mom continues to do a little better each day. Today she had all the other tubes removed except the catheter. The plan is still for her to be released tomorrow (Monday). We both know we are in good hands: our caretakers', Stanford's and ultimately in God's hands.

Many, many thanks for all your comments, prayers and love. Joy shared them with us in the hospital and they really were greatly appreciated.

Home = Marriott Residence Inn

We brought Joan "home" from the hospital yesterday! She is doing great and walking around quite a bit. I'm sure it felt good to be able to shower and put on some "real" clothes. I will be staying close to the hotel today with Joan, while my dad continues to visit my mom in the hospital.

We are hoping Addie will be released from the hospital tomorrow. She is also doing great and walking around. If all goes as planned, tomorrow they can remove all her IVs and tubes. She will still be on over a dozen medications, but at least she will be able to move around freely. I'm sure it will be a huge relief when that time comes since she also will no longer have her dialysis connector.

We are looking forward to having them both with us at the hotel. I have decided to stay one more day here, hoping that I can help bring my mom "home." Joan's friend Kata will be coming tomorrow to be with her for a few days. It is amazing that so much has happened in the past week!

Friday, July 17, 2009

They're up and at 'em

Both Addie and Joan were up and walking around today! Joan and Addie both made significant improvements between this morning and this afternoon. By the end of the day, Joan was walking around without any assistance. They offered to let her come home today, to which she responded, "Is this really what it feels like to be ready to go home?" We hope to bring Joan back from the hospital tomorrow.

My mom was also walking around independently (although she has to use her IV stand) by the end of the day. She even came out of her room to see Jade who was running around in the hallway. My cousin Tiana, her fiance Jon, and my friend Brie accompanied my dad and I to the hospital today. It was nice to have lots of extra helping hands with Jade. We were all really excited to see my mom and Joan up and walking! They are both doing really well!

Addie and Joan have both enjoyed hearing the comments posted on the blog, which I continued to share with them today.

Thursday, July 16, 2009

A Short Update

We spent today alternating between Addie and Joan's rooms. Addie is doing very well, and is happy to report that her kidney is functioning even better than most newly transplanted kidneys at this time. She also wanted to be sure we mention in the blog how wonderful the nurses and staff are at Stanford. Each nurse in her wing attends to only two patients. Addie was able to get out of bed and sit in her chair today. She will most likely be discharged on Sunday or Monday.

Joan spent much of the day trying to move as little as possible. Fortunately, they switched her pain medication from the IV to a pill. Last night she woke up every fifteen minutes to push her pain medication button. Hopefully, now that she has the pill she will be getting relief for a longer period of time. She did get up and walk today, but they are planning to keep her until Saturday instead of releasing her tomorrow.

Thanks for all the wonderful comments on yesterday's post! I read them all to Joan and Addie, and they were very appreciative!

Wednesday, July 15, 2009

Visiting Hours

We finally got to see Joan and Addie when we returned to the hospital after dinner. Joan is coherent and was able to tell us about her experience. She is definitely not ready to get up any time soon, but she was alert and doing as well as could be expected. They hope to have her up and walking tomorrow (to which she responded that she can not even think about that now!) We stayed until visiting hours were over (8 p.m.) and then went to see Addie. We can visit Joan again after 11 a.m. tomorrow. Addie is in another wing of the hospital and has her own private room. She was still groggy, but looking really great! She has several machines monitoring her, but the nurse seemed very vigilant and said they are more flexible about visiting hours and we could come see her again in the morning. We are feeling very positive about everything and looking forward to visiting them again tomorrow!

Excited to share our good news!

Today was T-Day (transplant day)! It is 5:30 p.m. and we are still waiting to see Joan and Addie, but we heard their surgeries went well! Addie's kidney is already working and the surgeon said everything is looking really good!

My aunt Debbie came up last night and has been here supporting us and helping with Jade. It is so nice to have her here! We all arrived at the hospital this morning and were able to see my mom up until she was taken in for surgery. Joan was taken in early this morning and has been in recovery since noon. We have been waiting for her to be assigned a room so we can visit her, but apparently her room is still not ready. In the meantime, Addie was taken into surgery and is also now in recovery. We are assuming they are in the recovery room together, so hopefully they are together even though we cannot be with them.

We have been told that Addie will be taken into her room within the hour, so we are anxious to visit her. This is much earlier than we thought we would be able to see her, but we understand that they probably want to move her into isolation as soon as possible. There will be stricter visiting hours and rules for Addie for awhile, but hopefully we will all be able to visit her today (with the exception of Jade, who may have to wait a little longer to see grandma).

Thank you for all your prayers and messages today! We can feel your love and support! I hope to post another update later this evening, after we have seen Joan and Addie.

Monday, July 13, 2009

We arrived safely.

We arrived safely at the Marriott Residence Inn at Los Altos this afternoon. Our drive went by quickly with minimal stops. It was a balmy 94 degrees when we arrived, and we just finished enjoying a family meal together outside our rooms. My mom kept Jade entertained on the drive up, and now Jade is exhausted from all the excitement. Tomorrow morning, my dad and I will take Joan and my mom to check in at Stanford at 11 a.m. My mom is looking forward to her first night without her dialysis cycler since this time last year.

Sunday, July 12, 2009

We're all packed!

It's been a whirlwind of a weekend, but I think I can safely say that we're all packed and ready to head to Stanford in the morning. My parents have packed all the comforts of home to sustain them during their two-month absence. Mom has all the ingredients for her Chinese comfort food and Dad has all the necessities to cook and bake his specialties. All of us have lots of reading material, listening material and comfortable clothes. True to Pedersen form, we are well-organized and loaded down with food! All duties have been assigned: visiting Grandma, running the office, watering the yard, pulling the weeds, feeding the cat, collecting the mail and paying the bills. It's an understatement to say this is a group effort! We certainly wouldn't be able to make room in our lives for this transplant without the help and support of so many friends and family. My word for this weekend has been "abundance." We've had phone calls, visits, dinners and just so much love from so many people. It almost takes your breath away! We are blessed beyond words.

Tomorrow morning we pile into three cars and caravan north. Joy and Jade will be with us for the first week and our Aunt Debbie will be there for the day of the surgeries. Several people have asked where we will be staying. For the next month, we will be at the Residence Inn Palo Alto/Los Altos (4460 El Camino Real, Los Altos, CA 94022).

I hope that Joy or my dad will be able to add a post on Wednesday night after our surgeries and let everyone know how things went. I'm sure the cell phones won't work in the hospital, but my mom always says that "No news is good news" so just keep a positive thought for us and assume the best!

Sunday, July 5, 2009

If all goes as planned....

I've had many people asking what the recovery schedule is following my mom's and my surgeries. As the doctors are always quick to warn us, everyone's recovery is different. However, I can give you a general overview of what we're planning for at this time.

Our family will leave for Stanford next Monday, July 13th. My mom and I are checking into Stanford Hospital on Tuesday. The most important item on my agenda for that day is to be sure to tell the anesthesiologist that I want to be pumped full of the anti-nausea medication well-before I come out of surgery. I'm one of those people who's an easy puker and that's pretty much the last thing I want to be doing after abdominal surgery!

I'm scheduled to have my kidney removed in the morning of Wednesday, July 15th. If all goes well, the surgeon will take a lunch break around noon and then put my kidney (which will have been chilling on ice) into my mom that afternoon. Assuming everything looks good during the transplant, the surgeon will take out my mom's dialysis access tube (in her abdomen) at the same time. She will officially be off dialysis from then on!

They've told me that I should probably be released from the hospital on Friday or Saturday, and my mom will hopefully be released on Saturday or Sunday. I will have a follow-up appointment the next Thursday and then a couple check-ups over the next year, just to make sure I've healed properly. My mom, on the otherhand, will just be at the beginning of a crazy schedule of visits back to the Stanford Medical Center. During the first month, she will go for lab work and visits several times a week. They will be monitoring the new kidney and adjusting her medications (more than a dozen of them!) accordingly. They are very vigilant about looking for signs of rejection. During the second month following the transplant, the visits and lab work decrease slightly to just a couple times a week. She and my dad will remain in the Stanford/Palo Alto area for those two months. Hopefully, they will return to Morro Bay mid-September and just drive up to Stanford for the few appointments during the next month. She's been told to stay away from work and any other kinds of stressors for a full three months following the surgery.

My recovery is much more simple. Some pain meds and lots of rest for the first couple weeks. I'll stay up in Stanford/Palo Alto with my parents for a couple weeks before heading back home. I can't do any heavy lifting for about 6 weeks (which apparently rules out both my cat and my niece!) I hope to be back at work around the second week of August (if I can keep my self away from the office at the first of the month!)

My dad has the very important job of being my mom's primary caretaker. It's a great responsibility, but I know he's up to the task and we'll try to give him as much support as possible. There's lots of medication to manage, monitoring to do and screening out of the potential stressors that come along. I'm sure that along with any worry about the responsibility, he's also looking forward to a lot of time together for the two of them away from the demands of home life.

So, that's what we're planning for right now. Only time will tell if things go along as planned. As always we just take one day at a time.....