I had another follow up at UW with both the liver and lung post transplant teams today. We left the house bright and early and were at UW early enough to get a chest xray and labwork before my official appointments. My PFT was my first appointment and showed improvement in lung function AGAIN. These lungs are just working so beautifully and I couldn't be happier with them or more thankful to my donor and their family for the chance to be able to breathe on my own again.
The lung team is quite impressed with how well I am doing and say to just keep doing what I am doing and keep getting stronger every day. I have tested positive for CMV the last three times they have checked me for infection. This was addressed today and they will check again next week - if the numbers go up and show the infection getting worse we will talk about medications to try to knock the infection out of my body once and for all. So I will keep you posted on that next week!
I don't think we are supposed to have 'favorite' providers. But I do. One of my favorites is Dr. Mark Sturdevant. He has been on my team since day one and I feel a pretty strong bond with him. He is brilliant AND compassionate. There was more than one situation while I was hospitalized where I felt like he was the only one listening to me. He really, really listened and he was so good about explaining things, I didn't even have to ask him. He just wanted me to be educated, which is something that helped me heal and get through some of the tough times.
Dr. Sturdevant is a little bit concerned about how long it is taking for me to be called back for liver transplant. My numbers are stable for the most part and in general I feel pretty darn good. My biggest complaint is the itching. The bile ducts aren't structurally working to drain the bile the way it should. They are too narrow and multiple stent placements have not provided any relief. Since my body is unable to rid itself of toxins the way it should, the toxins hang out and cause all kinds of itching. The itch is not a skin itch, it is a deep down cellular itch. Ointments and typical meds for itching don't even touch it. I appreciate how he acknowledges that although I am 'safe' from a medical standpoint, quality of life is just as important. He sympathizes with me and confirmed that itching 24 hours a day is enough to drive anyone mad and he wants to get going on the next transplant as soon as possible. So today we talked about the possibility of a LIVE DONOR for my next transplant! When I was super sick and it appeared I may die from these diseases I had several people offer to give me part of their liver to keep me alive. At first I was not a candidate for this type of transplant because they wanted both lungs and the liver to come from the same donor, to lessen the chance of organ rejection. But now that I need another transplant anyway, it is possible for me to go with a live donor! UW doesn't actually have a plan for this type of procedure and they have not performed any of these yet (live donor transplant to replace a previously transplanted organ). Dr. Sturdivant worked at a transplant hospital elsewhere, where this was a common practice so he knows how to do them and has plenty of experience. He wanted to try doing these types of transplants at UW but felt he was still a year or two away from that happening, until now. He thinks I would be a perfect candidate and he is moving forward with bringing this practice to UW with me as their trial patient. I trust him wholeheartedly in making this decision and in his ability to safely perform the transplant. So now I just need to find someone with a HUGE HEART and B+ blood type and talk them into donating a little piece of their liver to me. No big deal. :) Eli is actually getting tested in the next few days to find out her blood type and is thrilled a the idea of her momma walking around with a part of her liver in her belly. I have the best people in my life. Say a prayer for me that we can find a healthy living donor and we can move forward to the next step in my journey to healing.