Wednesday, March 18, 2009

Where do I start?

I know it has been a while since I have posted. It seems like every time I want to write, something happens and I am again too busy or too disoriented to post.

Well I am now ready to write more about what's happening with us.

As all you know I have been back from the hospital since last Thursday night, after a 2 week stay. I left feeling good, with my lung function by no means great, but back to a safe place that they deemed okay to get me off of the antibiotics. I was given oxygen for home use, which is very new for me. It was a hard realization for me that this might be a new reality for me, but the doctors were hopeful that by using oxygen when I needed it, I would regain my strength. I started to feel poorly about a day after I got home. I needed more and more oxygen, and would now say that I feel worse than ever before. I have never had this low of a lung function and been on oxygen before. This is obviously a stressful time.

So I went to clinic yesterday, and had a long talk with the doctors. We came to the conclusion that I am obviously at a crossroads with my health. The fact that I seem to get worse right after stopping IV's, the fact that I need oxygen with exertion, and that my lung function is as low as it is, points to the fact that things have changed and it may be time to be assessed for transplant. The plan right now is to treat me aggressively and see if we can get me off oxygen, increase my lung function, and keep me off of antibiotics for a significant amount of time. If these things are not able to be changed, we have to start to think about transplant.

This does not come as a surprise to us. Martin and I had a long conversation on Monday and came to the conclusion that it was time (we have talked about it for years) and if nothing changes with in the next little while, that this standard of living that I have now is so compromised, that the thought of new lungs is becoming more and more something to think about. I have to admit, the past year has been very hard. But I was able to pull it together and work through it. Basically i did a huge amount every day to feel okay, and it was worth it. During the last 6 months, I feel like I spend 90% of my day working on my health, and there seem to be no returns. Now with oxygen, and less mobility (since I am having a hard time breathing and am very tired all the time) I seem to be thinking that it's becoming impossible for me to keep going like this. There is a breaking point and I have reached it.

Of course the timing could be better. Of course. But when is a transplant a thing that you can fit into your life on a whim. There will always be something. Now it is the birth of our baby girl (who might be under a year old when I get my lungs) but later it will be everything else in her life that I will not want to miss. There will never be a good time, thus if the time is now, c'est la vie.

Having this happen has made us think about the time when our little girl will arrive. Since things might change during the next half year due to my health, we decided (as a family) that my mom will stay with us and help us with the baby, instead of a nanny. If I am listed, it is the only way that this can work. It will be great. Three women of 3 generations hanging out together. When I am well, or when Martin is home from work, my mom will be back and forth from her home to ours. My parents do not live far. As a family we will get through that time together. I have all the confidence in the world about that.

Needless to say, our house is never boring. What next?!

My focus right now is to see if I can get past this, and see if perhaps it's not time yet. Only time will tell if it is. I am working hard at it. Harder than ever. I am working out on oxygen, doing a 30 minute cardio tape every day using oxygen. Trying to get my legs back, as well as regain my saturation. I would love to still get off oxygen. But I am also aware that transplant time will come. If it is now, there is nothing I can do but make the best of this time. How do I do that? Hmm...well I'm learning that right now, since instinct tells me to cry and scream and yell. To ask god why is life so hard?! But that would not help anyone. Not me, not Marty, not anyone else. So I choose to have hope in what the future holds. Hope and nothing but hope.

During the next few weeks I will update this blog with regards to my progress.

As for our little baby girl, she is doing well and growing inside Beth's belly. Beth says she's mega showing...and I cannot wait to see her. I hope it is soon.

10 comments:

Cyn said...

I can not even begin to imagine what you are going through, but I thank you for so openly sharing it.
I will keep you and your family in my thoughts and I will remain hopeful for you as well!
It sounds as though you have a great attitude, but I'm sure it's been a struggle to get to that point.

Al said...

You are a true inspiration on what it means to keep your head up and take life's many challenges as they come. I admire you so much. I will continue to keep you and your family in my thoughts. Thank you for sharing your feelings so openly. That little girl is so lucky that you are her mommy!

Wewurtskihit said...

Cyn and Al said it all!!

Focus on getting better and then focus on your baby girl! DONT forget she needs her mommy so dont you do something "stupid", you hear!!! We didnt make new friends with you and NOT be able to meet someday and party!!!

Sanda said...

I just can't even imagine what you deal with on a daily basis, but you have an incredible attitude and it sounds like you are most definitely going to kick this in the butt. Take very very good care of you!

Sarah Andrews said...

Hey Nat:

I love you. Everything is going to work out - you know that. Your baby girl is going to light a fire in your spirit like no one else will ever do. I am glad to hear the news about your Mom - how awesome is that - to have the person that you trust the most in the world, help you with your little one. Hang in there lady and invite me and little B to your baby shower. oxox

Heidi said...

Hang in there sweetie! Praying for you.

Rebecca said...

Natalia,
I am so sorry to hear you are sick. We know how it is to struggle with health issues, but it never makes the next episode any easier. Know that my thoughts and prayers are with you and I hope that everything works out for you. Take care of yourself and keep in touch.
Rebecca

MyLifeMyWorld said...

You are such a strong and amazing woman, you will get through this, I just know it, whatever road you have to take to get there, I know you'll find the destination. Take care of yourself and sending you tons of get well vibes.

***Can you explain a litle more about lung transplants, only if you want. I was wondering why not get it right now? Is healing long term? If you got it right now wouldn't you be better and well by the time baby comes? Are lungs hard to come by? Do you have to be on a list?

Sorry, I don't know much about CF or lung transplants and would love to know more. I appreciate it if you could explain but understand if you don't want to.

Either way, I'm thinking of you!

Natalia Ritchie said...

A, about lung transplants:

I often get this question asked. Why not just get new lungs and feel better, no more CF. The idea is, that lung transplants are not forever. Each year the stats get better post op, but generally not many people live more than 15 years. Again, these numbers are changing for the better ever day, but it's still a struggle.
The understanding between patients and doctors is that we want me to have my own lungs for as long as it is safe. Often things can be very bad due to an infection, and can be bad for months, even years, and then suddently people do well again. Again for months even years. The trick is to find the right time to get a transplant. That ideal time when they think I will not get better, I will die with the lungs that I have within about 2 years, and transplant is the last result.
The way that I look at it, is the clock starts to tick once i get those new lungs, even though I know it will be great to not be this sick and have some sort of normal life back. I am excited about it, but want to do it at the right time.
Right now I have a terrible infection. So we have to treat it and see how long before I get another. How long I can stay off IV's? Can I stay off IV's at all? Can I get off oxygen....all these questions will lead us to knowing if it's time to be assessed.
It's a fine art, since you don't want to wait too long and not make it.
I hope that answers your questions A.
Right now I am fighting to get myself better for baby girl to come. After that, we will see when transplant will come. I have all the support in the world for that time, so we will cope and we will deal. This is not a shocker to us. I have always been sick and know what's ahead.
xoxo

MyLifeMyWorld said...

Thanks for explaining that to me, I really do appreciate it. I hope it's at least 20 more years before you'll need new lungs and by then they'll have come up with some plastic lungs that last a lifetime.

Hey you never know, seems every 1/2 decade brings about all sorts of new and amazing medical advances.