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Thursday, 22 December 2011

Out with the Old, In With the New!

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New year's eve 2011, I can't quite believe it's come around so quickly. I have always loved new year's and see it as a great way to reflect on what has been, as well as looking ahead to the so far, unblemished year to come!  What has 2011 been like for me? I have to concede that it hasn't been too bad a year at all. I have not been hospitalised and have only needed one course of intravenous antibiotics, which I did at home. I am so grateful that I have managed to remain so stable health-wise. I have been able to enjoy a great Christmas with my family, which was made even more super by having a good hospital review just before it! Although my lung function remains dismal, it is obviously much better to see a small increase in it (17% to 20% woo hoo) than any decrease! I suppose I have to admit that during this past year I have come to accept my limitations and work with them instead to trying to fight against them. I still find it hard to believe that in January I will have been on the double lung transplant waiting list for 2 years. I can't thank all my lovely friends enough who have dropped in and spent time with me over the year - you've made it all so much more bearable! 

As I look ahead to 2012 I really see it as a year of hope. I pray, believe and hope that this will be the year I receive a transplant.  2012 will also be the year that Luke finishes and submits his thesis and also the year that he (hopefully) publishes all of his work, which I am very excited about! On this note, I have to say that Luke is a truly amazing man and an incredible husband. Quite how he has managed to write his thesis and complete (almost) his PhD with me and all my health troubles getting in the way is beyond me!  

I'll be back in the new year with a more substantial blog, but for now, I'm off to thrash Luke at monopoly! I wish all my readers and followers a really blessed and enjoyable new year! 

Tuesday, 29 November 2011

I Think We've Been Here Before


Yet again I was caught totally off guard when Harefield Hospital rang on Friday morning with a potential transplant offer. It seems incredibly ironic to be so surprised that something you are so desperately and anxiously waiting for actually seems to be happening! Fortunately the plumber who had been visiting to fix our leaky bathroom taps had left and Luke and I were actually admiring his handiwork when the call came! 

I shall not bore you with the details of the drive or the procedure that I went through at Harefield Hospital as it was very much the same as the last time I was called. Except that I had time to have a shower before donning the haute couture fashion item that is the blue hospital gown... I felt so sorry for the transplant coordinator who had to come into my hospital room at about 4pm and tell us that unfortunately the donor lungs were not viable (which they do not know until the retrieval team assess them at the donor hospital). It must be so, so hard to deliver such disappointing news. However, it does give me confidence in the fact that the medical teams do thoroughly examine the lungs (or whichever organ is in question) and any potential organ donation recipient will be receiving organs in the best condition possible. 

The hardest part of all of this is the fact that to get over the fear of the imminent operation and the list of risks associated with it one has to look past that and hoping that all goes well, focus on the life that will be post transplant... So when that is ripped out from underneath you, it’s pretty darned devastating. However, my wonderful husband and amazing family have really helped to keep my chin up! What of my friends? Well I decided that I would post what was, or was potentially happening on Facebook as it is an easy way to keep extended family and friends aware of what was happening. The response through comments and emails was truly overwhelming. Thank you so much for all of your support and kind words. It really helped me get through the disappointment. As did meeting up with my dear friends Hannah and Jess the next day for a good old catch up to celebrate Hannah’s birthday! (I must admit I had a stiff drink!) 

I believe it is incredibly important to remain positive and keep hopeful. I do rely heavily on my relationship with God at these times and I know I often end my blogs with a particular verse, but there are so many I could pick right now! All I will say is that, although life doesn’t always go the way I planned (not that I’ve ever been one of those ‘where will I be in five years’ type of people!), or would like, all I can do is just roll with it and take each experience and let it build me into a stronger (hopefully?!) person. I have learnt to relinquish control of what cannot be changed no matter how much I worry and focus on things like keeping myself as well as possible and living each day to the fullest.  

Whilst I am really disappointed that the call did not result in shiny new lungs for me on Friday, I take joy in the fact that I DID get another call, so now I have to remain hopeful that another call WILL come.

Wednesday, 16 November 2011

Excess Baggage!


I’ve always been a spontaneous sort of lady... Luke and I used to fill our spare time with random road trips, ad hoc trips to the cinema or visits to friends. This is another element of my life that has been somewhat impacted by the progression of my Cystic Fibrosis. Whilst I do not wish to sound whiney or self-pitying, it took some getting used to!  

For example, if Luke and I wish to spend time away from home over night, it involves getting oxygen ‘prescribed’ by my hospital, so that the relevant equipment can be delivered to my holiday destination. This requires (so they say) about 3 weeks to process, so goodbye spontaneous weekends away! I have to say, I am so grateful that the NHS is able to provide such a service and I don’t wish to sound ungrateful but it is a bit annoying! The main bit of kit I would need delivered is something called a concentrator. This takes in air from the room and filters the oxygen out of it and delivers that up my nasal tubes... pretty clever really! I also need a portable unit, so that I’m not ‘tethered’ to one room. I’m lucky enough to be able to use ‘liquid oxygen’ so in my garden shed I have a big container (Dewar) full of liquid O2 which I can fill up my portable unit, so I can leave the house and so on! It’s quite funny to watch Luke fill it up, as the oxygen has a very low temperature, lots of water vapour escapes and it makes the shed look like some sort of mad scientist’s lair (well, I guess Luke does sort of qualify as a mad scientist!!). The portable oxygen unit can give me “up to” 10 hours out of the house, which again means I need to plan my days/evenings rather than just going home when we feel like it! There have been many occasions where I have run out of oxygen whilst out and about... but you get better at planning these outings! 

Please note the glamorous black oxygen backpack - A must for any fashionista, no?

When I first began needing oxygen therapy Luke and I lived in a first floor flat, which meant I could not have liquid oxygen. This is because the liquid oxygen Dewar has to remain on the ground floor (it would be far too heavy to get upstairs, not to mention the fact that it would be a fire risk too). This meant that I had to rely on the oxygen company to deliver cylinders of oxygen for me to use, should I wish to go out. Unfortunately, these are in quite short supply, so I would often be without a portable cylinder and would therefore be housebound. This was quite a trying time for me, as I was new to the whole ‘oxygen’ business and as we didn’t even have a garden at the flat, I was quite literally imprisoned! We were very lucky to discover a house had come onto the rental market in the village I grew up in, so we were able to move and not only have a garden, but also able to receive liquid oxygen. This situation got me thinking though. I was incredibly blessed to be able to afford to move house and that one had become available in the ideal location for us; however there must be so many more people in a similar position to me, who cannot move to a location which would enable them to have liquid oxygen, or the use of a garden. This really made me appreciate that although my life is a struggle (well, whose isn’t?!) I have been incredibly blessed. 

As well as the oxygen situation, how can I discuss going away for a weekend and not mention the truckload of drugs and other equipment that I need to take with me?!  I have to take approximately 20 different medications, some of which require refrigerating. I need to pack two types of nebuliser equipment, blood sugar testing kit, my non-invasive ventilator (which I use for physiotherapy and to help me breathe during my sleep if I need it) which comes with many hard to pack facets including filters, mouthpieces, tubing, water bath to name but a few items! Oh, how can I also fail to mention wheelie chair! It's probably a good thing that I am unable to fly at the moment - think of the excess baggage bill! It isn’t necessarily the end of the world if I forget to take a bit of my ‘kit’, especially if it’s only an overnight stay, but as I find travelling and being away from home really exhausting, skipping any part of my treatment regimen isn’t really the best idea!!

Be all that as it may, this weekend Luke and I had a lovely time with our good friends James and Ruth, with some rather loud fireworks... oh my goodness the noise! Lots of food and of course much chatting and laughing! Whilst it is a huge effort to pack up and get away, I’m so grateful that I’ve still got the ability to do so – as well as lovely friends who don’t mind their house being usurped by tonnes of medical equipment! 
Hard to see us through the copious amounts of sparkler smoke, but we are there!!

This is probably one of the hardest changes that I have had to deal with. I was used to being so active - teaching full time, running the children’s activity club at our church, and then going out socialising with friends and colleagues after that! I don’t want to sound like I’m blowing my own trumpet – I’ve just always been the sort that can’t sit still, so suddenly having to is terribly frustrating! The get up and go is still in me, it’s just that I can’t act on it! People often ask me ‘What do you do all day?’ (Not in a malicious way might I add!!) The reality is, the small amount of housework, or similar kind of physical activity will take up most of my morning. Then after lunch my physiotherapy and nebulisers take a fair portion of the afternoon. I write quite a bit and study things, but in comparison to my life before, I used to feel like I was achieving very little. I know that this is not the case. What I’m working VERY hard at doing is keeping myself as healthy as possible until I (hopefully) receive that life-changing call. Through evaluating my ‘new’ circumstances, I realised that there was a lot I could do. I decided to write this blog as a conscious effort to raise awareness and share my story so that others could perhaps be encouraged by it, or maybe even learn something new. Whilst at the moment, I don’t have the physical capacity for much; I certainly still have my mind. So I have begun a campaign – I have started to look at other media through which to share my story... Watch this space!!!

Monday, 17 October 2011

A Spoonful of Sugar...


My guilty pleasure, as some might call it, is eating a whole brand new pack of juicy, shiny Haribo sweets... The cherries in particular really float my boat. Eating these was a great way of helping me through lesson planning and marking in my early days as a teacher. They were also a  helpful tool in helping me meet my 3000 calorie a day target! However, shortly after all of the tests which I had to undergo to assess my suitability for transplant, I was told that I had developed Cystic Fibrosis Related Diabetes (CFRD). Now, you may think that being told you need a lung transplant to survive and having lived with CF for my whole life, being diagnosed with CFRD shouldn’t be that much of a big deal for me? WRONG! I have (or used to have) such a sweet tooth, it’s quite unbelievable. I used to have cups of tea with, dare I admit, 3 sugars, as well as chocolate, sweets, biscuits... oh the list could go on! 

CFRD is a unique type of diabetes as it combines the characteristics of type 1 and 2 diabetes. In CF sufferers the thick secretions can eventually damage the hormone-producing cells, causing insulin deficiency. In addition to this some of the drugs I need to take to control my lung symptoms, steroids in particular, can cause CFRD to develop. I am fortunate at the moment, as I am able to control my CFRD by using diabetic tablets that stimulate the pancreas, but it is likely that in the future I will need to start using insulin injections, or an insulin pump. The diet for people with CFRD is a lot different to the usual calorie restricted diet for those with type 1 and 2 diabetes. I am encouraged to maintain my 3000 calorie a day diet and am still encouraged to eat sugary foods. I just need to be careful. So I no longer have sugar in my tea or gorge on sweets alone. I need to make sure that if I want to eat something sugary, I do so with a main meal, so that my body doesn’t have to deal with a large influx of glucose at once. I check my blood sugars regularly, using the finger pricking system just to check that my blood sugars are at a reasonable level after eating. There are a plethora of reasons as to why it is important to effectively my control blood sugar levels, but for me, high blood sugar levels can ultimately lead to more destructive chest infections. 

Tragically CF is a multi-system disease which means that many different organs are affected by the thick sticky mucous produced by the body. As well as the lungs the digestive system is also affected as the pancreas is clogged with mucous, which means that it cannot release digestive enzymes or insulin needed for me to absorb food effectively.  Every time I eat food, I need to take pancreatic replacement enzymes called ‘Creon’ – I take about 10 of the beasts with each meal. There is probably a large amount of Creon in the houses of in the south of England as I have a tendency to leave pots of it at friend’s and families’ houses! When I was younger and ‘unable’ to swallow tablets (well – more accurately, just being a pain the butt child) Mum had to break the capsules open and mix the little granules with chocolate pudding so I would eat it, so that I could then eat my dinner! Now I just swallow all the tablets at once! More deliciously, there used to be a digestive enzyme powder that could be sprinkled onto the food – and as it took me so long to eat when I was a toddler, it would start to digest it before my very eyes on the plate!  Another way in which CF has affected my digestive system is the chronic reflux I used to get as a teenager. This was the result of the side effect of some of the drugs I take as well as the persistent coughing. Consequently, the cells in the lower part of my oesophagus have changed to represent stomach cells – as there was so much acid present in it, this condition is called Barrett's oesophagus (sounds sexy, doesn’t it?!). As a result of this, I have required two yearly endoscopies since my teens, to check that the cell changes have not become cancerous. I’ve become quite accustomed to these scoping sessions, so I’m not even sedated for them anymore; I just have a throat numbing spray! I think the doctor’s get more freaked out by the procedure than I do – as it can be quite risky performing it on somebody with such cruddy lung function! 

In recent months I have also developed osteopenia, which is where my bones have started to become thin. This is due to many factors including the use of those pesky steroids, as well as infection and my immobility due to poor lung function. This can ultimately lead to osteoporosis, but this is currently being controlled. CF can also cause liver disease, as well as problems with the bowels, but I am fortunate not to be too badly affected by these problems. 

Cystic Fibrosis is complex disease, but is in essence a recessive genetic disease, which means that both parents must carry a copy of the faulty CF gene.  If both parents carry the faulty gene (like mine!) they have a 1 in 4 chance of having a child who is affected and an equal chance of having a child who is not affected or a carrier. Whilst I am the one in four who is affected, my jammy brother is the other one in four – he doesn’t have CF or carry the faulty gene. As part of this blog I want to raise awareness about CF as it is one of the UK’s most common life-threatening inherited diseases, which affects approximately 9,000 people in the UK. At the moments, statistics say that only half of the people currently living with CF will live past their late 30s. The CF Trust is currently funding gene therapy research, which will replace the faulty gene with a working one. Sadly the research has been badly affected by the ‘credit crunch’. Take a look (if you’ve time) at the link to the ‘One Show’ which aired last week, discussing this.  

CF is most well-known for the respiratory problems it causes and this is the part that will radically change for me if I am fortunate enough to receive a double lung transplant. As CF is a genetic condition the rest of my body will still be affected by CF, but my new lungs will be CF free. Although it may sound like I’ll still have a lot to contend with, having a decent pair of CF-less lungs will be amazing – no more chest physiotherapy, as there will not be the sticky mucous in my lungs clogging them up. If the transplant is successful, I will just have so much more energy and managing the other symptoms of my CF will be easier. 

People often ask me ‘how I cope’ or ask me how I can be such an upbeat person, but the real question is, ‘how can I not be?’ Yes, I have a lot to deal with, but I deal with it with a loving husband family and friends fighting with me every step of the way. My faith also helps me greatly. Psalm 73:26 ‘My flesh and heart may fail, but God is the strength of my heart and my portion forever’.

Friday, 7 October 2011

A Difficult One, I Know...


Tuesday night television doesn’t often bring Luke and me to tears. However, after watching the BBC1 programme ‘Transplant’ we were sobbing our hearts out. In short, the programme followed the journey of organs from a donor to several recipients. My family and I are fairly knowledgeable on this subject (well, regarding lungs anyway!), having had one unsuccessful transplant call and many discussions about the subject. Yet seeing it on screen ‘for real’ was really quite emotional. I was particularly touched by the donor’s family and their willingness to share their experience. The main crux of the programme was the need to raise awareness and general profile of organ donation and to educate people about it.

According to various statistics, 90% of people are supportive of organ donation in principle and there are currently 17,751,795 people on the Organ Donation register as of March 2011. However, a report by the Organ Donor Taskforce (2008) revealed that ‘the actual donation rate in the UK remains poor, and in part this is a consequence of the 40% of relatives who refuse to give consent for donation’. I do not want to sound critical of anybody here and I can completely understand why relatives would refuse consent. They have just been given possibly the worst news of their entire life, and then they are asked to make a massive decision at probably pretty much the same time. The real issue is that whilst many of us agree with organ donation in principle, have we ever made our wishes known to our next of kin? In all honesty, unless you are faced with the prospect of either needing a transplant or having to honour the wishes of a loved one and give consent to donate their organs, it’s not something that generally comes up in conversation.  My family and I discuss it fairly frequently (as you can imagine) and we all know that without a doubt we would want our organs to be donated wherever possible. One of the main issues that prevent people from discussing organ donation is the reluctance to face one’s own mortality. Nobody likes to think about dying, so it’s not a conversation that comes easily.

As I mentioned in my previous blog, waiting for somebody to die so that I might live not only fills me with an awful sense of guilt, but also a sense of responsibility. When I was waiting to hear whether the lungs were viable for transplant, I was filled with a sense of overwhelming gratitude. It must have taken the donor’s family such courage and selflessness to honour their loved one’s dying wish. I confess I did get quite upset at one point, but the transplant coordinator really kindly pointed out that it is not as if I wished this on an individual, I was potentially allowing somebody to fulfil their dying wish and allowing something positive to come of an awful tragedy.

As a teacher I know that in order for an individual to learn they must be given the facts and given these in a way that they can access and therefore understand and apply to their life. If organ donation is not discussed and the facts about it presented in a way that people can understand it is always going to be an issue which people know about but don’t really understand! (A bit like long division for me – don’t tell any of my fellow teaching colleagues!) Awareness is being raised and many popular television programmes feature organ donation regularly. Those familiar with the show ‘House’ will be aware of Dr. House’s unorthodox manipulation of the transplant list! However, this and many other programmes still fail to point out the importance of telling your next of kin that you wish to be an organ donor. This is why we were so excited to hear about and subsequently watch the BBC programme ‘Transplant’ as it was a candid portrayal of the many aspects of organ donation. The programme also expressed the importance of organ donation becoming more of an integrated part of our culture and become something that isn’t difficult to discuss.

I live life to the full and don’t live it expecting a new pair of lungs, but I am grateful to those who are willing to donate their organs and God willing I will be one of the lucky ones who receives such a wonderfully generous gift. I don’t feel anger or resentment to those who choose not to donate organs or to those who do not give consent for the use of their loved one’s organs my only hope is they are making an educated and informed decision. Those who decide they would want to donate their organs after their death MUST ensure these wishes are known to their next of kin. A conversation that may be facilitated by sharing this blog and probably not one bought up over Sunday roast! Waiting for an organ has revealed how little is widely known about the many facets of organ donation. The primary aim of this blog is to make people aware of the desperate need for organs and by discussing this openly in one’s life, the decision that families may face is made significantly easier.  

PS - The 'Transplant' programme is available on BBC iPlayer click here to go to it! 
PPS - If you're reading this and the programme is no longer available, or you are of a squeamish disposition the charity Live Life Then Give Life has some great testimonies from both sides of the organ donation experience.

Wednesday, 28 September 2011

Wheels and High Heels


As my CF has progressed, the most noticeable impact it has had on my life is the way it limits my daily activities. My parents were very good at making sure my CF interfered with my life as little as possible whilst growing up. Of course, we were very compliant with treatments and so on, but they certainly didn’t wrap me in cotton wool! Although I often had IVs at home and lots of physiotherapy, I pretty much lived a normal life. Many people didn’t even realise that I had CF. However as the disease naturally progresses, things do change and one has to adapt to them. Since 2008, my relatively normal life became limited and restricted, almost overnight as the result of a devastating chest infection. Twenty three years of normal living was then reduced to a life of imprisonment – my mind and soul are still of an outgoing, scrappy lass, but my body just cannot match that. I still struggle with these feelings of incredible frustration from time to time. 

 As I discussed in my previous blog my lung function is, at best 18%. This means that not only am I tethered to oxygen tubing twenty four hours a day, I now have very limited exercise tolerance. In real terms this means I can just manage a flight of stairs and general pottering around the house and the garden. I didn’t always use to be like this. I used to be very active. I used to jog daily, walk to uni from my student digs (approximately 2 miles) hold down a busy teaching job, partake in additional evening activities and still have energy to go out socialising at the weekends. Now walking 100 metres feels like jogging for half an hour. I don’t necessarily get as sweaty, but it’s the equivalent in terms of how breathless I feel. My oxygen saturation levels (sats) also drop dramatically when I exercise, which puts more stress on my body and for prolonged periods of time is dangerous. To give an analogy, it’s a bit like being at a high altitude. My sats are already lower than average so when I exert myself they drop fairly quickly.  It’s a really difficult position to be in, as I need to do a certain amount of exercise as part of my daily physiotherapy, but I need to be careful to get the balance just right so I do not overdo things and exhaust myself. 

Over the years it’s become more and more apparent that breathlessness is really invading my life. Routine chores, including the vacuum cleaning, are now too strenuous to manage. Whilst I’m not the biggest fan of housework (who is?), it is frustrating to not be able to get on with such a mundane task! However, I am able to cope with the lighter housework, so I’m not off the hook entirely! Another humdrum task to succumb to my breathlessness is the weekly shop.  Walking around the supermarket would require me to make regular stops to sit down to get my breath back. Medically this is quite dangerous, but realistically this is a bit impractical and shopping in this manner would take decades! The doctors at the Brompton suggested investing in a wheelchair, so that I could keep living as normal a life as possible. I also need someone to push me at all times, as using a self propelled chair would defeat the object of not exerting oneself! Luke’s parents very kindly bought me a chair, which has enabled me to ‘get on’ as my family would say! 

The early days of being pushed around in my chair (or ‘Wheelie Chair’ as she’s been unimaginatively christened) were odd. The most striking oddity was getting used to talking to people’s mid-drifts unless I looked up. Being a petite lady I often have to look up anyway, but shrinking from 5 feet to 4 feet is quite noticeable! More oddities include, not being able to see over the counter of some shops as well as relinquishing control of my movement to a trustworthy (!?) driver.  Oh yes, and the comedy that ensues from negotiating the pavements and various surfaces of our fair towns and cities. Most places are accessible by wheelchair but I feel the term ‘wheelchair friendly’ is a bit of a euphemism in some circumstances! The smallest lip or slight step can be quite difficult to navigate. I have to say, I was somewhat taken aback by the different and often frustrating challenges posed by the terrain to wheelchair users. Cobbled streets, steep hills and gravel to name but a few pose some real logistical nightmares. I love visiting historical houses, but I seriously doubt that the architect of properties such as Highclere Castle had wheelchair users in mind! We discovered this when we couldn’t access the upstairs rooms! However, registered disabled persons do get discounted entrance prices. Now we know why! Having a wheelchair has really helped me to try to live a more normal life, during this time of waiting. Luke and Ian were kind enough to take me to Marwell Zoo the other day. I had a marvellous time. On the other hand, Ian and Luke were exhausted... Largely from having to push me around the entire park and up and down rather steep inclines! 

Onwards and upwards!


Shopping used to be a favourite past time of mine (I have a particular penchant for shoes!) however, needing a wheelchair to do any hardcore shopping has somewhat dampened my enthusiasm for the activity. Shopping for clothes has become a bit of nightmare, especially with a husband who doesn’t really understand the way women shop for clothes in tow. As I am of petite stature (and am picky), shopping for jeans has always been a challenge, but now it’s at a new level! Many ladies will know that when clothes shopping you often visit a range of shops and look at styles and maybe try a few pairs on... Then, inevitably some shops are revisited to ensure the best fit and of course the biggest bargain has been achieved. Needless to explain, poor Luke, tired from pushing me and loathing shopping, was not impressed when I bought jeans from the very first shop visited!
Shopping for food is usually less eventful, as supermarkets are incredibly wheelchair friendly. The wheelchair trolleys are a bit cumbersome but you do get used to them! However, we have often made the mistake of opting for a basket where a trolley really should have been chosen. It is on occasions like these I become a trolley myself, with a little head peeping over the top of the broccoli and bread! It is a bit disheartening to have to relinquish so much control to someone else whilst choosing something like your food. It has been difficult to let go of being able to have a proper rummage through the veggies and various items on the shelves. However, Mum usually takes me food shopping and she has a canny eye for a bargain, so it’s not all bad. I also have to remind myself that hopefully, this is only a temporary situation and it won’t be too long until I am able to rummage independently again. 

Occasionally I have what I like to dub ‘down days’. I don’t like to bathe in self-pity, as I feel that it is not a healthy state of mind to have. However, sometimes when I’m pushed around town and have my oxygen tubes stuffed up my nose I can’t help but feel a bit down. Many people gawp and stare, sometimes out of pity with sorrow written on their faces, others are just curious or even nosey. It’s a million miles from where I used to be and it’s difficult to get used to. I often feel robbed of an identity as a woman and a wife, when I have to rely on people to help with things that I should be doing myself. I miss holding my husband’s hand whilst we walk around our town centre. Often, when out with Mum I get mistaken for a child (I have always been young looking, which I may be thankful for in years to come!) and this really upsets me. I simply crave normality. Nevertheless, I must push forward and have faith that this is a temporary period. One day I will get my transplant and will be running about doing a million and one things again and I will be able to vacuum as much as I like! So for now, I will make the most of ‘wheelie chair’ and wear the most ridiculous heels as I can find without having to worry about walking in them!

Saturday, 17 September 2011

Another Tether


Unfortunately I am now adorned with another tether, which I hope is temporary! After feeling a bit on the ill side for a couple of days, I rang the Brompton Hospital to get some oral antibiotics, as I want to jump on any infection as soon as possible. However, the antibiotics decided not to work and to make me sick instead (thank you very much!), so I had to go to the Royal Brompton Hospital as a day case and start a course of intravenous antibiotics (IVs for short). As I mentioned in my first blog, the sticky mucus in the lungs of CF sufferers is a breeding ground for bacteria. Most CF sufferers are permanently colonised with a type of bacteria, in my case this is Pseudomonas aeruginosa (or to give it it’s full title ‘a pain in the ar*e’). This can never be fully eradicated, but is managed using a regime of inhaled antibiotics. Over the years during infective episodes where the bugs become too much to handle, I am given IVs to kill the uprising infection. Over time it has become resistant to a large number of antibiotics, so only a handful of IVs will manage it. It’s been a fine balance throughout my life to manage the infection in my lungs. On one hand I’ll never be rid of all infection on the other we don’t want the bacteria to grow uncontrollably. It is these episodes of infection which have wrecked my lungs. This is why I need a double lung transplant, not only due to my horrendous lung function but if I only had one lung transplanted, infection would cross from my old lung to the new one. So I need a new full set. 

On arrival at the ward I had my observations taken and I blew a lung function test. The hospital generally look at 2 readings; FEV1 which is the amount of air you can force out in 1 second and FVC which is ‘forced vital capacity’ this gives a reading of the total volume of the lungs. The FEV1 is the most indicative of infection so it’s the result most often looked at, although the FVC is useful to know too. My result was abysmal... my FEV1 at the best of times in the last couple of years has been only 18%, so to blow half my average is not a laughing matter!  Fortunately my blood oxygen saturation levels had remained unchanged (93%), so the doctor agreed to let me go and start my IVs at home, obviously with the strict instructions to contact the hospital if I don’t begin to feel better in a couple of days. 

The nurse then came along to attach my ‘tether’ through which my IVs will be administered. I have a ‘Portacath’, which is a device situated under my skin at the top of my chest, just below the collar bone. It is, in essence a metal ‘port’ which connects a catheter to a vein. This is the second Portacath, which was implanted surgically many years ago. This is then accessed externally using a needle with a line attached, which dangles on the outside. As I have had so many lines and catheters inserted into the veins in my arms and hands over the years, they have pretty much given up the ghost and kind of collapse or generally kick up a fuss if the docs try to put a line in them. My Portacath makes delivering my IVs a lot easier. There was a lot of pinching and gripping involved finding the Portacath under my skin, which of course is painful. Then comes the ‘inserting of the needle’ bit. It is quite usual for many nurses to have multiple attempts at getting the needle into the target, which is a silicone disc in the face of the device the size of a five pence piece covered by my skin. I have to confess when I was (a lot!) younger I would bite nurses’ hands when they tried to ‘stab’ me. What a horrible child! 

I left the hospital with mixed feelings. Firstly I was really exhausted from the battery of tests and anxious as I felt so unwell. I wondered whether I’d made the right decision to come home, should I have opted to stay in hospital? Conversely, I was pleased to be going home! I was also incredibly disappointed, as we were meant to be going on holiday to Cornwall with our good friends James and Ruth in about a week’s time, which we aren’t going to be able to do now. However, I suppose it’s more important to get myself better. 

I must take this opportunity to point out that there would be absolutely no chance of me being allowed home if it weren’t for Luke, my Mum and the rest of my family. Being on home IVs is not easy – it requires 3 doses of antibiotics to be drawn up in a sterile environment at regular intervals throughout the day. On top of this, I need to eat an awful lot more to help my body fight the infection. This means eating 3 cooked meals a day. I also need more intense physiotherapy. Needless to point out, I am not really allowed to do too much myself, although once I begin to feel a bit better I’m sure I’ll be pottering around as usual! There’s no way to really describe the immense gratitude I feel for my family. Luke, who has had to extend his PhD by a couple of terms over the years (due to my hospitalisations and so on) and is currently writing his thesis, is such a devoted husband he just does everything without complaining or ever making me feel like a burden. Then there’s Mum, who throughout my life has cared for me so well that I was able to complete school, college and university and qualify as a teacher. Then there’s Ian, my brother who keeps me entertained in a plethora of ways, but most commonly, through multi-player online gaming on the Playstation 3 game ‘Call of Duty’! Dad works so hard to support the family and does so without complaining, he’s a real pillar for the family. Of course I must mention my Gran, who pops in every so often to keep me company and keep my mind from dwelling on the negatives. Although I may not have the team or doctors, nurses, physiotherapists, cooks, cleaners and many, many other staff members that I would at the hospital with the love and support of family and friends I can basically receive the same treatment I would in hospital in the comfort of my own home. 

I am so blessed in many ways. I know people reading this will think I’m mad to say this, but there are so many people in my situation who don’t have such an amazing support network and have to spend a large proportion of time in hospital. So, this blog is largely a big shout out to all those lovely people who spend a lot of time looking after me, cheering me up with chats over coffees, animated discussions about weddings and bridesmaid duties, pizza and DVD afternoons, wii and wine nights and people who are just there! I couldn’t do it without you! Again, I’ll leave you with another bible verse. Even when things aren’t looking so great, this verse helps me (many thanks to Fred for bringing this to us in church last week); 2 Corinthians 4 v16-18 ‘Therefore we do not lose heart. Though outwardly we are wasting away, yet inwardly we are renewed day by day. For our light and momentary troubles are achieving for us an eternal glory that far outweighs them all. So we fix our eyes not on what is seen, but what is unseen. For what is seen is temporary, but what is unseen is eternal.’  

The cat feels the need to rest too...