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Yearly Archives: 2014

Thankfulness

The night before Thanksgiving I received a message from my doctor. She suppected carcinoid tumor and wanted me to have an octreotide scan. At my last appointment she had ordered dozens of tests in the hopes of determining what was at the root of my most recent round of medical problems. As the test results began to pour in, some abnormalities were cause for concern. My chromagranin A and gastrin levels were elevated. These test results paired with many of my symptoms give reasonable concern for Carcinoid tumor. This is in addition to my Mastocytosis. I spoke with my hubbie, did a little Googling, made a list of ten things I was thankful for and went to sleep peacefully. That may sound strange to many of you. Why would I be thankful after learning that my doctor suppected cancer. I have walked with The LORD long enough to know that He is in the redeeming business. He has continued to show up and make things work out in ways I never would begin to think of or hope for. Whatever comes my way, I know my Savior will take care of me.

What is carcinoid tumor?

Carcinoid tumor is a rare cancer that is often nicknamed the accidental cancer. Often carcinoid is “discovered” while investigating another ailment rather that being the primary diagnosis. In fact, one in every 200-300 appendectomys reveal a carcinoid tumor. They are most often located in the GI tract and are slow growing. All neuroendocrine tumors, including carcinoid tumors, secrete hormones. However, what they secrete depends upon the type of tumor and the tumor location. These hormones can be measured with blood tests.

Chromogranin A

Chromogranin A (CgA) is a protein that is excreted into the blood and common to most neuroendocrine tumor cells, including carcinoid, and is a general tumor marker. CgA normal range is 1.9-15, mine was 328 or nearly 22 times the high level.

Gastrin

Gastrin is a hormone produced to help with digestion but can be elevated in carcinoid tumors that are located in the stomach, small or large intestines. A normal Gastrin is anything less than 100, my level was nearly 1400.

Octreotide scan

Octreotide scanning is useful to help determine a carcinoid tumor’s location, size, and extent of metastases. On the day of my test, Cheryl drove me to the hospital. We waited with anticipation not only for good test results but that the test itself would not cause any mast cell problems. Radiological tests that require dyes, contrasts, or isotopes of any kind have been problematic in the past. The last thing any of us needed right now was another anaphylactic reaction. I premedicated according to The Mastocytosis Society recommendations and prayed for the best. I informed my tech of my condition and he went to find the radiologist. When you have a rare condition, often medical providers are skeptical that you truly have what you say you do. My family, friends, Cheryl and I prayed over this test and Our Father prepared the way. When the radiologist arrived in my testing room he told me they just had an education the day before where they talked about patients with mastocytosis. Praise The LORD!! He brought several people with him and they were prepared for any possibility. I dosed again with more medication just prior to the injection. Octreotide, a mix of radioactive sailine and a synthetic hormone, was injected into my vein. After waiting to make sure there would be no complications we left the hospital for four to six hours while the octreotide circulated. As it travels through the body, it attaches to the tumor cells where it can be seen on a special imaging machine like the one pictured above. I was placed on that skinny table and slid into a donut looking ring. Two square scanners, one above and below were placed very close to me. The one on top was within one inch of my nose. I had to lay very still while to sensors picked up the radiation I was emitting. Little by little I was backed out of the doughnut creating a whole body image. The next test is similar. I was slid back into the doughnut and the two square scanners were rotated around me creating a 3D image. The tests are repeated for the next two days for a total of three days. The areas that are glowing and bright indicate where the octreotide has been taken up. On the screen I could see my kidneys, liver, and bladder along with an unidentified shape in the intestine area.

Over the last seven years I have had countless people ask me if I have cancer. My answer has always been no, I have mastocytosis, which is in the same category as cancer but instead of my body making tumors my makes too many immune cells. This makes me like a person who has a peanut allergy but to anything that can enter my body either through ingesting it, breathing it in, or absorbing it through my skin. The last few weeks have caused me to think about the possibility of having two rare disorders. Having a high immune system would certainly make me sensitive to the extra hormones that would be produced by a neuroendocrine tumor. Most of the symptoms of carcinoid syndrome mimic Mastocytosis. Could this be what has caused so many complications. According to carcinoid.org small tumors that have not spread can be cured with surgery alone. I wait with anticipation for the radiologist to read the scans, make a report and the doctors to establish my diagnosis.

Hope and healing,

Christal

 

 

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The information contained on this blog is not intended or implied to be a substitute for professional medical advice. This is my experience and for informational purposes only. Please seek the advice of your physician regarding treatment for any medical condition.

Christal

Mast Cell Beach Experiment follow up & Illogical Faith

Hello all! It has been several weeks since my last post. I know many of you have contacted me and wondered what happened after the Mast Cell Beach Experiment. First let me say thank you for your well wishes and notes of inquiry. Sorry I sort of left you hanging 🙂

Mast cell beach

My husband flew rom Oklahoma to Florida and helped me gather up all my stuff. We left and began the long trek back home. We made our first pit stop at around mile 150. After we got back in the car I began to feel the familiar pin pricks and hot swelling in my lips. It had been so long since I wore a mask I forgot to put it on when we stopped. I would not make that mistake again. The closer we drove toward home the more itching I experienced. Gradually the nausea returned and about an hour south of the Texas/Oklahoma border I got a couple hives. Two days after being home all my previous symptoms had returned and a few new ones. I had to go back on all the medication I was able to get off of or decrease while I was gone.

Back home

It was good to be with my family but physically I was miserable. By day three I was bed bound again and felt like the life was draining out of me. It became apparent there was no hope of eating or even using a feeding formula any time soon. My husband looked at me and said “we’ve got to get you out of here.”. With cedar pollinating season fast approaching (my worst time of the year traditionally) and my peanut-like allergy to it, we knew we needed to act fast. We had been planning for all of us to move at the end of the school year but we had also planned for many possible outcomes upon my return. My need to move sooner was one possibility we had anticipated. The saddest part would be knowing my family could not join me for several months. Selling the house, getting new jobs for my husband and daughter (not to mention all it takes to be licensed in a new state), and my son finishing high school were all things that would keep the rest of my family in Oklahoma while I made the early move. Thankfully, I knew I had a place to go and that was one of the biggest obstacles. After nearly 21 years as an Air Force wife, I can say I thought I was well prepared for a move with only a few weeks notice but this move presented with several new challenges.

Get Ready…

There was much to do in a short time, I was feeling pretty rough and had very little energy to accomplish my daunting tasks. We needed to get all the normal moving things accomplished but also a whole list of medical considerations due to my condition. Step one: finalize my Florida medical team. I would need my lifeline and only source of nourishment, my TPN. This required a new medical team including a primary care doctor, a mast cell specialist, a hematologist/oncologist, an allergist/immunologist, a compound pharmacy to make my special medications, a home health agency to change my dressings, and an infusion pharmacy to make my TPN and deliver my accompanying supplies. I had done much of the leg work while in Florida but more work was still needed to finalize all the details

Get set….

I met with our realtor and got the big picture of what needed to be done to list the house. She loved the floors my hubbie and his uncle installed in half the house. We needed to pack some things for me to take, some to go to storage and some we could get rid of. I froze some meals for the freezer when I was feeling up to it, left lists of where to buy all their favorite gluten free foods and simply tried to spend as much time with my family as possible.

Mast cell road to healing

Go…

When the day arrived, we loaded up my “mommy van”, as the kids like to call it, and began the journey back to the sunshine state. We were officially on the road to healing. We had no idea a year ago how many times we would make this trip. Along the way it was good to have quiet time with my husband and to walk through detailed plans for the coming 6 months. We finally arrived at my temporary home. We were so blessed to be greeted by my girlfriend, Cheryl. Lee worked hard to get me all moved in and then flew back home.

The new reality

As a former military wife when you get the word of a move you get into a mode. You sort of disconnect and do what needs to be done. Very little emotion is involved simple because there is no time. When you are settled in your new place then the flood gates open. Leaving my children behind did involve quite a bit of emotion, as you can imagine, but with the very real possibility of not making it through another winter in Oklahoma, I knew I would be able to be a part of their lives better from afar. Standing at the airport holding onto my husband as tight as I could, the reality of the situation hit me. Together for the last time for many weeks we just sobbed. I was ugly crying for sure. We will see each other for Christmas we told ourselves but that was of little consolation at the moment. We said our last goodbyes. As I looked into my rear view mirror for one last glimpse of him before I drove away it hit me. I am insane! This makes no logical sence. I am a sick wife and mother who has just left her family and moved across the U.S. by herself. Of course I will have Cheryl and her family and my occasional friends we have become affectionately referred to as Christalsitters. But a hole was left in my heart that would not soon be filled.

Now what?

In the days ahead I would begin to enjoy a slow return of energy. I was happy to say goodbye to my masks and it was good to be able to get out more. I made the trip into Gainesville, with the help of my friend Lisa, to see my new mast cell specialist. My new doctor is pretty amazing. My new home health is on the ball as well. These things coupled with the beach give me reason for hope for the months to come.

Mast cell bubble

Finding your bubble

I understand that the Great Mast Cell Beach Experiment has helped many of you reconsider your environmental surroundings. Many of you are taking trips of your own and some planning moves to other locations where you typically do better. These are drastic measures for a drastic disease. Perhaps you do not have a madt cell disease but are being lead to something that is bigger than you can handle, something that is not logical. My best advise is to do what you need to live the life God gave you, pray unceasingly, and do your research.

Many people have said to me if you are allergic to the world maybe you need to live in a bubble. Most diseases are the same from one place to another, mast cell diseases are not always like that. For a disease that has no cure, avoiding your triggers becomes number one priority. If the house you live in or the part of the country you reside are part of the problem, you may have to consider all your options. If you are heat triggered then Florida, other tropical places and the desert will not likely be a good place for you. Transversely, if cold activates you don’t look north. Consider both what we call true allergies, ones where your body had made antibodies, and also those things that cause a mast cell response. You may be able to find your bubble or that little place that works just for you. On my recent trip to see my new doctor, who is located many hours from the coast, I did experience a return of several symptoms. So for me it is not Florida but rather the beach. While gathering all my records to move, I was reminded that I tested very high positive to all trees, grasses, and weeds. It occurred to me the beach is pretty much absent of those things, coupled with the ocean breezes and the healing properties of the salt water, my seaside retreat has become my bubble.

The Promised Land

All of this is to live the life God has given me, to be able to serve Him, to accomplish the opportunities He has given to me while I wait for the ultimate Promised Land. This may seem strange to us, insane in fact, but in some ways but it is just the way we should live. We have been given many examples in the Bible of people who did something in faith when it was not always logical. I will leave you today with some of my favorite verses from Hebrews that speak of this very topic.

Now faith is confidence in what we hope for and assurance about what we do not see. This is what the ancients were commended for. By faith we understand that the universe was formed at God’s command, so that what is seen was not made out of what was visible. By faith Abel brought God a better offering than Cain did. By faith he was commended as righteous, when God spoke well of his offerings. And by faith Abel still speaks, even though he is dead. By faith Enoch was taken from this life, so that he did not experience death: “He could not be found, because God had taken him away”. For before he was taken, he was commended as one who pleased God. And without faith it is impossible to please God, because anyone who comes to him must believe that he exists and that he rewards those who earnestly seek him. By faith Noah, when warned about things not yet seen, in holy fear built an ark to save his family. By his faith he condemned the world and became heir of the righteousness that is in keeping with faith. By faith Abraham, when called to go to a place he would later receive as his inheritance, obeyed and went, even though he did not know where he was going. By faith he made his home in the promised land like a stranger in a foreign country; he lived in tents, as did Isaac and Jacob, who were heirs with him of the same promise.For he was looking forward to the city with foundations, whose architect and builder is God. And by faith even Sarah, who was past childbearing age, was enabled to bear children because she considered him faithful who had made the promise. And so from this one man, and he as good as dead, came descendants as numerous as the stars in the sky and as countless as the sand on the seashore. All these people were still living by faith when they died. They did not receive the things promised; they only saw them and welcomed them from a distance, admitting that they were foreigners and strangers on earth. People who say such things show that they are looking for a country of their own. If they had been thinking of the country they had left, they would have had opportunity to return. Instead, they were longing for a better country—a heavenly one. Therefore God is not ashamed to be called their God, for he has prepared a city for them. ~ Hebrews 1.1-16

If you are a follower of Christ, what are you doing today to live illogical faith?

Hope and healing,

Christal

 

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The information contained on this blog is not intended or implied to be a substitute for professional medical advice. This is my experience and for informational purposes only. Please seek the advice of your physician regarding treatment for any medical condition.

Christal

Mast Cell Beach Experiment Nearing the End

Newton’s Third Law states for every action there is an equal and opposite reaction, the same can be said of Mastocytosis and mast cell diseases. When you make a change to one area there is often an equal or bigger reaction in another area, since we are dealing with hypersensitive cells. Think of it as cause and effect. I picture myself standing in the middle of a giant teeter totter trying to balance both side…. while juggling. 😉

Ups and downs

Over the last several days I have been able to successfully reduce the dose of steroids, yippee! The effect has been low blood sugar, very low. I normally have low blood sugar but steroids can raise sugar. Over the last year my body has compensated but with the reduction in steroids I have really experience that equal and opposite reaction. While decreasing the steroids my blood sugar has routinely crashed into the low 50’s three or more hours before the next TPN dose is due. This has been problematic as I typically run 16 hours on TPN and only 8 hours off. Three hours really cuts into those 8 precious hours of untethered freedom. If a normal person was struggling with some low blood sugar they would eat a snack or drink some juice but I don’t have those options available to me. I tried to put some sugar water in my feeding tube and although that did work to raise my numbers for about an hour the reaction was I was very sick for 2 days. I know they make sugar pills but that is essentially the same thing as sugar in the tube. So my remaining option, directed previously by my doctors office, was to extend the amount of time that I am on TPN to 18 hours on. It was disappointing but over the next few days my body adjusted and I was able to reduce the running back down. Additionally, I was able to reduce the time even shorter than I had been able to do over the course of the last year. I’m currently running 14.5 hours a day and with the direction of my doctor I hope to be able to get to 12 hours on and 12 hours off.

Nicole left today and Lee flies in tomorrow. We will go back home in a few days. Once he is in town I will try some formula again. The time has passed much quicker than I thought it would but I miss my family tremendously. They have all worked very hard completing tasks that can’t be done when I am around to prepare our home to put be on the market. I have pretty new floors in about half my house (with help from Steve Boxberger) The floors are formaldehyde free, low VOC, a green product and look beautiful. My family has also restained the window ledges, painted baseboards, held a garage sale (with a lot of help from Kayla Thompson, Cyndi Lackey, Twyla Roe, Caryn Adams, Lindsey Foster, and Nita Smith) and completed a host of other projects. They are looking forward to some well needed rest.

One Year Anniversary of Mastocytosis Relapse

As much as I miss my family I am also nervous to return. The mast cell patients who live in the area have really been struggling this fall flare season. It has now been a year ago that I experienced anaphylaxis that sent me to the ER after a photo shoot, life has not been the same since. That is not an anniversary I want to celebrate. I can think of a least six nights over the past year that I honestly did not expect to make it to see the sunrise. Memories like these are still too fresh. The suffering has been real and I don’t want to suffer like that again especially after feeling so much better.  I know how many of you love the music videos I have posted in the past. This one sums up my past year, it is at the end of the post

Redemption

The problems have been ever present but so has my Savior and Redeemer. Since being here at the beach I have made progress in the following areas

  • I don’t have to wear a mask outside
  • Throat, lip, and tongue swelling is gone
  • No numbness or tingling
  • No flushing or redness- except a mild sunburn:-)
  • No night sweats
  • Hand and feet swelling is gone
  • I’ve reduced my steroids
  • Face and abdominal swelling is reduced- probably from the reduced steroids
  • I’ve shortened my TPN running time – meaning my pancreas is regulating insulin better
  • No nausea or headaches
  • Abdominal and back pain greatly reduced
  • Energy is increased to a normal level
  • I am able to exercise every day and regained some muscle tone
  • Food is smelling good instead of making me want to gag
  • No itching or hives

I have to go home to get more TPN, without it I have no food. We are praying for the best and preparing for the worse. This month has given me a glimpse of how my condition will likely improve after our move. There is no cure for Mastocytosis but God has shown us a place that will help me improve long term, LOVE that guy!.

Mast cell beach nearing end

At the moment I have all I need—and more! …. And this same God who takes care of me will supply all your needs from his glorious riches, which have been given to us in Christ Jesus. Now all glory to God our Father forever and ever! Amen.Phillipians 4:18-20

Hope and healing,

Christal

Stephen Curtis Chapman Long Way Home

I set out on a great adventure
The day my Father started leading me home
He said there’s gonna be some mountains to climb
And some valleys we’re gonna go through

But I had no way of knowing
Just how hard this journey could be
Cause the valleys are deeper
And the mountains are steeper than I ever would have dreamed

But I know we’re gonna make it
And I know we’re gonna get there soon
And I know sometimes it feels like we’re going the wrong way
But its just the long way home

I got some rocks in my shoes
Fears I wish I could lose
That make the mountains so hard to climb
And my heart gets so heavy with the weight of the world sometimes

There’s a bag of regrets,
My should’ve beens, and not yets
I keep on dragging around
And I can hardly wait for the day I get to lay them all down

I know that day is coming
I know its gonna be here soon
And I won’t turn back even if the whole world says I’m going the wrong way
Cause its just the long way home

When we can’t take another step
The Father will pick us up and carry us in His arms
And even on the best days, He says to remember we’re not home yet
So don’t get too comfortable
Cause really all we are is just pilgrims passing through

Well, I know we’re gonna make it
And I know we’re gonna get there soon
So I keep on singing and believing
What all of my songs say

Cause our God has made a promise
And I know that everything He says is true
And I know wherever we go
He will never leave us
Cause He’s gonna lead us home

Every single step of the long way home
(Keep going, we’re gonna make it)
(I know, we’re gonna make it)
(We’re just taking the long way home)
(Keep going, we’re gonna make it)
(I know, we’re gonna make it)
(We’re just taking the long way home)
(Keep going, we’re gonna make it)
(I know, we’re gonna make it)
(We’re just taking the long way home)
(Keep going, we’re gonna make it)
(I know, we’re gonna make it)

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The information contained on this blog is not intended or implied to be a substitute for professional medical advice. This is my experience and for informational purposes only. Please seek the advice of your physician regarding treatment for any medical condition.

 

 

Christal
M o r e   i n f o