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Category Archives: PICC Line

What Just Happened?

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It has been a long road since my last post and we have only started this journey. In my last post I shared my drs news that I may have a carcinoid tumor and was in need of a test to find the exact location. The test is called an MRE, which is a fancy MRI with two different contrasts and a glucagon injection in conjunction with some advanced magnetic manipulation of your bodies cells. Due to my Mastocytosis and past reactions to contrasts the plan was to do the procedure under anesthesia, intubate me to protect my airway, place me in a ventilator, do the test and keep me on the vent until the swelling went down. Lee flew in from Oklahoma and took the whole week off not knowing what to expect. We drove five hours one way to the major medical center, checked into the hotel, and got ready for the weeks adventure.

Testing Day 1 MRE

I finally had the test and it went better than expected. I did not need anesthesia but they kept the anesthesiologist just outside the room just in case. I tolerated both contrasts well with premedication. Praise the Lord! We returned to the hotel for the evening instead of returning to the Panhandle area as was reccomended in case of delayed reaction. At 8pm that night I received a phone call from my dr. The MRE had revealed two masses in my intestines that were believed to be malignant. A colonoscopy was scheduled where biopsies would be taken.

Day 2 A New Feeding Tube

This was a pretty easy day. I ask if they would change out the tube without any anesthesia and they did. We went back to the room and watched movies and slept.

Day 3 Colonoscopy

It was a very busy day! A teaching hospital filled with students and a patient with two rare conditions caused lots of activity. After a long hard day the biopsies were not able to be collected as the tumors are on the outside of the intestines. I was kept overnight in the hospital for observation because my heart rate was elevated as I was coming out of anesthesia.

Day 4 What Just Happened?

At 10pm I received a phone call on my floor nurses phone while I was in the hospital. Another MRE was planned to check the liver and pancreas and see if the cancer has spread. They were going to come get me in the night and had a few questions. A consult with surgey was to follow the test to talk about obtaining the biopsies.

No MRE overnight. Blood work started the day off at 5:45 am and from that moment on the flurry of activity never stopped. Morning rounds, visits from the dietician to evaluate my malnutrition level, the TPN department to evaluate my current formula and if was meeting my needs, X-rays ordered to check my PICC line placement, I had no fewer than five blood draws, the admin lady came twice and never did get a chance to say little more than her name before another team would jump in. What began as a 24 hr hospitalization for observation ended with a conference with the chief of colo/rectal surgery who proposed a 2 week hospital stay, the removal of my ilium, cecum, and part of my colon, giving me a colostomy bag until my Mastocytosis inflamation went down (which would pretty much be the rest of my life as inflamation is a chronic standard with mastocytosis), staying on TPN, and not allowing any water by mouth or tube for the foreseeable future. She listed about 10 different reasons why I was going to be a very complicated case…… and that was just to treat one tumor. She was not going to do anything about the other. If there were any more tumors found in the liver or pancreas they would bring in other teams of doctors to handle those. They didn’t have TPN for me for the 2nd day and would not let me use my own. I checked myself out of the hospital against their wishes and we began the five hour trip back to the condo where I am staying.

Before surgery department could come I really felt like the Lord was leading me to begin the process to get into the New Orleans Louisiana Neuroendocrine Tumor Specialists. Lee called them and got me set up in their system. About an hour after leaving the hospital, I got a phone call from the specialists in Louisiana. They gave me a list of what records they would need. They are preparing an email for me with orders for additional tests needed. When I get all of my required info to them the team will review my case. They will either schedule me an appointment to see them, request more testing, or give me other guidance. If they agree to take me my appointment would be about two weeks later. I feel very good about this team and the treatment options they offer. They literally wrote the standards for neuroendocrine tumors. Although I hope I can get the needed tests and I will be accepted, I have the peace the passes all understanding. God has been very active and real through this whole process, I see his fingerprints everywhere and His whispers of love are continually in my ear. We arrived back at the condo and got a very good nights sleep. I am filled with hope as I continue to focus on who is really in control. My Father has got this, he tells me so everyday, all day long, everywhere I go like in these verses from 2 Corinthians 4:16-18 and this song from Mercy Me “Greater”. May you find your source of hope and healing from the Great Physician.

“That is why we never give up. Though our bodies are dying, our spirits are being renewed every day. For our present troubles are small and won’t last very long. Yet they produce for us a glory that vastly outweighs them and will last forever! So we don’t look at the troubles we can see now; rather, we fix our gaze on things that cannot be seen. For the things we see now will soon be gone, but the things we cannot see will last forever.”

Hope & 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

The Great Mast Cell Beach Experiment

Mastocytosis flare recovery 11 months 11 days

Mast Cell Beach Experiment

To the Beach

Well, I am officially in Florida for my nearly month long beach trip. I know many of you are cursing my name right now at the thought of that but truely it is for medical reasons. My doctor is hopeful by skipping the dreaded fall flare season back home and recovering at a place that has a history of making my symptoms go away, I will be a new woman. His hope is that I will be able to attempt to eat when I get home. I think that might be a stretch. I will be here for the one year anniversary of when it all came crashing down again. I have not used my GI track and jumping from TPN to food would mean skipping all enteral formula, which is supposedly less reactive. I trust him though and he is usually right so I will do what I am told and spend the next several weeks chilling by the beach trying to let my mast cells calm down.

My family loaded up the van and we began the two day trip to the coast. I’ve never been big on road trips but I am starting to see the charm. Being a military family, It used to be that road trips were for going home to see family for the holidays. Packing up the kids and all the needed equipment, clothes, snacks, and entertainment was exhausting. We needed a vacation just to recover from our vacation. Anyone been there??? Now It help the kids are not babies and able to pack and entertain themselves. It’s nice having everyone all together making memories. I will really miss them when they go home. On the way we encountered a beautiful full rainbow right at sunset. I felt like it was God’s promise to me that everything was going to work out fine.

Mast Cell Beach Experiment

Packing

So what does packing for a trip of that length look like? The logistics have taken me a little while to figure out. I’ve never been gone that long before or known anyone who has. I found a great post on the internet for a capsule wardrobe. It’s a mix and match kind of thing where you take 16 pieces of clothing and can rotate them to make 40 outfits. I knew my condo had a washer and dryer so I was game but I had to take a couple of extra pieces… just in case.

Mast Cell Beach Experiment

I ended up packing 1 large suitcase, 1/2 with clothing, 1/2 with things I knew I would want to make the condo seem more like home. I took soft sheets, towles, and that sort of thing. I had a small suitcase for things like my hair dryer, toiletries for a month, beach towel, my amazing little shower water filter, more on that tomorrow, and those sort of odd shaped things. I packed my pillows in a space bag to keep them clean and to take up less room. I took my air purifier, I never travel with out it these days, it’s a life saver. Of course the family needed to take some luggage as well. However, the things that took up the most room in my van were all the cases of TPN and medical supplies. Lee came home from my home health company where he picked up 8 coolers plus a huge box of all the accompanying supplies I require. It was quite a sight.

Mast Cell Beach Experiment

Beautiful Florida

We made the trip in two days and finally arrived at my girlfriend’s house. Beautiful place! Anyone wanting to stay on the beach near Destin, you have to check it out. This was the view from my bed. www.vrbo.com/474240 or www.youaremysunshinedstin.com

Mast Cell Beach Experiment

Blessings

We had the best time just visiting, catching up, and watching our families meet. Cheryl and I meet through work probably 12+ years ago. We used to travel together and work on various projects together and then became great friends. Although we have never lived in the same state, we used to exercise every morning together. We would get up at 6am, or crack of black as we like to call it, and walk on our treadmills together while we talked on the phone. This trip we walked on the stunning Miramar beach together. We may live in a broken world with things like disease but God is in the business of redemption. He specializes in restoring and healing, God is good!

Whatever is good and perfect comes down to us from God our Father, who created all the lights in the heavens. He never changes or casts a shifting shadow. James 1:17 New Living Translation

 

Christal

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FAQ

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Mastocytosis Flare Recovery Month 10 Day 17

I have been home from Florida now for just over 3 weeks. I am having a few more good days. My lip, throat and tongue swelling comes and goes. Pain, which is almost always present to one degree, is less severe than it has been. I’m able to get out of the house about once a week for a few hours. Progress is being made.

Doctors, Doctors, and more Doctors!

I’m making arrangements for my big trip back to Florida. For the medical care I require with the PICC line and TPN my insurance requires me to have a local team of doctors. I leave in a few weeks to head back for month- long experiment and I am currently working on the last and most vital piece of the team, the GI doc with other mast cell patients. It is a very slow process and sort of sad. I have had four doctors refuse to see me or provide care, apparently I’m too complicated- hee hee! My hubbie could have told them that 🙂 One nurse said “you can’t really blame him for not wanting to take you as a patient, you are kind of complicated and that scares him”. I was thankful for her honesty and told her he was not the only one. I conveyed to her that I did understand why it would scare him. I ask her to imagine how that would make a patient feel, one with no medical school experience. If the doctor was scared imagine how scared the patient must be living everyday with themselves. She had never thought of it like that and I’m sure the doctor didn’t either. I guess you know you are really sick when doctors are afraid of you. While the experience is disappointing I know The Great Physician. He shows me he is with me everyday and redeeming what this broken fallen world has caused.

FAQ

Today’s post I thought I would answer some frequently ask questions. I get a ton if questions, which is very cool. I like helping others to understand about this new disease that can surface in anyone. Mastocytosis and mast cell diseases are rare but rapidly growing conditions that can infinitely impact your quality if life. Most people have never heard of these disorders and naturally have questions. If you have a question feel free to post it in the comments and I will do my best to answer it.

Now that you are back home from Florida do you still have to wear the masks when you go outside?

  • Yes. If I don’t wear it my lips and back of my throat swell significantly. I still get swelling with the mask just not as much as if I did not wear one at all.

Are you moving?

  • That is the plan, if the trip goes the way we think it will.

If you move away do you feel like you are quitting?

  • Umm…. No. Giving up would be to stay here where it is comfortable and sooner or later let it kill me. Moving is actually fighting back against this disease. If God has prepared for me a sanctuary I will run to it eagerly.

Do you get hungry?

  • Yes, and a couple of times I’ve even been h-angry …. angry because you are very hungry 🙂

If you could eat tomorrow what would be the first thing you ate?

  • It changes depending on the day but most days I would choose a big juciy bacon cheeseburger with salty crinkle cut fries and a slice of turtle cheesecake or Reese’s peanut butter cup. I say that but honestly that is probably a weeks worth of food for someone who has not eaten in a long time. I’d be happy with a couple slices of a fresh peach and a couple tablespoons of sticky rice.

So you can’t eat food?

  • Nope

So you eat gluten free?

  • Nope, no food. There are many foods that don’t have gluten in them, meat for example. I can not eat food at all right now.

Then can you juice?

  • Nope, juicing is still food.

Can you do gum, mints, candy, cough drops?

  • The only things that I can swallow are a few brand specific bottled waters.

What kind of water?

  • Aquafina mostly but I can also drink Osarka. Other mast cell patients do well with Fiji and Voss but I have not tried them. Artesian spring water is recommended by my dr but often hard to find.

What happens if you drink another kind of water?

  • The skin on my the inside of my mouth rolls away like a scroll leaving a sore with in minutes and also belly pain.

Why is that?

  • Many bottled water brands add minerals and chemicals to “enhance flavor” that my body reacts to.

Were you born with this disease?

  • Hard to tell. People can get this disease from birth or spontaneously. Many mast cell patients, not all, have a genetic mutation that cause the disease.

What causes the mutation?

  • I don’t think they know for sure but chemical exposures in food (pesticides etc) and environment are the most common reasons I have heard. I tend to think this may be true because mast cell patients’ symptoms seem to be made worse by chemicals- eating, breathing, or absorbing through our skin.

Does everyone who has a mast cell disease loose the ability to eat food?

  • No, I went untreated for years and so more damage was done to my system. This is why it is really important to get treatment early.

Is there any cure for Mastosytosis or the other mast cell diseases?

  • Not at this time. This is why I am writing my book, to raise awareness and to raise money for reasearch to find a cure.

You look frail, what size are you? How much weight have you lost?

  • Have you ever noticed how our culture is obsessed with size and food? I am always amazed at how often this topic comes up. Weekly I will hear someone confess they are jealous of me because of my weight loss and they would do anything to be my size. This makes me soooo sad. My response is “Don’t be jealous of malnourishment.” Weight loss is really cool when you eat right, exercise, and make healthy lifestyle changes. It’s not so great when it comes due to an illness and you can’t make it stop. It’s more like a run away train. Mast cell patients have much less control over their size than most. Unexplained weight gain and weight loss are both symptoms we have to learn to live with. Somehow all of us need to learn to love ourselves no matter what size and shape we are. That being said, going down in size is more fun because you need to shop for new clothes and the cuter clothes are more available in smaller sizes. The first time someone ask me what size clothing I wore I was taken off guard. Personally, I would never ask someone what size they are but I’m a pretty open person to others questions. I have lost almost 75 pounds and wear a size 2 in pants and sm to medium for tops.

How do I know if someone I love has this?

  • People with a mast cell disorder can appear to be perfectly healthy until faced with a trigger. Once exposed to the offending substance, specialized immune cells called mast cells, release many chemicals into the body, causing symptoms and creating a literal war zone. Triggers can include such unusual things as heat, sunlight, alcohol, many foods, artificial flavorings, preservatives, pesticides, perfumes, seasonal changes, pollen, room fresheners, exercise, friction, fatigue, mold, anesthetics, antibiotics, narcotics, emotional or physical stress.Once triggered, there are a myriad of symptoms that wreak havoc on daily life. To further complicate matters, symptoms vary from person to person and from day to day depending on physiology and environmental influences. Some more common symptoms include: itching, headache, rashes, flushing, high heart rate, hives, chest pain, abdominal pain, bloating, GERD, diarrhea, vomiting, bone and/ or muscle pain, brain fog, cognitive dysfunction, anxiety and/or depression, lightheadedness, fainting, blood pressure instability and anaphylaxis. I’m have written a basic overview of the disease in this post. You can check out a couple of YouTube videos produced by The Mastocytosis Society to learn more. I will post them below. Very specialized testing with proper staining is required for an official diagnosis. With early diagnosis and treatment the prognosis is significantly better.

You have lived with so much suffering in the last few years, are you sad or happy that you were born?

  • I am so happy and thankful to be alive, probably more than other people. This illness has really helped me to know what is truly important in life and focus on those things. Everyday I wake up is a day I can serve my Lord, be with my family and friends. Things like you. Thank you for walking this road with me and trying to learn more about this crazy life I live. I couldn’t do it with out you!

Christal
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