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Category Archives: TPN

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

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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