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Life after that was never quite the same: everything
I did with the knowledge that it could end anytime.
I had just started a new full-time job which proved
to be a mistake; the long day was too exhausting. I
suffered from fatigue and depression.
I thought and read about the illness a lot - I needed
to know everything there is to know and I realised that
there was nothing I could do. I decided to carry on
with my live as normal as I could, only interrupted
by regular Hospital visits for monitoring purposes.
The fact that I was 'a good candidate for a transplant',
as the doctor put it, provided some comfort. I just
had to make sure to keep fit for the operation, and
so I continued with my favourite past time: windsurfing!
At the beginning of 2002 I had to retire from work
as I became more and more incapacitated and in 2003
I started to visit people and places just in case it
was for the last time. I instinctively knew that I had
reached the time when I had to do things because it
might be the last opportunity. I went skiing in Switzerland
with my father, in the same resort the family had been
frequenting for years.
And in August 2004 I went on a Windsurf holiday in
Egypt with a 12 times National Champion to learn advanced
manoeuvres. By that time I had difficulties breathing,
but nothing could prevent me from participating in the
lessons. Regrettably after a few days I was in excruciating
pain, my abdomen was so extended, that I had difficulties
fitting into my wet suit and harness - and I could not
eat anymore. The Hotel doctor diagnosed ascites and
oedema and I only narrowly escaped from being hospitalized
in Cairo.
After my return, in October 2004 I was booked into Hospital
to asses my general condition and suitability for a
transplant at that time. The surgeon, who explained
the proceedings to me, would have liked to operate very
soon, preferably immediately. - He talked about the
window - when it was feasible to do the operation. It
was clear to me that there was a point when it would
be too late for surgery. He confirmed what I had suspected:
without a Donor Liver I had very little time to live:
2 years at most, if I was lucky.
I was put on the Transplant waiting list, which meant
I had to have a bag, packed and could never be further
away from Hospital than 2 hours. - We live on the South
Coast - I had never managed to do the trip in less than
2 hours - I was distressed. - My life had come to a
halt. It was impossible to do anything during that time.
I hardly dared going out and jumped every time the telephone
rung.
After my 'work-up', I started to be ill, first with
a chest infection, and then from the beginning of January
2005 I was in and out of hospital with various infections:
Pneumonia, Streptococcal Septicaemia and Cellulites
following a chest drain.
On the 2nd of May I was admitted to Hospital again,
the pleural effusions had become so frequent that there
was no point going home between treatments. There was
no need for me to worry anymore about how to get to
hospital in time, but rather, would I still be fit enough
for surgery if a liver became available?
Since January I had been on a priority list. But nothing
happened - there had been no liver donations for months
and little could be done for me. During that time I
had recurrent pleural effusions which required about
18 chest drains, sometimes in a life and death emergency
situation. At least once the Intensive care team had
to be called as I had passed out during the draining.
Luckily my son had noticed that something was wrong
and called a nurse. After that I was really scared and
needed the comfort of a nurse and my son. But towards
the end I begged the doctor not to put off the procedure
to give me some relief.
It was a long wait, my condition went from bad to worse
- 'She is wasting away 'was the phrase used during rounds
or when introducing students. Soon to be replaced by
'you really need that liver now', accompanied by a very
serious look indeed! I almost felt sorry for the doctors
who must have felt quite helpless. It was obvious what
everybody was thinking, there was no need to say anything.
During the last week before the transplant, I could
hardly sleep. I was just laying there praying and waiting
for the morning when activity started and breakfast
was brought in by my family, scrambled egg and black
forest ham was the favourite. The other meals were supplemented
with fresh fruit or replaced with a tasty Chinese or
Italian Take Away. Having been told I needed more nutrition,
and the calories were counted, I did my best, but nothing
helped of course. My body did not absorb the food anymore.
Furthermore speaking had become difficult, and I had
turned from yellow to a shade of green. As I realized
I was at death door, I asked my father to visit from
abroad so we could say good bye. He was devastated and
had to be comforted by nurses who found him near the
lift crying on his way out. My husband had said very
little for days, he was so stressed and all my son said
was:' don't leave me on my own mum.
That night after the family had left; Dr.Patch brought
me the new Windsurf Magazine which kept me going until
midnight when the good news came: After 8 month of waiting,
a suitable liver had been donated. - I was ecstatic-
But the big question was, to operate or not? Was it
too late? What were the chances? Apparently I only had
a 20% chance of surviving the operation, but would have
probably died the next day anyway. So, luckily Doctor
Patch decided in my favour. He was sure I would make
it! And so I did.
It had been a textbook transplantation - I was told
afterwards -, but I spent days in Intensive care unconscious,
with equipment and tubes attached everywhere, apparently
the kidneys had been failing. The first thing I know
is, that I was very thirsty and a friendly male nurse
let me suck a sponge, I believe. And I remember thinking,
of Jesus on the cross.
Memories of that time a hazy, I had lost all sense
of reality and was convinced somebody
was trying to kill me. I was in constant fear of my
life; I heard and saw things happening and I could not
understand why nobody believed me. At times there was
shooting outside my window, or so I thought, yet the
nurse, who came into the room, insisted that a book
had fallen of a shelf. These are only a few examples
to illustrated what went on in my mind; it is impossible
to describe the full extend of that nightmare.
I was in an isolation room at that time as I had acquired
an infection on the wound - Acenitobacter - they said-.
Although this was serious, in a way, I was pleased to
be on my own, I would not have coped very well in a
room with other people. It would have been all too embarrassing.
My body was filled with fluid, I was enormous, so it
was impossible even to move a leg unaided. Everything
had to be done for me. I could not even eat or drink
without help. Gradually I got better, but it was weeks
until I could walk properly again due to severe muscle
depletion.
Recovery was quite quick considering the state I had
been in, and I was discharged on the 24th of June. On
leaving I still had the memory of the phrase used by
Professor Burroughs
in my ear when introducing me to Prince Andrew who
had come to visit the ward: 'and this is our success
story' he said. For me this visit was very important
- It had been something to look forward to all week
- and it is something positive to remember.
And as you can see, it has been 'a success story'.
I am a living example of a medical miracle, I think.
The wheelchair I had come home in was soon returned
and over the next few weeks I gradually walked unaided.
Every day I am surprised how well I feel and how much
I can do during the day. It is such a contrast to before
the Transplant operation, when I was exhausted after
breakfast and slept most of the day. For years I have
had to plan my days and activities meticulously. I can
now shop and cook in one day again, and I am already
planning my Windsurf holidays with my favourite instructor
for this summer.
It just remains to say; that despite the skill of the
doctors, the care of the nurses, and the support of
my family and friends, - without the donated liver,
I would not be standing in front of you today! And I
am very grateful that somebody who had experienced the
sad loss of a family member, found the strength to make
that life saving decision.
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