Friday, May 20, 2011

A Few of My Favorite Things

Just finishing my last treatment of the night and I thought I'd give a little credit to the things that make my treatments a bit more bearable these days.

--My favorite TV shows: Grey's Anatomy, CSI: NY, Pretty Little Liars, Bones, and Frasier (just to name a few)
--Marathons of my favorite TV shows
--Wireless headphones to hear said favorite TV shows over my machines
--Orange Gatorade
--My NOOK 
--eBooks
--Real books
--Coffee Frappuccinos
--Facebook
--My dog Max
--Slurpees (my guilty pleasure)
--DVR
--Funny, sweet, or just plain pointless text messages

... And most recently? This blog!

Thursday, May 19, 2011

It's About IV Time

I've finally been approved for home healthcare thanks to the hard work of my doctor and social worker! I'll head over to Arlington Clinical tomorrow at one and they'll access my port for the first time. Woo! After they access the port and secure the new line I will be free to go home and hook up my antibiotics.

While I'm both grateful and happy to have all these amazing people on my side and finally get this insurance fiasco behind me, a three week course of IV's doesn't excite me at all. Plus, it's a TOBI month starting tomorrow. Tobramycin, a bi-monthly antibiotic I inhale through my nebulizer, wipes me out on a normal day. The combination of 28 days of TOBI and 21 days of two different IV antibiotics is definitely going to take it's toll on me. So here's to my last carefree (sort of) night for a few weeks. I think I'll spend it watching reruns of my favorite TV shows!

The light at the end of this three week tunnel is a road trip to Salem, Oregon with my sister. A giant woo hoo for that!! We're headed Northwest for the wedding of two close friends and to spend some quality time with our favorite Oregonians. My dad and godparents will be flying up too. Saying I can't wait would be an understatement. We always have an awesome time in Salem!

Besides being a little nervous about tomorrow, I'm doing pretty good. I feel great aside from some exhaustion that just won't go away. I've been so blessed to spend a lot of time with Allie, DJ, Terry, and Dave throughout this whole process. They always know just how to brighten my day or take my mind off of things. Aunt Maria has also been a rockstar. Calling daily to check on me or just listen to me whine, she's been there. I love these people! And everyone who reads these ramblings. :)

Hoping that tomorrow will be an easy day and the access won't be too uncomfortable. I'll blog about it and let everyone know! Hope everyone has a wonderful Thursday night.

Sunday, May 15, 2011

Because I'm a Nerd: CF Stats

At my clinic appointment at Renown last week, Dr. Budhecha and her Physician's Assistant Kathy brought me lots of new papers to sign. Usually this would be suspect behavior but on that particular day I had heard the excited whispers on my way into the clinic.

Our little CF clinic was officially accredited last year, which is a HUGE deal and means we are on the same level as Stanford and other respected CF centers. Yes! With this accreditation came the opportunity to be included in the CF Registry. The CF Registry is a list of all the CF patients at accredited CF centers and all of their information, including weight, age, BMI, treatments, specific gene mutations, medications, lung function results, sputum results, bacterias and more. All this information allows doctors and researchers to discover trends, increases in average life expectancies, and possible new and more specific treatments. Last Friday was my day to enroll in the Registry. Yay!

Although I wasn't included in the 2009 registry, I still found the information in the link below very interesting. There's still so much I don't know about this disease but I'm learning more and more every day. Especially with the help of organizations such as this one.

If you're curious about CF trends and statistics check out the 2009 CF Patient Registry Report below!

Patient Registry Report 2009

Friday, May 13, 2011

I'm a Liar... And Other Semi-Important Updates

Titling this blog "The Daily Haley" was extremely dishonest of me. This blog should really be called "The Biweekly Haley"... but that just doesn't roll off the tongue quite as well. I am pretty stinkin' excited to hear that my friends and family are reading my sporadic posts. And, apparently, they like them! I couldn't be happier to hear that.

I had my surgical follow-up appointment with Dr. Hulka today. She was very happy with my incision even though one end of it seems to be bothered by "skin separation" despite two rounds of stitches. It's nothing serious, just makes for a strange looking scar. There are worse things. Dr. Hulka is awesome. I know I've mentioned that before but I just have to say it again. I know what you're thinking, "This girl thinks ALL her doctors are awesome!"... yes, but no. Different levels of awesome, not quite the same level as Dr. Budhecha (hey, they can't all be saints).

Speaking of Dr. Budhecha, I ran into her at Renown on my way to Hulka's office this afternoon. I was reminded (as if I needed a reminder) why she is such a special doctor and I am seriously SO blessed to have her. We chatted in the hall for a few minutes, she looked at my incision and gave it a thumbs up, then we started talking about the insurance fiasco that is now stalling the commencement of my course of IV antibiotics. Not only is she trying extremely hard to work around my specific requests but as we were talking she knew who my insurance providers were, in the correct order, and how the systems should be working together. I have a lot of doctors and she is the only one who takes the time and cares to know and research that information. And remember it! Like I said, she's a saint. She also called me earlier this week after office hours and gave me a pep talk that nearly sent me into tears. I just can't say enough good things about her, as you can tell!

Now that I've mentioned the insurance fiasco I'd better devote a paragraph or two to it. I was approved for Medicare earlier this year and it took effect just last month. Before Medicare I had Tricare as my primary and only insurance. Tricare and I got along just fine, in fact, I hardly had any trouble with them ever. For some strange reason when Tricare and Medicare get together Medicare becomes the primary and Tricare becomes the secondary insurance. If it was any other insurance besides Tricare, Medicare would take the backseat as the secondary. Now the fun starts.

The whole point of IV antibiotics through the port is to keep me out of the hospital where I would be exposed to countless dangerous bacteria. As a rule, doctors want CF patients in the hospital as little as possible because of the high, high risk of contracting other infections. So to avoid all of that doom and gloom we get IV antibiotics at home delivered via a home healthcare provider and a home health nurse that visits once or twice a week. Unfortunately, Medicare doesn't cover home healthcare unless you are homebound, which I am not. The only other alternative are frequent visits to the infusion center to get my daily doses of antibiotics. Dr. Budhecha isn't too keen on that idea because it's still essentially a hospital. Luckily, we have Danielle the Social Worker as our secret CF weapon! She has been hard at work all week fighting with both insurances. I'm hoping Danielle is able to work some magic because home healthcare sounds so much more appealing than either of the other options.

Other exciting business going on this weekend:
-The Reed High Art Festival was tonight and Cierra had SEVEN pieces on display.
-Tomorrow night is Cierra's Junior Prom... which means a very busy day of running around for my dad and I.
-Sunday I will finally be well enough to go to lunch with my grandparents for the first time in over a month. Yay!

I think that's everything. You may now consider yourself officially caught up! Thanks for reading!!

Wednesday, May 11, 2011

A Very Im-PORT-ant Day

This post was started and intended to be posted from pre-op on Friday. Unfortunately I type too slowly and the pre-op nurses move too fast. I finally got around to finishing it today!

May 6, 2011

Hi there!
I'm sitting in pre-op feeling suspiciously calm. As you can see, they've dressed me in a lovely outfit for the occasion. The IV is started and I'm waiting for the doctor to come in and go over everything one last time. Perfect opportunity to blog about this morning's appointment at the CF clinic at Renown.

My FEV¹ (overall lung function meausurement) is up from 95% three weeks ago to 98% today. That was awesome news! My doctor and I also talked about the latest and greatest CF parafernalia on the market. These include the Vest 105 with programable treatment variations (I still have the 104!) and the Trio nebulizer that nebulizes medicine at the speed of light... maybe not that fast but you get the point.

Overall a VERY good appointment! The great thing about the CF clinic at Renown is the team I get to see. There's Heidi the nutritionist, Shelly the Respiratory Therapist, Kathy the Physician's Assistant, Danielle the Social Worker, and Dr. Budhecha. Talk about multi-faceted care! Since I had to medically withdraw from my classes this semester, Danielle the Social Worker contacted all my scholarships and made sure that I wouldn't lose any of them because of the withdrawal. HUGE help since I was super concerned about losing my Millennium Scholarship.

Like I said, awesome appointment and a great way to start a very big day. Dr. Hulka and the anesthesiologist just dropped in. I'm feeling very comfortable about everything! Plus everyone (and I do mean everyone) keeps complimenting me on my hair. Very cool!

Here we go. Wish me luck! :)

Saturday, May 7, 2011

Haley is Now PORT-able!

Sorry for the tardy posting, I haven't felt up to typing yet.

The surgery went really well! The operation took about twenty minutes from start to finish and it took me another two hours to shake off the anesthesia. I did have some issues in the recovery room. When I first came to I couldn't breathe so I asked for an albueterol treatment through the nebulizer and that seemed to help a lot. Then I had to be put on oxygen because my pulse oxygen levels kept dipping into the 80's. Also, they weren't able to control my pain with Percocet. I've had that problem in the past but I always forget to mention it. Huge oops. Once I was released I was able to take the Vicodin Dr. Hulka prescribed for me and that seemed to do the trick. Yay for Vicodin!

I was able to sleep for a full eight hours last night thanks to the painkillers. YES! Today has been rough since I slept a little too long this morning and got behind the pain curve. A visit from the amazing Miss Allie and a coffee frappacino from Starbucks definitely brightened my day. Love her!

I have three incisions, two little ones about a half inch in length and one big one about two inches long. They're pretty black and blue and a bit swollen but already I can tell it won't be nearly as noticable as I feared. I actually like it... weird, I know. When I have a little more energy I'll post a picture and finish the entry about my clinic visit that I started while waiting in pre-op.

My family and friends have been incredible. Between the texts and phone calls and visits... they're just amazing!
So, so far so good. I'm excited to see how the port looks when I'm all healed up. I decided not to start my course of antibiotics in the hospital and I'm SO glad I didn't. I can't imagine tugging or adjusting a line from my incision right now. I'll probably start the two week course at the beginning of the week with the help of a home healthcare nurse. Hopefully I won't be as sore by then.

I'm now happily PORT-able! :)

Tuesday, May 3, 2011

Nerves

That past couple of days have been rough. I am a worrier by nature so all of this port a cath business has me worrying myself in circles. These are some of the conversations I've had with my family and close friends over the past few days:

- While the port a cath is the best option for me since I refuse to go through with another scary PICC line, I still don't like my options.
- This is my first real taste of "hey, you're actually sick" and I don't like it one bit. So yeah, I'm scared.
-What if I don't like it? What if it's so unsightly that I just can't stand it? That one is really freaking me out because right now I live a relatively normal life with little to no restrictions or obvious outward signs of CF. I know it's just vanity but I can't help it... I'm freaked out!
- I really wish I didn't have to make this choice. I wish it was a nonissue.
-But it is an issue so I have to deal with it and process it. The port works for so many CF patients and they love it.

Today was a better day than yesterday (at least I wasn't crying every 10 minutes). I'm hopeful that by Friday my nerves will have calmed and I will be able to hold it together. I know I will feel 95% better after I speak to Dr. Hulka (surgeon) and see the placement and talk about the size again. That will help... A lot. My dad and sister have been so great even though I haven't. As a family friend said when we had coffee yesterday, my "mental framework" is a little shaky and my moods are following suit. Sheesh, what a mess! Like I said, it's getting better but I'm still nervous, scared, freaked, and ready for all of this to be over.

I'm still not sure if I will be released after the port placement or if I will opt to stay for the night so they can start my IV antibiotic course in the hospital as opposed to at home by a home healthcare worker the following week. Decisions, decisions...

You'll know when I know! Though I'm not even sure anyone is reading this. How embarrassing would it be if I'm just talking to myself out here in cyberspace?

A very special thank you to Dad, Aunt Maria, Cierra, Allie, and Kim for being there for me in my various times of need. I don't what I would do without these wonderful people.

Sunday, May 1, 2011

Sisterly Silliness

It's great to have a best friend for a sister. Things are always more interesting when we're together! The past week has been especially exciting with our birthday, the Cystic Fibrosis Foundation's Great Strides walk, my medical drama, Easter, and the annual Stempeck family Bunny Run. Below are some smile-worthy snapshots from our crazy week!

Easter Eve - Candy for the 2011 Bunny Run
Birthday time!
Yes, that cake is as good as it looks.


Everyone needs at least one awkward candid.
Laughter.
Sporting our Great Strides shirts!
Blow Away Cystic Fibrosis!