Showing posts with label pulmonary rehab. Show all posts
Showing posts with label pulmonary rehab. Show all posts

Friday, 20 March 2015

PHighter Friday: Kimberlee



I was diagnosed in 2009 with idiopathic pulmonary hypertension at the age of 30. I believe I started experiencing symptoms six months to a year prior: extreme shortness of breath, syncope, chest pain, dizziness, fatigue, and cough. So, I scheduled an appointment with my primary care physician who then referred me to a pulmonologist. The specialist did electrocardiograms and pulmonary function tests, and concluded that I had exercise-induced asthma.
I knew it had to be something else because my mother is a severe asthmatic and commented, “I do not experience what you do on my worst days.” I continued to seek medical attention from hospitals and physicians, but was always told it was asthma, so use inhalers and lose weight - later it was noted the weight gain was from fluid retention. I was also told that I was fine, and what I was experiencing was all in my mind. And, finally, I was told that I must be using illegal drugs because of the symptoms (I never used illegal drugs or smoked.). I thought I was going crazy because I knew I was sick, but the medical community was of no help to me — I was dumbfounded. I continued to pray and hope whatever was wrong would be revealed soon.
Each day I went to work, I had a rough time with my patients because I could not perform my duties due to my limited mobility and declining health.  On one particular day I was very symptomatic and briefly fainted, so my best friend who was also working and another nurse took my vital signs, which were normal with the exception of my oxygen saturation and heart rate. I determined I had to go home because I was very weak, so we immediately notified the Charge Nurse, and my friend took me to my car; she offered to take me home, but I insisted I could do it.
I drove to my parents’ house because I knew I could not make it up the stairs to my apartment and I wanted my mom. As soon as I arrived I immediately told my parents what happened, so they called 911. I was taken to the emergency room by ambulance and tests were periodically done, but doctors did not believe I had a serious condition, and the hospital wanted to release me. My mother immediately spoke on my behalf for them to transfer me to the hospital of her choosing and they complied with my mother’s demand. Upon arrival I became unresponsive and tests were urgently performed, including various x-rays, echocardiogram and right heart catherization, which lead to the diagnosis of pulmonary hypertension by two physicians who are also pulmonary hypertension specialists in separate facilities.
My family was told that if the first hospital had released me, my chances of survival were low because I was at stage 4 pulmonary hypertension. Phenomenally, I survived, and once I became responsive, I was told the news that ultimately changed my life forever. “You have pulmonary hypertension.”  I was clueless on what this meant for my future.
I am now living a “new normal.” I currently am on combination therapy: treprostinil (continuously through a central venous catheter and a portable infusion pump), ambrisentan, riociguat, and calcium channel blocker. I also use several other medications to help ease the daily side effects of the PH medications. I used supplemental oxygen 24/7 at the beginning; then after doing pulmonary rehabilitation for three months, I was able to switch to during exertion or as needed. After two more separate admissions to the pulmonary rehabilitation program, I am fortunate that my activity tolerance is increasing.
Most importantly, I am determined not to allow PH to stop me from pursing my educational goal.  If I give PH the power, then I lose respect for myself. I must be my own advocate and cheerleader.
Also, I lead four support groups because I believe no one should face this journey alone. In addition, I participate in PHA events: I have spoken at PHA’s Congressional Luncheon and two of PHA’s International PH Conferences. I also advocate for those with medical disabilities, speak at community events and at my church.
Additionally, I am a member of the Social Media Advisory Board for PHA, and part of PHA’s Generation Hope, and a mentor for United Therapeutics’ PH peer network program. I am also the co-founder of a very active patient-led PH group on Facebook, PH Family, a growing global forum since 2010 for patients and caregivers to voice questions and concerns about this life threatening disease and to support each other.    
Pulmonary hypertension has taught me to live life; I am more appreciative of my quality of life than the quantity. I am blessed to have loving parents because without them and my faith, I would not be able to overcome the daily challenges I face. This is my journey and I must be a testimony, so that others will see that there is life after being diagnosed with a chronic illness.
As a PH community we must stand together and be “empowered by hope.” Every day I want there to be a medical cure for this rare disease, but until there is, I must cherish my moments with my family, friends, and church family because they are a wonderful support system. Pulmonary hypertension has changed my life drastically, but I am determined to ensure it does not negatively impact my life entirely.  I know what is important to me; therefore, I will not allow PH to have power over my destiny.
My next goal is to return to the working world and have the most important titles: “Mrs.” and “Mommy.” My journey is not yet complete — to be continued!


My contact: livingwithph@gmail.com

Friday, 6 February 2015

PHighter Friday: Colleen S

In the PH community, I often hear people being asked what their life was like before diagnosis. I've been asked this myself many times over the years. The thing is, my life before I was diagnosed with PH was the same as my life is now. I don't know what it's like to breath normally. I don't have a clue what going from an active lifestyle to a PH lifestyle is all about. That is because PH has been my entire life. It's all I've known. I actually thought, as a kid, that it was normal to take hours to recover from running around with your siblings and friends. I thought everyone took naps when they were exhausted! And although everyone around me, family included, always told me I looked purple, to me that was just my thing!

I was diagnosed when I was 9 months old, but technically, I should have been diagnosed months earlier. My mom brought me to a free clinic to get my first set of immunization shots, and a doctor there thought something was up with my heart. My mom took me to the pediatrician, who didn't think anything was wrong. So at the same free clinic for my 2nd set of shots, the same doctor who saw me the first time told my mom that something was seriously wrong with me, because I looked blue. My parents ended up taking me to a children's hospital, and after many tests, they discovered I had a pretty bad congenital heart defect and pulmonary arterial hypertention. At that time (1975), the doctors couldn't do anything. It was too late for surgery to correct the holes in my heart, and there wasn't anything to treat PAH. My parents were told I might not make it to my first birthday, or I may possibly live til I'm 50. They weren't given much hope! But here I am, 39 years later, and I'm still living to share my story!

First Airplane Trip
I grew up with a lot of "cannots." I cannot participate in sports. I cannnot take gym class. I cannot go on rides that'll get your heart rate up too much. I cannot get pregnant. And so I lived my life following the "cannots." I often wonder if that really was a good thing or a bad thing, but I guess since I followed those rules pretty closely, and I'm still here, it was a good thing? I followed my grade school dream of becoming a teacher, getting my Bachelor's and eventually ending up in a preschool classroom. I loved it! But after only a few years, those preschooler germs started loving me. Too much. I was on my third major respiratory illness during my third year of teaching when my primary doctor came into the exam room with tears in her eyes and told me I had to quit my job. She wrote me a note that I took to my director right after the appointment. I was 24 at the time, and never even thought about quitting a career at that age. Who would??

A few years later after my PAH symptoms continued to get worse, I ended up going to the Cleveland Clinic in Ohio. I was referred by my doctor to go for a transplant evaluation. At the time, the shortness of breath started happening more frequently (just getting dressed in the morning was becoming a 30 minute event), and an elephant had permanently moved in on top of my chest. That was one symptom I didn't have growing up, and it was not a symptom I particularly enjoyed! Being sent to Cleveland was very scary. Transplant was even scarier!! But my first visit, I was sent back home after so many tests with instructions to start taking Coumadin, a blood thinner, and to wear oxygen all the time. After several more visits to Cleveland in the following months, I was put on Tracleer. I had no idea what it was, or exactly what it would do. All I knew was that I surely hoped it would help my elephant to move on, and that I would start feeling better!!

My first shipment of Tracleer brought me not only the first medicine I'd ever try for PAH, but it also brought me into the world of the pulmonary hypertension community. I grew up knowing I had PH, but it was something that was never focused on. My heart condition was the central star all those years. Once I found the Pulmonary Hypertension Association website, my knowledge of PH started to expand. But what really hit me?? THERE WERE OTHERS LIKE ME!!!! I seriously spent a week reading the message boards and crying, because there were people I could relate to and totally understand!! It was like finding a miracle! 

Tracleer got that stupid elephant to move out several months after being on it, and I also didn't feel as short of breath doing certain things like I was always used to feeling. It was a pretty awesome feeling for a few years, until I felt like I needed to add another medication to the mix. Revatio was added, and the combination of the two is what I am still on today. Pulmonary rehabilitation was something I found out about from phriends (friends who have PH), and after inquiring about it, I started going twice a week at one of my local hospitals. It's been a little over six years since I've started pulmonary rehab, and I truly believe it's a part of what's been keeping my PAH stable in the last several years. Kinda hard to believe I went from no gym or sports as a kid/teen to working out a couple times a week at least! No, I am not running marathons or doing heavy weightlifting, but that is ok! Exercising at any capacity is beneficial, even if I can only do it a little at a time!

So after my PAH seemed to be stable for awhile, the next part of the equation was....what am I going to do with my life?? I couldn't teach. I knew I'd never go back to that. But I didn't know what else to do. Some days I had more energy than others. I'd have one day where I wish I could be at a job, to several days when I was thanking my lucky stars that I didn't have one. Then one day I got a call that started the ball rolling for me towards a direction I never thought about. I was asked if I'd consider starting a support group for PH patients in my area. At first, I was pretty terrified. I could handle being around kids, but to lead a group for adults??? I guess you could say that my shy background made the whole prospect a bit daunting for me! I really had to think about it. So, that's what I did. I spent a couple weeks thinking and praying and talking to my loved ones about the idea. I finally decided to go ahead! Yes, I was incredibly nervous about it, but I felt it was something I just HAD to do. How many years did I live with this disease by myself?? I just knew I had to at least give others the chance to not feel so alone after their diagnosis! 

In the 10 years since starting a support group in the Niagara Falls/Buffalo, NY area, I have really become involved with helping PH patients. I've had so many meetings, a large variety of topics and speakers, and phriends I care about very much. I have also become a big part of the online community for PHers, by being a PHA mentor, a chat leader, a blogger, and just a presence on Facebook. I had always wanted to teach in a classroom, but it took me awhile to realize that a "classroom" didn't have to be a place with 4 walls. It could be anywhere! I have even educated complete strangers during shopping trips about PH! And, in the 10 years since starting my support group, I have also learned to not be so shy with people. Sure, I can keep quiet sometimes, but more often than not, I put myself out there and let others know about this awful illness. Awareness is the key to so many answers, and I never know when one day I will talk to someone and they tell me they have PH, too!

My life with PAH is something I cannot change, and honestly, I think it has helped shape me to be the person I am today. Do I have days when I am angry about having it? Of course! I allow myself to have those angry days, or days of self-pity, but not for long. What good does that do me? I have learned to deal with this disease, and to cope the best I know how, and I have learned to help others going through the same thing. I have also not let PAH BE my entire life. I enjoy things like reading, painting glass, making jewelry, spending time with family and friends. In the last few years I have allowed myself to take on challenges I never thought I could do, because I always had that "cannnot" attitude with me. So I've gone on hikes, I've been on a jet ski, I took my first ever trip on an airplane! There are so many more things I've let myself try, even if I may not be able to do them again. I try my best not to let PAH take over my life, because if I did, I can't honestly say that I'd be living to the best of my ability!