Hematologist

An important part of my preparation for treatment is setting up my support and recovery team for when I return. I met with my neurologist and she is supportive and on board to continue working with me when I return. I met with my PCP and received her full endorsement for treatment. She also was a fantastic resource for finding a great hematologist/oncologist who understands this treatment process and will be skilled at monitoring my recovery.

Medical Team
Photo Credit: Everyday Health

I do many appointments virtual these days, one of the silver linings of Covid. But for my first appointment with this physician it was important to him that we meet in person.

I can’t remember having a medical appointment like this before. Upon entering the exam room and sitting down, the first thing he said to me was that he did not like reading the medical chart before meeting with a  patient. Instead, he spent the next hour and 15 minutes doing a very thorough and detailed medical history. And, he took all of his notes on paper, multiple sheets of paper, handwritten. He was present, intelligent, kind, and insightful. I left feeling like I was in very good hands. He sent me up to the lab to have 13 vials of blood drawn in order to do a deep dive into my health markers and immunological strength.

If I had not known he would be asking for this extensive amount of laboratory work, I wouldn’t have caught the original phlebotomist’s mistake of pulling an old order from a different physician who only needed one vial of blood. The original phlebotomist was a student and I was switched to a fully credentialed phlebotomist and watched the blood flow.

Blood Cells
Photo Credit: Franklin Institute

All the results came back stellar and provide an important piece of my foundational comfort level moving into treatment.

Team member added, check!

It’s been a colonoscopy NewYear

I’ve been quiet the last couple of days because the best way I could imagine starting off a new year, my own special entry into 2022, was to schedule a colonoscopy – a twisted sort of New Year’s party. Yesterday was the actual event where my insides were scoped, observed, and cleaned up – good now for another five years.

Colonoscopy image

I did not intentionally schedule this to coincide with the beginning of the new year, it just was a lucky bonus and I’m hoping it’s not an ominous portent of the year to come. So, for the last couple of days I’ve been eating all soft foods then clear liquids, then then full evacuation through the lovely gift of Golytely.  I will spare you any more details.

This may not seem related to MS or my upcoming HSCT, but it actually is really important to do diagnostics to make sure you are cancer free. Most of the preliminary studies that will be done on my body when I get to Mexico will be to rule out any underlying diseases, infections, viruses, and yes, cancers to make sure the treatment won’t exacerbate existing problems and make me more sick. Having it done now eases my mind just another little bit.

One thread I want to touch on throughout this blog, as I encounter it, is intersection where ability issues encounter the built world around us. There is a great episode on 99% Invisible about this exact issue.

When we left the hospital we first stopped to get food (I hadn’t eaten in over 24 hours), then we headed towards the ferry. Currently, the ferries are down to one boat service meaning they have half as many sailings as they usually do and as they need. This means that they get very full and there is typically a long wait for driving on.

When we got there, we had been driving for a long time and understandably all had to pee. We had just missed the boat that was there when we arrived (it was full), so they directed our car down to the lower lot which is quite far from the public bathroom in the upper lot. I had Kira, who was driving, pull our car to the far right lane where it would be closest to the single bathroom down at the end of the lot. I was needing to strategize how far I would have to walk to get to a bathroom, what terrain I would need to cover to get there, and how much energy I had left after the last few days of prep and treatment. I slowly got out of the car, my legs particularly stiff and weak, grabbed my trekking poles and slowly began to walk the, I would guess, 200 feet to the bathroom. My right foot and ankle were particularly stubborn in stabilizing my ability to stand up and my movement was pronouncedly slow.

Just as I got close to the stairs to the bathroom, a ferry employee came out and said, “oh I’m sorry, this bathroom isn’t working, we don’t currently have water. There is another bathroom in the terminal behind you.” I almost cried. The terminal entrance was easily a football field away. I looked at her and said, “what am I supposed to do?” I wasn’t being snarky, I was literally asking what am I supposed to do? There was no way I could walk that distance and I had to pee, simple fact.

She was a very kind human and said, “my car is right here and I can drive you to the terminal entrance.”  She drove me over and I walked up to the doors leading into the building.

Like most municipal buildings, this one had an automatic entry door for people differently abled with the pushbutton that makes the door swing open. This one was broken. This was my predicament, I have both hands on my sticks, so I don’t have hands, or balance, or strength to open and hold the door while I walk in. Luckily, there were two people exiting the building just as I got there, and they held the door for me. As I was leaving, the same employee who had driven me there opened the door and apologized for the fact that it wasn’t working and then drove me back to my car.

Accessibility door

I was incredibly lucky that I had people able to help me. Washington State ferries could’ve very easily brought in a porta potty while their toilet was out of order for just such an occasion – easy fix. And when an automatic door isn’t working, it’s a big deal, fix it right away.

When you are differently abled, every activity you undertake has to be thought out in great detail as to how you will interface with every aspect of your environment; how you will get from A to B to C to D. I will likely talk more about this in detail later, but every step of my trip from leaving my house, to getting to the airport, to getting through the airport, to getting on the airplane, to getting off the airplane, has many detailed steps that have to be thought through, and I’m sure I’m gonna miss something. But, I’ve gotten pretty good at it and thankfully, there are many services available to help you if you think to ask.

New Year’s Day, 2022

In 31 days, I start my HSC T treatment. In 29 days, I get on an airplane to fly to Mexico.

31 days of this life where I haven’t yet had treatment. 31 more days where I live in my body the way it is now with no interference. After I start, it is a one-way trip. It is the beginning of a year or more of breaking down and rebuilding. A year or more of complete unknowns. So, for now, life is familiar. For now I have my hair. For now I have the energy and strength and mobility I am familiar with, even if it is a daily struggle.

Because it is so close, I feel like every day should be full of getting things done and preparing. Instead, today I made yogurt, did laundry, and spent time with my family.  I double checked the list I have been making to make sure it had not run away.

Family in the snow

One reminder of why I want to do this has been watching my friends, family, and neighbors play in this beautiful winter snow that has held on around our Hill for the last week. I’ve not been able to step outside even once because I don’t have the balance or strength to navigate even stepping outside the house. There is no guarantee that this treatment will help my body reverse time, but there is a chance. And, if the treatment can stop progression, then I may be able to rebuild my strength and new neural pathways without fighting against the ever moving forward progression. Physical therapy may actually help me improve instead of just hold stasis, treading water.

 

New Year’s Eve – The Pre-Ramble

I had planned on starting writing about my HSCT journey on January 1, 2022.  Seemed like a logical place to start. New Year, 31 days from the beginning of treatment, easy package tied up with a clear timeline bow. But I’ve been feeling antsy all day to write. I’m feeling poignantly aware of how short the time is between now and January 31. How many things there are to do, people to see, projects to wrap up.

I woke up feeling like a racehorse or Greyhound dog behind the starting gate or a sprinter crouched at the starting line, waiting for the starting bell. Pent up and ready to run. But there is no racetrack. There is no clear oval with lane lines. I think I’m more like a windup toy who, when let go, will move and spin in chaotic directions.

Until today I’ve been feeling like I had acres of time and I’ve been slowly plodding through what needs to get done in order to be prepared to leave. Now it suddenly feels like not enough time for everything I think I need or want to do.

I have a battery of medical appointments in the next couple of weeks. January 1 starts off three days of colonoscopy prep, which may be a twisted omen for how this year will play out. Later in the week I have an appointment with a hematologist/oncologist to get all my baseline labs done and make a game plan for recovery treatment when I return. I have an appointment set up with a spine Dr. to figure out if there’s anything more that can be done with my hip pain. I am meeting with a new physical therapist to get a game plan for recovery work when I get back.

I have a packing list, but is it complete? I have a to do list, but am I missing anything? I want to make a will. I want to make sure everyone knows where all the numbers are for accounts and commitments that run our life that I manage. I am 99.99% sure I will live through this, but there’s always a chance and I want to make sure everything is handled in case. Morbid, I know.

So, this is my preamble or maybe more correctly my pre-ramble. It is New Year’s Eve and, like many of us in the world we are staying home, in our pajamas and likely in bed before midnight.  Another year that goes out with a whimper with a new one coming in with held breath.