Showing posts with label organ donation. Show all posts
Showing posts with label organ donation. Show all posts

October 25, 2015

Survivors and Heroes

Post-transplant day #685. Survivors and heroes.

There are just some days where I am absolutely humbled. Times when the face of true grace is revealed to me, when something divine is on display and if I pay attention, I'll learn something about what it means to be human. It happens in the people around me, when some occasion strips away the patinaed armour of life that usually hides people's true selves and I can see underneath -- and meet and come to know -- those individuals for whom "every man for himself" is an antithetical notion. This was one of those days.

LiveOnNY threw a luncheon to honor donor families; and they made sure there was a recipient at each table to represent our ranks, say thank you, and honor their nobility.  (And nobility IS the word - for they did the right thing at the hardest of times.  When your world is crumbling around you, saying “yes” can be monumentally difficult.)  And so I attended that luncheon, meeting many donor families, and in particular the five families that sat at my table.  

This was not a black tie affair, but a suit was appropriate; and it was held in one of the ballrooms of the New York Marriott Marquis Hotel in Times Square.  Many of these families traveled quite a distance to be here.  All of them were somewhat subdued and, I think, a little shocked at seeing so many other donor families, as well as getting to talk with so many representative recipients.  I can’t blame them - they had lived through a difficult, extremely stressful time of their lives during which each made the decision essentially in isolation to donate their loved ones’ organs.  Being approached in the hospital, during the final hours of a family members’ existence (once they’ve already been declared brain dead, that is) is a horrible time to have to make a decision that could potentially affect several other people’s lives - and yet that’s exactly what must happen, especially if that decision hasn’t been made and discussed long before any need for it.

One of the more interesting series of speeches of the afternoon was from two donor parents, Frank and Kelliie Cutinella.  You may remember their son Tom died after a fatal hit in football one year ago.  They were gracious and intelligent people.  And while we mourn the loss of a bright young life like Thomas’, we can all celebrate the lives saved by his organs - because this lives were standing on stage with them!  Three of the recipients were there, including a heart transplant, kidney transplant, and kidney/pancrease transplant (which is fairly rare).  I can not imagine a more graphic way of describing the direct benefit of the slogan “live life, then give life.”

The heart recipient, a vibrant young woman named Karen A. Hill, received Tom’s heart on October 23rd last year.  She made a great point about the relationship between the clouds and the silver linings of this existence.  "A world without disease and hardships would be a world without survivors and heroes.”  I hadn’t thought of it quite like that before.  

Also speaking this afternoon was an acquaintance I’d met shortly before I left Durham - Rosemary Hargaden.  It was as if she was my a mimic of my own inner thoughts, taking the prayers and dreams and gratefulness I feel from the world of the ethereal and making them concrete with words of thanks and illustrating what it means to be living again.  Personally pleasing to me was this sudden reunion with another NY-to-Duke CF double-lung recipient. There’s a small but steadily growing club of us.  A third one was there, too, though her name is slipping my mind right now.  But when I think of them, myself, Denise, Piper, Michael, and Jason, and the one orthodox guy who didn’t survive - I am so incredibly amazed with the graciousness of the New York doctors who may have lost our business, but did the right thing by referring us to Duke.

The afternoon ended with a medal presentation - each donor family received a gift box with medallions of appreciation.  My various families collectively lost two sons, two husbands, and a sister.  With a single exception, they all died of brain aneurisms, which makes me wonder if that’s the most common cause of death leading to organ transplant.  The one exception was one father’s son, one of twins, who at 17 was shot in the head.  This father seemed like he didn’t want to be there very much, but his sister (the boy’s aunt) very much did.  So I guess what helps one person grieve just makes it worse for another person.

I’d have liked to have a transplant doctor or surgeon speak - they’ve seen the vast amount of good transplant can do and rarely get to speak to or thank the donor families themselves!  They could also help deliver a message that needs to be stressed:  that though the hardest part is over, the journey as a donor family never ends.  You will always be an example of what it means to Do The Right Thing, true altruism in an age of true selfishness, and one of the best ways to honor your loved one is to push others to become registered donors, too.  For beating back the darkness is the task of all of us involved, flipping the story to the point where organs outnumber the need is the Olympus we must climb, yet can’t climb it individually.  It must be a team effort - donor families, recipients, doctors, and volunteers, all roped together.    

But perhaps this soapbox is best saved for another day.  I really just wanted to write to say thank you to the donor families - those who attended today and those who didn’t.  The families here in New York and the families in The Triangle, and the families all over the world.  


Today I was reminded that life goes on even after our passing, a life where our loved ones bravely soldier on, advocate for the next ones down the line, and almost without meaning to become survivors and heroes.

January 7, 2015

You make the difference.

Post-transplant day #393. You make the difference.

One life ends, another begins again.

A CF woman named Amy Mars Young passed away today at the age of 50 - a full 20 years beyond her own first end-of-life experience, thanks to organ donation. The lungs she received were able to give her, her friends, and her family 20 more years of love and living. Keep in mind lung transplantation was still in its infancy then - and she lived TWENTY MORE YEARS. That's a generation! What an excellent run!

Another organ donor recently passed away and in so doing saved the life of another Columbia-to-Duke CFer. My transplant friend Joe, whom I met the last time I was at Duke and whose mother Theresa I've been texting with, got his lungs yesterday morning. He's already off the vent and walking. I hope things go as well for him as they did for me.

In the meantime, I continue to pray for Heather James. She's experiencing a protracted recovery, slowed mostly, it seems, by an inability to ween off the vent. It's been two months and she's still in ICU. I just want to yank her out of there and take her on a brisk walk with me.

All these lives - my friends, friends of friends, myself, my love - have all been given new life...by strangers. Without exception, all of my transplant friends have been pulled out of the path of death by the simple gift a stranger made years ago - or yesterday. If you're going to die, you're going to die, as we all eventually must - but it doesn't mean your organs and tissues have to. You can be the autumn leaves that fall, rot, and are permanently gone, but which help push up next spring's blossoms.

Do you know that as I've driven around NY city in my little car for the last eight months, that I haven't seen a single other Donate Life license plate? New York State has one of the lowest rates of donor signups; one of the reasons behind the long transplant waiting lists here. It doesn't have to be that way.

I'm sure all of YOU have signed on the New York state donor registry and let your families know your wishes. But as I enter my second year, I entreat you to pass the stories I have told along to your friends and coworkers; people who may have no intersection with the world of transplant at all, but who, if they just understood the impact becoming a donor has, could make the difference between life and death.

Today I am reminded that as thankful as I am for the lives saved so far, we still have a lot of work to do.

January 31, 2014

Multiplicity



Post-transplant day #51, pulmonary rehab #24.

I strip off my sweaty workout clothes.  Then, like the newly blind, my fingers slowly and curiously trace the line of brail that tells the most recent chapter in my life story.  The rivulet of new, pink fibrotic tissue leads my fingertips from one armpit to the other along a meandering course, detouring below both breasts, but rising in a graceful arc across my sternum.  But I encounter not soft, yielding newly-mended flesh, but rather the protective metal bridges forcibly punched into my skin, spanning from one bank to the other, feeling being gained along the short trip south across the incision. 

My breasts are numb. Most of the nerves that pick up sensation come upward, from below and behind. Saving my life meant cutting through those nerves, leaving my nipples, aereola, and surrounding breasts deadened.   Yet immediately south of the scar, sensation has returned almost completely, the nerve endings there still having a pathway back to my brain.

As my fingers play the counting game, starting at one armpit and attempting to single out each individual staple along the way, testing, pushing a little, seeing which ones are firm and which ones wiggle, I come across a livelier zone of sensation.  Across my sternum, both sides of the river of scar tissue are active.  Sensation in the north and the south.  Then I am again back in familiar territory - a mirrored map of the other side, still with sensation below the line of demarcation, none above.

This long river of a scar, paired with the outpost glacial lake above it, marking where my port once stood proud of my chest, is now the story of my life.  Well, two lives, really.  Four, if you want to get technical.

What?  Four?

After rehab today, a few of us made impromptu plans for dinner, ending up at an ale house.  In the course of conversation, it came up that of the three of us transplantees who were there, one is a retransplant and that the first time around, she received seven units of blood.  I got to thinking about that.  I'd almost forgotten about the blood transfusions.

First transplants are generally less bloody, as the scalpel cauterizes as it goes. My own transplant went well, yet I required two blood transfusions afterwards [I don't know how many units (if any) during the operation].  But at 4:28 a.m. December 11th, and again at 6:47 a.m., I required extra blood. Two units of blood from two strangers who donated at some point in the last few weeks.  People who didn't know how or when or why their blood would be used - or even if - yet took time out of their busy schedules to donate just in case it could be used.

Which means that not only did one stranger save my life, but three.  Though the body replaces blood, I will forever have a small part of two other living souls in me, as well as a large part of one deceased donor.  I am grateful even for these smaller, easier donations, for without the simple blood transfusions, i would not have made it.

As my fingers trace my zipper of staples, my thoughts are directed again towards my main donor.  Who was this person?  What were they  like? I have no way of knowing right now; not even if my donor was a man or woman, old or young.  I love how these lungs feel in me and how well they'e doing - so I imagine my donor to be much like me: male, approaching middle age or slightly younger, about my size.  I don't believe he ever smoked a day in his life.  I think he may have been physically fit in general, if not an athlete.  This is all supposition, of course.  I am imagining a person I can easily admire and so feel closer kinship, reassuring myself that my new lungs once belonged to someone I could have called brother.

Perhaps it is completely different.  Maybe these lungs came from a person I would be unable to connect with in usual society.  Sassy, loud and proud black woman?  Tiring Chinese immigrant empty-nester?  Regular ol' white trash with no education, no morals, no self-control?  Perhaps.  And if so, then even then I embrace that person as my brother or sister and am forever grateful - because for whomever he (or she) may have been, whatever good or bad he did in life, whatever impact he made or failed to make on the people around him, he did three things so absolutely right: he took good care of his lungs in his lifetime, he consented to be an organ donor, and he let his family know his wishes.  And for those acts, he saved my life.

I have no way to thank him directly.  Never will be able to.  But I can live life for two, now.  I can honor the multiplicity of lives that have combined to keep mine going by living each day fully, setting new goals, exploring new territory, achieving new successes, giving back to the community with my time and energy.  I have no choice in this.  To walk away from Durham and live only for myself would be a sin. 

Tonight, sitting at the table with two close friends, totaling four complete double-lung transplants and multiple transfusions, I was struck by how many souls really partook in our humble meal, and that three of us are living for six of us.  Tonight I am reminded that the best way to honor my donor's sacrifice is to live doubly; for now, I breathe for two.