Yearly Archives: 2007

Keeping it brief

Hi guys, gonna be a short one today as am really tired this eve and my brain is just about to close down for the day.

Oli is good.  All his levels are good, CO2 is a bit high but neve is doing good stuff at keeping levels in check.

It seems like it’s going to take a couple of weeks for brain to make friends with the new lungs, a few messages are getting through from brain to lungs and vice versa but they’re not really best buddies yet.  We’ve been reliably informed that a couple of weeks will make them firm friends.

Oli’s very tired, drugs and lack of sleep are making an already tough job even tougher – however, as we’ve already seen, he is a super trooper and is toughing it out.  I think he may see the steady progress as a bit of a backwards step which it most certainly isn’t.  I know that not being ‘with it’ is frustrating Oli but we are happy in that these are the early days when Oli is so full of these drugs which make him woozy and play with his mind that actually, when he is up and running, Oli probably won’t remember anyway.

Night night everyone, sleep tight x

Seeing things

We had a lie in today to catch up on some much needed sleep and so went to see Oli this afternoon.

I wasn’t there when they moved Oli to the ward yesterday so was really pleasantly surprised when I walked in to see that he has a tv/dvd player and a fridge that I’m sure is meant for important things like drugs but that we have taken over to store chocolate milk and other vital get-well-soon yummy things.

Oli’s had a very tough day today.  Don’t get me wrong, he’s still doing fantastically well, but I think today might have scared him a little and made him see a mountain that he wants to be at the peak of before he’s really set off.  It appears as though his brain is finding it difficult to trust that his lungs do actually work fine and are capable of working harder than he’s pushing them to.  The amazing team around him have been encouraging him to take deep, slow breaths in order to open up all of the airways and make sure the alveoli at the base of the lungs are being used.

In order to give Oli a bit of help with this, they’ve given him another Neve (our name for NIV – Non Invasive Ventilator), like he’d been using pre-transplant.  The idea behind it being that it takes an awful lot of effort to breathe deeply when you’re not used to it so neve can aid Oli at times thorughout the day and night, especially when he is tired or when his CO2 levels go up.

Oli hasn’t taken to this new Neve much, she’s very much the same as the one he’s used but he now finds the mask a bit claustrophobic (pls forgive spelling mistakes) and has been getting panicky after short periods of use.  The marvellous nurse Jason who was looking after him today managed to finally tweak the settings and adjust the mask and eventually this evening, Oli has been more comfortable on it.  We hope he might use it tonight to help him sleep well, I really hope it works for him.

The other, slightly scarier thing Oli has found difficult today has been the hallucinagenic side effects of the very strong drugs he is on.  Apparently it isn’t unusual (we had actually been forewarned about this by Emily who told us she liked to imagine conversations with her doctors!) but it is never-the-less not pleasant, and this evening after starting with seeing shapes and squiggles led to thinking the bed was trying to swallow him. 

We left him tonight calmer but exhausted and with permission from the docs for his big bro to stay with him in his room tonight.  I really hope he gets some good sleep.  Sleep is so important for the body to heal and he has a hard enough journey ahead already without suffering from lack of sleep.

See you tomorrow x 

Breakfast

Super quick  note but this made me giggle, I wasn’t there but this is what I imagined happened – the gist is true.

Doc: Good morning Oli, look, if you can eat more today we’ll take out more drains from you. 

 Oli: (having already eaten 2 weetabix for breakfast)  Ok doc, in that case can I have 2 more weetabix and some toast?  Thanks.

Superman

I wish I could bottle some of Oli’s inner strength, it would sell for millions!

Following the update below that I wrote at half 11 last night, there have been more amazing developments.  As of 2.30pm Oli will be out of intensive care and on to the ward, this boy clearly doesn’t hang about!

He looks amazing, in fact the only way to describe it really, would be to say that he looks alive.  Fully, properly, healthy and alive.  This has even surpassed our wildest dreams.

He’s awake and talking quite happily, taking deep breaths which amaze him as he is still breathing out after he’s stopped talking, he’s had lunch (a ham salad, but he’s not written up for creon so he couldn’t eat the ham!  I don’t think the docs even considered putting creon on the drugs chart this early), and he even cut up the bit of tomato himself.  This may seem like a little thing but it’s a HUGE deal when you’ve had a life changing operation.

That’s about all for now as I’m off back home to catch up with my family and have a bit of a rest myself.  I’ll be back tomorrow though so look for another update then.

Thanks for your patience x

Contact details

I have to apologise and sayI have completely copied this from Emily’s post on the My Friend Oli site, huge thanks to you Em – you’re a super star. 

 IF you want to congratulate Oli yourself;

Hurrah!!

Right. Cards are fine and can be sent to:
Harefield Hospital
Hill End Road
Harefield
Middlesex UB9 6JH
UK

Instead of presents a small contribution to Oli’s post transplant fund (made out to Oliver Lewington) can be posted to:

For the Attention of Rose Donnelly
Cystic Fibrosis Trust
11 London Road
Bromley
Kent
BR1 1BY

Where it will be kept safe and sent to Oli on his discharge.

I read some cards to Oli yesterday (he has been reading them himself today!) and he was hugely chuffed, thank you for sending them x

At the end of the day

Well, it’s about 11:15pm and we’re exhausted.

Oli has been an absolute hero today.   After leaving theatre and being in the Intensive Therapy Unit by 7am we expected to see a very sound asleep chap for most of today and for the next few days.  We were pretty wrong, as always, Oli likes to make an impact and boy did he make a great start.  After lunch Oli’s big bro and I came back from a dash back to Milton Keynes to pick up a few mislaid essentials to find that he was already off the ventilator and breathing on his own with his new lungs, words can’t describe how wonderful and amazing it was to hear those words.  He then followed suit by talking more throughout the day, taking sips of water and transferring from an oxygen mask to nasal specs.

I’m sure this guy is super-human.

However, it is important to recognise that we are still very much in the early days and anything can happen.  He has achieved so much today, all down to his own strength and determination (maybe the doctors and nurses and other medical type people can take a little credit!), we need to acknowledge the achievement today but see each new day as another step, hopefully in a forwards direction.

If you would like to send a card, details will follow very shortly.  The same for info about any gifts you may wish to send. Watch this space…

Apologies for the slowness of updates, I’m managing to write them each night but internet access is very limited, please trust that I am updating as soon as I can log on.

1st day in ITU

This is only a brief update, more will come later, I promise.

 Oli’s operation went really well.  He went down to theatre as planned at 00:15 and was in ITU by 7am.

We’ve seen him a couple of times but he is really,really busy at the mo with lots of wires and gadgets attached to him to monitor every aspect of his recovery.  He looks really good, when we first saw him we noticed how his breathing had changed already – it was amazing and unfortunately for you guys pretty indescribable.  By the time we saw him again later the nurse was really busy and so we left her to sort Oli out.  His breathing had become quite shallow and he was trying to get rid of the ventilator (this is a good sign).  The bat plan for now seems to be stabilising his breathing so that they can take him off the ventilator and slowly bring him round.  They mentioned that if all goes to plan he could be back on the ward by Thursday, however, it’s really important to remember that it’s early days and it’s perfectly natural and ok if he takes longer to adjust.  We all running to Oli time at the minute and that can happen as quick or slow as he needs.

 I’m off back to hospital with Oli’s bro, we’re going to be tag-teaming visits with Oli’s ‘rents so that we can be with Oli as much as possible.

 Thank you for all your kind messages, please be assured that Oli will see them as we are compiling a memory book for him.  While we’re waiting for him to wake up we may even read some of them out to him. 

We are so happy for Oli, this is truly the most wonderful gift a person can get and so in your prayers for Oli please take time to pray for the donor’s family as they are dealing with the pain of grief.  I would also ask you to take 2 minutes of your time to sign the organ donor register, if you haven’t done so already, at www.uktransplant.org.uk* and follow the links.

Back soon…

*Emily if this is wrong would you mind correcting it for me in a comment?  thank you x

5th time lucky!

Hi everyone, this is K.  I have had permission from Oli to keep you all updated and help provide him with a blog which will cover his progress as he recovers.  In case you hadn’t caught on yet, Oli has had a transplant!

 

The call came this evening around 7pm, just as Oli had got in the bath, a bath which he had been wanting all day but his lungs were being particularly difficult and he had to wait for them to give him a break.

 

We all hopped in the car and drove to Harefield, driving in torrential rain that made the journey very interesting as I’m sure the puddles were nearly swimming pool size in places.

 

Things happened very routinely once we got to Harefield. We know the drill by now, settle into the room, watch Oli have copious amounts of blood taken by the vampire docs, swabs from almost every part of the body, shower and shave with special pink liquid, and then the wait.  And more waiting.  And more waiting.

 

The news came at 11pm as Oli was in the shower, he really wasn’t having much luck with getting clean today, however this news was the news we have been waiting for for 2 ½ years, the transplant was going ahead and he was due in theatre at 00:15.

 

The mood in the room was strange, Oli was totally calm, instantly got onto his phone and started letting everyone know.  I was absolutely excited, amazed, nervous, scared, every emotion you could possibly imagine, I had it all at once.  Whereas I couldn’t stop shaking, Oli was so chilled and relaxed – I am still amazed by the strength of character this guy has, he really is one in a million.

 

The only time he got nervous was when we got to the theatre doors and weren’t allowed any further.  The goodbyes at the doors were very difficult, it’s so hard to reassure someone who is about to have their life changed that everything will be ok.  It isn’t anything we have experienced before and so words weren’t enough.  Watching Oli being wheeled down to theatre was the most amazing feeling in the world, good luck Oli – we’re here every step of the way…

Lost: please find

It’s closing in on 4am and I find myself sat in the lounge at my parents’ house if not quite wide awake then certainly not sound asleep.  Since I finally gave in to my night’s chronic lack of slumber just over an hour ago, I’ve been wondering to myself whether this point marks a new low in my struggle as it has been.

It’s extraordinarily tempting to call it that, but putting tiredness and busy-headedness to one side, if I try to clear up the picture a little bit I suppose it’s hard to suggest right now that I’m worse off than I was when I was admitted to Oxford back in June.

Certainly, chest-wise, I’m not doing as badly as I was then.  Yes, I’m still finding every day a struggle and breathlessness is increasingly a problem throughout the day, rather than being something which tended to isolate itself to certain times or periods which could be identified and focused on.  And yes, every night is seemingly harder than more recent times to gather myself and settle down to sleep – the effort of undressing, of washing both myself and my equipment, of simply sitting in bed reading is considerably more noticeable than it was a week or more ago.

On the other hand, I’m not spiking the temperatures I was spiking in June, nor am I confined as I was then to my bed, fighting for breath even at rest and needing the highest flows of oxygen I could muster with my various concentrators to see me to the bathroom and back.  I am, on the whole, physically better off than I was back in June, although it is tempting to be blinded to it by the storm of exhaustion that has settled in to my quiet little dwelling.

I can only surmise, then, that if I am physically better off than I was in June then in order to be feeling quite as badly as I do about things at the moment, then my head is very far from in the right place.  There is a line of which people often speak between living and existing – an invisible, intangible and yet undeniable line over which the simple matter of getting through the day becomes the be-all and end-all of one’s ambitions.  I am not entirely sure I have reached such a line yet, but for the first time in a long while it has become more to me than a mark on a road map which I may be approaching.  Rather, it is now a hazy, not-so-distant shimmer which presents itself as being not as far away as one would like or hope it to be.

At the end of last week, K and I made the executive decision to take ourselves back to Chez Parental in order to afford K more time to study for her college finals in a 2 weeks’ time and prepare for her uni interview without having to look after me and without me having to worry about whether she was spending too much time on me and not enough on herself (something at which I am incredibly bad at – I spend most of my life worrying that she’s worrying too much, which is a vicious circle in itself).

My mood, however, has not taken to the holiday particularly well.  I have no idea if it is purely coincidental, or if coming home carries an air of admitting defeat or some other such nonsense, but since settling back in here I have been distinctly more negatively-focused and have noticed the difficulties over-and-above the advantages.

Interestingly, I don’t think it’s particularly anything about being home, but more a reflection of the general difficulties I’m struggling with physically at the moment.  The biggest problem I’m facing is one of discomfort – I find it almost impossible now to be comfortable in any position at all.

Lying down is fine enough, but only if I am truly horizontal, which makes doing anything at all nigh-on impossible.  From there, there is lying propped up, which stresses my lower back and neck, there is sitting up, as on a sofa, which stresses my neck to the point of causing headaches and my upper back and shoulders causing breathlessness.  Sitting bolt-upright in a well-supported armchair is about right, but if the back of the chair is not vertical – like the study chair at home – my neck once again takes the strain if it is not supported or rested back.

When sleeping is a problem, it can at least be countered with good periods of solid rest during the day.  But when solid rest is completely unachievable – when it is impossible simply to crash out on the sofa and watch mind-numbing TV or brain-absorbing DVDs – lack of sleep becomes just as debilitating as a lack of breath.

When all of these factors are totted up and combined with headaches, odd, unidentifiable but frequently worrying chest pains, cramps and stomach aches on top of it, life becomes a roller-coaster of moment-to-moment misery through which you ache to enjoy that odd glimpse of sunlight glinting through the clouds.

That’s not to say I haven’t enjoyed glimpses of golden rays in the last week, nor that the world is entirely shrouded in blackness, but compared to the fights and struggles I’ve had before, this one certainly feels like it’s ramping things up a notch.

I’m not entirely sure what the point of all the above is/will prove to be, other than a manner of half-an-hour’s distraction in the early hours of the morning and an outlet for all the mixed up frustrations which are mixing themselves up in the pressure-cooking wash-bowl of my head.  The dregs of an active, lively mind are swilling around up there somewhere, drained of colour and vibrancy by the hour of night and relentless, restless energy. 

If nothing else, I suspect this will go to show in the weeks to come the extent of any improvement on my part.  I can only hope that it marks the nadir of my fortunes and that things are all-the-way upwards from here.  If not, this is going to be a pretty hard place to visit.

One small step

Well, someone was listening to me last night, because today has, indeed, been a better day so far. That’s not to say things are all fine and dandy, or that the picture is yet all rosy, but side-by-side with yesterday, today has been a Good Day.

I managed to get almost straight to sleep last night, sometime after 11pm, which is rare forr me these days. Not only that, but I managed to sleep quite solidly, too – no constant waking to switch position or readjust myself. It may have been thanks to having fiddled with Neve and pushed the pressures up ever-so-slightly, or a slightly improvement on the chest front, or simply thanks to complete exhaustion and my body not having any other choice but sleeping it off. My guess would be it was a healthy mix of the three.

Bizarrely, and somewhat annoyingly, I woke up bright-as-a-button(ish) around 5am and couldn’t get back to sleep, no matter how hard I tried. I had planned to lay in a bit today and do my morning dose a little later than usual, but given that I was awake anyway, I decided to switch the plans and get up early and get them out of the way, which would have the knock-on effect of allowing me an earlier night tonight.

I got up, got my dose running and sat myself a the computer to surf around and catch up on the over-night writers’ strike news, during which time my chest was doing all kinds of weird things, making me breathless one minute and fine the next, and I developed a bit of a killer headache.

By the time my drugs had finished, I decided it’d be a good idea to try to get some physio out of the way before I got myself back to bed, so I did another very uncomfortable session – very hard work again. Having said which, I definitely felt the benefit afterwards, even through it didn’t feel like I’d cleared a lot. I did my anti-biotic nebs and then took myself to bed around 9am.

Interestingly, for those who keep tabs on this sort of thing, 9am is also the time that the construction workers begin work on resurfacing the road outside the front of where we live. With the sun beating a nice, hot set of rays down on the bedroom window, keeping them shut was out of the question, so keeping the noise out was also not a part of the plan.

As it happened, noisy as they were, I needed sleep more, and I managed to doze on-and-off for another few hours till the early afternoon.

I rolled out of bed feeling much better for the physio and sleep, grabbed a cuppa with K and chatted for a bit, talked to my ‘rents to catch them up on over-night progress and then headed back for more physio. It was a much better session than this mornings, and much easier, too, making things look brighter already.

After physio, I got some calories down me and then headed back to bed to chill out with K and watch the first ep of the first season of 24 – a season I’ve seen but K hasn’t and is next on our TV-DVD marathon. I’m amazed at how much I don’t remember from the first time it aired, and also at how much of what I do remember they’ve crammed into the first ep – there must be a whole heap more that I don’t remember to come, which is promising.

After chilling in bed for a while, K gets up to do some more revision and I sit and read GQ for a while, before K heads off to college and I do my 3rd physio session of the day. I’m determined to crack the back of this while I can.

Physio out of the way, I jump online for a while and do a bit of Chrimbo shopping (have to bow to the inevitable eventually, I suppose) and look into a couple of other random bits and pieces while the Shepherd’s Pie Mum made me yesterday cooks.  I sit and eat it while watching the last episode of Extras from the DVD that I’d never got round to seeing, then wash up and get back to the study, going over a couple of old scripts till K gets home.

We watch some programmes from Sky+ and I do some more physio (a really good late-night session, actually), and before I know it my evening drugs are all done and it’s time to hit the sack.  Things are still very up-and-down, and I suspect they will be for a good few days yet, but today’s been a massive improvement on yesterday, and that’s a big step forward.  Well, at least a little one.