Third and final call!!

As I sat there in the tiny room affectionately known as  ‘The Cupboard’ having been called at home earlier that morning (5:30am), mixed emotions ran through my head. ‘We have some organs for you, we’d like you to come in’ the lovely lady said at the end of the phone – you’d think I would have been ecstatic, screaming from the rooftops as the news of another shot at getting the organs I so desperately needed had finally come but the overriding feeling I had was anxiety. Not about the operation but because there is always an element of uncertainty and doubt right up to the last minute before going down for surgery and even then it’s not until they open you up…! As with all the other call outs, it was going to be a long day, so going through the motions, I had a shower, quick cuppa and an apple and we were on the road.

Since my last blog I’ve had two Primary calls for transplant; the first didn’t go ahead because the organs couldn’t be harvested (the artery had wrapped itself around the pancreas) and the second time the organs were not healthy enough (fatty deposits on the pancreas making it too risky to use); both those calls were only one day apart, I could hardly believe how lucky and unlucky I was all at the same time. With the first of these calls I told a few people but the disappointment of having to tell them all when it didn’t go ahead meant one day later when the second call came I only told my immediate family. Large support groups give great support but it also means lots of condolences when it doesn’t go to plan; some find that encouraging but for me it was one too hard for me to deal with. It was not until a few days after the second call had been aborted that I told my Nan, best friends and colleagues. For me it was just too  painful to re-live over and over again…

This time, on the ward there was no news. After being told to go and get some breakfast we were told that the organs were being harvested from the donor at 10:00am and that was all. I should have assumed the status quo of ‘no news was good news’, but it didn’t stop me worrying like crazy that it was all going wrong.  First The Cupboard, now a delay in getting the organs out. Every time a Registrar, Nurse or Doctor walked by my room my heart filled with dread. Were they coming to tell me that I could go home? Were the kindly donated organs unsuitable? My blood pressure went up and down like a yo-yo every time I heard the sound of the Registrars purposeful footsteps walk past ‘The Cupboard’ door. If only those damn iPhone earbuds had stayed in place, it would have made the next few hours easier to cope with; instead I was on high alert!

There was a lot of activity on the ward as the Doctors were discharging patients and Nurses did their observations. All being very sensitive to the people, patients and potential patients sat waiting in the rooms on either side of the corridor. Naturally I couldn’t help but try to tune in but it didn’t help, I couldn’t hear anything related to me, but the ‘nosey’ in me kept my ears pricked – just in case!  One noise that was loud and clear was the lunch bell. The warm smell of homely food. Being nil by mouth it felt like torture but good torture, if ever there was such a thing, giving up something for the greater good!?! It’s amazing how focused you can be when you know just how huge the rewards could be. Although the scent of custard truly tested me…

At 3:30pm the Registar, James Barnes came with news that the organs had arrived safely in Oxford (I wanted to jump up and hug him but I didn’t…!) and that the next hurdle was for them to check them to ensure they were perfect. He smiled and told us it was looking good but as he left his knowing nod reminded me that I needed to stay calm and that we weren’t over the finish line yet. The next few hours were killed by mindless chitchat and unnecessary trips to the toilet down the corridor, doing anything we could to pass the time. We were left pretty much to ourselves so I made myself comfy, or as comfy as you can on a plastic chair…the trolley had started to give me a numb bum so I’d swapped with Gary (husband) who was showing me how easy it was for him to fall asleep whilst sat up-right; something he’s mastered in all his years of waiting for me in hospitals. He seemed calm enough, not excited and that was rubbing off on me. Family were texting, eager to know what was happening but I couldn’t tell them any more as it had all gone quiet again. I updated everyone around 5:00pm to give them the reassurance that all was going ok but we weren’t in the clear yet. I felt awful not being able to tell them more because I know they longed for the good news as much as I did…but I couldn’t, we were in limbo and therefore defaulted to not getting my hopes up, I had been burnt before.

It all felt weird, I couldn’t put my finger on it but it felt different. I’d been put in ‘The Cupboard’, there had been the delay in harvesting the organs, being allowed to eat breakfast, we had been told there was no theatre slot for us during the morning, I wasn’t in a gown and had no cannula fitted. I was just waiting to be told ‘thanks for coming in but you can go home now’. Instead time ticked by, nothing from anyone then the Anaesthetist appeared, which wasn’t unusual as I had seen one of their kind on several calls previously. The normal questions were asked and we were interrupted as her bleeper diverted her attention. Politely she dismissed herself and came back seconds later. ‘Just a bleep about your theatre slot’ she said as if she was just saying ‘hello’… It was the first positive sign about the operation going ahead that I turned to Gary with tears in my eyes and smiled, unable to speak. At this point no words were needed, we both knew what those seemingly simple words spoken by the Anaesthetist meant.

No longer than a second after she left James (Registrar) arrived and this time their was no sign of a caveat following his smile, only a double thumbs-up, ‘The organs are perfect, let’s go ahead’. I can remember those words clearly in my mind, slow as if someone was telling me that they were going to be important and that I’ll want to remember them forever. ‘They’ll be down for you soon’ he said as he turned on his heels and left. I’m not sure how I didn’t fall over but I did cry, a short burst of happiness I allowed myself to let out, the words I had been waiting for, the chance of my lifetime so far had just been handed to me. I felt Gary’s grip of my hand get reassuringly tighter as within a minute the medics flooded in, exactly 12hrs since my phone call that morning.

One Nurse with a gown,  one with some tablets and another one I have no idea what she was doing, there was too much happening. I stripped off my jeans, Gary was taking custody of my Wedding ring and I was swallowing some antibiotics all at the same time.  I tried to call my Mum and Dad but couldn’t get through so handed my phone to Gary with instructions to call them and like magic the Theatre Porter arrived with a wheelchair ready to take me to where my miracle operation was planned to take place. Now this is where I cried…!

Jeans off, tablets taken...all set!

Jeans off, tablets taken…all set!

Sitting in the chair the reality of what was about to happen hit me. The whole 416 days I was on the list I hadn’t once thought about the operation itself, sat in that chair making my way down to theatre my nerves started to creep in. With Gary still by my side we said our goodbyes and right then I was more worried about him. I was with professionals, he was going to be alone…this thought kept going through my head as the Anaesthetist I’d met earlier tried (successfully) to distract me. The next thing I remember was some man I’d never met before brushing my teeth with warm water in what appeared to be a dimly lit room and a lady whispering to me that they were giving me a wash…I couldn’t tell if I was dreaming or this was standard procedure; either way I was happy to play along!

After my freshen up and as if she was telepathic a Nurse asked if I wanted to call my husband. At what seemed like a silly question I vaguely remember giving her my house phone number which after trying wasn’t answered and then Gary’s mobile number – how I did this I do not know, I can’t remember it now as I type. Obviously being pumped full of pain relief helps your memory. The phone was ringing and I heard the connection of the call and I calmly said ‘Hiya…’ To me it was like he had just stepped outside and come back in but I could hear in his voice an overwhelming sense of relief  ‘Hiya…’ he replied.

What seemed like a heartbeat later I could hear familiar footsteps. Not the ‘professional’ kind but the kind of ones I’d heard a thousand times before: walking across our drive, down the aisle and now into intensive care. Smiling through the tears in his eyes he was finally by my side, holding my hand and telling me how proud of me he was…I just wanted a cup of tea!

Waking up in Intensive Care after a 'freshen up'

Waking up in Intensive Care after a ‘freshen up’ and a cuppa. My new life was just about to start!

Back up call No.2


Having rolled over and drifted off back to sleep after Gary (my better half) had got up for work I could hear the house phone ringing. The only people who ring the house phone these days are my step son and British Gas and it was too early for it to be any of them, it could only be the Transplant Team. Bolt upright in bed I heard the phone being answered and then the words ‘It’s the Transplant Coordinator’ as Gary passed the phone to me. In those few seconds between him saying that and handing me the phone I prayed (I’m not sure who to) that this would be ‘my call’.

The polite lady on the end of the phone almost whispering as she introduced herself (I’m not sure why as I was wide awake). ‘We’d like to call you in as a back up’… Not the words I wanted to hear but trying to stay positive I said ‘of course’ and waited for the call back to see if I needed to dialyse before heading to the hospital. Then before hanging up she made very clear that once I’d had some breakfast I was then nil by mouth. Lovely – A small price to pay for what could be a life changer!

I did have to dialyse first so for the first time at this small hour (5:30am), still in my pyjamas and my hair looking a bit, no very crazy I started lining my machine. I had the strangest feeling as I went through the motions; What if this would be the last time that I pierced the bag of saline? Would this be my last time sticking in my needles?  I tried hard to remember I was only back up and that any excitement of how wonderful a transplant would be needed to be put aside. I had been through this once before and ‘once bitten twice shy’.

Three hours of dialysis felt like a lifetime but it gave me enough time to tell those closest to me, those that wouldn’t forgive me if I had kept this progression to myself, those that go through the same heartache as me when things don’t my way, those patiently waiting for the news that I’ve been given a second life and equally disappointed when it hasn’t. A select handful would now sit eagerly checking their phone for updates, distracted and hopeful, just like me. The next few hours weren’t easy for any of us.

With my overnight bags already packed (I keep one permanently in both of our cars, a duplicate of everything in each) it was just me I needed to get ready. A quick shower, comfy clothes and we were off. Dry shampoo rocks!!

The journey to the hospital was a weird one. For call No.1 I was overwhelmed with what would happen but this time I knew what was coming. I was prepared for the long wait, the ebb and flow of emotions and the draining feeling as you try and control your thoughts from wondering ‘what if’. But this was different, this time as we made our way there we talked about fate and how we both believe that it is out of our hands and that it is circumstances like this where it is out of our hands. My mind wandered; What if it was my turn and I didn’t wake up? How will it feel to be cut open? How does Gary feel? Why am I putting everyone through this? What did I do wrong? Why don’t I have a set of pink flashing ‘policeman style’ lights on my car so people would move out of the way??!?? So many questions that I put off answering, after all I was just a back up.

Getting to the ward was easy, parking however was not. I jumped out of the car and left Gary to search for another twenty minutes to find a spot the other side of the hospital. A lovely lady greeted me and already knew my name and showed me to room five. This time we were not in the cupboard, I had my own bed, TV and en suite. Was this a good sign? Was this fate? Who cares, it felt palatial compared to the room I had for my first call and therefore either way it was going to be a good day.

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Cannula, bloods then an X-Ray of my chest, and a sliding scale in place (I’ll explain later).

  • Cannula inserted to retrieve bloods but also ready for my sliding scale
  • Bloods to double check my tissue type hasn’t changed and tests for other stuff – people often think transplant is about blood type but the main factor is tissue type (check out more here…it’d take me too long to explain)
  • X-Ray to check for any signs of chest infection and other nasties
  • …and finally being hooked up to a sliding scale. Being diabetic and being nil by mouth it’s a way of giving me glucose and insulin slowly so that my blood sugars stay stable. Well, that’s the theory anyway…

All this took about two hours. This time however, no ECG (trace of my heart) as my last one wasn’t long ago and I hadn’t had any problems up to this point and no pregnancy test, maybe I didn’t look pregnant this time?!?

The downside of being ‘back up’ is that you’re not priority, and quite rightly so. The ‘Primary’ is the focus of everyone’s attention, making sure they are ready and prepped so to give the donated organs the best chance of success in giving them their new life. On this occasion the transplant class system was obvious. Unintentional I’m sure but very obvious. Understaffed and using agency staff was the excuse but the reality left my blood sugar to drop low four times, no immediate concern for alarms ringing and regular use of the words ‘just back up’. I felt like an unwanted visitor, being given attention but reluctantly. I toiled with leaving but I’m not a quitter, but sometimes I wish I was, it would be easier for me and for those closest to me.

Feeling like ‘spare parts’ we settled into the room and made the most of our time together. Crosswords helped pass the time and we talked about our travel plans and all the wonderful things we’ll do post transplant. Please note: those things do not include bungee jumping or the scariest roller-coaster ride on the edge of a high-rise hotel (don’t tell Gary!), I’m having a kidney & pancreas transplant after all, not a brain transplant! It was nice to talk about the future, it’s a much nicer place, it’s filled with colour and energy. It’s not full of hospital appointments, sickness, exhaustion and restrictions. It’s about life and to say I’m/we’re excited about being free and living again is an understatement!

With an appreciated flying visit from my Consultant who kindly reminded me I was unlikely to receive the organs (in case I had forgotten), visits from nurses and other medical staff and updates to the select few the time slowly ticked by. Just like last time I met the anaesthetist and surgeons all asking the same questions, going through the same information being reassuringly thorough. Even with these distractions time ticked by slowly. Why is it when you’re excited about something time stands still? Tick tock…

The nurses were reluctant to tell us if the organs had arrived and we could hear nothing from my room but by 12pm we were told the Primary was going down to theatre, so snuggling into Hubby’s hoodie I tried to close my eyes whilst he snoozed in the chair next to me. I know people who have been through this alone, I’m not sure I could. Having someone there for you when life throws you a challenge is invaluable and I know my family appreciate him as much as I do. I mean, he didn’t sign up for this… We used to go out every weekend, shopped until we dropped, went to festivals and enjoyed champagne often. Now I’m lucky if I make it around Waitrose (other shopping facilities are available although I get free tea when shopping at Waitrose) without getting too tired and complaining that it’s too cold. I often feel guilty but I know he’d kill me if he heard me say those words out loud. In the words of Judie Tzuke (One Minute) and the song I walked up the aisle to;

‘If I had so little of my time
There’s nothing I’d want more
Than to wait outside your door in case
I found a minute more’ 

At 3am we were told that we could go home. I was prepared for the lack of tact shown in delivering the verdict so wasn’t too shocked to be told ‘I could go home now’ with not so much as a ‘thank you for your time’. Fate had dealt it’s hand for me and again it wasn’t my time, it had given new life to someone like me eagerly awaiting their freedom. And that kind of fate I can deal with, taking twenty minutes to get to the nearest 24hr McDonalds I can’t!!

After a good nights sleep and plenty of talk including a long chat with my Transplant Coordinator, my Mum & Dad and Gary I’ve decided to come off the back up list. The stats show that I’ve been on the Transplant List 312 days and that’s about the average amount for getting the organs I need. The chance of me getting ‘back up’ organs are 10-15%. Whilst every shot at goal is an opportunity it’s emotional and now as time goes on its becoming very tiring for me (and my family). The highs and lows are extreme and my chance of receiving organs from being Primary grows exponentially with every passing day. Both my Consultant and Transplant Coordinator seemed disappointed at my decision but my family seemed more relieved.

What would you do if you were in my shoes?

I love the fact healthy organs won’t go to waste but I feel that someone else can take the chance now; Primary is the way forward for me.

Maybe next time, my first Primary call will be my time, if fate allows.