Heart-astrophe

On February 9th I was scheduled for a pacemaker replacement surgery at UF Health Heart & Vascular Institute.  An overnight stay I was told. I’d be home Saturday. Oh how I wish that’s how it went.

Prior we had discussions over which pacemaker to be put in. It was decided to use a BIOTRONIK Edora. I was fine with that as I needed the CLS feature. I’d had a Biotronik Evia for 14 years. I had faith in Biotronik. 

I arrived at the hospital. We went over everything. I gave my mom a hug and I was wheeled back to the OR. Ready for my new pacemaker. I woke up February 11, 2024 in Cardiac ICU in agonizing pain, confused and scared. I had no idea what happened. No idea why I was in ICU, no idea where the previous few days went. I have flashes of memories from those days, but it’s foggy.

My mom was there, at my bedside. Apparently she hadn’t left for days. I remember looking at her, confused about where I was. She took my hand and explained there was a complication and I was in the Cardiac ICU. It turns out it wasn’t a small complication. While trying to remove my Atrial Lead, it fragmented and frayed. I had a sudden drop in BP, and my cardiothoracic surgeon made the decision to perform an emergency sternotomy. Upon opening my chest It was discovered my RA/SVC had a complete tear. I was put on CPB to repair the tea, which they did successfully. I was removed from bypass. However I had to stay on the vent, as my lungs had to be deflated to access my heart and repair it.

To say I was confused and scared is an understatement. It took me days to fully comprehend what happened. The cardiologist and cardiovascular surgeon explained it to me. My mom explained it. The ARNP explained it. Yet I was struggling to comprehend and process it. My priority was my son. My son’s well being, HIS mental health with this. Also my mom’s. As a parent I can’t imagine the fear she went through. The sight of me laying in the hospital bed hooked to machines to help me breathe. She snapped a picture of what she saw when she first walked into my room in the ICU. She wouldn’t show it to me until weeks later. It was heartbreaking to see. Each day in the hospital I was told my restrictions. I can’t use my arms much, I have to protect my lungs and chest. I can’t drive for 4-6 weeks. 

Heading Home, Finally

Finally I was discharged after 8 long days in the hospital. I’ve spent the last 14 weeks healing, processing and learning what happened and what’s next. It turns out they did not put the new pacemaker in. I also still have a fragment left in my ventricle chamber. I have a lot of questions for my team, though I’ve honestly lost trust and faith. 

My dad spent the first 3 days with me when I got home. He helped with meals, making sure I ate, took my meds. And helped with Mathew. I’m so grateful he came up to help, and give my mom that small break. Once he went home my mom then traveled back and forth from where I live and where she lives t help me shower, do laundry and grocery shopping. Several nights a week, all while working 9 hours during the day. I’m so immensely grateful to both of my parents.

You see the post op care from the cardio team was awful. They dismissed an infection, dismissed breathing issues. Dismissing my concerns. The surgeon actually laughed at me when I asked when the remaining fragment would be removed. His reply, “What so I can knick your heart again?”. That’s not funny. To learn I CODED on the table. To learn, I almost didn’t survive. The nonchalance has been too much for me. 

Through all the recovery I had my birthday in March. Turning 38 was a big celebration this year. I also celebrated my son’s 15th birthday in April. Small celebrations through this hellish recovery.

Finding out More Information

We found out someone at the cardiologist’s office shut off the home monitoring in March 2023. Biotronik sends alerts if data isn’t transmitting. This was ignored. Thus NO DATA was transmitted from March 2023 forward. This means when my atrial lead started malfunctioning, it wasn’t caught. This means when my low battery alert should have happened, it didn’t. Someone didn’t uphold their job. They didn’t maintain cardiac care. This is a scary thing. This has led me to have trust issues with that office. Honestly, rightfully so I believe. 

I’m still dealing with fluid in my lungs. Still dealing with overwhelming fatigue. PVCs, low heart rates, palpitations. My portacath was also broken during the surgery and had to be removed.

A recent 48 hour Holter monitor showed 86 bradycardia episodes in 48 hours. Thousands of SvT episodes, PVCs. 

A recent TTE Echo showed an enlarged left ventricle, left systolic function of 55%, left atrial enlargement, IVC Dilated, RA Pressure high, Regurgitation of the following: Mitral, Pulmonic, Tricuspid. -None of these findings were on my 2019 Echo. Were some of these the result of the surgery in February? Are these concerns? I’m still waiting on answers. 

What’s Next?

 I’ve decided to seek consultations from previous electrophysiologists that I trust. Consults with top hospitals and cardiothoracic teams in the country. Thus I can make a fully informed decision on what comes next. 

Many know I’m a fierce patient advocate. I am vocal on healthcare change, holding physicians accountable for things. This time i’m conflicted.  I praise them for recognizing there was a complication and reacting so quickly that they saved my life. My cardiac surgical team did amazing work. I’m told the repair time was amazing. My surgeon caught the sign something was wrong and immediately made hard decisions. I truly feel he is why I’m still here. Though the post op, after discharge care has been horrible. I can’t tell if that’s due to the surgeon or his office continuing to schedule me with the ARNP. 

Me as of May 16, 2024

 We sometimes focus so much on what physicians do wrong, we don’t acknowledge the good they do. We should. We should show the good and the bad. I’m grateful for his quick reaction. I’m thankful for his skill in cardiothoracics. I’m grateful for such an amazing surgical team. What I’m not grateful for is unanswered questions, anxiety and trauma from this. 

My closest friends have been such blessings through this. Being there for me via text, calls. Understanding my mental health and just listening when I was struggling to comprehend this all. Aly & Chelsea, from the bottom of my heart I’m so grateful to you, and love you both so much.

I am still emotionally processing having open heart surgery. I’m processing what happened. This has left me emotionally drained. This has left me with anxiety, and trauma. This has been such a traumatic experience. This has also impacted me tremendously financially. Having to travel out of state for care is not easy financially. However I must get cardiac care. I have started a shop to help with costs, also any donations would be so immensely appreciated.

I’m grateful for my team. For their quick actions saved me. Praising my surgical team. Thankful for my nurses and my aides that I had in-patient. We often don’t acknowledge the good. Maybe it’s time we do. We can celebrate the good, while also advocating for transparency and accountability. 

I am enough….so are you.

Hello my lovelies. I know I haven’t been on here writing in a while. Life has been happening. 

So what prompted this post? Well honestly so many things, but mainly my emotions. I’ve been battling a rollercoaster of anxiety for the last few months. Battling whether to walk away from a situation or to stay. Battling my own inner demons. Well it’s all come to a head. Tonight, tonight it’s getting the best of me. Tonight my fears are roaring loudly, my insecurities are whispering I’m not enough. My anxiety in the background just murmuring agreement. Have you ever had that hard sob in the shower? That cathartic release of everything?

I have been very honest about my struggle with my self esteem, my confidence. It’s been up and down. Some days I’m so confident, others it’s a struggle to find something I like when I look in the mirror. Tonight I’m angry, hurt, sad, and feeling so damn broken. I feel so many things. So many emotions. It’s hard to process them all. It’s hard to see light in the darkness. I overthink. I over apologize. I overanalyze.

Tonight the anger I thought had long been extinguished is simmering, the betrayal, the hurt and pain. What I’m angry about is how I held on for so long, how I begged him to choose me. I shouldn’t have had to do that. I shouldn’t have to beg anyone to be in my life. I shouldn’t have to fight for a place in your life. I learned, through the last year, that I am WORTHY of love. My struggle is believing I’m enough. It’s odd right? I find my worth, I find myself, but still struggle to feel enough? How?

Well it’s from YEARS of not thinking I’m enough. From an ex that told me time and time again I wasn’t pretty enough, skinny enough. From people saying that I’m too loud, too opinionated, too ambitious, too sensitive. I’ve always been told I’m “too much”. That guys don’t like women like me. I’ve come to accept that, but why should I?? Fear. Fear of being hurt again. Fear of letting someone in again, and getting hurt.

From years of having to apologize for my feelings, for saying the wrong thing, or saying too much or hell even for being too much; I’ve become an over thinker, an overly apologetic person. I apologize for things I don’t need to. I apologize for saying how I feel. My feelings have been dismissed by so many people in my life, that I’m not comfortable sharing them. I have difficulty verbally communicating them, but have me write them? I can do that. I’m learning, at 37, that I don’t need to apologize for who I am. For what I say, for me. I am who I am. I’m learning to find my joy. To find me. To be happy with myself, more importantly, to love myself. I’ve accepted my scars. I’ve accepted the ostomy. I’ve come to terms with my infusions and diagnoses. I still struggle to feel ENOUGH for someone. It’s a contradiction. I’ve accepted my flaws, yet I still struggle to feel enough because of them. To not feel as though I’m a burden or an inconvenience to someone. I still worry I’m an inconvenience, that I’m bothering someone with my texts. Again, the overthinking comes into play, and sometimes I can’t stop the spiral in time.

Pain changes people. Heartbreak changes us. For some it makes us more cautious. For some it’s easier to keep people at arms length, to not let them in. It’s hard to let someone in when you’ve been so badly hurt. We all heal differently. Some are able to lets others in easily, some it’s a struggle. I’ve been so afraid to let someone in. To let someone in and give them the power to hurt me. To break my heart. I have to choose is that how I want to live? a life without love? Without a partner?

How can I feel so many conflicting things all at once? It’s simple, I’m human. I’m on this journey of healing. I’m on this journey of loving myself as I am. On this journey to grow into the person I want to be. I’ll get there, our journey is not a straight line. Healing Is not a straight line. We have hills and valleys. We have good days, and we have bad. We have to choose and work through it. We have to find our worth. Find we’re deserving of joy, of love, of happiness. We are. I am, and so are you.

Tonight the emotions are overwhelming me. Tomorrow though, tomorrow they may barely be noticeable. Tonight I’m releasing it all. I’m writing it all out. Letting the overwhelming feeling go and choosing joy.

I recently saw a quote: “You’re not afraid of new love, you’re afraid of old pain.” I don’t know about you, but that seems pretty accurate to me, hell to most of us that have been through heartbreak. One thing I do know is this, logically I know I’m enough. I know my worth. I know what I bring to the table. I am enough, and you my dear reader, are enough too.

An Open Letter to Doctors

This was also published by The Mighty.

Dear Doctors:

We come to you for help. We come to you already scared, frustrated, anxious. We don’t need any additional added to us. What we don’t need is for you to medically gaslight us. That’s not acceptable. Not in any way. We KNOW that as a rare disease patient, or a chronically ill patient we can be complex. We already know this. We don’t need reminding. Many of us struggle with being heard. Unfortunately too many of us have been dismissed, belittled, ignored. Too many of us have been gaslighted by those that are supposed to help.

Medical gaslighting is term used to describe doctors or medical practitioners who blame a patient’s illness or symptoms on psychological factors, or deny a patient’s illness entirely, for example wrongly telling patients that they are not sick

This is prevalent in the chronic illness/rare disease community. So many have experienced. Oddly many have experienced this with neurology. Neurology seems to be the one specialty many of us experience this with. However, this does not just happen with neurology, but many specialists. So many tell us it’s in our heads, go to counseling, or we’re just looking for something to be wrong. We’re easily dismissed. This leaves us frustrated, confused and angry. Some patients have developed PTSD from the traumatizing experienced within the healthcare system. We experience negativity, dismissiveness and unacceptable behavior from doctors to the point we have developed PTSD.. That is extremely concerning. This is causing us to mistrust doctors, some even avoid them for years for fear of this reoccurring.

What prompted this “letter” you may ask? Well, I was referred to a neuromuscular doctor, I saw him about 2 months ago. He was great at the first appt. Said there were signs of ataxia and MS. I saw him again August 9th. He did a complete 180. Appt was less 10 mins, closer to 5. He said no MS, which is fine. I asked if my EDS diagnosis plus my collagen gene mutation could cause the muscle fatigue and such. He said maybe. Then…then he really upset me. He said “let’s not look for anything else to be wrong ok?” Not the worst to say but still awful. Obviously I don’t want extra diagnoses. However his next comment and note in my chart really solidified why I struggle with neurology as a whole. He stated at some point if surgical intervention is needed, a psych evaluation should be done beforehand. I have never asked for a surgery or test. I have never been through a surgery that was not absolutely necessary.

What?! Why? I’m genuinely baffled at why this is always what doctors fall back to. It’s insulting and so unacceptable. I posted my experience in several support groups. It was overwhelming by how many have similar experiences with not just neurology, but many specialties. Many specialties do this. As a Dysautonomia patient, neurology is one of the specialists to follow that diagnosis. Yet, many don’t want to, or they’re dismissive. Our symptoms are real. Our pain is real. Our concerns are real. It’s not all in our heads. It’s not just mental health or depression. Yes, we can develop depression and anxiety. However, let’s look at it subjectively. We’re chronically ill. We go to doctors to help us. We’re turned away, dismissed, ignored, told to go to therapy. How could we not develop anxiety, or depression? Perhaps BOTH are reactive to what we’ve experienced? Perhaps both are reactive to living with a life altering diagnosis?

Yes, I’ll say there is some depression. Yes there is some anxiety. However it is most often NOT the cause of our symptoms. Some already attend counseling in practice of mental health and self care. Not everyone with chronic illness is depressed. Not everyone with chronic illness has anxiety. You CAN be chronically ill and have STABLE mental health. It is possible. I am a strong advocate of counseling, and self care. A strong advocate of discussing mental health within the community.

We want help. We want to be listened to. Most importantly, we want to be HEARD. We want to be treated with respect, kindness and compassion. We want to work with out doctor as a team. We want to trust out doctors. We want to work together. We want open communication. If you don’t know how to help us, say that respectfully. Set your pride aside and think of the patient, of us.

Please hear this plea. It’s not just a plea from me. It’s a plea from the rare disease and chronic illness community.

Let’s work together to create change. Let’s work together to refine and improve our patient-doctor relationship. I have hope we can do this, together.

Sincerely,

All of us.

Wrapping up 2020

We made is through 2020!! I feel like that is such an accomplishment! We’ve faced things we’ve never before experienced. We made it through. We made it to 2021.

My 2020 was riddled with appointments, treatment decisions, ensuring my nutrition was stable, and virtual school for my son. Which was an absolute disaster. So much happened, so much to work through, process and cope with. My son struggled immensely with the lockdown, he struggled with doing school virtually, his OT appointments stopped. It was hard. We always say how hard it’s been for us adults, but it’s been hard, if not harder for our kids. He’s back in school and thriving!

My 2020 rounded out with back to back procedures and prepping for a major surgery in January. Back to back port replacement surgeries.

2020 was the year that was trying to us all. Especially those in the chronic illness community. We struggled for care, we struggled with mental health. Some had procedures rescheduled, some had emergency surgery. Despite our trials, despite everything that tried to knock us down, we’re still here. We’re still standing. Recognize the accomplishment. Recognize how far you’ve come. Be proud of you, as i’m proud of you.

2020 was difficult. It tried to break us, it tried to take so much from us. Yet, we’re here. Standing. You are amazing, strong and brave.

Covid, TPN and Autism…

Covid has changed life as we know it. Honestly it’s made things so much more complicated. It’s affected mental health, which is devastating. More importantly, this has affected our kids. Our kids are suffering so much. It’s heartbreaking.

Virtual learning was a complete bust for us. It was a nightmare. Trying to keep him on task was such a challenge. His ADHD makes it nearly impossible. I have so much respect for his teachers. They were amazing in finding ways to get him engaged and his work done. We did some online, and some in packets. It worked for us. In the midst of all this, I got a phone call about Mathew. See, we’d been on a wait list for an autism assessment since June 2019. It was a long wait. The facility that does his OT called and said they had an opening. Did we want it? YES! YES! We were able to get his autism assessment done in May. I was such a nervous wreck. I had all my papers, checklists i’d done, notes with my concerns. Now, they told me this test was about 2 hours long. He was done in under an hour. I felt defeated. I waited 3 long weeks for the results. Finally i get the call to schedule an appointment for the results. The day comes. I’m on edge.. She looks at me and says “Well Mama, you were right. He has autism.” Not only does he have autism, but he has major sensory issues along with it, and pica. To finally be heard after years of advocating. I cried. I cried that I had finally been heard and I could finally get the help for him! Resources were now available. Knowing this, that he’s autistic changes absolutely nothing. My son is such an amazing child. He’s so joyful, so kind, he’s just an amazing kid. For 6th grade we decided to homeschool him. It was not an easy decision, but it was the right one for him. So we found our curriculum and started! He wants to share our journey. He wants to give a glimpse of him, autism and raise awareness. So, we created an instagram account. Check it out!

So…. in April I was placed on TPN. It was a mess. I wasn’t tolerating my J feeds hardly at all. My labs were getting a bit worrisome. This caused my team to decide i needed temporary TPN. This would help stabilize my nutrition and hopefully stabilize my weight. This was important because i had lost about 40lbs to September to April. It was bad. My nutrition was so unstable. I left me weak. Unfortunately we learned pretty quickly that 2200mL of TPN 7 days a week, isn’t going to work for me. My kidney couldn’t handle it and caused some problems. We settled at 1700 ml. I tried TPN 3 nights a week, and enteral the remaining nights. I am unfortunately still struggling to get adequate nutrition. Eventually we’ll get it.

Now, I know things are stressful. Things are different, It’s scary, frustrating. I know dealing with all the changes is difficult. Please don’t let it overcome you. If you are affected mentally, please seek help. We all need help sometimes. You are loved, worthy and important.

Tired…end the stigma

“I’m fine.” ” I don’t want to bother you.” “Do you still love me?” ” I don’t mean to bother you.” “I’m spiraling”….

These phrases.. There are what i call my alert flags. These phrases can typically alert those closest to me that i’m not ok. Emotionally, mentally. These are my warnings i’m spiraling into depression.

While i’m lucky i can feel myself essentially sinking, there’s nothing i can do. Thinking positive isn’t going to help. Pretending i’m ok isn’t going to help. I’ll need reassurances from those closest to me.

My mom will do her best to help me. To let me have my space, but be close enough if i need her. My son will want snuggles. He will cling to me and want to spend time together. He can sense the shift, and he becomes clingy.

I don’t drink. I haven’t drank in 12 years. I was heading towards the wrong path, and i luckily had friends and family that gave me a wake up call. I haven’t touched alcohol since. The consequences aren’t worth it. However, I wish people understood that it’s a conscious choice for those recovering.. EVERY DAY. I never speak about this. I’ve never publicly spoken about it. Perhaps it’s time. 12 years sober. It’s an amazing accomplishment.. It’s also at times a struggle. It’s one i’ll battle all my life. I will not fall, I will not quit. Too much to lose.

This… this is depression. This face hides pain, fear, insecurities, sadness, anger.. I pretend things are ok, until i can’t anymore. It’s so tiring to pretend. I’m tired of pretending. Why do I have to? Why do i feel the need to hide that which i struggle with:?? Stigma, that’s why.. I’m so tired of the stigma. I’m so tired of pretending. I’m tired of feeling embarrassed of it, tired of feeling like i’m not enough.

Depression sucks. It’s soul sucking. When my spiral starts i can feel if it’ll be mild, short, long, bad. I haven’t hit a dark spiral in years, however i feel it.

What triggered this you ask??? Possible Infertility. See I’ve been battling endometriosis since i was 15.. I’m now 34… That’s a long time. 6 surgeries, including an salpingo-oophorectomy. Which means my right ovary and tube were removed. Well in the last year my pain has worsened. The treatment? Lupron Injections or Hysterectomy. If i do lupron, this buys be time. Then, maybe in the future I can do IVF. Devastation. Anger, grief, despair. This is what i felt listening to my doctor telling me this. What if i miscarry? What if no IVF cycles work? What if I can’t safely carry? What if it’s twins? Can i cope emotionally if i miscarry. Those closest to me don’t think I could.. I don’t think i could. This is heartbreaking. Infertility is heartbreaking. No one discusses the emotional aspect of infertility or even endometriosis.. Why???

Why is mental health not talked about? Why is it so taboo? Why do we suffer in silence or alone? Why can’t we be honest? Why can’t we have a squad we can turn to? Why do we not do better? Do you check on your friends? Do you know them well enough to know if somethings wrong, despite them saying everything is fine?

Check on each other. Build a community. You matter. I see you.

Freedom in Body Acceptance

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Body Positivity, Self Worth, Depression, Insecurities, Counseling.. Why are these words, these phrases so taboo in the chronic illness community. Why are these barely talked about? Is it supposed to help us by not acknowledging these happen? That these can affect us? It doesn’t. It actually hurts us. Positivity in general seems to be ridiculed in our community. Why? 

I’m in my 30s, I struggle with insecurities and body image issues. I’ve been very vocal about my struggle. Yet so many still hide theirs. So many still don’t acknowledge it. Some ignore it or think they’re taboo to talk about. I have struggled tremendously for the last year. Since getting my feeding tube, I’ve struggled to accept my body as it is. Scars, tubes and all. So many others have tubes, central lines, ostomies, scars, medical devices. So many others struggle with insecurities, yet it’s rarely ever discussed? Why? Why is this so taboo? Why is there not more of a network, more of a community lifting each other up? 

If we as grown women struggle, what is this doing to our young women in these communities? What is it doing to them to see absolutely no one speaking about these struggles? Seeing no one like them out there blasting beauty standards to raise awareness and empower others? Why is there really NO ONE out there doing these things? Showing their body acceptance, showing their vulnerability? I’m not sure why, but it’s motivated and empowered me to be that someone. Someone has to speak out. Someone has to start something to show body acceptance and positivity. Someone has to show body positivity to these young women, young men, anyone struggling that feels alone in their fight. 

There seems to be a struggle with body positivity. We are letting others define us, define beauty, define our worth. We are letting our diagnoses, tubes, ostomies define us. Letting them define us as unworthy, unattractive. Body positivity is so important. It’s so important to lift each other up. It’s so important to acknowledge these topics, these struggles and discuss them. We have let what society has deemed “beautiful” affect us in such a negative way. We have let others decide whether we fit into a mold or not. Guess what, we don’t. That’s ok! We don’t have to. We’re not made to. Our beauty and worth shouldn’t be based on what fits a mold. Let’s break that mold. 

I’ve struggled with this so much. It affected me deeply, it affected my relationship immensely. Counseling helped, friends helped. What really helped was someone told me: “Who cares what others say is attractive? Who CARES?! If you feel it, then you feel it! Stop trying to fit into society. Stand out. Stand up for yourself.” I remember sitting there, taken aback. Then i thought about it. They were right. I had let others’ words, others’ views affect me so much, I couldn’t see my own beauty, my own worth. My self esteem didn’t improve overnight. Goodness no. It took months of work. Months of positive self affirmations. Months of talking about my insecurities to really start to shed them. Start to being the key word. It’s a process, and ongoing process. Every day is a small step forward. 

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Depression is also another struggle. I have struggled with depression for a while. Sometimes it goes hand in hand with my insecurities. However, this isn’t discussed much in support groups. It’s almost like we should be ashamed of it. Absolutely NOT! Never be ashamed of your story. Of any part of your story. Never be ashamed of your struggle. I refuse to be ashamed of it. I refuse to hide it, ignore it, or pretend it doesn’t exist. I can’t. Why lie? Why is this such an issue to discuss? I don’t understand it. Depression happens, it happens when dealing with chronic illness. How could it not? It’s hard to adjust from one life, to this “new” life. It’s like grieving. You’ve lost who you were, now you’re struggling to find who you are, and who you’ll become. It’s ok to be angry, hurt, upset, depressed. It’s ok to feel emotions. My only advice, don’t let them control you. Don’t get so lost in them you give up living. Please, if you feel that anger, that hurt, that overwhelming sadness, reach out to someone. Reach out to me. I’ll listen as you vent.  Reach out. Just know there’s someone struggling similarly. 

It’s become my mission, my motivation to help others. To empower others to see their beauty, their worth. I’ve posted several blogs on this. I took it a step further and have participated in photoshoots. Creating powerful images that show my strength, my motivation, my beauty. These photos weren’t easy to do, it was scary and nerve wracking. What kept me going and motivated was that I was determined to LOVE MYSELF. I was determined to see MY worth, my beauty. My tubes don’t take away from it, they don’t take away from my strength, from my worth or my beauty. They do not change who I am at a fundamental level. What they’ve done is give me strength I didn’t know I had. They gave me courage. They gave me passion, and desire to help others. They gave me purpose. They have motivated and empowered me to do that for others. To show others their beauty, their worth. My tubes in a way gave me freedom. Freedom to knock down beauty standards and create my own. Freedom to strive for goals, freedom to find my passion and help make changes. Freedom to love me.

These “taboo” topics need to not be so taboo. These topics need to be discussed, need to be acknowledged. We as a community deserve more. We deserve love, happiness, goals, hopes and dreams. We are worthy. We are absolutely beautiful. You are warriors, you are fighters. Never give up. If you feel like giving up, know you have a community of warriors behind you to lift you up, to lend you strength. We won’t let you feel alone in this battle.

This post was also published on The Mighty: What Helps Me Overcome My Insecurities as Someone With Chronic Illness

Let’s Talk Endometriosis..

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March is Endometriosis Awareness Month.. So let’s talk about it. What Exactly is it?

Endometriosis is an often painful disorder in which tissue similar to the tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis.  Mayo Clinic- Endometriosis

Now that we know what it is, let’s talk about it. I was diagnosed with it at 15/16. I was told I would probably never have kids. I remember sitting in the doctors office, the doctor telling me at 16, I’d probably never have children. I remember feeling so heartbroken, angry and confused. Why? Why was this being told to me. I didn’t understand at the time. No one really explained any of this to me. Soon i’d find out just what it all meant.

I had been rushed into emergency surgery in 2003, I was 17 years old. I had an ovarian cyst that had ruptured. While in surgery they removed my appendix, since most doctors were dismissing my pain as appendicitis. This surgery started what would become the “norm” for me. Another surgery revealed I was at Stage 4 at 18 yrs old. Unfortunately this wasn’t documented well by the doctor then. All we knew was that it was “everywhere”. We tried Lupron Depot, birth control. Various treatments to manage my symptoms and pain. Which just seemed to worsen each month. Lupron depot made it so I no longer had a menstrual cycle. This way they could manage the pain a bit better, unfortunately this led to other side effects from this medication, which is actually classified as a Chemotherapy medication. Here I was 18-20 and in menopause, on “chemo”. My life consisted of painful periods and doctors appointments.

My mom and I began to research. We found an amazing team of doctors in Atlanta at the Center for Endometriosis. I submitted a lot of medical records, and received word I would be taken as a patient. So off we went. Another appointment. Another doctor. This time though, we had hope. I was going to the best of the best. Little did we know just how things would go.

The consultation was overwhelming. I was basically informed i’d need another surgery. We prepared, we made plans. Traveling back and forth from South Florida to Atlanta wasn’t easy, but my mom made it happen. I was 20 years old, supposed to be in college and my periods were so bad I couldn’t function during that time. I remember my mom and I having the discussion. Me saying, “don’t let them take everything. I want a chance to have a baby later in life.” We expressed this to my doctors, Dr. Sinervo and Dr. Albee. They were aware of my fears, my anxieties, my desire to be a mom. They assured me they would do all they could. That day… that day is forever etched in my mind. Waking up in my hospital room. My mom sitting there, waiting for me to come out of the anesthesia. I looked at her, saw that she’d been crying. I asked her, “I lost them didn’t I? You took them out?”. I screamed, yelled and cried. Not only out of pain but heartbreak. She held me as I cried, as I mourned the loss. It may sound silly to some, but to me it was heartbreaking. She told me my entire right side was covered in endometriosis. The worst case they’d seen in someone my age. I had it on my right ovary, fallopian tube, intestines, pelvic wall. It was in a sense everywhere in my pelvic area. My mom had to make the decision for me, she had to make the decision to remove organs. Make the decision for her 20 year old daughter about her future. She agreed with my surgeons, remove the right side. So at 20 years old I had a unilateral salpingo-oophorectomy. This means, my right ovary and fallopian tube were removed. They did this to remove the endometriosis, to buy me time.

I then had to have a LEEP procedure due to pre-cancer cells found on my cervix.. Then.. then a miracle happens.. I end up pregnant in 2008. It was a shock, lots of crying. For 9 months there was no endo pain. No hellish periods.. It was glorious!

My son is now 10, he’ll be 11 in April. I’m 33 and I still battle endometriosis. I’ve battled it for 18 years, I’ve had 6 surgeries in total for it. My last one was in May 2018. They found two endometriomas in my left ovary. Once again my doctor did all he could to give me a chance to have another child. I’m once again at Stage 3. We’re considering reaching back out to the Center for Endometriosis Care. I need another surgery, however after 8 abdominal surgeries, they’re waiting until it’s absolute necessity.  I’ve had severe scar tissue. Scar tissue and adhesions on various organs, in various places. Scar tissue that made placing my feeding tubes, very difficult. It turns out the severity of my endometriosis has created quite the problems in my pelvic area. Intestines are fused together, bowel issues, bladder issues. Things you wouldn’t think about endometriosis affecting, but it has far reaching consequences. Even with my J tube, there’s damage from my endometriosis. They’re saying “frozen pelvis”. It’s horrific to realize just how damaging endometriosis is, and how little it’s explained.

I’m in pelvic floor physical therapy to help with various symptoms from my endo. I have trouble going to the bathroom, both #1 and #2. This is being attributed in part to my endo. Horrific menstrual cycle pain. Every month i’m out of commission for a few days. I’ve tried birth control, sadly they just make my cycle last for weeks, which I can’t cope with. Pain with intercourse, pain with bowel movement, pain with movement in general at times.. These are things rarely discussed or acknowledged by some doctors. Things that are often dismissed. I’m hopeful that Pelvic Floor PT can help, if anything, may be it can help with going to the bathroom. Or help with the pain. Even in some small way would be appreciated.

Knowing i’m running out of time, knowing that each month my pain and periods are absolutely horrendous, knowing I need more surgeries for my endometriosis, it gets to me. Sometimes I debate if it’s time for a hysterectomy. I begin to accept that fate, then it becomes too overwhelming for me. Too much, too soon. I know that’s my eventuality. I know that is what I will end up needing, but how do you mentally prepare for that? How do you mentally prepare for no longer being able to conceive? It’s not easy. In 2019 it was discovered I have a hydrosalpinx. Meaning my only remaining tube is blocked. I have to see a fertility specialist to see just how blocked. I haven’t prepared myself for that yet. I can’t determine which would be easier, just doing the hysterectomy and giving up, or trying with the fertility doctor, and having hope. How do you make that decision? It’s incredibly difficult to make.

The emotional damage from my salpingo-oophorectomy was immense.  I felt like less of a woman. I felt broken, damaged. I wanted to be a mother, and here i’m facing that I would probably never be a mom by natural ways. Depression, anxiety it was there. I had to work through the pain, not just physically, but emotionally as well. That’s what no one tells you about endometriosis. Yes physically the pain is unbearable, but emotionally, it’s unbearable at times. No one talks about the mental and emotional aspect of living with endometriosis. I’m not sure why, is it taboo? It needs to NOT be. It needs to be discussed. Women struggle with both aspects of pain. Let’s be there for them. Endometriosis is hell. It’s physically and emotionally painful. It robs women of their joy, their lives, even motherhood.. their hopes of motherhood are dashed at times due to their pain, or severity.  It can affect relationships. It can damage them. We feel inadequate. We wonder why our partner stays, we wonder how a new partner will feel when they find out you may not be able to conceive. Don’t push your partner away. Communicate your feelings, your fears with them. Lean on them. Let them help you face this.

The feeling of being unworthy due to being infertile, or due to the struggle and pain with your endo. The feeling can be so overwhelming, so soul crushing you can’t breathe. You scream; “Why”, you beg and plead. You try to grasp this, try to grasp how this happened. You feel alone, broken, scared, angry. I assure you, you’re not alone. You’re not broken. You’re not less than, you’re not inadequate. You’re not unworthy. It’s ok to be angry, it’s ok to be scared. You’re worthy of love. So damn worthy. Just know you have a community of women behind you lifting you up in your time of pain. We are here, we will help you shoulder this. We are a sisterhood. We are a community. We are fighters with hope for a cure.

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Anemia, And Hearing Loss you say?

Happy-December-7

I survived Thanksgiving! This year was my first year with my tubes!! It was hard, but we kept it small this year, just my mom, my son and I. My mom made a crustless pumpkin pie for me, which was great. Keeping it small really meant alot. I was invited to spend it with my dad and his girlfriend, but I didn’t want to spend it trying to navigate eating or not eating in a group of people. Hopefully next year I’ll be pretty well adjusted!

Now I’ve had some hearing loss, it’s mixed hearing loss. Meaning both conductive and sensorineural. We have a small idea why i’m losing my hearing, which is from a genetic mutation I have. My ENT is great and is recommending hearing aids at this point, due to struggles i’m having with certain situations. It’s overwhelming. I can say how many take hearing for granted. We never know when or how things can change for us. We always think, “Not me”.. Don’t think that way. Despite it all, and how overwhelmed I have been, I have confidence that it’ll be ok. One way or another.

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Now my tubes have been a bit complicated. It’s been a lot of ER visits. Last week my G tube nearly fell out!!! WHAAAT! Luckily I caught it right before it fell all the way out. I spent hours in the ER making sure it was in the right position (I pushed it back in), and having them secure it until Interventional Radiology could replace it the next day. It seems my balloon popped! Now idea how, and it’s so weird. Luckily IR got me right in the next morning and replace it within 5 mins. YES! IR is the best! I’m finally working my way up to continuous feed. Which means 24/7. I’m hoping to increase my rate so I can disconnect for a few hours a day! Being attached to a feeding pump or iv pump is frustrating, but the alternative is far worse. In time i’ll get back in to a routine. My intestines are being sluggish, which is creating a new set of problems. I’m also now anemic. More bloodwork now to figure out why, and to determine how we fix it. Hopefully it’s an easy fix. We decided if it’s low iron, we’ll do iv iron, so we don’t run the risk of my not absorbing it if taken orally.

We don’t realize just how much is affected by digestion, or lack thereof. Many don’t think of vitamin deficiencies or not absorbing the right amount through eating vitamin rich foods. With my gastroparesis, I have absorption issues, which in turn creates vitamin deficiencies. I’ve been experiencing extreme fatigue, hair loss, pale skin, and horrible freezing cold hands/feet. I’ve tried to eat regular food, it’s left me really sick each time. It’s just not worth it, but how do you give up food? How do you get to the point of accepting this is life? Tube fed, and applesauce and pudding are what you can safely eat? It’s left me angry, but again, in time i’ll adjust and accept it more and more.

Let’s talk beauty. Let’s talk self esteem. You’ve all seen my posts about how i’ve struggled with my insecurities. I currently have a few things in the works behind the scenes. I can’t announce just what yet, but hopefully soon I can! I will say, I aim to inspire, encourage and uplift others. Regardless of what you battle, YOU are beautiful and worthy my dear little warrior! Once my channel and videos are posted, i’ll link it from my site!

Feeling attractive, loved, and worthy is all so hard while battling chronic illness. Battling your body daily just to do simple function leaves you exhausted. Learning to love your body, which sometimes feels like a prison is hard. I urge you to not give up, find what you love about yourself, find your strengths, find you. Never give up. I know at times it feels like you can’t go on, or it’s not worth the fight. It is! You ARE worth it. When people compliment you, don’t question it, don’t scoff or roll your eyes.  Accept it, believe it. If you ever need an ear, shoulder or just someone to vent to, reach out to me. If you feel all alone, reach out. There’s a community behind you, lifting you up.

 

Check-it-outHere’s my latest project! It is now LIVE!!!  Tubie Photoshoot

 

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Post-Op from Hell..But I’m ok

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It’s been an absolutely, ridiculously difficult post op.. The worst ever. Sometimes things just go awry! How can we plan for them? The best we can.

 

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Sloth GP Shirt I made, available in my store.

I had a laparotomy September 19th. I had no real choice. My GJ was failing, I was starving. The plan was simple. Go in, clean scar tissue from my 7 previous laparoscopies, and place my J tube.. The surgery was scheduled for 150 minutes. My mom said I was out in under an hour, and it took an additional TWO hours for me to even wake up from anesthesia… What a complete shit show. It turns out adhesions had formed to my GJ, which I didn’t even know was possible. We’re currently trying to find out why it was cut so short. Which makes me nervous. I was in the hospital for 4 days. The pain was absolutely unbearable at times. Imagine a 4″ incision going down your abdomen that pulls every time you sat up, laid down, or even tried to use the bathroom. It was rough.

I got home September 22. That night. We sent a text to my nurse the next day, as I was supposed to have wound care and my port accessed.. No reply. It turns out I was discharged by my home health agency with no word. No conversation, letter or anything. This set into motion so much stress. I’ve unfortunately had 5 post op ER visits due to possible infection, wound dehiscence, tube dislodged (twice), and pain post tube exchange.

 

I’ve suffered a wound dehiscence, which is when a wound opens up. My entire incision split open, even sections that were already healed. It’s been 6 weeks of strict cleaning, and routine to get it to close back up. 6 weeks of bandages, which sucks when you have an adhesive allergy. It’s finally looking better and like it’ll actually close up soon!!!

So since my agency let me go, it’s been weeks of trying to find a new agency, i’ve and no luck. I now have to travel 45 mins on Mondays to be accessed, so I can run my iv fluids. How utterly ridiculous.

I need things to go a little more smoothly. 🙂 Halloween was fun! We dressed up, took my son trick or treating. Just had a blast. He was a Ninja, I dressed as a devil! lol  I was in pain, but determined to not ruin my son’s Halloween!

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Halloween 2019

So it’s been about 6-6.5 months since I had my GJ placed. I’ve lost nearly 30lbs. We’re trying to stabilize my weight, which hasn’t been easy. I’m supposed to be connected to my pump 24 hours a day, or AT LEAST 18 hours a day. I’m supposed to be getting 1600 calories a day.. I’m barely connected 9 hours a day, and getting maybe 500 calories a day. This isn’t good at all. So I’m working really hard to increase my calorie intake and stabilize my weight. I’m currently about 158lbs now. Went from size 14, to about size 10. While my body looks amazing from the weight loss, I’m exhausted and constantly hungry. All this has left me malnourished, which isn’t helping me heal from surgery.

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Just a small snippet of the significant weight loss.

 

Through all this I’ve battled insecurities, my body, and stress. It’s been really heart wrenching. It’s really hard to go through all this, and not have the one person you want more than anything at your side. If you have someone that loves you flaws and all, don’t lose them. Don’t let your insecurities take over. Don’t lose sight of yourself or your relationship. Communicate your fears and feelings to each other. Don’t lose that.

I taught myself to convert bags to use for my feeing pump! That’s been fun! Below is a video of the bag I converted!

 

I’m working with a local photographer to get some projects done. I’m excited to show you all the final product! There’s more to come. More to say. More to do.

This post op has been difficult both physically, and mentally. Seeing the changes in my body has been really difficult. Realizing my GI system is slowing and we have no clue why, is scary. Dealing with a chronic illness is hard, dealing with multiple ones is so incredibly difficult. I’ll persevere. You are not your diagnosis. You are not your port, picc, or feeding tube. You are so worthy. You are so worthy of love, happiness and joy. Go after your dreams, most importantly Live… Don’t give up on life.

I’m always here you you guys. Always reach out to me if you need me. Much love to you all..

 

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