Meet Melvin 3.0

"Jesus Christ is the same yesterday and today and forever."
-Hebrews 13:8

     While on my vacation this past weekend my IV Pump (Melvin) decided to get a little weird. It would start beeping with an error code of "Error: Stuck 7 key" and wouldn't do anything unless I turned it off and then back on again. The 7 key was never stuck but this happened two times over the weekend. And then during class on Tuesday night it did it again. Except just turning it off and back on again didn't help. I had to take the batteries out while it was still running put them back in and then turn it off and back on again. This process happened twice during class. 

     That night I called the 24 hour Coram assist line. They connected me to the on call nurse who tried to walk me through troubleshooting it. Unfortunately, we pushed one to many wrong buttons and Melvin decided to just flat out quit. So the Coram angels got to work. They programmed a brand new pump and sent it out to me two hours later. At 9:30pm I made the switch, said goodbye to Melvin 2.0 and said hello to Melvin 3.0. 

     So far so good. I was able to connect to the new pump and restart my infusion without missing a beat. The courier took my old IV Pump back to the Coram pharmacy for me. I was extremely impressed on how quick they were able to help me fix the problem! Hopefully this new pump will last a little longer than the old one. 

With Love, 

Elizabeth <3 

I Went On An Adventure!

"The Lord himself will go before you. He will be with you; he will not leave you or forget you. 

Don't be afraid and don't worry." 

-Deuteronomy 31:8

     I went on an adventure.An actual adventure! I flew to Kansas City on Friday for a weekend filled with family and cold weather. Oh how I missed the cold weather. This was my first trip with Melvin the IV pump and my benadryl bags. 

     It was... interesting trying to get through TSA in Las Vegas. Prior to my trip I called the TSA Cares hotline (I highly recommend this if you are traveling with any kind of medical condition or equipment) the lady was extremely helpful and told me how to best prepare. She also notified the TSA supervisor of my flight information so they were expecting me Even though I have TSA Precheck they still asked me to take off my shoes and jacket. I then told them my backpack could not go through the scanner because a) it's attached to me and b) I was advised by my pharmacist that the benadryl bags should not go through the scanner.  They then told me everything except for the medical supplies had to go through the scanner. Which was false. I explained what the TSA Cares lady had told me. They went to find a supervisor who of course was training a new agent. The new agent was now in charge of my bag check and pat down. And she was 100% by. the. book. Every last item in my bag was pulled out and swabbed for any residue. After she cleared by bag she told me she had to see the PICC line site. As I went to remove the sleeve that covers my line she yelled "please put your hands where I can see them! Stop making sudden movements!" Which of course caused Metro officers to walk over ready to take me down. So that was fun. 45 minutes later I was FINALLY cleared from that miserable security checkpoint. 

     Southwest is seriously the most amazing airline when it comes to accommodating your needs. I notified them when booking my flights that I have severe allergies and would be traveling with medical equipment. I was able to preboard the flight to wipe down my seat and tray table and to introduce myself to the flight attendants. They were all just so understanding and kind. On my flight home from KC it was a pretty empty flight. One of the flight attendants noticed one of the passengers was wearing extremely strong perfume and of course this lady chose the row directly in front of me. The flight attendant told me politely that she thought I may want to move seats, I am so so thankful she was looking out for me. She also helped me change my benadryl bag mid flight and was genuinely curious about why I had Melvin the IV Pump. When we landed in New Mexico the flight crew switched and she brought the new flight attendant back to meet me and fill her in. I can't thank Southwest enough for everything they did to make this trip as painless as possible. 

     Missouri was fantastic and cold! Friday night I stayed at my cousin's house and then Saturday and Sunday I got my own hotel room. I came prepared with a bulk pack of handwarmers and lots of beanies! I was hoping for snow but all I got was ice, which isn't nearly as fun. On Sunday morning I got on the elevator to go downstairs for the continental breakfast. Well... we made it to the first floor but the doors never opened. We waited another minute or two and still nothing. We frantically pushed the door open button and nothing happened. So we called the front desk and were told it would be another 2 hours before they could get the elevator guy to come free us. My IV pump started beeping low batteries and I told the front desk lady that I didn't have any batteries on me and my medication would soon stop running. That was a slight fib, I had 3 sets of extra batteries on me but they didn't need to know that. But that worried them enough to call the fire department to come equipped with a crow bar to free us! Unfortunately, there was no continental breakfast left after we had been rescued. 

     I had such a fun time hanging out with family! I knew traveling would be exhausting and would come with a long recovery time but it was so worth it. I feel more confident now that I'll be able to live a somewhat normal life even when my body is rebelling against me. What adventures have you been on recently? Or what adventures would you like to go on? Hopefully there are more fun adventures in my future! 

With Love, 

Elizabeth <3 

Learning To Live With The Whispers

"For the spirit God gave us does not make us timid, but gives us power, love and discipline."

-2 Timothy 1:7

     I am still learning to live life differently than everyone else. I'm still learning to live with the stares of people walking by and the whispers of people gathered in the corner watching me closely while I am trying to change my bag of benadryl out to a new one. This involves pushing saline and heprin through my lines and leading a line through my arm hole and down my shirt so it is out of the way. But people just see me drawing up "drugs" and reaching up my shirt. It's not the easiest thing to explain to people. 

     I went to my church's super bowl party this weekend. I was extremely nervous to go because I am still new and don't know a lot of people, and what if I have a reaction to the food, or what if Melvin the IV pump freaks out. But I mustered up the courage and I went for it. Unfortunately right in the middle of it was a scheduled bag change. I walked out in the lobby and found myself a seat on an empty couch and started the process. No one came over and asked me questions but I can hear them whispering close by and their darting glances when I make eye contact with them. It took ten minutes, a little longer than usual because I was distracted. I only have 15 minutes until Justin Timberlake's half time performance and I was NOT about to miss that. 

     I finished priming the tubing and started the infusion threading the tubing through my backpack and connecting it to the line under my shirt (nothing was showing the line reaches to about my belly button). I cleaned up my mess and shut my backpack walking past the staring group. I rejoined the people I knew at our table and swooned over Justin while questioning his wardrobe choice. 

     It's days like these when I realize my life is not normal. My day to day activities aren't what people are used to. I had fun at the party and would go again 100%. I just have to remember MCAS, POTS and Melvin the IV pump are always going to tag along with me. What did you do for Super Bowl Sunday? 

With Love, 

Elizabeth <3 

All About Home Health

"God is our refuge and strength, an ever-present help in trouble." 
-Psalm 46:1
     

     With constant IV medication and a picc line comes with the delightful experience we call home health. Home health is hit or miss. You have to find the right company that fits your needs. My first home health experience was not a great one. The first time I was sent home with a PICC line I was sent to the home health company that was ran by my insurance company. They deemed me "not sick enough" for home health and made me drive across town once a week for a ten minute dressing change. They also refused to change my dressing for almost three weeks because they lost the paperwork and refused to get it straightened out. 

     This last admission when we were getting my continuous benadryl the insurance home health company refused to take me on as a patient again. They told me at home infusions were not possible and even if they were they would not give me the benadryl I needed. In walks in my current home health company. These angels worked tirelessly to get me home from the hospital on the benadryl infusion and have everything I would possibly need.

     My current nurse comes twice a week. Once on Monday to draw blood (this is fantastic because it comes straight from my PICC line AND I don't have to wait in line at quest). And then she also comes on Friday to change my dressings and draw more labs. She is seriously the sweetest lady and actually has another mast cell patient on her case load! Each visit takes between 20-50 minutes depending on if we have to change my dressing.

     The other component is my awesome pharmacist! She calls me once a week on Monday so I can reorder what ever supplies I need. She then sends all of my line care supplies and benadryl infusion bags overnight so I receive them by Tuesday morning. My pharmacist is fantastic! She's sent me supplies midweek when I forgot to reorder something, and when my UPS driver hid my weekly delivery a little to well, she stayed on the phone with me reading out directions the UPS driver left. 

     If home health is a big part of your care I highly recommend shopping around first. I am extremely happy with my team right now. Which part of your care team do you lean on the most? Do you have a home health company you love? 

With Love, 

Elizabeth <3

Continuous Benadryl Infusion

"But those who hope in the Lord will renew their strength. They will soar on wings like eagles, they will run and not grow weary, they will walk and not be faint."

-Isaiah 40:31

     I've officially been home for three days! I am still so exhausted and sore. Turns out when you start actually doing things after a month of doing nothing your body tends to be pretty mad at you. So I've had to take lots of naps. I am so happy to report that the continuous benadryl infusion is still working so well! I'm still learning how to live with tubing attached to me 24/7 but I'm adjusting. One of the biggest things I forget is that I'm now attached to my purse so I can't just throw it on my couch when I get home and walk away... I've tried it doesn't go well. Anyways; a lot of people have been asking how it works and what it looks like. So I figured I would try to explain it here! 

     

Once a week I get a delivery from my home health company. It's a big box with 7 bags of saline with benadryl mixed in. I receive 11mg of benadryl over the course of an hour. It doesn't make me sleepy because I am getting such a low dose over an extended period of time. If anything I've noticed I have a little bit more energy because the medication is actually doing it's job and calming my mast cells down enough that my biggest symptom of fatigue and brain fog has actually lessened. Also in the box is 7 days worth of IV tubing, the supplies to change my dressing on my PICC line, batteries, and a few other misc. things.

     Every night around 6:00 I have to change the benadryl bag. It takes about ten minutes start to finish. This involves "spiking the bag". The IV tubing has a pointy end that I insert into the benadryl bag. Then I run the tubing through the pump and prime the tubing. This runs the medication through the tubing to get rid of all the air. Finally I hook it up to my PICC line. I run the tubing up my arm and through my shirt. The pump is programmed at my home health pharmacy and then locked so I can't change the dosing at all. I can only turn it on and press run. 

   

  The biggest issue I've ran into so far is because I am running the pump 24/7 I am having to change the batteries twice a day. Usually once around noon and once around midnight. Changing the batteries takes maybe three minutes but I am having to remember to put replacement batteries in my purse in case I'm out and about. I surprisingly haven't had it been because of a kink in the line at all. I was expecting it to happen quite a bit because I do have the tubing going under my shirt.Although it has, and will be, an adjustment I'm still so thankful to finally have found something that seems to be working. I am currently on the low end of dosing so I can go up on dosing if needed but I haven't had to do that yet. The goal is to be on the benadryl for about three months. This will give my body time to stabilize. We will also be trying the xolair shots again and hopefully the benadryl will give the xolair time to build up and start working and we can back off of the benadryl. If you have any questions about the CDI or ambulatory infusions let me know! I'm no expert but I'm learning. 

With Love, 

Elizabeth <3 

The Longest Stay Part: 3

"Lord my God, I cried out to you, and you healed me. O Lord, you brought my soul up from the grave; you kept me alive, that I should not go down to the pit." Psalm 20:2-3

     So here I sit. Day 16 of this hospital admission. I have officially been off of the epi drip for four days with NO ANAPHYLAXIS!! The benadryl pump is proving to be incredibly effective! I could have never imagined it would work so well. But now we're in a predicament. I'm in California and the home health company that I would be using is in Las Vegas. It is nearly impossible to coordinate me going home on a benadryl pump from California. So the plan is to transfer me via air ambulance back to Las Vegas, get everything figured out with the home infusions and then discharge me from Vegas. My ICU doctor and allergist gave the insurance company clearance for transport on Tuesday... It's now Friday. Everything is set, the airplane, insurance approval, everything. We're just waiting on a bed to open up in Vegas. Which is sounding completely impossible. 

     I like to consider myself a patient person but I'm starting to get antsy. I feel great, honestly better than I've felt in a really long time. The benadryl is fighting my crazy mast cells for me so I feel like I have more energy and feel less run down. But I'm still stuck in the ICU. I'm still tethered to an obscene amount of wires and people are still keeping track of how much I pee. I don't belong here anymore. My body knows that, my brain knows that. So I'm getting inpatient waiting for this bed to open up in Las Vegas. I want to be home in my own bed. I want to be off of the constant heart monitors and I want to get back to my new life with benadryl coursing through my veins 24/7. Because for the first time in a while I see hope that I can live a normal life. At least for a few months while we let the benadryl do it's thing before we try to get me off of it. I can't tell you how extremely difficult it is to let this happen in it's time. I haven't felt actual sunshine in over two weeks. I haven't been able to take a proper shower in over two weeks. This waiting game is not one I'm a fan of playing. 

   

The nurses have been extremely nice! They have gone above and beyond their job description by bringing me jello late at night, sneaking me brownies from the cafeteria downstairs, just coming into chat when they have a few extra minutes. They have been fantastic. I would have lost my sanity a long time ago if it wasn't for their kindness. I've been here long enough that I'm starting to learn about their lives outside of the hospitals and we share pictures of my friends and their kids. I guess if I'm going to be holed up somewhere I might as well have nice people surrounding me.

     Hopefully I'll be shipped back to Vegas tomorrow. If not after the New Year I will work on just getting discharged from here. I'll keep playing the waiting game. Because although it's a sucky game to play at least I'm stable, at least I'm safe, at least I'm not in anaphylaxis. 

With Love, 

Elizabeth <3 

The Longest Stay Part:2

"So do not fear, for I am with you; do not be dismayed, for I am your God. I will strengthen you and help you; I will uphold you with my righteous hand." Isaiah 41:10

     Today was a fun day. The circumstances were incredibly sucky but if I'm going to fly in a private jet I'm going to enjoy every darn minute of it. The flight crew picked me up from the hospital in Las Vegas around 8:30 in the morning. They were extremely nice and one wasn't bad to look at ;) We took an ambulance to the airport and then I was loaded up first class in my fancy jet. It was a super small plane but it was only an hour flight and I got to lay back on a stretcher for it so I can't complain about the leg room. We took off around 9:15ish. A few minutes after take off the oxygen masks fell from the ceiling. Not because anything was wrong but because it was an older plane. I'm not going to lie I questioned my confidence in the small plane when that happened. It was a quick one hour flight into Burbank. We landed and I was loaded into a second ambulance. It took longer to get to the hospital from the airport than it did to fly from Vegas, Thanks LA traffic. 

     We made it to USC, which is a much much larger hospital than my usual one. I was moved into my new temporary home in the 5th floor South ICU. The accommodations here are nowhere near my normal hospital's. There is no couch or large TV and there really isn't room for visitors but I was here to get fixed so I really didn't mind what the room looked like. My wonderful mother, who I will never be able to thank enough, drove out shortly after I got settled in.

     I met with the intensivist that would be in charge of my case. He was nice and asked tons of questions about what we have tried and what they were thinking about trying. Their main goal was to get me off of the epi sooner rather than later so a few hours after I got here we started very slowly titrating back. The next morning I met with the allergist that would be on my case. She has two other mast cell patients she sees, but admitted I was her worst off. She agreed that we needed to get me off of the epi drip and we'd see what we could do from there.

   

 Getting me off of the epi went about to be expected. There were lots of benadryl pushed through my IV so I was constantly tired and napping. IV pushes of benadryl also give me a loopy feeling sometimes so I felt like I was in space most of the time. We were able to get me off of the epi for about 12 hours before I went back into anaphylaxis twice. They reconnected the epi at a low dose until we could figure something else out. This was when I brought the idea of a continuous dyphendyramine infusion to her attention. I had researched it previously and it was brought up in Vegas but it's not widely used or a widely known option. CDI is a continuous benadryl drip instead of epi. The continuous benadryl insures that my mast cells stay calmer. It doesn't cure anything but it greatly reduces the amount of anaphylactic attacks as well as greatly reduces the amount of rescue meds needed. The allergist had never heard of it so she went to work researching it. The next day it was decided that this was indeed going to be my best shot at getting off of the epi drip long term. They started the benadryl drip on Christmas Day and I'm not going to lie it was kind of the best Christmas present ever.

     The world's best mom drove out to LA again to spend Christmas with me and my benadryl! Somehow Santa found me even though I was in a different city! I woke up around 3am and there was a stalking and a Santa gift waiting for me next to my bed! I was completely shocked I wasn't expecting that at all. My momma came down to the hospital and brought lots of activities. I kicked her butt at Rummy, we tried to do a puzzle but I swear it was missing pieces so we gave up on that. The hospital also had a special Christmas dinner of steak and mashed potatoes. It was surprisingly delicious! Somehow my momma managed to make this Christmas special even though I couldn't be home. Hopefully I'll be home soon so we can do Christmas in January! Stay tuned for part III tomorrow! 

With Love, 

Elizabeth