My previous post was me freaking out a bit. I’ve had time to process what’s going on and feel much better. Here’s how I explained it on my facebook account:
UPDATE.. So my cultures from the bronch did not grow any bacteria. There’s a possibility that this happened because of all the meds I’ve been on… the bacteria have a way of hiding away as a result. So the plan is to stop all meds and repeat a bronch in 2 weeks. Hopefully I won’t worsen in the meantime. If I do we’d have to choose an antibiotic by guessing! If there truly is in fact no bacteria, then we have to look into this further. Post tx is very different than pre tx. I just need to learn patience. I will get through this. Thanks for all your support and concern 😘☺💟..
So… we wait… to be continued!
Feeling very anxious and scared. Have had pneumonia all summer. About 7 weeks of iv antibiotics and as of my bronch last Thursday still have pneumonia. As of today my cultures have not grown anything! Dr wants to give it a couple more days and if nothing grows wants to stop my meds for 2 weeks then do another bronch. My peak flow has been down 50 points. My pfts are down 12%. Not treating the pneumonia could only make things worse. I’m so upset. Can’t stop thinking that this is just rejection. I’m so angry!
So I had my bronch on Thursday and it’s not what I had anticipated. Pneumonia with thick mucus in both lungs! Really! After over 6 weeks of IV?
Plan: Stay on Zosyn until cultures come back. That could take 3 to 4 days!
This result upset me deeply. I became very emotional. I’ve heard of pseudomonas taking over and ending in death. I just assumed that would be me. When I got home I emailed my transplant dr explaining I was scared and if I was over reactung. I then cried myself to sleep.I later emailed my CF doc and explained what was going on. Her response calmed me down and gave me hope again:
“Don’t worry. This happens sometimes. It’s from your immune system being suppressed and the Pseudomonas. The meds will work. I see that your organism is sensitive to polymyxin. Have you ever had that? It is sensitive to some other antibiotics as well.
There is also a new antibiotic out for Pseudomonas called Zerbaxa. I can’t see that they tested for it. Do you want to mention it to Dr. Shah or would you like for me to mention that we corresponded.
Please try not to worry. In the big scheme of things, this is really a manageable situation. Are you taking nebulized antibiotics at home (TOBI, Cayston, Colistin, inhaled ceftaz) are some of the options. “
I shared these ides with my transplant dr and as it turned out she has discussed my case with Infectious Disease and they recommended adding Zerbaxa to the testing as well.
So I wait until it’s figured out!
It’s 3:30am on the 10th and I woke up with a temp of 100.2… UGH – why on a weekend!
I know it’s been a while again…I’ve been having a rough time lately. So I had 4 pneumonias in the 1st 2 years posr transplant. I has a great 2015 until Christmas Eve. I started with a fever and landed in the hospital on Christmas day with pneumonia. I completed 2 weeks of IV and was fine. I had started yoga the previous November and just loved it! I continued with that.
This past July 6th I had a fever again. Ended up having pneumonia. I completed 2 weeks of home IV… felt great… went back to yoga… all seemed well. About 10 days later I was in Yoga and could not keep up with my breathing and had to leave the class after 15 minutes. I couldn’t believe how I was feeling. Was diagnosed with pneumonia again, as well as an 8% drop in PFTs. Not sure if the previous pneumonia hadn’t completely resolved. I was scheduled for a Bronchoscopy 3 days later and was only put on oral antibiotics. I suspected the bronch would show another bronchial narrowing, but instead I was very congested and they cleaned me out the best they could.
That night I ended up in the ER with a temp of 102. They put me on a different antibiotic than last time, but until cultures came back from the bronch we wouldn’t know if the med choice was correct. I continued running a fever for several days. Culture results seemed to take forever! Bronch was on a Thursday and results came back the following Monday. Of course the med chpice was incorrect and they switched me to Zosyn. After a few days the fever went away. I was still having pain on my lower right side. They did another bronch and found a huge mucous plug in my lower right airway! They pulled it out and the pain improved. We’re still unsure if I have airway narrowing so they scheduled another bronch for September 8th, when hopefully the pneumonia will be gone and they’ll be able to see clearly.
I was discharged from the hospital to complete 2 weeks of zosyn at home. When I went in for my follow up on 8/23 the xray still showed pneumonia and I had an additional 4% drop in PFTs for a 12% total! My 10 yr old niece came to my visit and took this video: https://youtu.be/jOFpNqCupcg
I had to continue zosyn for another 2 weeks. I’ll be done by this Wednesday morning and my bronch is this Thursday.
I am praying and hoping that I have a narrowing because if not, the other possibility is rejection.
Please let this NOT be rejection…
TYB 💖💖 Donate Life
I can’t believe how I just abandoned this blog since transplant. The first year was a slow recovery and dealt with depression. Then I tried to activate the 2 step authorization on wordpress and it totally messed me up and I couldnt get in! I finally contacted support and got the whole thing deactivated.
So, here I am, almost 2 years post transplant and I’m feeling amazing!! It’s just amazing how as time passes I just feel better and better. Yes I had 4 pneumonias in the last year as well as several bronchial tube dilations, but I’m crossing my fingers hoping for a good stretch of feeling great!
The CF walk is coming soon and this year our team is supporting CF as well as a new foundation; The Lung Transplant Foundation. Their mission is to fund research dedicated to chronic rejection, specifically BOS, as well as spreading awareness for organ donation. A CF cure would not benefit me now, but because of my connection and the fact that my son and some relatives are carriers, I cannot let it go. Chronic rejection is my demise now, so research in that direction is critical for me.
I hope to keep up with my posts. We shall see🙂
TYB 6.6.12 ♡donate life♡
Did you notice, I added a Part IV to my story. Take a look. It’s above this post!