Reflections on this past year 2017

Kerissa • Jan 10, 2018

Dear friends,

Happy New Year!!!  I’m very late in posting my annual end-of-the-year “reflections” post, but better late than never, right?!😉  I didn’t get to post this on December 31st like I usually do or even at the very beginning of this year because I was feeling pretty sick from a terrible feeding tube infection (more on that below)….right after that, I caught a bad virus, and both of those together really took its toll..🙁

2017 was the hardest year health-wise, and I know I said the same thing in 2016’s “reflections” post…but each year really does get harder and harder.🙁

In 2017, I had….

75 doctor appointments

39 physical therapy and swallowing therapy appointments

56 home health nurse visits and 56 port/central line dressing site changes

1 trip to San Diego in January to see my mitochondrial disease specialist, 1 trip to Pasadena, CA in May to see my new mitochondrial geneticist after waiting a whole year to see him, and 1 trip to Seattle in August to see my pain dr. at the UWMC

5 weeks of IV iron infusions

1 blood clot

port placement surgery

2 venous duplex ultrasound scans,  1 kidney/bladder ultrasound (found out my right kidney gets dilated due to my neurogenic bladder), and 1 DEXA scan (got diagnosed with osteopenia)

1 chest CT scan

5 chest, abdominal, and hip x-rays

3 hospital stays

1 ambulance ride

5 ER visits

Sepsis from a central-line associated bloodstream infection (CLABSI) due to methicillin-resistant staphylococcus epidermidis (was admitted to the hospital for 9 long days)

1 port removal surgery and 1 central line placement surgery

1 EEG and 1 sleep study (diagnosed with central sleep apnea and I now have to use an adaptive-servo ventilator at night)

1 pulmonary function test

2 separate times my jejunostomy feeding tube got accidentally pulled out

1 horrible feeding tube infection that required incision and drainage for an abscess that formed

4 different IV and oral antibiotics (Vancomycin, Zosyn, Cephalexin, and Augmentin) given throughout the year for all the numerous infections

1 bilateral lumbar sympathetic nerve block

In 2017, it was really hard to go through all of the above and much more that I didn’t list (for example, numerous episodes of vomiting throughout the year due to my gastroparesis and needing daily pain medication since February for the worsening chronic pain), but also, 2017 was a hard year for me emotionally.  Many times, I cried, got tearful, or sad….  It was funny, when I had several episodes of crying in such a short time, I thought that was odd, so I looked up the side effects of one new medication I started, and sure enough, “tearfulness” and things like “emotional instability” were listed.😉  So that was partly why I became more tearful, etc….but….it was also because living with mito day in and day out is just plain hard.  Many times, I would forget what day it was (I still do sometimes) because, honestly, every day is pretty much the same to me.  If I don’t have appointments, I wake up around 3 pm, hook up to IV fluids with magnesium at 4 pm, eat dinner at 5 pm, have a little time in the evening to watch a movie or something, and then I would once again hook up to my IV nutrition at night, and go to bed at 9:30-10 pm.  And then the day would start all over again.  I didn’t like (and still don’t) that I can only be awake 6-7 hours a day due to my bad mitochondrial DNA depletion….my body is getting depleted of mitochondria (“energy makers”) as time goes on..🙁

It was difficult seeing so many young adults my age living “the dream” and getting to do what they’ve always wanted to do….even if it was just getting their driver’s license, a job, or going to college—all things that I haven’t been able to do still.

So last year, the Lord taught me a lot about finding contentment not in earthly things but in Him alone.  I’ve learned that only He can satisfy the soul.  Because….you must admit, the excitement of driving wears off, a job often becomes mundane, etc.😉

The Lord not only taught me about contentment but also about trust.  I continue to remind myself that He chose me for this path.  I don’t know why I’m the only one in my family who got the “full-blown” mitochondrial disease, but even before I was born, He knew me.  And I was “ fearfully and wonderfully ” made (Psalm 139).  I just need to trust Him fully with this path I’m on.

Other than a major surgery looming in the near future, I don’t know what other hard things will happen in 2018..  But Joni Eareckson Tada said it beautifully, …I’m not going to be fearful about what I have no grace available for yet.  I’ve got to take a deep breath and trust my Savior will help me…

Thank you, friends, for walking with me on this journey.🙂  I continue to be so grateful for your faithful prayers and support!

I thought this poem from Streams in the Desert was the perfect ending for my first post in 2018.🙂

“He leads us on by paths we did not know;

Upward He leads us, though our steps be slow,

Though oft we faint and falter on the way,

Though storms and darkness oft obscure the day;

Yet when the clouds are gone,

We know He leads us on.

He leads us on through all the unquiet years;

Past all our dreamland hopes, and doubts and fears,

He guides our steps, through all the tangled maze

Of losses, sorrows, and o’er clouded days;

We know His will is done;

And still He leads us on.”

~by N. L. Zinzendorf

 

By Kerissa Lee 10 May, 2024
Read Part 1 , Part 2 , or Part 3 if you missed it. | Part 4 | That evening on February 20th, I was transported by ambulance back to the 14C medicine floor. It was such a scary time. 😢 The sepsis caused my body to go into metabolic acidosis. So they quickly treated that with IV bicarbonate and started me on broad-spectrum IV antibiotics while we waited for my blood cultures to come back. I became leukopenic and anemic because my bone marrow got affected. 🥺 This infection wreaked havoc on my kidneys so I continually had to be repleted with large amounts of IV electrolytes (especially potassium) each day. My blood cultures from my port ended up growing Staph Epidermidis. Knowing the cause of my symptoms was an answer to prayer, and the infectious disease doctors immediately started me on an IV antibiotic sensitive to that specific strain of bacteria. I was admitted for 5 weeks + 1 day (the total from not only this stay for sepsis but also when I was admitted for the mitochondrial crash). Being in the hospital for 2 difficult diagnoses that happened back to back was the hardest thing I’ve ever experienced. I thank God for how he graciously gave some happy times in the midst of it. I loved seeing the therapy dog and was over the moon when the medicine floor kindly let my family bring my brother’s dog to visit me. 😊 I also had some amazing nurses. There was a special night nurse assigned to me, and I’ll never forget him. Even when he was no longer part of my care team, he came to visit me each night he worked—isn’t that so sweet? 🥲 But for the most part, inpatient life was scary and traumatic. And as I pondered these last few months, trying to make sense of it all, I was reminded of several things: God never abandoned me in my darkest hour. ❤️ Being inpatient for weeks was brutal and like a prison (not once did I leave my hospital room because I had no energy). All those days, doctors, residents, medical students, phlebotomists, pharmacists, IV therapists, dietitians, respiratory therapists, CNAs, and nurses would continually come to my room. Not to mention every time medications were given or IV bags had to be started/stopped or when the multiple pumps alarmed. The exhaustion along with the pain was unreal. I felt so weak and helpless, not just physically. This challenging time reminded me that I cannot do life without Christ. Jesus said, “Apart from me you can do nothing” (John 15:5). And that is so true. During this whole trial, the Lord was the sustainer of my days. He gave me his strength, minute by minute. Even though God always supplied me with grace to carry on, I want you to know that I still struggled with great fear while in the thick of it. When the pain and suffering overwhelmed me, it was difficult at times for my eyes to see him working behind the scenes. Numerous questions weighed heavily on my shoulders, and I felt so alone each day. But as I processed everything, this trial reminded me that no one knows and understands my suffering more than Jesus. ❤️ Matthew 8:17 says, “He took our illnesses and bore our diseases.” Isn’t it so comforting that Jesus knows what we’re going through? Even he had questions when he cried on the cross, “My God, my God, why have you forsaken me?” (Matthew 27:46) So when I experience doubts and questions in the future (whether in the hospital or at home), I pray that I will always take them to the Lord and not hold everything in. I’m definitely still a work in progress, though.. I wanted to close this mini series of posts by sharing a verse from Psalm 31:7 (ESV). What a coincidence that I’m 31 years and 7 months old! 😆 “I will rejoice and be glad in your steadfast love, because you have seen my affliction; you have known the distress of my soul.” This verse sums up these last few months. God always sees my pain, and I’m never alone (even though it may sometimes seem like it). He has “known my soul in adversities,” as the New King James translation says of vs. 7. I praise God for his faithfulness and mercy on my life. I also want to give thanks to him that I’m back off the TPN (IV nutrition) and able to eat orally again like before! My muscle weakness has improved as well. 🥲 There are some other concerning issues going on, but I will share a more in-depth update later.. Thank you for reading Parts 1-4 and continuing to pray for me. This has been quite the journey, and I’m so grateful to have such faithful prayer warriors!! 🫶🏻
By Kerissa Lee 27 Apr, 2024
Read Part 1 and Part 2 if you missed it.  | Part 3 | After numerous days inpatient, I was ready to begin physical therapy at home and work my way off the TPN (IV nutrition). On February 19th, I ended up getting enrolled into a fairly new 1-year old program called “Hospital at Home.” It’s a weird concept, but those who do HAH are still considered inpatient—the only setting that’s different is you can sleep in your own bed and the nurses come to your home. You also are connected to doctors virtually through a tablet. In theory, that probably sounds amazing, but for complex patients like me, I regretted doing HAH because it was complicated and stressful. For example, the leg pain was still so severe, and each time I took pain medicine every 2 hours, I had to log onto the tablet and talk to the nurse who charted everything…. Even during the middle of the night, I had to show the nurse which meds I was taking and what dosage. It unfortunately wasn’t restful, and there were a bunch of other challenges while I was with HAH. By the next morning, I was definitely ready to be discharged from the “hospital” since a lot could be done outpatient. Around 11:45 AM on February 20th, a nurse practitioner came to my house to make sure I was medically stable and ready for discharge. She agreed I was because my vitals were perfect. She left, and another nurse was scheduled to arrive sometime in the afternoon to stop my TPN for the day. But, in the blink of an eye, things changed yet again and the nystagmus suddenly came back with a vengeance. I could barely see out of my eyes (because they shook so much), and when I went to lay down, I asked my mom if the heat was on. She said yes, but I felt soo cold. When the last nurse arrived to stop the infusion, she took my vitals which showed that I spiked a high fever out of the blue. I was so devastated by this turn of events and cried, “I can’t do this again.” 😭 I felt weary, down to my very bones. Experiencing all my usual sepsis symptoms (fever, chills, high heart rate and respirations, severe low back pain, etc.), I hit rock bottom and was extremely distressed that I had to go back to the hospital. 😔 While the doctors scrambled to find a bed available for me, I physically got even worse. During that scary and emotional time, the nurse was so compassionate and caring. I know God in his loving kindness handpicked her especially for me that day. She stayed right by my bedside and encouraged me with words filled with hope. 🥹 She saw a devotional by Joni Eareckson Tada on my nightstand and asked if I was a believer. I nodded, and she immediately began praying for me. 😭❤️ In the midst of this whole trial, some days God felt far away. 🥺 I could really resonate with the psalmist’s cries—“Why are you so far from saving me, from the words of my groaning?” (Psalm 22:1) But when my nurse prayed for me, it was in that very moment I felt God’s presence and peace so near. It was like he knew I needed some tangible comfort to hold on to. I felt so seen and loved by him. I’ll never forget the sweet nurse he sent and the prayers she lifted up. ❤️ Through her, the Lord revived my soul to prepare me for this latest battle. Up next: Part 4…
By Kerissa Lee 16 Apr, 2024
Read Part 1 if you missed it.  | Part 2 | Just 2 days after I was discharged from the hospital, I started experiencing severe nystagmus (shaking eyeballs) along with nausea, vomiting, and retching. I didn’t know what was happening and was again so scared. 😔 I was told to go to the ED since I wasn’t tolerating any of my oral medications. The doctors gave me IV fluids and lots of different IV anti-nausea and pain meds. They told me I needed to be admitted and talked with the neurology and internal medicine departments to see which one should admit me. But….to my dismay, both teams made a bad judgment call when they decided not to have me admitted (my mom has since talked with a patient advocate for guidance on what to do if “this” happens again). Even the ED observation unit didn’t want to take me because I was “too complex.” 🥺 I was sent home still vomiting and in so much distress (with mitochondrial disease, anything like untreated vomiting/diarrhea is a big “no-no” to put it simply because it’s a huge stress on the metabolic system). My body was really struggling, and I experienced very drooping eyelids and worsening weakness all over. The next day, I was seen by my PCP’s colleague, and after much discussion, he directly admitted me to the internal medicine floor. I’ll always be grateful to him for his quick action and the very thorough letter he wrote. There were sadly no beds available, so I waited at home. But, the following day, God was so kind to bless me with a private room that became available. Once I was inpatient, the doctors tried to get a handle on the nystagmus and vomiting. All the usual IV anti-nausea meds didn’t resolve things, so they gave me an “off-label” medication that can sometimes help nausea. That did the trick, but another issue soon arose—I started showing signs of mental confusion. I remember not being able to explain what was on my mind, and if I did talk, it didn’t make sense! For example, 2 nurses were in my room helping each other, and I made a comment about them being married. 🫠 Another instance, my family later shared that I asked them if they could see the ocean out the window. I can’t recall a lot of my time in the hospital because I was so confused.. My mom wondered if the confusion was from the off-label nausea medicine, so the team immediately discontinued it. By God’s grace, that did the trick…. Hospital life was definitely a roller coaster. You know that whack-a-mole arcade game? Once one problem ended, another popped up. After not receiving proper nutrition for many days, I started trying to eat orally again and resumed j-tube feeds, but for some reason, I wasn’t able to tolerate either like before. My stomach became so huge and distended….even with the feeding pump setting of just one teaspoon per hour. It didn’t make sense, especially since I tolerated a high rate of tube feeds two weeks earlier when I was admitted for the neurological weakness. I kept trying to increase the tube feed rate, but my GI tract didn’t tolerate it. The doctors brought up the possibility of TPN (IV nutrition). I was very discouraged and so homesick. With no progress increasing the formula rate, I did in fact have to be placed on TPN. Emotionally, it was a struggle dealing with this new problem on top of the mitochondrial crash.. 😢 Up next: Part 3…
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