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 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…
By Kerissa Lee 13 Apr, 2024
Dear friends, It’s been almost 3 months since I last blogged.. So much happened, and it’s very hard to believe how quickly things changed. I know many already know the whole story. But for those who haven’t heard it, I will try to recap here. It’s quite the tale, but I wanted to share it on my blog to look back on because God truly carried me through the unimaginable. ❤️ When I requested urgent prayer for the sudden onset numbness and weakness in my whole left leg back in January, I had a routine follow-up already scheduled with my primary care dr. on January 25th. I was so thankful I could see him right away for this new issue. I showed him my worsening weakness, and he sent me straight to the ED to make sure I didn’t have a condition called Guillian-Barre Syndrome (GBS). While waiting for a bed to open up on the neurology floor, the muscle weakness spread to my right foot and up my right leg to the point that I could barely lift both legs up. Words can’t express how truly scared I felt that I was going paralyzed. 🥺💔 It was the hardest time of my life, and I continually wept, not just because of the physical pain (which was the worst leg pain I’ve ever experienced) but also because of the emotional distress.. The “foot drop” in both feet was so severe that my soles were almost parallel to the hospital bed when laying down. It was devastating. Due to the weakness, I couldn’t even walk to the bathroom and had to use a bed pan. The team was concerned about possible heart/lung issues, so I had to be placed on a continuous cardiac telemetry monitor (which is different than the standard one). Twice, they asked me if I’d be okay with life-saving measures like getting intubated (placed on a ventilator) if the weakness kept spreading like it was.. I underwent countless neurological exams by nurses, medical students, residents, and attending neurologists. To rule out GBS, a spinal tap had to be done as well as extensive brain and spinal MRIs (cervical, thoracic, lumbar, and sacral). Not feeling well, it was incredibly difficult to lay in the very narrow MRI tube for more than 2 1/2 hours without a break. When GBS was ruled out, we still didn’t know what was causing the weakness. To be honest, in a way, I WANTED to have GBS because they explained GBS has a good treatment. So, not knowing the outcome and prognosis was very hard. 😢 Looking back, I remember how I shared a verse from Isaiah when I wrote my “2023 reflections” blog post at the beginning of this year: “Let him who walks in darkness and has no light trust in the name of the Lord and rely on his God” (Isaiah 50:10). When I posted that on January 1st, I never could have imagined how dark life would get. I knew God had a plan, but I was still so terrified. And there was nothing I could do but trust him (even though my faith felt so weak while in the thick of it). I cried so much and struggled with great fear. But in the midst of that dark time, I thought of a well-known passage from 2 Corinthians: “So we do not lose heart. Though our outer self is wasting away, our inner self is being renewed day by day. For this light momentary affliction is preparing for us an eternal weight of glory beyond all comparison…” (2 Corinthians 4:16-17). A phrase stood out to me: “light momentary affliction.” This trial weighed heavily on my shoulders….it definitely didn’t feel “light” OR “momentary.” I had so many questions. Could I surrender all and trust that God has my best interests at heart? I prayed that he would grant me the eyes to see everything from an eternal perspective and use this hard time for his glory and good purposes. After spending 9 days on the neuro floor, I was sent home.. The neuro team attributed this whole event to a “very unusual mitochondrial crash.” And only time would tell how I would recover. Up next: Part 2…
By Kerissa Lee 23 Jan, 2024
Hi, friends, I had a whole other post ready to go with some good news, but instead, I have an urgent prayer request. I started experiencing sudden onset numbness, tingling, and weakness in my whole left leg, and it’s been so scary. 🥺 It just came on out of the blue. I was doing so well with physical therapy each week (able to walk fast on the treadmill and leg press 40 lbs), and now, I have to limp because my left leg is soo weak. I really want to avoid the ED as much as possible, so I saw one of my doctors today. She’s concerned I’m having a big motor nerve issue. 😭 The plan is to see a physical medicine specialist, have a nerve conduction study, get an urgent MRI done, as well as see my PCP and pain doctor on the 25th and 29th for further evaluation/testing. I know I already said this, but it really has been so scary to lose function so quickly. Can you pray that I will trust the Lord and not worry? It’s been very hard, so I’d really appreciate your prayers and support in the coming weeks. Thank you so much. ❤️
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