Wednesday, August 5, 2015

Medical Evaluation

Finally, my medical evaluation begins.  I have to say, that when I received my appointment itinerary from Mayo Clinic, it looked rather daunting.  Here’s how it went:

·         Day One (8/5/15): 
o   Transplant visit – met my patient advocate
o   Transplant visit – saw the transplant nurse (turns out, it was the same one who did my crossmatch blood test)
o   Laboratory – gave up 8 vials of blood
o   Laboratory – picked up jug to start 24 hour urine collection
o   Radiology – chest x-ray
o   Transplant Evaluation – met with Nephrologist; general “physical” type appointment
o   Donor Transplant Social Services – met with social worker
o   Cardiology – Electrocardiogram
o   At nearly every point of contact they each explained surgical risk factors, pain expectations, likelihood of depression/anxiety and that I was not allowed to be financially reimbursed for my donation (bribe, coercion, etc.)
o   The worst part of this day was the urine collection – dragging a jug with me wherever I went to collect pee isn’t exactly fun times.

·         Day Two (8/6/15):
o   Laboratory – 13 vials of blood
o   Radiology – Contrast dye test; CT Angio of abdomen & pelvis.
o   This wasn’t painful, but the contrast sends a strange warm sensation throughout the body.  It made me feel a little weird and somewhat woozy – I’m guessing because of the significant blood draw and lack of food for the day. 
o   Laboratory – thankfully, got to unload the jug-o-pee that was getting heavier by the hour.  I actually turned it in at 23 hours – I’m an overachiever… I had filled it to the brim.
o   Transplant visit – met with the second transplant nurse.  More of an informal meeting with one other potential donor present.  Again, discussed surgical risk factors, pain expectations, likelihood of depression/anxiety and no financial gain for the donation.  Met a lovely lady (Jennifer) that is on the same path I am.  (We had actually met over our pee jugs in radiology, just didn’t realize we were on the same track together.)

·         Day  Three (8/7/15):
o   Neuropsychology – Psychology visit.  Sat in front of a computer and answered 344 questions related to voices in my head, conspiracy theories, suicidal tendencies, drug/alcohol use/abuse, need to act out criminal behaviors, as well as do I have friends, supportive family, and happiness in my life.  They were all to be ranked on a scale of false, sometimes false, sometimes true, true. I left this appointment feeling somewhat amused and hoping that I had not misunderstood any of the statements, as there were multiple repeats of the same basic topics.

·         Day Four (8/10/15):
o   Nephrology – Hypertension BP monitor.  This was a monster pain-in-the-butt.  It didn’t seem like it would be, but wearing a BP cuff for 24 hours was annoying, at best.  I thought my hand/fingers would turn blue and fall off. 

·         Day Five (8/11/15):
o   Transplant Surgery  Consultation
o   Nephrology – Remove hypertension BP monitor.  I haven’t been this happy to see something go in a long time.
o   Renal Studies – Transplant Iothalamate Test;  This test required 4 hours of fasting before test.  Not a horrible test, just a long one.  Drank lots of water, peed a lot, contrast dye.  Thankfully the nurse/tech was very cordial.  We had a great 3 hours together. 

·         Day Six (8/12/15):
o   Transplant Return Visit –  Learned at this visit that I tested positive for TB (latent).  Learned that this would cause delays for treatment.  Prescription regimen is 9 months.  Doc pushing for one month, but more likely will be 3 months.  


·         Selection Committee to meet 8/18/15