My thoughts lately... (Hepatitis C / Liver Transplant (Hep C) HCV Blog)

Saturday, 1 May 2010

My thoughts lately...

After having another bad night’s sleeping last night (or not as the case maybe!) I thought I may as well stay up tonight and tell you how things are going.


Not that ‘staying up’ tonight is going to take much doing because I’ve been asleep half of the day! But last night, and probably tonight, I was awake ‘till the early hours thinking about this and that, I was feeling some discomfort from my abdomen. This feels more like pain in those small hours when you have nothing else to think about other than your own worry. Then I finally dropped off at about 4.30 / 5.00am as I can hear all the birds outside my bedroom window chirping their morning chorus and telling me that it will soon be time to get up!

I woke with a start at 6.45 as Matthew, my little boy, climbed into bed for a cuddle which was slightly later than usual. Mandy had already got up and gone out with the dog, I never heard her go and now Matthew wanted her warm space in the bed. After his usual shuffling about I started to doze again nicely until I thought ‘oh cr*p, I’ve got to get up, get showered and get on the road to St Jimmy’s for Friday morning clinic’. I laid there for a moment cursing and contemplating another half hours sleep because I felt so damn tired, but realised as I could feel Matthew shuffling around that it was time to get up. I knew I needed to leave no later than about 7.15 if I was to get their by 9.00’ish, and that’s with no hold ups, which there invariably is going into Leeds at rush hour.

I was on the road by 7.30, not bad for me to shower, get dressed, take my usual massive amount of tablets, grab a mouthful of breakfast and get in the car. Taking the tablets is hard enough but I’ve been changed from Prograf Tacrolemus to Neoral Cyclosporin, ever tried those? Taking ‘Tac’ was easy as they were small, the first time I saw 100mg Cyclosporin I thought it was a suppository, there huge! Anyway, I was on the road and heading to St Jimmy’s more or less on time, which was good considering these days I ‘haven’t got a rush in me’, you know the saying...

It was whilst I was on the way that I thought about what I’d say to the doctors when they asked me how I’d been. This was to be the first they’d seen me since my ‘release’ from hospital two weeks ago. Well, it was fair to say that I‘ve been feeling cr*ppy since I came out, but how exactly? It dawned on me that I seem to feel more like I’m living with the effects of Hep C now than when I was first diagnosed! Fatigue, insomnia, pain in the abdomen, needing to take naps all the time; all the other usual stuff but without that ‘yellowy’ colour. I know I have a brand new liver but I seem to feel worse now than I ever did.

When I eventually got through rush hour traffic and arrived (late) at the hospital, I told all of this to the doctor in clinic and he said that “You’ve just had a major operation and then another procedure because of the complication of a bile leak and that amounts to nearly 6 weeks in hospital – you were also quite anaemic when you were discharged and you’ve lost a lot of weight – It’s going to take time.” When you put it like that, okay, okay, I suppose I’m allowed to feel a bit cr*ppy! Consequently, when I got home just after midday, I felt devoid of energy and had a banging headache and so went straight back to bed. I slept the rest of the day and so I’m awake now tapping away just like the old days before my transplant!

The thing is, up until I ‘bled’ all over the place and was subsequently diagnosed with Hep C, I never suffered (as far as I remember) with any of the usual symptoms and never used to get ill. I never had any pain like I have now. A good thing you’d think, except it’s really hurting me now. The truth was that I was always on the go, working flat out and playing just as hard. I don’t think I had hardly any time off sick in 15 years or so, and if I didn’t start work early it was usually because I had a hangover from ‘working’ so hard in the pubs the night before! Of course then I would feel my liver ‘grumbling’ with disapproval then but that was to be expected, right, Hep C or not?

I think that’s why I feel it’s hitting me so hard now, trying to get going this time seems so much harder. Even when I was first discharged after having my transplant I seemed to have so much more ‘go’ about me. In truth I’m probably feeling the after-effects of the operations rather than the symptoms of Hep C Not to mention the ‘cold turkey’ of kicking the habit of all the ‘opiate’ painkillers I had been on for many, many weeks. Opiates were always a favourite of mine and probably got me into this trouble in the first place. The truth is, even second time around, I never passed up on an opportunity to go without the tramadol or dehydracodeine. Now I recognise that ‘icy’ wind blowing through me and aching ‘flu’ like symptoms of not having them to rely on any more. Not nearly so bad as last time but a poignant reminder of how my life was many years past and the misery of it all!

The other thing is that I’ve been off work now for getting on a year now and I need to think about getting back to it. Problem is, back to what? I can’t go back into the licensed trade, nor would I want to. Cooking with all those sharp knives and my infectious blood doesn’t seem a very good idea either but money is now getting tight, so what do I do? I try not to dwell on that too much, it only makes you worry. Still, when I was a kid I used to back-pack around Europe with no more than a ‘tenner’ in my pocket, no sign of a job but never batted an eyelid. It so much more prominent a worry now when you have others to consider like Mandy, the kids, house, car & that sort of stuff. But I’ve always been resourceful and usually land on my feet somehow – but I do work hard given the chance so I hope I’ll be OK. Just got to get myself through this first – and I will!

Well, the birds are twittering again now outside my window so I’ll probably call it a night. The weather is supposed to be quite good tomorrow so I’ll see if I can rake myself out of my pit in the morning. I said I would take the kids for a small bike ride, which is about all I can manage at the moment, never mind those two with their boundless energy. Emily is 5 and just coming off ‘stabilisers’ on her bike so best get band-aid ready.

Well, there it is; my thoughts lately. I can’t wait to start enjoying life fully again, like I always did, instead of just snippets in between the fatigue and the discomfort of now. But it’ll come I’m sure.

Take care everybody.... Ian

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Back to Square One! (Hepatitis C / Liver Transplant (Hep C) HCV Blog)

Wednesday, 21 April 2010

Back to Square One! (Hepatitis C / Liver Transplant (Hep C) HCV Blog)


It seems like ages since I last sat here and typed a note for my blog. In actual fact, I’m lying in bed with my laptop, much the same as I did before my transplant. Much has changed since then, in fact it's fair to say I'm not the man I once was! At that time I had no energy, no appetite and a jaundice yellowy colour. I didn't know whether I would make it to the top of the transplant list or whether hepatitis C would finally have its way and shutdown my liver and me a for good.

The good news is obviously that I did get to the top of the list, however I find myself yet again with no energy or appetite. When I first came out of hospital I felt on top of the world. I believe now that that was mainly due to the amount of drugs and steroids I had been given following my operation. I thought from there that I would go on to get better and better. I really pushed myself at every opportunity. Even whilst walking the dog I would march rather than walk. I had gone to my local leisure centre to enrol for full use of the gym and had even dragged out my rusting bicycle from the garage!

I felt like I was doing fantastic, we had booked to go on holiday to Center Parcs long before talk of ever having an operation and seeing as how I was doing so well we decided to go. I was warned not to go in the pool area due to risk of infection however I found when I got there that the thought of even leaving my cabin seemed like an insurmountable task. Suddenly it all seemed to be catching up on me. I could do nothing else other than sleep and sleep and sleep. I was forced to return home early from my holiday as both my children had contracted a cold and I knew that in my condition I would be bound to catch it quickly. Once home, again all I could do was sleep. The following Friday I was due at St Jimmy's for my weekly clinic. A friend of mine had offered to drive me to the hospital which I accepted. Surprisingly on the day I woke and felt quite good, probably due to the amount of sleep I had just had. Unfortunately whilst travelling to clinic we were hit by an eight wheeler truck on a roundabout just out of Leeds! Glass smashed, airbags went off and we were sent hurtling down a slip road with the car on its side. The truck struck us in the left hand side of the car, my side. Surprisingly as we came to a stop and the car righted itself on all four wheels I realised that we were both unscathed even if the car was completely written off! After being checked out that the hospital I was allowed home.

At this point I was still feeling good and I remember announcing on Twitter and Facebook that I felt like I was really ‘getting there’ and ‘coming out the other side’ However, within a week my condition seemed to worsen daily until eventually Mandy called the hospital and told them that she thought something was wrong. I was feverish, running a temperature and felt in pain. I was readmitted and found under ultrasound scan that I had a ‘collection’ in my abdomen of fluid. It turned out that my new liver was leaking bile into my abdomen. As I had been given only part of a liver, the leak was coming from a bile duct that would have run from the right lobe to the left lobe. Normally the bile duct would have repaired itself however I believe that overdoing it and subsequent car smash had caused it to stop repairing itself and to start leaking.

A ‘drain’ was put into my abdomen (which was bloody painful) and then I underwent a procedure to place a plastic ‘stent’ in my liver to stem the leak. This was done by putting a camera down my throat, going through my stomach to the liver (again bloody painful). I was then placed on intravenous antibiotics and painkillers and left to my own devices over a very long bank holiday weekend. Fortunately I slept and slept and slept until after a total time of just over three weeks in hospital I was released.

I have now been home for a few days and have realised that getting up and trying to do too much is the surest way back into hospital! People keep telling me to listen to my body but I have realised that my body is a lying sod! It keeps telling me that I'm fine until the point comes when it decides it's just going to shut down without warning! I don't want to eat or drink and have no energy, I can just about manage to take my daily intake of tablets and then all I can do is sleep. Which pretty much leads me back to where I started from, back to square one! Actually I have much to be thankful for, I am alive and can just about kick and have lost my horrible yellow colour! I'm just learning to calm my arse down a bit. I spend a lot of time in bed for the moment but every morning I have my two children crawl into bed with me for a cuddle and a fantastic wife who loves and cares for all of us, and if I ever needed more reason to be thankful to my donor then that is all I need. I still have hep C and will have to address that one day but for now I have all I need.

Thanks to everybody who have written words of encouragement and support and I'm sure in good time I'll get back to you, but no rush, eh!

Keep well everyone... Ian.

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I just met Terry from Cayman (Hepatitis C / Liver Transplant (Hep C) HCV Blog)

Sunday, 21 March 2010

I got an email back from Terry and found his blog so I thought it fair that I should introduce him.

Keep well everyone... Ian

http://ramblingsandstories.blogspot.com/

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A letter from Terry (Hepatitis C / Liver Transplant (Hep C) HCV Blog)





Hi Folks, sorry it's been a while...

I received this email to my web-site a couple of days ago and I thought I'd publish it (thanks Terry) and my reply to it - it says a lot ..... Ian


Hello Ian,

I too am a liver recipient. Mine was given in October 2008 because I was suffering from end stage cirrhosis. I was ill for three years prior to the operation and very ill indeed for the last three months. As I live on Grand Cayman, my procedure was carried out in the US at Broward Hospital, Fort Lauderdale, Florida.

Hearing of your progress brings back many memories. You seem to be making much faster progress than I did. 3½ weeks after my operation I was in the Respiratory Care Unit (a "Step Down" Unit, half way between Intensive Care and the ward), having spent over two weeks in I C first. Then it was three weeks up on the ward and finally six weeks in rehab.

Now, nearly eighteen months later, I am wonderfully well and happy. I take 1 and then 2 prograf alternately every morning (10 or 11 a week). I take one dapsone ever Monday and that's it.

Just before the transplant I was taking over 50 pills a day!

I also have felt the urge to write. I have started a blog that contains stories and episodes from my life. As I came so near to death - one or two weeks - I am putting in writing some of my memories. There's nothing about my medical experiences yet but I am sure that one day they will appear.

I suffered from, "ICU Psychosis" after the op and had many hallucinations but no nightmares. I confidently told my wife one day that one of my nurses was Gwyneth Paltrow. That surprised her but when Gwynneth appeared, I coughed and nodded at her. After Gwyneth had gone I asked Caroline what she thought. "That's not her," she said. "She is black but Gwyneth Paltrow is white."

"Not when she's nursing," I snapped.

Keep going. My thoughts are with you.

Terry.
 
And my reply...
 
Hi Terry,

Thanks for your e-mail, I've got to say it was the most inspiring message I have had in a long time.

As you can probably tell from my blog site, I haven't posted for quite some time. This has been due mainly to the fact that whilst struggling to recover from my transplant, I haven't had either the energy nor the inclination to write.

I always thought that following the transplant that I would go home from hospital and just keep getting better and better. I know now that this is not the case. I find in some cases you have good days and bad days, but more often you have bad days and worse days. That being said I feel physically as though I have progressed comparatively more quickly than most. However psychologically and emotionally I have found my recovery to be a complete roller-coaster.

I know that after only seven weeks or so after my op that my doctors etc are very pleased with my progress however I tend to feel whilst I am alive, I am not really living. So after reading your story of how long it took you to recover I realise that I am being far too impatient. Sometimes hearing stories about you and Gwyneth are all you need to realise it. A good laugh is always the best tonic.

Please write me back and let me know your blog address, I would love to catch up with you and find out how you're getting on and I hope you don't mind but I am publishing this letter on my site as a precursor to my return to writing and hopefully some more video diaries. This could be difficult as my little boy dropped my camera the other day and smashed it to pieces! Nevermind, I've still got my web cam.

Thanks again Terry and please give my love to your very understanding wife and to Gwyneth if you see her again in whatever guise. I read my e-mail to my wife and it made her laugh so much probably because she related to it so much more than I - God knows what she's had to put up with!

Speak to you again soon and keep well.... Ian

ianquill@hotmail.com  or riosbarandgrill@googlemail.com
follow my blog:  http://www.ianquill.blogspot.com/  (IAN QUILL : MY WORLD)
find me on 'facebook.com' or 'tweet me' @ianquill http://www.twitter.com/

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Home Sweet Home! (Hepatitis C / Liver Transplant (Hep C) HCV Blog)

Saturday, 6 March 2010


Hi Guys,

Thanks for the support, sorry I haven't been around for a while but I've been away on a quick break for a week. I got lots to tell you all but no energy to talk, but all is good!

Talk to you all soon!

Keep well everyone.... rio!

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What Is Hepatitis C?

Hepatitis C Information:

Hepatits C is a blood-borne viral disease which can cause liver inflamation, fibrosis, cirrhosis and liver cancer. The Hepatitis C virus (HCV) is spread by blood-to-blood contact with infected person's blood. Many people with HCV infection have no symptoms and are unaware of the need to seek treatment. Hepatitis C infects an estimated 150-200 million people worldwide. It is the leading cause of liver Transplant...

Hepatitis C is an inflamation of the liver caused by infection with the Hepatitis C virus is one of the five known hepatitis viruses: A, B, C, D & E. Hepatitis C was previousley known as non-A non-B hepatitis prior to isolation of the virus in 1989.

Symptoms of Acute Hepatitis C:

Acute Hepatitis C refers to first 6 months after infection with HCV. Remarkably, 60% - 70% of people develop no symptoms during the acute phase. In the minority of patients who experience acute phase symptoms, thet are generally mild and non-specific, and rarely lead to specific diagnoses of Hepatitis C. Symptoms of acute hepatitis C include decreased appetite, fatigue, abdominal pain, jaundice, itching and flu-like symptoms.

Symptoms of Chronic Hepatitis C:

Chronic Hepatitis C is defined as infection with the Hepatitis C virus persisting for more than six months. The course of chronic hepatitis C varies considerably from one person to another. Virtually all people infected with HCV have evidence of inflamation on liver biopsy however, the rate of progression of liver scarring (fibrosis) shows significant inter-individual variability.

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