I've been seeing my home nephrologist, Dr Ghantous, since I'm no longer required to see my transplant nephrologist Shiang-Cheng Kung.
But when important matters come up, I've gotta return to Einstein Medical Center on Broad Street in Philadelphia.
I remembered the way and the street to park on so I wouldn't have to pay for parking: 17th and Olney.
It's a quiet shady street with huge houses....
and uneven sidewalks you can trip on if you're not careful.
After a hearty breakfast of Chick-pea and chicken soup I made last nite - I didn't wanna waste time making my usual omelet - I arrived on time at 9 am and went up to the top floor of the Klein Building.
And then I sat and waited. And waited. And waited.
One of my t'plant surgeons - Stalin Campos - came along. I'll tell you, all you have to do is look at that guy and you feel happy! He grasped my hands in his and was genuinely happy to see me.
Yeah, I'm still alive!
I told Stalin I was there to come off all - or part of - my prednisone b/c of my insulin-dependent diabetes.
You should be able to do that, he said.
When I was finally ushered into the examination room, Dr Kung told me the pro's and con's.
The cons seem to outweigh the benefits: chiefly that if you're on half a dose, there are usually no signs of kidney rejection. It doesn't show up in the labs and you feel OK.
Forget it, I said. I'm not taking any chances, I said, patting Odysseus, in my lower right abdomen.
But, he said, I think you should try it!
Why? I asked.
Because you may not need insulin at all.
It's settled!
Instead of taking 5 mg of prednisone every day, I will only take half a dose, on the following days: Tuesday, Thursday, Saturday and Sunday.
In my haste to leave for Einstein this morning, I had actually forgotten to take my antirejection meds. You see, they were covered up by a huge envelope of phone numbers on my kitchen table. I was anxious to get home and take them.
I like Dr Kung a lot. The below poem, which I emailed him, describes a little bit about why I like him. He's also handsome and single.
Why single? Because he works all the time. "You're quite a catch," I told him.
UPON BEING DIAGNOSED, LATER IN LIFE, WITH DIABETES
The parts I like best are the Novolog pen
that delivers insulin
and flirting with Bobby,
the pharmacist with the spiked hair.
I also like that
everything is made of plastic:
the Novolog pen
the meter that
shows my sugar levels
the blue lancets that
wound my fingertips.
I like pretending I’m an addict
when I fearlessly inject the insulin,
eight units or ten,
prescribed by my kidney man.
I like saying “Dr. Shiang-Cheng Kung is
my kidney man”
his voice always happy as
he strolls down the corridors
of the resurrected and nearly dead.
Best of all is
the clear crystalline drop that oozes
from the needle after shooting:
a silent tear for the poet
who cannot cry for herself
but must lie: it’s not so bad.
When the disease catches up with me
says Kung, I’ll be ready to mount
the stairs to eternity,
by then, twenty years of research will yield
something more convenient, less hurtful:
a new
white
plastic pancreas!
Will I miss that crystalline teardrop on the needle?
and a certain smell that will never become parfum?
of
plastic
death
and a wild red rose
twisting on the vine.
Hopefully it won't look like this on the Day of my Kidney Transplant.
Sarah
passed all the tests including a psych eval. Now she's knows what her
mom has gone thru since age 38 when I was diagnosed w/manic depression.
And
what a blessing it is my illness went away and I no longer need present
myself to a shrink to be assessed for signs of mania or depression.
Steadfast on my kidney-healthy diet, I had a delicious lunch today:
-
a new concoction of grated apple and carrot salad, with a handful of
Craisins (dried cranberries) and chopped almonds, blended with cider
vinegar and olive oil.
- chick pea salad w/elbow macaroni (you
little darlings!) and chopped celery, onion, chives, green pepper,
doused w/mayo and mustard.
My breath emits strong fumes!
I
am in a mania of trying to publish some of my work, ever since my short
story "A Woman of Substance" was accepted at an online journal. "We
like it a lot," wrote editor Bob Rothberg. My self-esteem about being
accepted is so fucking low that I roll around around that phrase over
and over again.
Little heads pop up on the yellow schoolbus outside my window.
My
sciatica was killing me this morning over at Scott's. The bed is the
worst place for me. When it aches, I say WALK RUTHIE WALK. The pain
abates. When The Who filled my living room today I began dancing for the
first time in many months. Dancing connotes loss of anhedonia from
sciatica woes.
At 11:30 this morning the call came. I didn't answer the phone tho it
rang and rang b/c the Caller ID read: Unknown Name, unknown number.
Never
did it occur to me it might be Paige Lockwood, nurse coordinator at
Einstein Hospital, telling me I was third in line for a new kidney that
came in.
Not even when the phone rang again and it was Dan did I
answer. I was sending a very difficult email to about 15 group members
from our meeting last nite and needed all my powers of concentration.
When Dan called a second time he told me the news.
I called Paige immediately.
She does not have call waiting.
The
deceased donor is a 27-yo male from Philly w/Hep C who died of anoxia,
the result of a drug overdose. His brain didn't get enuf oxygen. How his
parents must've been waiting for the day when their son would overdose.
Fortunately he's a donor.
His kidneys are in great shape. Paige
told me the creatinine level and the GFR, I think. Her substitute Debbie
will be in touch later today. My phone is at my side.
We can't expect word before 6 pm, more likely after 8. Dan will drive me. Sarah will take the train down.
Now it's noon. I turned on NPR and heard an interview with The Bad Plus, Ethan and Reid.
Here it is.
Ada
called to alert me as did Judy Diaz, who was one of only a few people I
told about the potential operation. Her best friend Judy Rosenthal was
transplanted at JHU.
What to do while waiting?
I ate. I
had a big hunk of turkey with mayo, thinking the protein would be useful
if I got the operation. How would green grapes help the situation? Or
my homemade white bread that crumbles into five pieces when I cut it.
Had
to correct the proofs for the Compass, which I did, and tell Mark Amos
to print 1,000 copies for a whopping $2,360. I'll send out an appeal to
my group members.
IF the operation goes forward, I needed to do a
few things. I refilled my 2 pill boxes so I won't get charged hundreds
and hundreds of dollars for my pills.
I paid my credit card bill
so I won't have to pay a late fee. I always wait to the last minute to
deprive them of the moolah while I get 3-cents worth of interest myself.
I learned I am irrational. While listening to the Bad Plus on
the radio, I thought, How auspicious! When the big broad tones of one
of their songs came on, I felt that the operation could indeed take
place within 24 hours.
Now, however, it’s 5:29 pm. I called Paige on her cellphone, asking her forgivenesss for bothering her.
She
said she’s off work and at home. Her home in Bensalem with the swimming
pool out back. She said Nurse Debbie will be in touch.
Now I am certain the operation won’t take place.
But
look. My life is not on the line. I am not in immediate danger. Then
again, after the operation, just feed me spaghetti with tomato sauce.
That’s all I ask for.
Just reviewed a huge packet of material from May 2010 telling me all about my future kidney transplant.
At last I've accepted the necessity of getting it and that it very well may happen.
Called
Paige Lockwood, RN, this morning, my transplant coordinator. Very nice
woman. Asked her what I'll need to bring when I am called: toiletries,
meds and slippers.
And my laptop and camera! Can't forget them.
I feel like a teenager. Writing in her diary on the side of he bed.
Although they say I can be called at any time, I'm thinking more like two years.
Told
her I'm recovering from sciatica. She said she knows how that feels -
she's had three back surgeries. She's also had some other very serious
problems....ovarian cancer, bless this good wonderful woman, who's
married and lives in Bensalem PA.
Let's take our first blog
photos for this website. See the Klein Bldg envelope. That's where I
have my appts. They just expanded their transplant department on the
fifth floor.
List of meds I'll take right after transplant.
If a kidney is rejected, it's most likely caused by failure to take meds correctly.
Doubtful you can see me in my bedroom meer.
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