I Hate Dialysis Message Board

Dialysis Discussion => Dialysis: Transplant Discussion => Topic started by: angela515 on July 21, 2008, 12:18:17 PM

Title: Since Transplant, some issues..
Post by: angela515 on July 21, 2008, 12:18:17 PM
For some reason... since my transplant, my blood levels are perfect, so I should not be tired one bit.. but I am.

I am wondering if it's because since the last 18 month's after transplant I have had to be house bound only going anywhere on Saturday morning, Walmart, and occasionally going to a movie on Friday night. Otherwise having to sit at home doing nothing while kids are in school, or doing some school work of my own, or watching TV, or doing laundry, or reading... nothing exciting... nothing physically or mentally stimulating on a steady basis...like work.. which I so badly want to do, and soon will *need* to do for my own sanity or I fear what I may do (no, not die, lol.. I mean like just up and moving out on my own even though I cannot financially afford to do so, so I wouldn't make it a month, or getting back with my ex, which would be the stupidest thing I could ever do in my life.. and so on)... the insanity of just being house bound is mentally killing me and physically damaging my body as I am losing stamina, energy... everything.

Some days I get up, having to force myself to do so no matter how much sleep I get, and I drag myself along and do what I need to do for my children, and if it weren't for it being summer, I would do what I do everyday they are in school... go right back to bed when they get on the bus and I sleep literally until they are 10 minutes from the house. This is of course making my stamina and energy levels even more low, instead of raising them... and in turn making me even more weak and tired and so when exercise comes to my mind, I am way too tired to do it.. and when I try I have to quit after a few minutes even on the easiest thing because my body is so out of shape. So then of course anything I eat is going to stay on me and so I am gaining weight.. gaining inches... having to buy bigger clothes. Then in turn it gets depressing... and my mind is already bad off from being so upset from having to stay home and not being allowed to work. I feel trapped... no way out... I just want to escape.. but I can't... I see no choices. I cry alot just thinking about it, because I am going to be 30 in Nov.. with 2 kids... and STILL LIVING WITH MY PARENTS because I have no way out, and dialysis and a fiance that couldn't keep a job I was forced to move back in with my parents after being on my own since 18.. only to live back at my parents while on dialysis and recovering from my 1st transplant and hen right back out on my own...this time is different though.. and I can't see no way out.. NONE... ZIP... NADA.

How do I deal with this? Am I just supposed to accept being stuck at my parents FOREVER???????????? I can't.. I just can't... I am too independent, and it's killing me to stay here...

I had to get that off my chest. I felt like I was going to explode with nobody to explode at. Thanks for listening.
Title: Re: Since Transplant, some issues..
Post by: Chris on July 21, 2008, 12:57:03 PM
How much sunlight are you getting? Studies have shown that people who do not get enough exposure to sunlight tend to be tired ad not motivated. Then they were given ultraviolet light (Ithink that is the one) to sit in front of for so many minutes at a time per day and they improved.

As for living with the parents, I can totally understand. I lived on my own since I was 17 and then had to move back at 28 due to being laid off and major health problems starting. I need to finish school and get a job or play and win the big lotto to get my sanity out of here.

They say exercise helps, but I hate going to a gym or doing exercises that don't get me anywhere. So I bike ride. You probably need something to stimulate your mind pretty good and have a change of pace each day. Something that would need you to wake up in the morning and getting going.
Or have they checked your iron?
Title: Re: Since Transplant, some issues..
Post by: Sluff on July 21, 2008, 02:32:00 PM
Lack of sunlight also causes Vitamin D depletion and that could cause joint and bone pain. I know that my vitamin D is real low and I even work outside so you can go to Walmart for $4.00 and get a years worth of vitamin D. I hope that helps.
Title: Re: Since Transplant, some issues..
Post by: angela515 on July 21, 2008, 02:41:24 PM
I take Vit D already due to my AVN, and my iron levels are normal.

I try to go outside everyday, like going to the park to see what my kids are up to, and taking my dog for a walk, but to stay out for a long time in the heat, and sunlight alone, can make my Lupus come out of remission and other problems... so it's kind of like, go out, but not too much.

Is there a way to test to see if it's lack of sunlight? It would suck if it was that since I can't be in it alot... except I make a point to tan,  :lol;
Title: Re: Since Transplant, some issues..
Post by: monrein on July 21, 2008, 02:44:44 PM
Angela, could you be suffering from a low-grade, underlying depression??  I think many ESRD patients, even post=transplant ones, do and the symptoms can be very much exactly what you describe.  Ask your medical team what they think.

Wanting you to feel better. :cuddle;
Title: Re: Since Transplant, some issues..
Post by: angela515 on July 21, 2008, 02:52:27 PM
I'm in no way depressed, even though I described my situation as "depressing".  :lol; I am very happy, however, I am VERY frustrated with not being able to work.

I don't even mind staying at my parents, but I would not mind it more if I was working to save up and get my own place for me and my kids.

That is my main problem behind being so tired... I *WANT* to work with every being in my body, I just have no way to do that at this time. So with not being able to, comes being suck in a house, and can't go anywhere. Imagine being stuck in your house and you only go anywhere every Saturday morning to shop at Walmart, and then you only go anywhere else once in a great while.... and you have no medical issue keeping you from doing so, so you want to get out and live life.... it's frustrating beyond words. It's like I am being forced to not live my life... I know my kids are my life, and I am greatful for spending all my time with them, but I need adult time, alone time... LIVING NORMALLY time, like WORKING... having my own place again... getting to PARENT my own children 100% instead of having freakin' parents in my ears all the time saying do it this way., you should do that, you need to do this... blah blah blah... it's all overwhelming and to do it alone with no significant other, sucks too.

:)
Title: Re: Since Transplant, some issues..
Post by: Chris on July 21, 2008, 02:53:50 PM
The study I read about not having enough sunlight was a couple years ago. If I remember right, it was done in Alaska. I am not even sure which doctor you would want to ask this about either.
Title: Re: Since Transplant, some issues..
Post by: angela515 on July 21, 2008, 02:54:35 PM
Alright, ty Chris.
Title: Re: Since Transplant, some issues..
Post by: willieandwinnie on July 21, 2008, 03:44:48 PM
Oh angela, I'm so sorry you are feeling this way.  :cuddle; Len has been having some of the same issues with being housebound. You don't sound depressed, really bored would fit it better. I hope you can soon find some balance in you life. Please let us know how you are doing.  :grouphug;
Title: Re: Since Transplant, some issues..
Post by: pelagia on July 21, 2008, 05:47:09 PM
Hope things start looking up for you Angela. :cuddle;
Title: Re: Since Transplant, some issues..
Post by: Chris on July 21, 2008, 06:24:26 PM
I don't think this affects you angela,

From Ohio State University
How does sunlight affect humans?
It is accepted that bright light can affect sleeping patterns, have an impact on the internal biological clock, and that the relative light during summer and winter can affect human energy levels. Exactly how this is so is a focus of study throughout the United States, Canada, and Great Britain. It is known that exposure to daylight helps the human body process food better and encourages the production of vitamin D3 which is important for efficient use of calcium and phosphorus in the body. Sunlight also activates an enzyme in the skin which produces a polymer of dopa (an amino acid) called melanin.

Melanin is the pigmentation in the skin that both produces the darkness and protects the skin from damage by sunlight. Initial exposure of skin to sunlight generates a rapid production of small quantities of melanin. Subsequent exposures produce slower generation of larger quantities of melanin (melanogenisis) which is the effect of tanning or darkening of the skin.

Sunlight also has an effect on the body through the eyes by stimulating the pineal gland to release a neurotransmitter called serotonin which helps regulate blood vessel constriction and a hormone called melatonin. An excess of melatonin in the body induces sleep, drowsiness, and lethargy. One hypothesis is that the dimmed natural light of winter signals the body to increase the production of melatonin. For most of us who already spend most of the time indoors, the increase of this chemical is intensified and, in some people, can create a psychological reaction. Furthermore, unlike subsistence farming or fishing societies, most people maintain their work, school, and social lives at a more consistent pace throughout the year, rather than reducing activity in the winter.
Title: Re: Since Transplant, some issues..
Post by: paris on July 21, 2008, 06:47:14 PM
Angela, is the lack of a vehicle the biggest problem?  It is hard to be stuck in a house, feeling trapped.  It is also hard being an adult in your parent's home.  My oldest daughter had to move home with her two little ones for a year.  We tried to give her space, but I know it was not good for her at times.  As a parent, it is difficult for us not to "mother" our grandchildren. I am getting much better at stepping back.  I figure I messed my kids up, now it is their turn to mess theirs up!! :rofl;    I do feel bad and wish there was a simple answer for your problem.   And I agree with willieandwinnie, you don't sound depressed, you sound bored. You are someone who wants to work and be active. 
Title: Re: Since Transplant, some issues..
Post by: skyedogrocks on July 21, 2008, 07:02:36 PM
Even though you say you aren't depressed, it does sound like it.  Depression can do so many things to your body, making you hurt, lack of energy, always wanting to sleep, etc.  Have you talked to your doctor about this? 

I'm also confused as to why you are unable to work?  Is it due to lack of energy or lack of transportation?  I think working would help immensely.  Maybe trying something part time, a few days a week.  Just something to get you going again.  If working is something you truly can't do, how about volunteering your time?  You definitely need to get out and interact with people.

Good luck!  :flower;

Title: Re: Since Transplant, some issues..
Post by: angela515 on July 21, 2008, 08:08:36 PM
My transportation situation was widely known on here which is why I didn't explain it, I forgot we get so many new people, and not everyone knows, or even the one's who know may forget. :)

I do not have a vehicle, I totalled it in 2004, and my DL was suspended. I have to pay down a ticket of $1700 from that accident, and it's hard to even make a payment on it at all with living on SSDI and having other bills that come first and children who definitely come first. I live 30 miles from Des Moines, so I basically live in a small little town with not alot of people and the only job being the gas station which denied me employment due to my credit report. (I most likely wouldn't have taken the job anyways, b/c I am sure it pays less than I get on SSDI and taking a job that offers less than I get for just sitting here is stupid.)

So, no bus system for me to ride a bus 30 miles to the city... no car, my parents work and my father is NOT at all going to let me work graveyard and drive me. We have this argument weekly if not more often, and his reasons are #1 Gas prices... #2 He isn't going to have him or my mother get less sleep to drive 30 miles to take me to work and go to bed later, and have to wake up even earlier than they already have too to drive 30 miles to get me and return... it's alot of miles, time, and money to that. Also, when it isn't summer I have to be here to get my kids up and ready for school and on the bus since my mom leaves for work everyday before 5am, and my dad before 6am... So, their reasons aren't hatred or mean... they are just the lousy facts.  :-\

As for depression, I am not depressed. My life is fantastic and wonderful besides being stuck at home and bored to death with no energy from doing nothing all day and just wanting to work. I love work so much, it gives me pride and joy... but yeah, I am DEFINITELY very frustrated with the situation of being stuck here in this house... but depressed about it, no. Being on dialysis for 2 1/2 years and then getting a transplant but being stuck in the house, I basically just went from 2 1/2 years NO energy or stamina and being stuck at home.. to the same situation but not due to medical reasons, due to transportation ones. Point being, I don't think being without energy/stamina for 2 1/2 years and then getting a second chance (third for me..) at life but spending all the energy I did/do have on being a single mother, I had no energy left to push myself to exercise, and now over time this last 18 month's it has built up and really left me drained... physically, not emotionally. On top of it all, it is VERY hard for me to exercise, seeing how it kills me sometimes to just stand, let alone walk. My ankles are fused and the joints left are deteriorating due to AVN... so exercise is VERY painful and so I don't rarely do it... b/c I am just trying to make it day by day walking because I won't being doing that many more years either.

Anywho, That is my transportation prob, and why I cannot work right now. I go to school online and graduate in 3-4 months with a degree in Medical Billing and Coding... and am going to go to school to be a RN when I have a vehicle. So, I have spent my time wisely sitting here... it just sucks after 18 months of it.

I have no idea if I conveyed my thoughts to words in a understandable fashion of what I was trying to say... I hope I did though.

Thanks for that info Chris!! :)
Title: Re: Since Transplant, some issues..
Post by: Adam_W on July 21, 2008, 08:18:22 PM
Even though I don't have a transplant, I can still relate to the "not really having anything to do" issues. I've been on home dialysis over a year, and since I do my dialysis on my own time, I have lots of free time. I don't use much of it though. I still don't work (usually too tired to do so), and I just don't have anything to do. I still live with my parents as well, and that is producing even more stress. Like you, Angela, I am not the least bit depressed, I'm just bored I guess. I'm frustrated over my latest round of dialysis issues, and the fact that I'm 26 and living with my parents, but all in all, I'm still pretty happy. I just wish I could break out of this round of boredom and get out and enjoy life a little bit more.

Adam
Title: Re: Since Transplant, some issues..
Post by: angela515 on July 21, 2008, 10:42:06 PM
Adam, you took the words out of mouth!

"I just wish I could break out of this round of boredom and get out and enjoy life a little bit more."

Title: Re: Since Transplant, some issues..
Post by: okarol on July 22, 2008, 12:11:38 AM

I think Jenna's situation is similar in that she still sleeps a lot (although she stays up really late, so I don't know how many hours a day she actually sleeps.) She was working 2 days a week but just got laid off today (after 7 months.)

I am just guessing, but it seems harder for young people who have been dealing with chronic illness during the years when they would be formulating their aspirations, than it would be for the average young adult. Instead of developing vision and goals, they have to focus on their health, and getting by, while not feeling so great.

Maybe it would help to see a life coach or someone that helps a person with their expressed interests, goals, and objectives. Life coaching is a practice with the aim of helping clients determine and achieve personal goals. Coaching is not counseling, therapy or consulting. I don't know anyone who has done this, so it will be interesting to learn more about it. But I think Jenna might benefit from coaching, if she's willing.
Title: Re: Since Transplant, some issues..
Post by: pelagia on July 22, 2008, 06:35:23 AM
Angela - have you ever tried gardening?  Many of the IHD community are avid gardeners.  It doesn't involve much of an investment and you can reap big rewards.

Karol - could you try brainstorming with Jenna about some small goals?  Maybe that would get her started in the right direction.  I'm a big advocate of tacking them up on a piece of paper someplace so that you can look them over later down the road.  I do the same thing at work with my bigger goals, because otherwise I get lost in the day to day stuff.  A life coach sounds good but pricey.
Title: Re: Since Transplant, some issues..
Post by: twirl on July 22, 2008, 06:53:36 AM
thirty years may seem old to you but you are still young
you are taking care of your children and that is not an easy job
could you go back part time when school starts
what jobs do you do?
didn't you like to go outside and tan
do more of that
I wish I had better ideas for you
you are a good mom and in my opinion that says volumes about a person
am so proud of you bowling skills

Title: Re: Since Transplant, some issues..
Post by: willieandwinnie on July 22, 2008, 07:11:02 AM
twirl, you are so right.

Hey Angela, have you every cross stitched? I have some complete kits (material, floss, needle and instructions) I'd be happy to send you. Let me know.
Title: Re: Since Transplant, some issues..
Post by: pelagia on July 22, 2008, 07:57:15 AM
Angela, I also agree with Twirl.  And the other thing that occurred to me this morning is that you are a good writer.  Have you ever considered writing?  You could start a blog about your experiences.  just my  :twocents;
Title: Re: Since Transplant, some issues..
Post by: paris on July 22, 2008, 08:45:53 AM
Angela, you are dealing with so many physical difficulties.  Lupus limits being outside, all the pain with AVN and top all that with a transplant.   And you little ones into all of that, and I am exhausted just thinking about it!  The medical billling and coding is a great job choice.  Decent money and can be done from home.  I know that doesn't help with being out with other people.   I truly don't think we can offer any ideas that you haven't already thought of.  You really have your act together.  Did going to the transplant games help or did it make you feel more isolated?    Not the same, but AlohaBeth is on top of a mountain in Yosemite with no vehicle and 2 hours from the smallest town.   She is going slightly crazy, even with work.  It is hard to be "stuck".      I think you are doing a great job with what life has thrown at you.  You are a strong woman :thumbup; :grouphug;
Title: Re: Since Transplant, some issues..
Post by: stauffenberg on July 22, 2008, 10:25:34 AM
The first rule in medical diagnosis is: When you hear hoofbeats, look for horses, not zebras.  So here we have a patient who is exhausted post-transplant, and everyone is theorizing that the cause must be lack of sunlight or depression or lack of exercise?  Those are zebras, since they don't have any special connection with the patient, and instead we want to look for horses, which are things that do have to do directly with the patient's medical history.

I have read of some transplant recipients who have spent as much as a year 'recovering' from the transplant, though I was able to return to full-time employment two weeks after my transplant and everyone's experience is different. 

Since the overwhelmingly most common cause of post-transplant tiredness is low hemoglobin, I would suspect that first.  Even though in theory the new kidney should normalize the hemoglobin levels, in fact many do not, usually because of the trauma the graft undergoes in the transplant process.  The patient says her bloodwork is normal, but she should make sure that that is not just the breezy remark of some careless physician who prefers to regard a hemoglobin of 110 as normal enough, even though it is not.  If you find that your hemoglobin in anything less that 120 (12 on the other scale used), insist on getting a prescription for long-term acting EPO, such as Aranesp, and you might feel a world of difference.
Title: Re: Since Transplant, some issues..
Post by: pelagia on July 22, 2008, 11:28:52 AM
Angela, I'm sorry that I missed the part about the sun way back in the very beginning of this thread.  Can you go outside very early or in the evening when it cools off?  My husband has taken to walking after dark, which is okay because we live in the country and our road is a "dead end.".  That way he doesn't even have to think about his sun exposure, just the  :sir ken;  I sure hope you start feeling better soon.  :cuddle;

Title: Re: Since Transplant, some issues..
Post by: angela515 on July 23, 2008, 09:21:22 PM
The first rule in medical diagnosis is: When you hear hoofbeats, look for horses, not zebras.  So here we have a patient who is exhausted post-transplant, and everyone is theorizing that the cause must be lack of sunlight or depression or lack of exercise?  Those are zebras, since they don't have any special connection with the patient, and instead we want to look for horses, which are things that do have to do directly with the patient's medical history.

Nice analogy!
Quote

I have read of some transplant recipients who have spent as much as a year 'recovering' from the transplant, though I was able to return to full-time employment two weeks after my transplant and everyone's experience is different. 

My first transplant I was out the door 4 days after transplant and went out to look for a job and got one weeks later. So, for that transplant I too healed fast. I was young and hadn't had kids yet either, nor did I have new problems like I had this time.

Quote
Since the overwhelmingly most common cause of post-transplant tiredness is low hemoglobin, I would suspect that first.  Even though in theory the new kidney should normalize the hemoglobin levels, in fact many do not, usually because of the trauma the graft undergoes in the transplant process.  The patient says her bloodwork is normal, but she should make sure that that is not just the breezy remark of some careless physician who prefers to regard a hemoglobin of 110 as normal enough, even though it is not.  If you find that your hemoglobin in anything less that 120 (12 on the other scale used), insist on getting a prescription for long-term acting EPO, such as Aranesp, and you might feel a world of difference.

That is what I thought it was too, but everytime my labs show very good. *shrug* I personally think sitting and watching TV most of the day doesn't help and even without having a medical problem could make a person's stamina and energy low. I wish I lived in Vegas still b/c we had a pool in out backyard and thats great exercise that wouldn't hurt my ankles. :)

Anywho.. I am determined to change things in my life, starting with what I eat. I haven't done it yet... but I am starting to write it down and making myself a promise letter to make subtle changes I can stick too before I add new things. I also plan on doing this for activity. Like, maybe riding my mom's bike around the park and back for a few weeks until I can go furher... that's less pressure on my ankles I think. Eh, idk.. we will see if these few things to start with help. :)
Title: Re: Since Transplant, some issues..
Post by: stauffenberg on July 24, 2008, 09:24:32 AM
I just noticed my routine transplant follow-up results today and found that my latest hemoglobin value was 114 (= 11.4 on the other scale).  That's worse than it used to be when I was on dialysis, and a lot lower than it was last measured before I developed renal failure, when it was measured in a routine physical at 163!  Since no nephrologist even bothered bringing this very low Hb value to my attention, this goes to show how suspicious the patient has to be when told "the bloodwork is okay."
Title: Re: Since Transplant, some issues..
Post by: Jaybird on July 24, 2008, 01:33:18 PM
I got addicted to energy drinks since my transplant.. I KNOW its not the best idea. But I don't drink soda's or any other caffiene drink. and I drink one early in the day and no more. I researched about them, and the worst thing in them is the Caffiene, but its not much stronger than a few cups of coffee. Also my BP is still good at about 110/70. The pro's of feeling active throughout the day, outweighs the cons.. not ALL the cons, but life is fickle anyway.

I don't drink energy drinks that have anything in it that a Multi vitamin deosnt have, except taurine and glutamine. BTW, energy drinks are HORRIBLE for you if you are on dialysis because the machines do NOT filter out taurine. Its not bad for your kidney and its easy to filter out, but dialysis wont do it.. Just an FYI.
Title: Re: Since Transplant, some issues..
Post by: mtaylorbrown on July 24, 2008, 02:05:04 PM
Angela

     I never met an Angie I didn't like. :)

     The vitamin D idea with sunlight is good, but make sure it is vitamin D3. I would also recommend a B-complex supplement, but I don't know what a neph would say about that. Mine knows I take one and hasn't said anything about it. I'm pre-dialysis so I know it is different, but I used to be tired all the time with all the BP meds and toxins. Now I'm back to just having a hard time getting up and then about 2pm I have trouble even if I have a light non-carb lunch. My complex includes all the Bs, including niacin. Don't take niacin by itself, you'll feel terrible and turn red all over. (chances are, that is).

     Stay clear of heavy carb b-fasts, it will either pick you up or put you in nap-mode. It sounds like it might tire you out first think in the morning.

     Watch a happy movie/show, if you are tired and watch a dramatic or reality show, I believe it just brings your tempo down.

     Do breathing exercises, this works for me. The idea is to get the oxygen into your blood system.

     Make sure you have a sleep pattern, this is the most important concept. That nap may sound like a good idea, but you may be disrupting your sleep pattern.

     I know it sounds corny, but cheer up. Do it on purpose. Laugh and smile as much as possible.

     Do all the exercise you are allowed.

Warmest regards,
Matthew
Title: Re: Since Transplant, some issues..
Post by: Romona on July 24, 2008, 02:05:47 PM
Hi Angela, I am throwing a bizarre one out here for you. I kept complaining about being tired a year ago, weight gain ect. My nephrologist sent me to a lung center for sleep studies. His theory was sleep apnea. Look at the bottom of your tongue in a mirror and see if you have bite marks on it. That can be a sign that you are having sleep disturbances. I had a sleep study and it was fine. They did a nap study and found I could fall asleep in a few minutes. They told me I have narcolepsy and cataplexy. Most people think of narcolepsy like you see it in movies people just falling asleep anytime. It is more like if given the chance you can fall asleep quick and not hit the proper stages of sleep. If you don't go through the stages, you will still be tired. I read somewhere that a study was done that might link narcolepsy to immune function. That makes sense to me since our immune systems are suppressed.
Title: Re: Since Transplant, some issues..
Post by: angela515 on July 24, 2008, 03:20:43 PM
I just noticed my routine transplant follow-up results today and found that my latest hemoglobin value was 114 (= 11.4 on the other scale).  That's worse than it used to be when I was on dialysis, and a lot lower than it was last measured before I developed renal failure, when it was measured in a routine physical at 163!  Since no nephrologist even bothered bringing this very low Hb value to my attention, this goes to show how suspicious the patient has to be when told "the bloodwork is okay."

I always get copies.
Title: Re: Since Transplant, some issues..
Post by: pelagia on July 24, 2008, 03:47:05 PM
Anywho.. I am determined to change things in my life, starting with what I eat. I haven't done it yet... but I am starting to write it down and making myself a promise letter to make subtle changes I can stick too before I add new things. I also plan on doing this for activity. Like, maybe riding my mom's bike around the park and back for a few weeks until I can go furher... that's less pressure on my ankles I think. Eh, idk.. we will see if these few things to start with help. :)

Angela, I think you have a great plan!  I have learned that small changes can lead to big results if you give it time.  I managed to give up butter, half and half, soda (for the most part), processed foods, fast food and a number of other bad eating habits over a decade ago by making a list of goals, tacking it up in the pantry (where company wouldn't see it), and doing it in small steps over a couple of years.  I am trying the same thing with exercise over the last year as my general activity level otherwise seems to be declining (too much desk job).  It's incredible how much better I feel all day if I ride the stationary bike for 30 min. in the morning.  I find it really difficult to make big changes, but pretty easy to make small ones.  And while it seems counterintuitive, the less I do, the more tired I am, so I try to keep moving.  If you write things down you can look back months or years later and really see what you accomplished. 
Title: Re: Since Transplant, some issues..
Post by: monrein on July 24, 2008, 03:51:48 PM
I too think your plan is great Angela.  One little thing at a time and it really adds up to a big change as all the little steps get to be your new habits.  Good luck with the plan and keep us updated. :cuddle;
Title: Re: Since Transplant, some issues..
Post by: Chris on July 24, 2008, 06:53:48 PM
Hi Angela, I am throwing a bizarre one out here for you. I kept complaining about being tired a year ago, weight gain ect. My nephrologist sent me to a lung center for sleep studies. His theory was sleep apnea. Look at the bottom of your tongue in a mirror and see if you have bite marks on it. That can be a sign that you are having sleep disturbances. I had a sleep study and it was fine. They did a nap study and found I could fall asleep in a few minutes. They told me I have narcolepsy and cataplexy. Most people think of narcolepsy like you see it in movies people just falling asleep anytime. It is more like if given the chance you can fall asleep quick and not hit the proper stages of sleep. If you don't go through the stages, you will still be tired. I read somewhere that a study was done that might link narcolepsy to immune function. That makes sense to me since our immune systems are suppressed.

I was scheduled for a sleep study last year but cancelled it because of getting a ride home from the city was a problem. The orders where for the transplant hospital only and they didn't want me to have it done locally. Wouldn't have fallen asleep anyways, to much like a hospital stay and I know people are watching! I know I can fall asleep anywhere, been doing that since junior high. It helps me tune out noisey little bratty kids.

So what did they do to treat you Romona?
Title: Re: Since Transplant, some issues..
Post by: Romona on July 24, 2008, 07:52:52 PM
They gave me Provigal (I don't know if I spelled it right). I got to take one dose before transplant clinic said "No". It is supposed to be very safe. It is given to pilots in the armed forces. So after almost two weeks of transplant and the other doctors hashing it out , they agreed to Ritalin. It has helped. The people at sleep clinic felt if I was more alert during the day, I would sleep better at night. It has worked. I have been having vivid colorful dreams. Bright colors. My Prograf level is twice what it is normally. It still is in safe limits. UPMC aims for a low trough. It is normally 4-5 and right now it is running 8.
Title: Re: Since Transplant, some issues..
Post by: angela515 on July 24, 2008, 08:25:36 PM
I took Adderall XR 30mg for the last month, and I never once got tired or had or even felt like I had to take a nap at all during those 30 days. Once I have a ride, I am making an appt to get another prescription... you can't get refills, so you have to get a new prescription every 30 days. My son takes it for his ADHD.
Title: Re: Since Transplant, some issues..
Post by: Romona on July 25, 2008, 04:48:42 AM
That is how it is with my ritalin. They will mail a script or I can pick it up. They can't call it in.
Title: Re: Since Transplant, some issues..
Post by: stauffenberg on July 25, 2008, 09:53:29 AM
You might also want to consider taking the over-the-counter drug, sulbutiamine, which is just a form of vitamin B1 which is able to cross the blood-brain barrier.  Just by increasing the brain stores of thiamine, this substance has been found to increase alertness, mental energy, and physical energy.  I have been taking it for a while and find that while it does not help reduce the total number of hours of sleep I need per day, it helps me become fully awake faster after getting up and keeps me more energetic throughout the day, even with a fairly serious level of intractable anemia.  It does not interfere with anti-rejection drugs, since your body naturally contains vitamin B1 in any case.
Title: Re: Since Transplant, some issues..
Post by: annabanana on July 25, 2008, 10:09:56 AM
Angela, have you considered getting involved at the school your kids go to? Maybe part time...as bus monitor to and from school...and I'm sure they could find all kinds of things for you to do at the school. In my experience, schools LOVE volunteer workers. (And you could use it on your resume.)
Title: Re: Since Transplant, some issues..
Post by: ODAT on July 25, 2008, 01:06:40 PM
[Anywho.. I am determined to change things in my life, starting with what I eat. I haven't done it yet... but I am starting to write it down and making myself a promise letter to make subtle changes I can stick too before I add new things. I also plan on doing this for activity. Like, maybe riding my mom's bike around the park and back for a few weeks until I can go furher... that's less pressure on my ankles I think. Eh, idk.. we will see if these few things to start with help. :)

Hi Angela, since I don't have a lot of experience with most things on this site, I try to focus on what I can add to. I'm sure you've looked into exercises that you can do that are not hard on your ankles. When I had foot surgery, I wanted to find an exercise that I could do without my feet. I found Windsor Pilates. Very easy to do. My problem is being consistent.

I was just talking to a co-worker who completed a marathon last week. We both agreed that even though you are tired if you push yourself to do an exercise you do feel better and gain more energy 'expend energy to gain energy.'

My mom gets aranesp shots every two weeks, plus B12 and sometimes iron transfusions. She is type 2 diabetic and predialysis. She is still tired all the time and takes two naps most days. She cannot do exercise or even walk very far due to her knee. She also got a mask for sleep apnea (which she doesn't use anymore argh). Even when she used the mask she would only get 5 hours sleep with it, then take it off and sleep another couple hours.

I've read lots of your posts and you sound like an amazing person who loves and does tons for her kids. I have a pretty boring life and depend on my kids to keep me busy. lol Read my post about surviving the Warped Tour. Do your kids do sports yet? I loved doing town baseball. Out three times a week meeting some good parents -while the others thought their kids were stars and I was not good enough to talk to. Funny, those parents were around when he was 7 and most defintely now that he is 16. One mother said to me 'I spent $1,000 on baseball this winter!' We were at a practice and when her son was pitching she yelled 'slow down.' All the other parents were letting the coaches do their job.

Sorry, I get talking and chat away. I hope you feel better and more energized soon. take care


Title: Re: Since Transplant, some issues..
Post by: angela515 on July 25, 2008, 07:33:00 PM
Thanks everyone!

stauff- Is that the name of it on the box? I would have to write that down,  :lol;

anna: I live too far from school to volunteer or I would. I have no way to get there, no ride, no vehicle of my own. That is the root of my being stuck at home. I missed the deadline of signing the kids up for T-Ball this year cause I was in the hospital that month, otherwise we do that during the summer if they don't go to their dads. I do take them to the park across the street everyday, weather permitting, an interact with activited at home throughout the day. Plus my 3 1/2 yr old nephew lives with us now for a few months so he keeps me busy too. Still tired out, but no chance to nap :lol;

ODAT: Thanks for the advice :) I plan on starting to do my AB Lounge for 5-10 minutes everyday, or every other day. I also plan on walking on the treadmill at whatever speed is comfortable for my ankles and whatever length I can do, I will start off short times and increase when I feel I can. Maybe some arm workouts with my 5lb dumbbells I have. At least that stuff will be better than what I am doing, right? :) I definately know diet can also dictate how you feel, and I can admit I eat HORRIBLY since transplant because I felt freedom to finally eat what I want again, so I did, and got addicted to it. I need to change to fruits and veggies and healthy portions of starches and good protiens. Saying it is much easier than doing it though.. but I am going to work on it once I get back from vacation. I know if I start it now then while I am at my brothers this week I won't stick to it and then I feel like a failure and give up, so I will start next week when I return, with just small changes first and a few at a time instead of all at once.

Anywho, I thank you all for the great advice!  :grouphug;
Title: Re: Since Transplant, some issues..
Post by: Zach on July 25, 2008, 08:06:22 PM

I plan on starting to do my AB Lounge for 5-10 minutes everyday, or every other day. I also plan on walking on the treadmill at whatever speed is comfortable for my ankles and whatever length I can do, I will start off short times and increase when I feel I can. Maybe some arm workouts with my 5lb dumbbells I have. At least that stuff will be better than what I am doing, right? :) I definately know diet can also dictate how you feel, and I can admit I eat HORRIBLY since transplant because I felt freedom to finally eat what I want again, so I did, and got addicted to it. I need to change to fruits and veggies and healthy portions of starches and good protiens. Saying it is much easier than doing it though.. but I am going to work on it once I get back from vacation. I know if I start it now then while I am at my brothers this week I won't stick to it and then I feel like a failure and give up, so I will start next week when I return, with just small changes first and a few at a time instead of all at once.


I'm sure you'll be successful.  You did it before (November 2006) and you can do it again.
 :-*
Title: Re: Since Transplant, some issues..
Post by: Jill D. on July 25, 2008, 10:52:17 PM
Angela, you certainly are in a frustrating situation. As far as diet goes, what you say is so true about what you eat affects how you feel and your energy level. About 6 weeks ago I got really serious about only putting good stuff in my body - actually took eating and food choices to a different level than I ever have in the past. I have been loading up on fruits and veggies (I know you love your salad!), eating good protein and try to eat as close to whole foods as possible. I really look at labels and choose foods that have 5 or less ingredients, or have ingredients that contain words I can pronounce! Whole grains only, some lowfat dairy, good protein (chicken, fish, almonds, beans) round out what I eat, but mostly I eat fruit and veggies. I don't eat any processed food and have limited caffeine to almost nothing. I drink green tea (hot and cold - comes in many flavors) and sprinkle some ground flaxseed on my food every day. Even as I type this, I can't believe that I am sounding like such a health nut! I didn't do this all at once, but each week have tried to be more aware of what I eat. After the first week that I really focused on fruits and veggies I could not believe how great I felt. I truly do not crave much of the food I used to eat (especially processed food) because I physically do not feel well afterwards. I have also reduced the amount of sodium and sugar in my diet just by the food choices I make which is like a bonus!
My point to this is not only do I feel better but I have so much more energy. I have been exercising every day, I feel less stressed, my headaches have disappeared and I have lost some pounds and toned up. Since so much of your situation seems hopeless, maybe some small steps by trying the best you can to eat healthier will help you feel better. Just keep telling yourself that there are so many foods that you are allowed to eat now that are so good for you - load up on beans, yogurt, potatoes, tomatoes, nuts - they're all good!
Have a great vacation and like you said, when you get back just start making small changes - we're here for you Angela! :grouphug;
Title: Re: Since Transplant, some issues..
Post by: KT0930 on July 27, 2008, 03:42:27 AM
I took Adderall XR 30mg for the last month, and I never once got tired or had or even felt like I had to take a nap at all during those 30 days. Once I have a ride, I am making an appt to get another prescription... you can't get refills, so you have to get a new prescription every 30 days. My son takes it for his ADHD.

My son is on Concerta in the mornings and a small dose of Ritalin in the afternoons, and his doc writes three months of prescriptions at a time. He simply writes at the bottom of each one, "do not fill until xx/xx/08". That way we can't get them filled all at once, and he's covered for the FDA..would your doc do that so that you don't have to try and get down there every single month?

I just read through the whole topic, and you already sound a bit more upbeat than you did in the first posting. It sounds like you're trying to make small, manageable changes, and that's the trick to making it stick over time. Like others have said, getting away from the TV can help a lot. What about cooking dinner for your family each night? While I was on dialysis and didn't have much energy, I found that spending time in the kitchen and really enjoying the process of preparing the meal helped my energy levels a lot. Planning the menus got boring, but I got my husband's help with that!  :)
Title: Re: Since Transplant, some issues..
Post by: MyRenalRomance on July 27, 2008, 09:11:39 AM
Angela,  :waving;
I hope things get better for you. Its great you are aware of your issues and are looking into measures to help yourself.  You sound like a strong and positive gal!  Hang in there! 

I am post transplant (5 weeks) and struggling with very low energy levels.  I actually felt better 2 days ago,  drove my younger daughter to the T-Mobile store to repalace her broken cell phone, and to the pharmacy to p/u some rx refills. Did not nap during the day (for once!), however, felt soooo tired the next day (yesterday), I slept the entire day!  Most days I am so tired, I cannot do much of anything except nap and the bare necessities.  Like you, I do not feel depressed . . . just tired! I had thought I might be drpressed b/c I  had thought after 1 month post transplant I would feel like brand new (and that sure isn't the case for me!)! I've recently been informed that it may take me between 3-6 months to fully recover. 

I have realized a direct correlation between my diet and how I feel.  Pre-transplant, I ate extremely healthy (whole grains, LOTS of fruits and veggies, etc).  I noticed that post transplant, I was so tired, I was eating the bare minimum, and not necessarily all the healthy stuff I used to eat.  I am trying to change that, and THINK that will help me.

I don't go out often, yet, as I feel too weak to drive - and most days feel too tired to go out,  except to go in for blood work and clinic visits.  Its great that you do get out to the movies! I wanted to do that this weekend, but was too tired (and I'm dying to see the new X-Files movie!).  Me, not see the X-Files movie on opening weekend?  That's TIRED!!!

Another finding I've realized is that I do feel beter after visiting w/ friends.  My friends drop by to say *hello* and I do feel the positive energy they bring w/ them is extremely beneficial to me (as long as they don't stay too long - then, I'm pooped afterwards!).  My mom drops by every day to help out w/ housework, hubby is supportive, and I do have 2 teens (so no lack of family company around), however, it sure isn't the same as having girlfriends/cousins drop by for a visit!

Thanks for listening.  I read your post about being tired, and could totally relate.  I apologize for going on about me, when this is YOUR thread.  But, just wanted you to know I can relate to what you are saying.

You have a lot on your plate - it seems understandable that you are tired.  I hope your situation/energy level improves.  It seems like you have been through a lot, and have been strong through it ALL. I know you'll get through this!!!

Hope you have a wonderful vacation!

 :cuddle;
Title: Re: Since Transplant, some issues..
Post by: angela515 on July 27, 2008, 09:14:51 AM
It's great not to be the only one post-transplant tired. I thought I was a freak since my first transplant was like, wham-bam-energy is yours now and this time I didn't, lol. Your advice and experiences are all insightful and helpful. Thanks!
Title: Re: Since Transplant, some issues..
Post by: Nan on August 02, 2008, 07:15:51 PM
:flower; Oh thank you ....thank you!  That is WHY message boards are so good for you!  I too, am frustrated,  I am going on six months since my transplant....and I am soooooooooooo tired , all the time! I can not even believe the things I "turn down" to do, because I am so tired!  and...I have transportation, so I just don't know.  I truly thought by now, I would be feeling pretty darn normal, I avoid naps during the day,  lay away more than half the night.  I do agree about the food thing, food still tastes like cardboard to me, and I can take it or leave it, I am NOT eating very healthy at all.
Gardening has always been a love of mine, my grandchildren and I have worked on a new section of my garden....it is the "Elf" garden, and all the plants are miniatures, and we have a elf house and the children have made stepping stones our of shells.........it takes my mind away from frustration.
I will keep you in my thoughts and prayers........I will send them SOUTH..........I am above you in Minneapolis!  Sending you my best :cuddle; Nan
Title: Re: Since Transplant, some issues..
Post by: st789 on August 02, 2008, 07:49:09 PM
Wish you will accomplish the goals.
Title: Re: Since Transplant, some issues..
Post by: MyRenalRomance on August 05, 2008, 12:56:21 AM
:flower; Oh thank you ....thank you!  That is WHY message boards are so good for you!  I too, am frustrated,  I am going on six months since my transplant....and I am soooooooooooo tired , all the time! I can not even believe the things I "turn down" to do, because I am so tired!  and...I have transportation, so I just don't know.  I truly thought by now, I would be feeling pretty darn normal, I avoid naps during the day,  lay away more than half the night.  I do agree about the food thing, food still tastes like cardboard to me, and I can take it or leave it, I am NOT eating very healthy at all.
Gardening has always been a love of mine, my grandchildren and I have worked on a new section of my garden....it is the "Elf" garden, and all the plants are miniatures, and we have a elf house and the children have made stepping stones our of shells.........it takes my mind away from frustration.
I will keep you in my thoughts and prayers........I will send them SOUTH..........I am above you in Minneapolis!  Sending you my best :cuddle; Nan


My health insurance Case Manager informed me that it was "completely normal" to not feel "up to par" up to 6 months (and possibly longer) post-transplant.  Sending you positive thoughts and best wishes, Nan! 
Title: Re: Since Transplant, some issues..
Post by: MyRenalRomance on August 05, 2008, 01:06:09 AM
Angela,
Are you back from your vacation, yet?  Hope it was/or still is a GREAT one!
Thinking of you, and wishing you all the best!
Charlene aka MRR   :cuddle;
Title: Re: Since Transplant, some issues..
Post by: pelagia on August 15, 2008, 02:25:14 PM
It can be so difficult to deal with feeling tired all the time.  I've been there many times despite having no major health issues.  By doing the "experiment" over and over again I have found that if I am not eating well and not getting exercise I will become more and more tired and more and more sedentary.  It's a vicious spiral for me.  And then unfortunately, I am one of those folks who starts gaining weight.  My blood sugar starts to creep up too.  I assume that it is "metabolic syndrome" or something like that, because as soon as I cut out the processed foods, sugar, etc.  I start feeling better.  I find that as I get older (now 53) it's even more difficult to maintain my weight, but even more important.  I know that those of you on dialysis and those with transplants face many more challenges to stay healthy.  Sometime I don't know how you do it.  It has certainly inspired me to be much less of a wimp.