Marina is 7 now and Mary is 13, and I am still here, two and a half years longer than the doctors at Tampa General said I had. I hope my friend Suzanne's sister Erica, who has lung cancer and a similar 1 to 2 year prognosis, has the same fortune I have somewhere stumbled upon and worn like a talisman. Nothing can be wrong now--I recieved the 4 more years I wanted, and all the rest is just the parade. Unfortunately, interferon causes depression in over half its knowers, and I come from a rotten family. Did I say? I don't mean my grandmother Young, who I just found out at the Ellis Island website came here in 1907 from her home someplace in France not called Marseilles (as she always maintained), with her little brother and sister, an older brother, a strange person with her last name and hometown and ten years older than her at aged 18 and possessing the first name Marie , and Grandma's mother, then aged 38. All of which told me that my great-grandmother was 30 when she had her second child ( Grandma had her first at 20), and Grandma's father wasn't with, when the kids and mother came to America ; and the elder girl was signified a child of the mum's on the manifest, just like all the rest--did Grandma have an older sister, and why was it hidden? I am just beginning to crack this one! But Grandma's son is a hermit who dislikes everyone---his wife, ditto plus neither were nurturing to their offspring but remote. I have their only grandkids but if I call them (they never call me), they say so what did you call for? I say, oh, just to see how you are and say how we are. So? They say. So what? I say puzzledly. "That's what I say," my dad will then say. His wife is even colder. She says to Mary every time she sees her"My you've gotten big!" I told her last May in case she wanted to get Mary some clothes for her birthday, that Mary wore size 16 pants now. I told her again at Christmas and told her this year that Mary was in the junior department. For her birthday 2 weeks ago Mary recieved a pair of beautiful embroidered children's size 12 blue jeans. I think, well, the couple is 80 and 73 years old! But they just had to ask me again, no? It's not easy to blow off. I am the kid's only other source of clothes and my SSI check goes totally to utilities and food every month.
Monday June 11 I really really finally start my 365-day interferon treatment. If it clears me of the virus--and I will be on half of the minimum dose known to work 30% of the time---I can get my new heart 6 months later, putting us at about Christmas 2002 and the following 2 years, since it can take that long for them to come up with a heart. Meanwhile science has been devising alternatives such as injecting arm muscle into the heart to allow new tissue growth in the heart, which is being done by the experts at the place that treated me like royalty, the USC people at the Doyenne Eye Clinic in downtown L.A. (Overlook the peculiarities of that sentence--that's where famed USC cardiologist Uri Elkayam has his office. I don't know that he is involved in this,but I'd trust him. He gave me my wild hope of living until 2009). I haven't been able to get out of bed for 5 days, if you wonder how bad I need that heart. Bad enough, you know, to give myself joint and muscle aches all over my body, and headaches and chills, and possibly depression, for a year to have a 30% chance of qualifying. I attempted to package it pyschologically to make it through and then had a 5 month wait I didn't anticipate while my primary doctor played God. Primary, you know, the guy who has to dip his hand into the Medicaid funds every time I see a doctor who can actually treat me. His name is Shah and he makes me see him to see anyone. He treats us like cattle, not people. He has signs all over his office"A referral takes time to process--please expect to wait a minimum of 5 days " and "No medicines will be prescribed over the phone" and "No referrals will be given without an office visit". He has never one time asked me how I was, what I can do-- they weigh you and take blood pressure with the ancient cuff and your temperature with the old kind of thermometer. Period. A brokerage through and through. Well, this geek said I could start my interferon in March, he'd request labs, call for the referral in a week. Then each week the office said he'd left nothing, no referral, they'd have to ask him--finally they said come in or he won't do it. I went in and he said "I told you not to use Shands doctors for your liver." He had told his wife maybe, but not me. " told you it was stupid to do this through them--they are too far away." "Hey look, "I said,"You said this was ok. If it wasn't, I was suposed to find a new primary weeks ago.You held up my therapy.You know I'm getting my heart transplant at Shands. Their liver doctor is working with them on this. This idea came from my heart transplant program. I'll have to live in Gainesville eventually to be near when they get my heart. I need their hepatitis doctor. She's the best in the state. I will terminate any other doctors that get in my way." "Ok, Shah says, You can go through Shands, and I'll order weekly labs because of your heart, if you go see a local liver specialist and a psychiatrist first.Those are my requirements." "Why a psychiatrist?" I said. "Because you are worried about depression." "Well let's just see if I get it." "No, I want one to see you first,"he insisted. I was able to see the local gastroenterologist he referred me to --an Indian like Shah--that week. This doctor, Dr. Presaad, said very few get cured on the whole reboviron (interferon plus another drug) dosage, and half the dose would be hopeless. "I don't understand why anybody would put anybody on half the dose when the whole dose only works one-quarter of the time," he yelled at me. "It can never work. Why are they bothering/" Then he said "I guess there is no other chance. The alternative is no hope at all for you. I guess they just think trying anything is better than trying nothing. But it won't work. it is unheard of--no one has ever responded to a half-dose, no one." I was about ready to shuck the whole idea, and just die like I'm suposed to have to, when I called Shands and they said "There's a lady right here working in this office who was on the half-dose and she has been virus-free for 6 years. he doesn't know what he's talking about. We're the experts, not him." So I've decided to be dasterdly ill for a year in the hopes that it isn't my last year and I'm not wasting it all being ill, but that the experience will gain me many more years. So Shah writes me a referral for a home healthcare nurse, to teach me how to inject the drug. I come home and call the place. "He did it all wrong," I hear , for the fifteenth time (his referral for my liver biopsy was wrong, and my mammogram, and my labs--). "His office is suposed to call us. Have them call us. We don't let patients interpret orders." But they stopped answering their phone half-an-hour early, and everything has to wait out the weekend now. I still have to start the drug Monday, although I never saw a psychiatrist.----(Because you go once to see a video, which I did, then they see you a month later to draw up your mental health needs plan --my appointment is June 24, almost 8 weeks later--and then they set you up your appointment with your psychatirst at that time, for about a month away. So Shah finally relented on that obstacle he put on the course out of perversity to begin with, and he's letting me start the interferon before I see a psychatrist.) I want to go out t with my kids before I can never get out of bed again. Have Mindy over for lasagna, cruise on Dan V's Harley . I expect the worst while I hope for the best--- My life, insignificant to you, merely a chapter in the lives of my friends, totally engulfing, seamlessly braided with , the lives of my two little girls.
The Web is 2-tiered now: Those who can join Classmates.com and keep their free websites after the provider decides to charge them $200 a year for what was free for 3 years; and those who can't.
OTHER UPDATES Shanna goes to another bond hearing later this month--- Denise-Berniece won on appeal yesterday, and I thought of why I even cared. I depend on my police department to be as rational as I am. Read the following articles and you can see how they are like an emotional organism. It's scary. Also: News! Life doesn't give you a break while you're on interferon.
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