Sunday, March 22, 2009

Results

After what seemed like forever trying to get arrangements made with the financial counselors at a particular hospital (because I'm without insurance currently), my health clinic and the lymphedema clinic, I was finally able to get an appointment. Sarah and I went to the Lymphedema Clinic this past Thursday.

The occupational therapist (OT) asked me a few questions about my arm to start things off. In very little time she stated that I pretty conclusively have lymphedema. To know for certain if it is lymphedema versus another time of edema - a.k.a. swelling - I would have to have an expensive test done where they inject dye into my arm and measure the uptake of the dye by my lymphnodes and all of that. Regardless of whether it is general edema or lymphedema, though, the treatment is the same. The OT said that I likely have primary lymphedema which means that I got it genetically. This surprises me because I don't know of any family members who had it other than my dad, but his was from cancer in his lymphnodes so his was technically lymphoma.

I begin treatment tomorrow. I am scheduled to have treatment every morning this week. Kim, my OT, does not think I will need all 5 days, but we scheduled it just in case. Kim's pretty certain that she can get my left arm back to its original size. On Thursday, my left arm was about 1.5 inches larger in circumference than my right arm (which is my dominant arm). The treatment is called Complex Decongestive Therapy (CDT). It is basically the manual moving of the fluids from the extremity with unhealthy lymphnodes to other extremities. So, beginning tomorrow, Kim will push the fluid from my left arm toward my right arm and left leg. The fluid should then be processed properly there and no swelling persist, ideally. After she finishes the treatment tomorrow, I'll have to wear bandages on my arm until the treatment Tuesday and that pattern repeats all week. Once treatment is finished I'm pretty much set. I will learn techniques to perform "self maintenance" on keeping the fluid down in my left arm. I am to go see Kim after treatment is concluded if the swelling continues and persists for more than 2 weeks. So basically: I do this treatment this week and just go in for tune ups when I need them.

There are a few life changes that will have to come with this. One is knowing and dealing with the fact that I'm not invincible. Lymphedema is not curable, but it is treatable. Another change is that I will likely have to wear a compression garment when engaging in physical activity. A final change will be making healthier lifestyle choices. I will need to exercise more regularly (with my compression garments), eat foods that are low in fat and salt, and practicing meticulous watchfulness over my left arm including heightened skin care and steering clear of scratches, bug bites, needle pricks, etc. (these last ones are all due to the greater possibility of infection because of the lymph build up in that arm.)

So yeah. That's me right now. My wife and I are dealing with it and doing okay. I'm a little better than she is. Pray for her. Pray for me. Pray for us. Whatever the outcome of this, to God be the glory. He will work this out for good. I believe it, and I'm expecting it, and I'm naming it, and I'm claiming it, and I'm planting my seed, and I'm Benny Hinn-ing it...so yeah. We're covered.

3 comments:

  1. Benny Hinn-ing it? I hope you're joking, otherwise I'll drive down and smack you. You and your compression garment...

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  2. Benny Hinn healed me of TV evangelists.

    I'm sorry to hear about the added trouble in life now. Man. At first, when you said "compression garment," I imagined a mechanical arm/vest that would make you look like a cyborg. Doesn't look that bad from the picture. But still, adding all those precautions to your life will be a challenge. Like you said, God be glorified here.
    Prayin!

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