{"id":25,"date":"2019-01-01T00:00:00","date_gmt":"2019-01-01T00:00:00","guid":{"rendered":"https:\/\/cota1.wpengine.com\/cotaforarabella\/2019\/01\/01\/seasons-of-love\/"},"modified":"2019-01-01T00:00:00","modified_gmt":"2019-01-01T00:00:00","slug":"seasons-of-love","status":"publish","type":"post","link":"https:\/\/cota.org\/cotaforarabella\/2019\/01\/01\/seasons-of-love\/","title":{"rendered":"Seasons of Love"},"content":{"rendered":"<p>&#8220;Seasons of Love,&#8221; a song from the Broadway musical Rent, starts with &#8220;Five hundred twenty five thousand, six hundred minutes. &nbsp;Five hundred twenty five thousand moments so dear. Five hundred twenty five thousand, six hundred minutes. &nbsp;How do you measure, measure a year?&#8221; &nbsp;The near end of the song says, &#8220;Remember the love. &nbsp;Remember the love. Remember the love. &nbsp;Measure in love. &nbsp;Measure, measure your life in love.&#8221;<\/p>\n<p>We&#8217;re starting a new year today. &nbsp;One that promises to be vastly different from our last one, but with a new set of challenges. &nbsp;If I summed up 2018, I would say it was the year I lost my job, gave away a kidney and gained perspective. &nbsp;Arabella, when asked, said 2018 was a pretty crummy year, but December pulled through. &nbsp;In the end, if we measure our year in love, it was an amazing success. &nbsp;We have never felt as supported by the people in our lives as 2018 showed us. &nbsp;<\/p>\n<p>Our goal was to get Arabella to transplant in 2018. &nbsp;On December 18, we snuck in, just under the wire. &nbsp;As her living donor, I had surgery at the University of Cincinnati and my kidney was carried across the street to Cincinnati Children&#8217;s Hospital Medical Center, where Arabella was waiting in the operating room. &nbsp;Happily, all went well. &nbsp;I was discharged from the hospital the following day and Arabella was discharged on Thursday, December 27. &nbsp;<\/p>\n<p>Unfortunately, a kidney transplant isn&#8217;t an easy adjustment. &nbsp;After fighting extraordinarily high blood pressure for over a year&#8211;she was on 5 daily blood pressure meds and ultimately even had her kidneys removed to try to control it&#8211;Arabella is now suffering from low blood pressure. &nbsp;Going from one end of the spectrum to the other, literally overnight, has her feeling nauseous, dizzy and exhausted. &nbsp;<\/p>\n<p>The high phosphorus levels, which had her swallowing a handful of pills with each meal and snack&#8211;and which ultimately prompted our early move to Cincinnati because of the need for both hemo and peritoneal dialysis&#8211;again, gone&#8230;overnight. &nbsp;Replaced by, you guessed it, a phosphorus deficiency that now requires meds 3x\/day. &nbsp;<\/p>\n<p>The drinking limit of 34 oz per day has been replaced by the need to drink no less than 2 liters of fluid every day or face increased lab values. &nbsp;The leg aches that disappeared with dialysis have returned, but she can no longer use Epsom salt or magnesium spray because it could affect her post-transplant magnesium levels. &nbsp;<\/p>\n<p>At this time, Arabella and I are pretty much quarantined to our Cincinnati apartment for the next 6+ weeks. &nbsp;She has twice weekly appointments at the hospital to keep us busy. &nbsp;Or we can go outside, since germs are dispersed more easily outdoors. &nbsp;We have to be extremely careful during this period because, although she will be on immunosuppresants the remainder of her life, she is on the highest doses right now. &nbsp;These medications suppress her immune system so that it doesn&#8217;t recognize my kidney as foreign and fight it. &nbsp;The downside is that she can&#8217;t fight any other germs either. &nbsp;When we go outside the apartment, she wears a mask to minimize exposure to germs.<\/p>\n<p>All the things Arabella is experiencing are routine for transplant recipients. &nbsp;It&#8217;s just that most of it isn&#8217;t talked about outside the kidney community. &nbsp;People tire of hearing dreary news. &nbsp;They want things to be better&#8211;back to normal. &nbsp;The reality is that &#8220;true&#8221; normal is part of our past. &nbsp;We&#8217;re adjusting to a new normal&#8211;and for as long as Arabella&#8217;s kidney lasts, it&#8217;s a normal without dialysis. &nbsp;When she wants to go to sleep at night, there&#8217;s no setting up her machine and connecting, just falling into bed. Gone are the 3 days per week spending our afternoons at the hospital. &nbsp;We&#8217;re adjusting to Arabella having a kidney that&#8217;s powerful&#8211;a good problem to have. &nbsp;She has traded her old meds for new ones. &nbsp;The first year post-transplant is supposed to be the hardest. &nbsp;They prepare you for it as best they can&#8211;I&#8217;ve said it&#8217;s a lot like having a new baby&#8230;until you&#8217;ve gone through it, you can never really &#8220;know&#8221; what it&#8217;s like and even then, everyone&#8217;s experience is different. &nbsp;<\/p>\n<p>We&#8217;re entering into a new season. &nbsp;A new year with a different measure. &nbsp;We want to make our minutes count and we&#8217;re thankful for your continued love. &nbsp;We feel blessed that things are going so well and we look forward to 2019.<\/p>\n<p>Tonight&#8217;s picture features Arabella as she waited in pre-op to go to the operating room. &nbsp;How do you measure a year? &nbsp;Remember the love.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/cota.org\/uploads\/291\/images\/Arabella%20to%20transplant%20surgery.JPG\" alt=\"\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8220;Seasons of Love,&#8221; a song from the Broadway musical Rent, starts with &#8220;Five hundred twenty five thousand, six hundred minutes. &nbsp;Five hundred twenty five thousand moments so dear. Five hundred twenty five thousand, six hundred minutes. &nbsp;How do you measure, measure a year?&#8221; &nbsp;The near end of the song says, &#8220;Remember the love. &nbsp;Remember the [&hellip;]<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-25","post","type-post","status-publish","format-standard","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/cota.org\/cotaforarabella\/wp-json\/wp\/v2\/posts\/25","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cota.org\/cotaforarabella\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cota.org\/cotaforarabella\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/cota.org\/cotaforarabella\/wp-json\/wp\/v2\/comments?post=25"}],"version-history":[{"count":0,"href":"https:\/\/cota.org\/cotaforarabella\/wp-json\/wp\/v2\/posts\/25\/revisions"}],"wp:attachment":[{"href":"https:\/\/cota.org\/cotaforarabella\/wp-json\/wp\/v2\/media?parent=25"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}