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Haley Holland

Patrick went to Seattle last week for a follow-up, for tests the team didn't do in March when he was admitted for signs of infection. He had a Dexa scan and his 13th heart cath/biopsy.


He has NO rejection! And they are decreasing his Tacrolimus, which is his major anti-rejection medicine. He takes four milligrams in the morning and four at night, so now they are decreasing his nighttime dose to 3.5mg. It isn't a huge development, but it's better than 1) needing to increase it, or 2) keeping the original dose. His numbers looked to be a smidge high which means his immune system could be repressed unsafely, so without personally talking to the team myself, this is what I can infer by their decision to decrease his dose. 


And this is while he is still on 25% of his original dose of Micophenolate, his other anti-rejection medication. The team is happy with what they see. 


His white blood cell count is 5.5, which is wonderful for him.


His kidney function looks good.


His bone density looks good.


Why can't they fix his sense of humor?! While at Six Flags in Georgia, on the way out I was trailing behind the family taking photos. He stopped a security guard at the exit and said, “Excuse me, security guard? This lady groped me.”


The security guard was a wise man. He replied, “How'd you get so lucky?”


It's not as sweet as it sounds. The guard's parting words were, "I can't get any of them to grope me."


Lord, help me.


Due to his unexpected infection in March and his continued low dose of Micophenolate, Patrick is on the schedule for another biopsy in four months. While this had not been in the original plan, I can see the wisdom behind it. I wouldn't be against it if they wanted him to live in a bubble. I don't want anything to happen to him.


While we know things can turn on a dime for transplant recipients we are enjoying each day together. This summer we have gone on nature walks, gone swimming several times at the lake, enjoyed a vacation out of state, worked on our yard and improving our home, and lived as normal a life as we can while Patrick continues what feels like recovering from the heart transplant.


Not much of an update, but we are happy with his progress. 


I can't tell you how many stories I've heard from Facebook groups I'm in, that make me feel so blessed that his journey has developed the way it has. There are people suffering from joint replacements, amputations, recurrent infections and rejection, and piss-poor quality of life. We were always told a heart transplant was trading one illness for another, but Patrick's is turning out to be an illness for which we are both profoundly grateful. 


We went on our first family vacation that wasn't an Alaskan road trip fishing excursion.


Patrick has been blessed with countless visits to our shop from people who are thankful to see that he is still alive.


He was able to retrieve our 5-year-old after Samuel's second day of school, when the bus arrived at our driveway.


I asked him if he wanted to watch a movie tonight, just the two of us.


He got into water fights at the lake with our kids, without fearing his heart would act up.


We ate at the local Chinese restaurant and he felt no effects from the massive amounts of sodium they pack into their food.


I have no complaints about what happens in our bedroom…


It's the big things, and it's the little things. It's all things, really, that we are thankful for.


It's watching him tell tourists who come into the shop asking for the code to the bathroom, “You have to hold the keypad between your fingers, lean down, and say into it, ‘Rubber chicken.’” 


Patrick has an amazing poker face. 


That's not to say I don't occasionally imagine my hands around his neck, but for anyone who has known Patrick for any length of time, I'm sure you wouldn't begrudge me a moment or two of weakness.


Live every day like it's your last. Don't go to bed angry. Hug those who are dear to you. Tell them you love them. These aren't just empty platitudes. I've said it before - tomorrow isn't guaranteed. 


Just think of the alternatives - your family dying in an accident on the highway; cancer taking away a loved one in weeks; even something like losing your sight, or your mobility, or, God forbid, your dignity. 


Life is so precious. 


Thanks again to everyone for your support, well wishes, and prayers. I don't mean to get sappy, but when faced with the threat of losing the most important person in my life and then being blessed with getting him back in such good health, I can't help but wish everyone - including myself - could see the blessings in our lives every moment of every day. 


Until next time…

Haley Holland

I need to clarify a circumstance I wrote about in the one-year blog post, and apologize for any negativity I expressed.


As you all know, I get all of my information secondhand from Patrick - meaning, not directly from his providers. So when he vented frustrations to me about his first Neupogen shot at Fairbanks Memorial Hospital, I then vented on here with information that wasn't entirely correct.


Patrick's care from FMH has been exemplary. The staff at the hospital haven't always been equipped for his complicated case, but when it has been necessary, they haven't hesitated to bring in (or push him towards) the team in Seattle. This hospital-to-hospital working relationship has never been 100% smooth, nor will it likely ever be. But both hospitals do their best to maintain Patrick's excellent level of care.


So my frustrated and snarky comment that amounted to, "The right hand doesn't know what the left is doing," in regards to FMH was in error, and I apologize. After having it explained to me today, I now understand what was going on behind the scenes, out of my view, and how I jumped to the conclusions that I did.


You know what they say about making assumptions...


Also, Patrick has made a commitment to provide only the facts to me, much less colored by his own frustrations, in an attempt to ensure my updates are unbiased and true. He also apologizes, because he understands his role in this transplant update grapevine.


Grace isn't something I take lightly. I extend it to others in abundance, but don't often request that it be granted to me. I ask that now - for my previous posts, and future ones. You guys know I vent my frustrations here, and likely still will. But know that I am human, and I often make very human mistakes.


Much love to all of you - our friends, families, supporters, and the staffs at FMH and UW Heart Institute 💕

Haley Holland

I just wanted to pop on quickly for an update on Patrick's lab work. His white blood cells on Monday were back down to 1.9. This wasn't as concerning as the 1.3 from last week. The transplant team has hesitantly decided that if tomorrow his WBC is still low, they will decide whether he a) gets another Neupogen injection here, or b) flies down to Seattle.


I have still been sick, which is why I didn't post this earlier.


But I wanted to address again the fact of Patrick coming home from Seattle with his blood counts low.


I went back into his records and recorded every CBC he has received since the one right before his transplant. His numbers tell a compelling story, which is probably why I stuck it out after realizing what a hole I had dug for myself. I like numbers. They have always been calming for me; grounding for me. I may not have made it through Algebra II in high school, but spreadsheets and number organization have always been my thing. (Just the other day I followed a YouTube tutorial on building a mortgage amortization spreadsheet to estimate the progress on our young mortgage, just for fun....)


So, for your reading pleasure I have included an image of said record, dating back to February 2023.


As for his more recent records, if you take his WBCs from the previous seven months (August - February), the average is 3.58. If you go back to June, when they finally dipped below the 5s, the average for those nine months is 3.44. So I can see why the 2.9 he had on Friday, March 22nd, was enough to send him on his way.


Tomorrow we will see what his labs say and what his immediate future looks like. I don't relish the idea of another Neupogen injection because it really did a number on Patrick's body. But I would really like his early-March health back.


By the way, that biopsy they did on March 20th showed no rejection. He's my rockstar ❤️

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