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Puja

30 Oct

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For Hindus Lakshmi is the four armed goddess of wealth and prosperity. During Diwali she is prayed upon to bring this good wealth and prosperity to both the home and work place. In preparation dwellings are cleaned and sand like paintings called “rangoli” are drawn at the door steps to welcome her. In the evenings diyas and candles are lit.

After my morning physical therapy session I am summoned to the main floor injection room for a deep skeletal muscle injection (DSM). Dr. Shroff has expanded her applications of stem cells for all patients. On my previous treatments these type of injections were reserved mostly for the spinal cord injury patients. I have watched my friends receive these injections and know they fall somewhere between the daily intramuscular shots and a caudal or epidural procedure. The needle is the same small insulin syringe used for the daily intramuscular shots but like the procedures is injected along the spine. Today will be my first DSM ever. I am apprehensive but know I am surrounded with the best people I can be. The anesthesiologist, Dr. Mishra has me sit and finds a spot on my lower back along my spine where he then injects the dose of stem cells. It is not painless but it is not painful either. I must admit I am distracted because the lobby is being set up for the puja ceremony, which I always look forward to. The more routine daily injections follow, one IM in my arm and an IV push of stem cells too. Then I hurriedly return to my room and dress in my Indian attire.
Each year Dr. Shroff holds a puja ceremony for the hospital in celebration of Diwali. As I make my way into the lobby it is already filled with the hospital staff and patients. Dr. Shroff and her husband sit in the middle with a Hindu priest. The priest speaks in a continuous rhythm. Dr. Geeta and her husband place offerings, there are lots of marigolds and yogurt and fruit involved. Then each person in the room is blessed with a red dot on their forehead and string tied around their wrist. Dr. Shroff is very inclusive during the ceremony inviting any patient who chooses to go to the altar to participate circling a plate with a candle around the altar offerings. The taste of Indian culture unites the hospital, staff and patients alike. This is part of what keeps me coming back to India.

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The revolving door that is my room

28 Oct

Oh the revolving door that is my room. My back still feels fine after the procedure yesterday but I am exhausted. All I want is a nap. 30 minutes to recharge and allow my baby stem cells to do their growing and healing. Not a chance. If the door is not opening my room phone is ringing. I am not even the intended contact nor is anyone in my room at the time of the call. By late afternoon I am done. Either I start screaming at the top of my lungs or run away. My mom and I choose the latter. One of our favorite markets is lit for Diwali with strings of lights and decorations. We wonder around the market and return to the hospital for dinner. As the natural light fades riding down the streets in a tuk tuk become like driving through neighborhoods in the states looking at Christmas lights. The major difference — in India lights are hung vertically like a waterfall. I needed the break and the lights are a most pleasant surprise after an overwhelming day. I have been here for Diwali before but I was not well enough to go out and see the lights. Now I am.

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It’s procedure day!

28 Oct

I am ready to receive my first procedure of the trip. In contrast to the daily intramuscular arm injections, procedures administer the largest quantity of stem cells directly into the spinal column. These procedures often yield the most noticeable changes almost immediately. Today’s procedure, a caudal, is an epidural type injection at the base of the tailbone.

The day starts with physical therapy where I do more than usual in anticipation of being stuck on my back post-procedure. I even do modified jumping jacks – no arm motions. I am winded when I finish but do not get to rest. I am sent for yet another test at a facility a few buildings down the street. The test is an eeg and goes quickly enough. Back at the hospital I do not get to eat lunch, it is too close to procedure time. The sisters apply an anesthetic cream to the base of my tailbone, ok butt crack, and cover it with tape. This protocol is newer. The IV antibiotic monocef is administered and once complete I am on a gurney and wheeled away onto the external elevator. This elevator lift is a new addition since my last visit and is long enough to fit a gurney and several operating theater staff. Laying on the gurney I can say the ceiling of the lift is a very clean and modern in design. I am wheeled into the OT where I instantly recognize the two sisters. They talk to me and turn on music. Today’s selection, jingle bells. Christmas in October I joke. NuTech now has two anesthesiologists who rotate doing procedures. Both are highly skilled and capable and give each patient an orientation when they first arrive. I have Dr. Nayan. He is a man of few words but informs me of the important information while a sister makes conversation to distract me. First he cleans my backside and then gives one injection. That is the only pinch I feel from then on it is only light pressure. Unlike the anesthetic used previously my legs do not feel as though they have lost feeling. For someone who can feel it is a huge relief not to need to check that my toes can still move. This is by far the easiest caudal procedure I have had. The entire process is completed within minutes. There is no traveling between Dr. Shroff’s hospitals now. All procedures are done at the Green Park location. Once back in my room I am to stay flat on my back for the next hour. That is it. Then I can move as I please. Immediately though I feel the nature’s call. Isn’t that the way it always works, when you are not supposed to move you feel the need to. Once the hour is up I move freely. I can sit up to eat my lunch. I do not have a headache but I rest for the remainder of the day knowing it is what my body needs to process the large dose of stem cells.

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Testing day

23 Oct

I am running on adrenaline as I wake for the day I know will be filled with testing. Dr. Geeta is at my door before I am out of my pajamas. In my defense the door began revolving a good hour before her arrival. The morning blood pressure check, a doctor taking history, breakfast and even housekeeping.

Today’s testing agenda: SPECT scan (of course), abdominal CT and ultrasound and an extentsive blood. Basically poking and prodding. The scans are be done at Fortis hospital. To my dismay the singing nurse who has administered the tracer for my previous SPECT scans is not there. Instead the tech tells me “close eyes and close lights.” I cannot say it was a quiet room while I rested for the scan, but I was tired enough to take a nap. Dishes clanged in the background (presumably from lunch) and what can best be described as an air raid siren blared several times from the nuclear medicine department down the hall. From there I am guided to the next set of tests. The CT and ultrasound are involve more waiting but are straight forward. Once complete the Fortis man who drove us to the hospital reappears to usher my mom and I back to the car and drives back to NuTech. Usually test results have a quick turn around, hours to one day. But it is Friday so my results will take longer. Once in my room I get a blood draw and stem cell shots in the my arms.
My veins have been hard to find the last few years. They hide, they know what is coming. Luckily my body allowed my veins to show and each stick attempt today hit its mark. All of my main veins have been used in the first 12 hours of my treatment. The poke total this day is 8.

PRICING FOR TESTING IN INDIA: OCTOBER 2014
SPECT scan Rs.14000 $227.92
Full Abdomen CT Rs.12950 $210.83
Lower Abdomen Ultrasound Rs.1050 $17.09

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Home sweet Delhi

23 Oct

I am home again! 3 years away seems like a lifetime. Much too long. The Delhi airport is complete. Art and beautiful hand sculptures greet those entering through customs. Airport wheelchairs look to be abundant, good to note for those needing assistance during travel. The hospital looks the unchanged and foreign at the same time. In the lobby signs mark milestones for NuTech, 10 years and 1000 patients strong. We are taken upstairs to a room I know well. It is the same room I shared with my mom our last trip. Some of my favorite people have stayed in this room as well. Once settle my body does not care I am in an industrial hospital bed. It feels safe, comfortable even. The bed is nothing like mine at home, yet it is just as familiar. The sounds of Delhi come like waves. Horns and cars ebb and flow while drifting stray dogs bark protecting their territory. Half way around the world an ocean of a different kind lulls my traveled body. I sleep like a baby.

The morning brings faces, both old and new, chaos and a revolving door. I am welcomed home. Today I am allowed to rest and greet the sisters, tomorrow tests will be preformed and treatment will begin.

Reminiscing in preparation for my return

22 Oct

I’m headed back for more treatment. This time on my terms not out of desperation, or doctor or even parent direction.

I approached my parents. I contacted Dr. Shroff on my own. I chose the flights. For the first time I set the trip in motion.

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Packing for my return I reminisce on all that brought me to India the first time. 7 years seems like long ago. At the time I was so young, Dr. Shroff had my parents wait until I was 18 to bring me to India (Dr. Shroff now takes patients younger than 18). I still remember the news as the best birthday present ever. My Lyme ravaged body was catching up to my already deteriorated brain. I could barely speak. I could not read or write. Fatigue and pain were constant. Ripping bartonella pain was taking away my ability to walk even the short distance to the bathroom. Treatment efforts had become ineffective. The pain medications covered a fraction of my pain, a fact I tried to hide.

Back then Dr. Shroff had her patients stop all medications before undergoing her stem cell treatments. I could not go without medications at home but for stem cells I stopped everything. This meant going off cold turkey for most of the necessary prescriptions. I would not recommend doing this then or now. I was incredibly fortunate that I did not suffer any withdraw effects. At least none that could be deciphered through my Lyme symptoms.
I went to India in a wheelchair. And although I could walk some I returned home in a wheelchair after 3 months of treatment. Medications that had stopped working to treatment my condition were becoming effective again. However, within 3 months of returning home to the states I was in need of more stem cells treatment. This came much earlier than expected but again my mom and I made the journey to India with me in a wheelchair.
I made the same journey two more times. My last stint left me with an able body and mind ready to relearn how to live.
Stem cells heal damage. They must be taught to live to flourish.

I spent the next years learning and relearning how to live. Sometimes I fell down sometimes I moved mountains. I was able to return to school. Though I was by no means out of the woods and healed, I had an immune system ready and willing to work for me.

My brain raced with all of the new knowledge. It over fired leading to new challenges.
Treating bartonella left me with CIDP.
And over this last year my adrenals became ineffective. Adrenal insufficiency made me dependent on steroids to remain able to function.
Yet I still managed to move out and live with some assistance but growing in independence.

And this is where I now sit on my apartment floor packing my last few items in preparation to leave for India once again.

A smorgasbord of various seared items cook in my head

10 Jun

Like chicken on the grill, my head sears with pain.  Only 20 minutes into my studies and the pain begins.  Slowly at first it intensifies with the passing of time.  Stopping now will not stop the burn.  Usually this pain comes after I study or focus for long periods of time never during.  I’m stuck none of the problems make sense it’s either my brain or the book, one is wrong and I’m guessing it’s me as the math problems swirl circles in my brain. The chicken continues to sear.

In this moment I want to give up, throw it all away and just let what I have gotten back be enough. If every time you tried to remember or focus for long amounts of time you got a burning headache wouldn’t you just want to leave well enough alone?

I can’t I’m so close. My high school proficiency test is in a week, so onward I must press. I can’t stop, it’s hard enough looking at a book and relearning something you know you already know but can’t remember. I want to know what I know.

I cry in frustration. The tears fall on my book. Tears have become my response to frustration, I guess in most instances these past few years pain has caused or accompanied my frustrations.

I dry my eyes after a pep talk from my mom and though she urges my to stop for the day I go back to my algebra book, skipping the problem that was sending me in circles.  My head feeling like it’s moved onto grilling a mix of vegetables.  for days with no apparent end in sight.

When it hurts to think

29 Apr

As I continued to regain my health and add more back into my life I find some things are harder than they once seemed.  I am a learner, new knowledge always fascinated me and giving up going to school in order to take care of my body was one of the most difficult parts of my life to let go of.

School was all I knew, being a student what else do you know when you get sick at 13?

When I was fist getting ill I went to school, pressing through because it was important to me.  I am driven. If I really pushed myself I could continue to go to school though at a high cost.  My health deteriorated more and more, homework took longer and longer to complete and my parents assistance became a constant. I had worked myself through fatigue, pains, and non-existent short-term memory. It was only at my doctor’s urging that I stopped schooling in hopes of stopping my health’s decline.  Otherwise, had my doctor not released me, I surely would have continued down this road of only making myself more sick.  I continued to learn on my own while sick but, in the back of my mind, getting back to school was my goal.

Years later with the help of various treatments and stem cells I am once again able to try going back to school.  Unlike the few times (once each year virtually) I thought I was well enough to try again, this time I truly am.  I am starting with one art class.  So far playing with metal and fire is going just dandy.  Along with this class, I am also studying and taking assessments, this is where the pain in my head starts.  A friend earning her teaching credential needed someone to do learning assessments on.  I am her case study.  It is great practice for the upcoming tests I will be taking and I can see the areas I may need to work on more after being sick for such an extended period of time.  These assessments are long and cover all the basics in math, English, reading, science, etc.  However I have not been able to access what I learned prior to being sick in years.

IT HURTS TO THINK. Literally. I get a headache after each session that lasts for hours. All of the pathways that weren’t used for so long now burn with use. We split up the tests into1 hour chunks instead of the 2+ hours all at once. I feel my brain sting after.

You know when people say don’t think too hard, you’ll hurt your head, well mine hurts and I’m not thinking that hard.  Oh does it hurt, and yet it’s worth it.  Lyme shook up my brain, strewing its contents about and locking it away.  Now I have the rusty keys and I have the ability to unlock what has been in my head for years.  My writing is back, reading too, spelling is coming, and math is hard work.  Math makes my head hurt the most.  Algebra, find x and y hmmm… I know this stuff.  I recognize what to do but just can’t quite remember.  Everything I do takes longer than it used to but I can do it with a little practice.

Stop and paint the dahlias

24 Oct

It is time to leave again, back home to the states.  Dr. Geeta says she hopes I return for a visit, and by visit she means just to play, not for treatment. She wants me to spend a year living my life and free from the Lyme centered one I have lived in these past years.  I do believe I am getting better and have seen vast improvements but I still have a ways to go.  I read with ease, I am able to write and remember.  I have my short-term memory back. My speech is back and I say exactly what I want to say and more.  I have more energy and am getting my independence back too.  It is true though that, much of my further recovery is up to me, continuing physical therapy and doing things that exercise my brain as well getting out in the world.  There is still that little part of me that says not just yet.  It hasn’t even been a year that I have felt this well, let alone six months and I was sick for so long, seven years.  That part of me knows healing takes time.

I see don’t speak too soon written all over my mom’s face when she hears Dr. Geeta say visit with such confidence.  My mom too is unsure.  I am her baby and she wants to be sure, absolutely sure.  Lyme has so many ups and downs with lots of trick up its sleeve.  And she knows as well as I that the ultimate test is if I can return to school and stay healthy.  School has been where I crash the hardest.  I over do it, I am learning not to.   But I push myself, and when I push my body stresses and my health declines.  It is a cycle I have dealt with since I started getting sick.  There is just something inside that drives me and it took my doctor telling me that I would only keep getting sicker if I didn’t stop school for me to see.  With clearance I have tried several times to attend school over the years but I just didn’t have the health.  Now I do, and that is where I will see just how healthy, well, and truly recovered I really am.

I am on the road though, the road to recovery this much I know.   As I leave India I am as equally divided, as I was when this third trip began.  I miss my family and friends, and pets back home.  But I have an Indian family and friends here too.  A piece of my heart always stays here in India when I leave.  India is the place of my rebirth of sorts.  I feel I have been given such a gift, there are no words to describe, just look at me, the smile on my face says it all.  I gave a present to Dr. Geeta and the hospital too.  Nothing is as great a gift as the one I received here, though my present is what the stem cells restored to me, my heart and my soul, and my freedom of expression.

My very first trip I made a promise to Dr. Geeta.  She had heard I had a passion for art and had enjoyed painting, though I hadn’t been able to paint in some time. Dr. Geeta told me she wanted me to paint something for the hospital during my visit and she would hang it up on the wall.  I used to feel an ease with painting that had gone as the Lyme crept into my brain.  Mixing colors was so hard.  I would spend so much time mixing that the paint would dry before I could use it.  And then there were the tremors in my hands, I couldn’t make straight lines and it was so hard to even hold the brush.  I was too sick to paint that first visit.  In fact I couldn’t paint my second visit either.  This third trip though was the difference. One day, when I was out at a market with my mom, we found an art shop.  I got brushes, paints, and a big canvas.  In between physio sessions or in the afternoon when it was too hot to go out, I would sit in bed and paint.  For the first time in years it came with ease and felt like the brush was an extension of me.  I kept my painting a secret.  The sisters saw it only after my last procedure when I worked on it while lying in bed, that was it.  I showed Dr. Geeta my unfinished painting this last day. I wanted to see her face when she saw it.  Shock, surprise and a big smile ran across her face. I think she thought I had forgotten. I did well, Dr. Geeta had not heard any rumblings of my painting, a pleasant surprise.  After that I went right back to my room to paint, I had only a few hours before the flight.  I was determined. I was not leaving without finishing this painting!  I did finish and left it on Dr. Geeta’s desk. I said my goodbyes.  Before we rushed off to the airport, one of the doctors took a picture of me holding my painting.  A red dahlia, from a picture I took on a walk with my dog, one day back in California.  The bright color made me smile.  My promise I kept.


A procedure to remember

20 Oct


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My second procedure of this third trip and all went well at least my back seems to think so. It was just an epidural on my lower back.

This procedure was different from what I’m used to. It was later in the day when I was wheeled into the OT at the Gathum Nager Hospital. I was one of the last patients of the day, from the other hospital, so the room was quieter. Dr. Ashish and his staff were on the ball, just not a chatty as usual. For me, I like them chatty, it’s a distraction from the needle being poked into my spine. But this time the distracting was up to me. I thought of happy things that made me smile and envisioned I was being given a big warm hug. The kind of comforting hug where in that moment anything you feel doesn’t matter, all you feel is love.

See as the patient, a big part of the experience during procedures is how prepared you are mentally. Before my very first procedure I only knew what I read from Amy’s blog, what the doctors explained to me, and what the other patients told me. I was only the second patient with Lyme getting the treatment and the other patients in the hospital at the time were mostly spinal cord injury patients who couldn’t feel the procedures. I had no idea what it would be like. Amy told me it wouldn’t hurt too badly and I trusted that. My friends there said it didn’t hurt and not to worry about it, but they couldn’t feel at the level of the procedure. Looking back it was probably the best thing to be told. I knew it would probably hurt but the only thing I went into the OT at Gathum Nager thinking was what does the hallway going to the OT really look like? My friends were discussing it one day and they said it was like a movie scene. All you really see is the lights and the ceiling as you are wheeled down the hall on the gurney.

Now with Dr. Geeta taking more patients with Lyme as well as patients with many other conditions, more people are feeling and telling what the felt during procedures. This is hard, it is good but at the same time patients, especially the new ones are easily psyched out hearing that the procedures are painful. Even patients who can’t feel were telling me they were freaking out going into the OT. What if they did feel the procedure and it was painful? If you ask those same patients what progress came after their procedure and was it worth it?

After procedures Dr. Ashish tells me I was a great patient. He always tells me that, but this procedure he was more enthusiastic. You didn’t yell or move, or anything. This puzzled me and I questioned him once. He told me patients had been jumpy on the table and would yell, particularly the Lyme patients. Hell, I don’t blame anyone for yelling! I want to yell too on that table and run out of the room. Don’t look at those needles, I did once and have to chase it out of my head every time. But STOP!

YOU MADE THE JOURNEY FOR HEALTH. You are in the right place, so yell all you want to on that table (sorry Dr. Ashish’s ears). It will hurt but not for long, and that pain is different if you feel it, you will see it is, that pain it worth it. It has stem cells, the possibility for less or no pain in your tomorrows. So what if you hurt a little more today?

Patients with Lyme and some with other conditions are in massive amounts of pain going into the procedure. Besides that everyone has a different pain tolerance and different way of reacting to pain. This I know. I also know that if you think it will hurt, it will hurt, and hurt more.

So to any patients getting procedures do yourself a favor and think about this before you start getting all worked up. Go into the OT happy and smiling to accept your new baby stem cells. Talk to the nurses, the OT staff, and Dr. Ashish too. Let them distract you, or distract yourself. Have a positive attitude and relax. Just like tensing up during a blood draw, it hurts more and stress’ the body more if you tense, so relax your muscles and your mind.

It is hard. It can be scary. It feels different. It hurts. It is worth it.

The first thing my baby stem cells got when Dr. Ashish injected them into me, this last procedure, was the feeling of a big warm hug. The greatest hug and I have to say it’s the best procedure I’ve had. The hardest thing about the procedure was staying in bed for hours after and not running out to get ice cream or something. I think I’m feeling better.