Ex Vivo Lung Transplant

There is a new method for lung transplants that is being tested in the United States. It is called “Ex Vivo” an outside the body technique capable of continuously perfusing or pumping a bloodless solution containing oxygen, proteins and nutrients into injured donor lungs. It is a method of restoring and repairing donor lungs that may have sustained damage or may not be suitable for transplant. Currently only about 15%-20% of donor lungs are acceptable for transplantation. With this technology it may help in the future for those waiting for transplant. Here in the US, it is still in the testing stages with the hopeful approval from the FDA.

NewYork-Presbyterian Hospital/Columbia University Medical Center is one of the centers testing this process. Their local news talked about the process. Here is the link, please note it is graphic. ABC News

Yesterday I asked Dr. Marshall Hertz, the director of the lung transplant program at the University of Minnesota, his thoughts about the ex-vivo and if the U of M will one day get the  opportunity to use the device. There are definitely staying updated in the progress and outcome of testing results. Maybe one day this will help improve the lung transplant waiting list.

This is another video I find fascinating. It is amazing to watch lungs breathing outside the body Ex Vivo in Toronto

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OmniPod Insulin Pump

I love my insulin pump! I always refer to it as the Cadillac of insulin pumps. About five years ago I made the decision that it would be better for my health to start using an insulin pump. I have mentioned before if my blood sugars are high I am more prone to getting an infection. If I have an infection it causes my blood sugar to be elevated. A never ending cycle. It was time to get in control of my diabetes. I started doing some investigating online to pick a pump I would like to have when I came across the OmniPod Insulin Pump. It is wireless and waterproof! The other nice option is unlike the typical insulin pump you are limited to using your belly for insertion, with the OmniPod I can place it anywhere I can give an injection. Leg, arm, back, belly, or even my fanny! It is completely waterproof so I don’t have to do anything when I shower, I can even swim with it. It has made a major difference in my health.

One of the reasons I held off getting a pump for so long was I didn’t want another tube hanging from my body. I often have to do I.V. medication and I always wear my oxygen tubing, I didn’t want to add another. With the OmniPod I no longer have to carry insulin and needles with me at all times. Here is a video I made showing how easy it is. You can learn more on the OmniPod website included in the link above.

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Cystic Fibrosis Newsletter/May Edition

Today I am honored to be featured in the cystic fibrosis monthly newsletter:

 “Now more then ever we need to stay focused on our mission for CF.”

 I am a 36 year old living with cystic fibrosis (CF). I was diagnosed with CF at age 5 but have never let CF rule me, I rule my CF! As an adolescent I figure skated for the United States on the National, International, & Junior World team. All the exercise kept me very healthy into adulthood.

The advancements in drugs and treatments helped me to shatter the prevailing life expectancy of 8 years when I was diagnosed. But, now I am at the stage in my health that I need a double lung transplant. I have been active on the transplant list nearly two years. My daily regimen consists of three vest treatments, walking two miles on the treadmill, lifting weights, and enjoying life! My energy may not quite be what it used to be but I am not going to give up the fight! I want to be in the best shape that I can for transplant.

While I am waiting for “the call” for transplant, I spend time volunteering for CF Foundation events. I am one of the committee members for the Celebrated Chef’s Gourmet Dinner. I have volunteered and attended the Breath of Life Gala, walked in the Minneapolis Great Strides, 2010 TC Finest nominee, and cheered on friends and family at the Climb for a Cure.

 I also volunteer at LifeSource. LifeSource is the organization that coordinates transplants in Minnesota, the Dakota’s and a portion of Wisconsin. I speak to nursing students, at high school health classes & driver’s education classes to educate people about making an informed decision to check the “donor document of gift” box on their driver’s license.

Nikki Malnar 2It is always rewarding for me if I am able to help a family understand that you can still live your life even though you have CF. I am happy to do my part helping CF Foundation in their search for a cure. The good work of the CF Foundation has helped to greatly increase the number of tomorrows for those diagnosed with CF. By helping to spread awareness and raising money for CF, my dream is one day CF patients won’t have to talk about transplants because we will have helped to cure this terrible disease.

Now more then ever we need to stay focused on our mission for CF. Speaking about CF and organ donation may bring a cure or a shorter wait on a transplant list. I challenge you to help me and the other 30,000 American’s living with this disease by raising money and spreading awareness so one day we won’t have to talk about transplants because CF will stand for “cure found”.

 I have started a blog to share my journey of living with CF while waiting for transplant. If you are interested you can follow by simply entering your email to receive updates at: www.nikkisnewlungs.com

Thank you to the CF foundation! You may also view the newsletter in its entirety. It includes upcoming event dates and updates. Click on the link: CF Newsletter-May Edition

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Facebook and Organ Donation

Great news arrived today: Starting today, on Facebook, you can add that you’re an organ donor to your timeline, and share your story about when, where or why you decided to become a donor.

Here are the instructions: From your timeline, begin as you would to update your status. In that box, there is a button that says “Life Event.” Click that, and then select “Health and Wellness” and choose “Organ Donor.” And make sure to click on the “Officially Register” link to make your decision to be a donor official by registering in your state. It’s that easy! Please share this post with everyone you know.

This has already had an impact on Minnesota’s registry. As of this afternoon 119 new people registered to become an organ donor. On a usual day there are only about five. Keep spreading the word!

Here is a video from ABC News explaining how to sign up and other videos where organ donation has touched their lives. ABC News Exclusive: New Facebook Tool Helps Organ Donors ‘Share Life’

Remember to watch ABC’s Nightline tonight at 10:30 CST for a half hour special on the importance of organ donation.

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Watch ABC’s Nightline tomorrow on May 1, 2012

I am looking forward to watching this tomorrow night! Tune in to ABC’s Nightline tomorrow night at 10:30 pm in Minneapolis on channel 5, to catch a special on the importance of organ donation that features a cast of Mayo Clinic patients and doctors. Check out the video teaser from Nightline anchor Bill Weir:

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Nose Squirts

I have mentioned how sinus play an intricate part with cystic fibrosis. The sinus are very important to keep clean and clear. What seems to be in the sinus eventually ends up draining to the lungs which can cause a infection. Some CF patients require a little more involvement when it comes to their sinus. Sinus surgery is sometimes an option to get the clogged thick mucus out the the sinuses. Good maintenance is very important and there are different methods. For instance a nasal wash like a neti pot or what I use a nasal wash bottle. I fill the bottle with warm distilled water and mix in a powdered solution. The lean over a sink and squeeze. For me, I like the bottle better because I can control some pressure. Sometimes I need that extra pressure to get things flowing. My neighbor who suffers from severe allergies, he uses the bottle too, we joke and call it the “nasal enema”!

Another method is having my ENT (ear, nose, and throat doctor) use a scope (a device with a very bright light to see into the sinus) and squirt an antibiotic solution in to the deeper areas of my sinuses that I cannot reach on my own. I call these my “nose squirts”.  It does not hurt but does taste a little like a band-aid. The purpose it to keep any infections in my sinuses at bay so they don’t drain into my lungs. It varies between patients how often this procedure is done. For myself, I have an appointment every three weeks. Here is a quick video if you would like to watch me getting my “nose squirts”.

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Lost a Couple Pounds

As I try and get my blood sugars in a little better control I have noticed I have lost a couple of pounds. I can’t afford to lose any weight while I am waiting for transplant. I am a petite person so every pound counts. Most people who have diabetes check their blood sugar two hours after eating, in order for me to get an accurate reading I have to wait three hours. It is making it a little harder since I eat more like a cow, I like to graze! It seems that while waiting the three hours I am missing a couple of my snacks. My diabetic nurse and I made some changes last week and I think we have finally figured out the correct settings for my insulin pump. Now the setting are on track I can concentrate putting back on the couple lbs that I lost. I was told to drink Ensure or Boost like older people. Have you ever tasted one of those? I don’t believe they are the most appetizing in flavor. I have come up with a milkshake that I believe will put other high calorie drinks in the back of the cupboard.

My milkshake consists of: 2cups Haagen Dazs vanilla ice cream, 8oz half and half, 1 packet of Carnation Instant Breakfast, Carnation Malted Milk, and chocolate syrup. This milkshake is 1800 calories and delicious! Whenever I make a shake, Travis asks me “Can I lick the spoon?” I can change it up many ways like adding frozen fruit, different flavors of instant breakfast or syrup, and even peanut butter to really add some calories. MMmmm!

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Donate Life Day

Saturday we were able to attend the Donate Life Day celebration hosted by LifeSource. A beautiful brunch and award presentation at the Hilton by the Mall of America. Three volunteers were honored with the Volunteers of the Year Award. My friends Bill and Holly were two of the recipients. Congratulations to all the volunteers and donation advocates. It was a very emotional and inspiring morning visiting with donor families, members of the medical field, LifeSource employees, and transplant recipients along with their families. Anabel Stenzel from the documentary “The Power of Two” was the keynote speaker at the event and was amazing. The room was filled with emotions and hope all morning.

Later that night we met up with Anabel for dinner. We had a wonderful time and talked for hours. She was visiting from California and had told us she was doing some sightseeing. She had mentioned that she had come across a detour. Anabel had the pleasure of experiencing one of the two Minnesota seasons. Not winter but construction!

Me, Travis, & Anabel

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April 20, 2012 National Donate Life Blue and Green Day!

Tomorrow, April 20, 2012 is National Donate Life Blue and Green Day!

If you would like to support organ, eye, and tissue donation in the initiative to have 20 million new registered donors in 2012 by drawing attention to this lifesaving decision both locally and nationally, please wear BLUE and GREEN tomorrow. Share with others why you are wearing Blue and Green – organ donation saves lives!

Create your best blue and green look and post it to the Donate Life America Facebook page for a chance to win $100! Here is a short video with some ideas Blue and Green

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Rosie’s Hospital Visit

Olivia, Rosie, & Grace

I had an appointment today that was on the University of Minnesota children’s campus. Knowing I was going to be in the area of the Amplatz Children’s Hospital, I thought I would bring my dog Rosie to visit Grace who is waiting for a heart transplant. Rosie has been in a hospital many times. Whenever I am admitted, Travis always brings Rosie for a visit. I know how much it means to break up the monotony of a hospital stay. As in this picture you can see the smile on not only Grace’s face but her sister Olivia too!

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