thomas went to clinic today

Thomas went to the transplant clinic at UK Hospital today, and the news wasn’t good. None of us expected it to be, either. But it’s still depressing.

He looks bad. He’s lost more weight. His skin is dry and patchy. He shakes like an old man. And where he’s off his Celexa and Abilify, he’s moody as all hell and talks on and on like someone’s wound up a windup key in his back. His blood pressure was 173/73. His creatinine level was back up to 4.3.

The medical team wanted to keep him, admit him to the hospital. He flat out refused. The doctor even offered for him to come back in the morning or Wednesday morning. But he still refused. So he goes back on the 7th for another checkup. He walked out of the clinic at one point but came back later when he realized I hadn’t gone after him.

What the medical team want to do is try another anti-rejection drug and then do another biopsy on the transplant. They’ve made it abundantly clear that this may or may not do anything. But I said it’s worth a shot. If it were me, I’d do it. Thomas said it’s not anybody but him, and he doesn’t want to do it. He said, “I’m done. I’m just done.”

We all talked about dialysis, again, but he said he didn’t want that either. The medical team explained that’s exactly where he’s headed – if he makes it that far. He said he didn’t care.

They had him sign the “leaving the clinic against advice” form before we left. They also said that if he changes his mind between now and Monday that he can always come pick me up and go to the emergency room – he can be admitted straight from there.

So this is where we are right now.

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Author: Mari Adkins

Appalachian gothic fiction writer - my works reflect a love of literature flavored by the darkness and magic residing in these ancient mountains. In my spare time, I'm a Simmer, I tumbl, I journal, but I always have a very strange sense of humor. I have lived away from the mountains and lived deep in the mountains. I currently live in Central Kentucky with my lifepartner and his cat. The mountains, their culture, their superstitions, their particular magics, will always be in my blood.