New Transplant Blog Posts

Posted by Kristin Eggebraaten @keggebraaten, Feb 21, 2017

Hello everyone,
We hope this finds everyone well today! We have started this discussion today to announce a new blog post. Every week, we will reply to this discussion to let you know when something new is published. Watch for new information often!

Have a productive and enjoyable week!
- Kristin

Interested in more discussions like this? Go to the Transplants Support Group.

I know it can seem to be extra work and additional time, but I always download the labs and medical reports from my local doctors and upload them to my nurse coordinator at Mayo. I can even send my blood labs to her before they are faxed by the lab company. If there is something in particular my local doctor is looking at or concerned about, I also make a note to communicate that to my Mayo coordinator. it's just my double security, just like a house alarm or two step security online. I am committed not to let anything fall through the cracks. It took me a little time to understand how to accomplish this technically, but it has helped so much. I just celebrated my second year after my heart transplant and I haven't seen a Mayo heart doctor in 14 months. Still waiting for my 2 year appointments. So my local docs are critical for my health. On the other hand, I was sent to Mayo for a cataract, because my local ophthalmologist did not feel confident operating on a heart transplant patient. Same with my orthopedic surgeon. He wants me to have a hip replacement at Mayo. So it's a game of balance and keeping open and flexible. There is no magic button here. Carry on, my sisters and brothers. We are special!

REPLY
@estrada53

I know it can seem to be extra work and additional time, but I always download the labs and medical reports from my local doctors and upload them to my nurse coordinator at Mayo. I can even send my blood labs to her before they are faxed by the lab company. If there is something in particular my local doctor is looking at or concerned about, I also make a note to communicate that to my Mayo coordinator. it's just my double security, just like a house alarm or two step security online. I am committed not to let anything fall through the cracks. It took me a little time to understand how to accomplish this technically, but it has helped so much. I just celebrated my second year after my heart transplant and I haven't seen a Mayo heart doctor in 14 months. Still waiting for my 2 year appointments. So my local docs are critical for my health. On the other hand, I was sent to Mayo for a cataract, because my local ophthalmologist did not feel confident operating on a heart transplant patient. Same with my orthopedic surgeon. He wants me to have a hip replacement at Mayo. So it's a game of balance and keeping open and flexible. There is no magic button here. Carry on, my sisters and brothers. We are special!

Jump to this post

Good for you taking charge of your healthcare. It is something that I, too, have learned to do after my liver transplant. And you are right about it not being easy. But as transplant folks, we've been through too much not to own it and make sure all our docs are on the same page.

REPLY

Definitely agree with you. Take care.

REPLY
@keggebraaten

Hello everyone! If you are in the Midwest, I hope you are staying warm today. Our temps here in Minnesota are reaching record lows this week. If you live here or are visiting Mayo Clinic, be safe when traveling around or going outside. Days like today, we offer high praises to the person who designed our skyway and pedestrian subway system so our patients and employees don't have to go outside to get from place to place.

Today's blog post is helpful for anyone who has a local doctor and a transplant doctor. The partnership between any number of doctors who are caring for you is an important part of your treatment success. At Mayo Clinic, we partner with your local care team to ensure that your transplant care is understood and carried out by anyone who is part of your medical team. Local physicians are critically important in providing us with information about your medical situation when you seek care locally. Communication is key to a successful life after transplant.
https://mayocl.in/2G97jSQ
Have you experienced good communication with your care teams? And what part did you play in helping this communication to take place?
Stay warm and have a great week,
Kristin

Jump to this post

@keggebraaten my situation is a little different. My transplant journey involves 2 different centers. The first is one I won’t name and the second is Mayo in Rochester, MN. I had a pancreas transplant in 2005. I was satisfied with the pretransplant evaluation. The transplant itself was fantastic. It was like my own personal miracle. Unfortunately as time went on (after about 3 months - a year) the follow up turned out to be really lacking. My local providers were & are great but I struggled along with very little involvement or support from the transplant team. In 2016 I was having some serious decline in kidney function and I met criteria for kidney transplant evaluation. I ended up going through evaluation at the previous facility and also at Mayo. I was approved and accepted for transplant at both centers. I chose Mayo. There’s no comparing the two because the difference is amazing. Mayo is thorough, detailed, has stellar organization & communication & hopefully great follow up. There is good communication between the Mayo team and my local providers. I only wish the Mayo team was monitoring my first transplant because I’ve lost confidence in the previous center. I pointed out that I heard that “once you become a transplant candidate at Mayo, you become a lifelong Mayo patient”. Unfortunately I guess that principle is not retroactive. I wish!

REPLY
@contentandwell

@marvinjsturing I think there is more to it than just software, the medical facilities need to be connected. My local doctor is on the same software as MGH but they are not connected. They keep up to date via FAXes. MGH is connected to the hospital where I had my TKR so they are both on the same portal.
JK

Jump to this post

Yes, I know. I worked in IT for 20 years. But most people on Connect wouldn't understand (or care) about what happens behind the scenes.

REPLY
@marvinjsturing

Yes, I know. I worked in IT for 20 years. But most people on Connect wouldn't understand (or care) about what happens behind the scenes.

Jump to this post

Communication especially on a systems level is critical in order to receive the best care possible. The roll out of the EPIC software system at Mayo last year was a frustration point simply because the software was implemented with no training for providers or patients how did they think that would work well?. My local providers use EPIC so I was hopeful at first that my labs would quickly get uploaded and my Mayo team would access them seamlessly but with no training the Mayo teams were unprepared to effectively use the software on even a basic level. I sat with a brilliant surgeon who fumble through screen after screen and finally gave up looking for a result. This is one of the smartest people on the planet but without training on the software he didn't stand a chance. I get pretty panicked in these communication vacuume moments because I know I am not getting the best care possible due to lack of communication between my teams this puts my transplant and health at undue risk. If you've woked behind the scenes I'm sure you have seen things like this before.

REPLY
@marvinjsturing

Yes, I know. I worked in IT for 20 years. But most people on Connect wouldn't understand (or care) about what happens behind the scenes.

Jump to this post

@marvinjsturing I too worked in IT, but I “retired” in 1980 when ny son was born. When I resumed working after 20 years, IT was a totally different thing, so I did not go back to it.
JK

REPLY
@jolinda

Communication especially on a systems level is critical in order to receive the best care possible. The roll out of the EPIC software system at Mayo last year was a frustration point simply because the software was implemented with no training for providers or patients how did they think that would work well?. My local providers use EPIC so I was hopeful at first that my labs would quickly get uploaded and my Mayo team would access them seamlessly but with no training the Mayo teams were unprepared to effectively use the software on even a basic level. I sat with a brilliant surgeon who fumble through screen after screen and finally gave up looking for a result. This is one of the smartest people on the planet but without training on the software he didn't stand a chance. I get pretty panicked in these communication vacuume moments because I know I am not getting the best care possible due to lack of communication between my teams this puts my transplant and health at undue risk. If you've woked behind the scenes I'm sure you have seen things like this before.

Jump to this post

I was at Rochester for appointments shortly after the conversion. There was a lot of stress and frustration. Every time I checked in for an appointment, there were complaints about the software. I completely understood what they were going through. I was happy to be a patient at that time instead of being on the support staff.

REPLY
@marvinjsturing

I was at Rochester for appointments shortly after the conversion. There was a lot of stress and frustration. Every time I checked in for an appointment, there were complaints about the software. I completely understood what they were going through. I was happy to be a patient at that time instead of being on the support staff.

Jump to this post

So true!
On a different note -
Once I was wondering why Mayo was not getting my lab results via FAX. Then I noticed that someone misread the Area code for the FAX to be 502 instead of 507. University of Louisville Liver Transplant Dept. must have wondered what was going on!

REPLY

Good morning!
After this last weekend in Minnesota, we all need some spring weather! I hope all of you are safe and warm in this still colder than usual weather.

Today's blog post is for our incredible living donors. Most of the time our donors do well with surgery and return to their lives as normal after a few weeks. But sometimes their employers aren't as understanding as we would like about their time away for surgery and recovery. In those cases, usually a plan can be worked out, but if it can't, the employee (donor) sometimes suffers the consequences of being away from the job. Did you know that now there is FMLA coverage for donors? In cases where you qualify for the Family and Medical Leave, you can utilize that plan to protect your job when you are an organ donor. Read more in our blog today!
https://connect.mayoclinic.org/page/transplant/newsfeed/new-federal-law-for-living-donors/
Hoping for spring,
Kristin

REPLY
Please sign in or register to post a reply.