ARDS Support: my story and looking to help other survivors

Posted by plexiclone @plexiclone, Apr 28, 2020

Hello Everyone!
My name is Steve and I’m an ARDS survivor. I contracted acute respiratory distress syndrome (ARDS) in October of 1999. I was 34 and in excellent shape with no other major health. I probably got ARDS from sepsis due to my appendix being removed emergently. I was on the ventilator for a short period of time, I don’t remember exactly how many days and my family doesn’t recall either, but it wasn’t more than 2 weeks.

I returned home to a changed life. I had a basic idea of what ARDS was but I had no idea about it’s complexities. I couldn’t even walk to the mailbox without being completely out of breath. A month earlier I had played in an adult hockey tournament; 4 games in 48 hours. The change in my body was devastating to me psychologically and physically. On the one hand, I was extremely grateful to my health care team for helping me survive ARDS, on the other hand, it was extremely frustrating to be struggling to walk up a flight of stairs. Ultimately it took a good 5 years before I could work a full day without having to do nebulizers during the work day.

I think one of the most difficult aspects of surviving ARDS was that I only knew of one other ARDS survivor and that person wasn’t willing to discuss his experience with me. It wasn’t until I found an ARDS support group on social media that I found other survivors. I realized these other ARDS survivors had many of the same experiences that I did. The other thing I discovered was that I had Post ICU Syndrome; that was an eye opener! So many things made sense after that discovery. Thanks to @andreab for starting the Post ICU Syndrome Survivors Support Group (https://connect.mayoclinic.org/group/intensive-care-icu/); I learned I was pretty normal for an ICU survivor.
If anyone here is an ARDS survivor, please share.
Steve

Interested in more discussions like this? Go to the Intensive Care (ICU) Support Group.

@donna562

Steve, I appreciate what you've written re: what life was like for the first 5 years, and where you are now. It sounds like I should talk with my pulmonologist about my plan to return to working in the office; my job can almost completely be done from home and I can avoid the setbacks that you had re: illness.

It struck me that you started this thread over a year ago, but only a few people have added comments. It took a minute to register that there aren't many ARDS survivors, at least not the severe cases that require a ventilator. Covid-19 was definitely the cause of my ARDS, and I was on the vent for 49 days last summer (late May-mid-June). Like you, I find helping others to be a great part of what makes my ordeal "worth it"; I moderate a small group for Covid ICU survivors on Reddit. Thank you for posting here, and being willing to share your experiences. Can you think back to when you felt you were "mostly" recovered, and let me know what you wish you knew then?

I am just now, 9 months out from ICU discharge, wrapping up the last stage of meeting my goals for rehab. I wonder what should I do next to continue making progress, especially with regard to memory. I definitely turned into Dory (the forgetful fish from Finding Nemo) while fighting for oxygen. I'd appreciate any tips you would like to share!

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Hello @donna562 ! I wanted to respond to your question re: what to do next for your memory. @jready had some really great tips below. Anything that stimulates your brain is helpful - crosswords, puzzles, games/apps on a phone or tablet, reading, etc. If you really feel stuck and if your memory difficulties are causing you daily troubles or are interfering with your life, consultation with an Occupational Therapist can also be helpful. You may have already worked with this team, but if not it might be something to discuss with your primary care provider.

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Greetings, Steve, and all who have posted here. My name is Theresa and I am a twenty-year survivor of ARDS. Tonight I decided to find someone to reach out to following a disappointing first appointment with a new primary physician here in Albany, New York. She had very limited time and didn't seem to realize that it was a new patient visit. I brought up my ARDS experience and before I could really say anything about it, she remarked that it was twenty years ago and couldn't really be a current factor in my health. My mouth dropped and my heart hurt. I am pondering how to write to her to suggest that it would have been more productive if she has exhibited some curiousity and asked me what I meant instead of making an erroneous and dismissive conversation stopper. She then said she would see me in six months and left the room.
Before writing this, I found some great material at the Mayo site that may enlighten her, which will be sent along with my notification of termination of care.
I have an appointment with a different primary care person next week! In the years following my hospitalization, finding informed, curious, and compassionate care has been a challenge.
There is so much to say here I hardly know where to begin, so I will start by affirming the long term memory problems I deal with. I am so grateful to everyone who has commented on this site about it - this is the first time I have felt come companionship with anyone else - thank you!
I can still remember (hurray for me!) the early years in my recovery when I would try to go somewhere only to find myself simply not knowing where i was going or where i was or what to do to find my way! I could hear by brother's voice in my mind saying "above all else, sister, don't panic!" That would cause me to laugh out loud and relax and eventually I would find my way.
Much more seriously, though, is that I found myself misquoting authors and inaccurately remembering things I assumed I knew correctly; as a public speaker I quickly saw what a disaster that would be for me professionally. On the other hand, I also realized that since I no longer have perfect recall there are some pluses: my ARDS memory malfumctions gave me a sense of humility and removed the enourmous pressure to always gets things "right". I have never, however, returned to my profession, had to retire early, and generally, honestly, feel that at age 52 my adult life was effectively aborted (and that is a deliberate choice of words, aborted).
The diagnosis I left the Ohio State Wexner Medical Center with is "ARDS with Hospital Complications", though there is no wirtten detailed explanation about what those complications were. One was a terrible fall that resulted in three back surgeries over the next eight years; these operations in and of themselves were successful; however, they have resulted in scar tissue which has caused peripheral neuropathy, very painful, which impairs my daily life, making it difficult to walk and causing excruciating pain. The last three years of effective physical therapy and pain management have been life-saving.
I suppose I might close for now though there is so much more I would like to share.
Please know how siincerely I thank all of you for your postings; you have given me that extra affirmation of post-ARDS reality which now fuels my confidence is dealing with that first doctor and gives me the courage to tell her that my experience with ARDS right now, twenty years later, is real and deserving of care.

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Welcome Theresa!! Glad you found us. Most of us probably have similar stories with providers; I know have! You really can’t change their minds although it would be nice to do that. Hang tough! You got this and we’re here to help as best we can.

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@giffordtheresarev

Greetings, Steve, and all who have posted here. My name is Theresa and I am a twenty-year survivor of ARDS. Tonight I decided to find someone to reach out to following a disappointing first appointment with a new primary physician here in Albany, New York. She had very limited time and didn't seem to realize that it was a new patient visit. I brought up my ARDS experience and before I could really say anything about it, she remarked that it was twenty years ago and couldn't really be a current factor in my health. My mouth dropped and my heart hurt. I am pondering how to write to her to suggest that it would have been more productive if she has exhibited some curiousity and asked me what I meant instead of making an erroneous and dismissive conversation stopper. She then said she would see me in six months and left the room.
Before writing this, I found some great material at the Mayo site that may enlighten her, which will be sent along with my notification of termination of care.
I have an appointment with a different primary care person next week! In the years following my hospitalization, finding informed, curious, and compassionate care has been a challenge.
There is so much to say here I hardly know where to begin, so I will start by affirming the long term memory problems I deal with. I am so grateful to everyone who has commented on this site about it - this is the first time I have felt come companionship with anyone else - thank you!
I can still remember (hurray for me!) the early years in my recovery when I would try to go somewhere only to find myself simply not knowing where i was going or where i was or what to do to find my way! I could hear by brother's voice in my mind saying "above all else, sister, don't panic!" That would cause me to laugh out loud and relax and eventually I would find my way.
Much more seriously, though, is that I found myself misquoting authors and inaccurately remembering things I assumed I knew correctly; as a public speaker I quickly saw what a disaster that would be for me professionally. On the other hand, I also realized that since I no longer have perfect recall there are some pluses: my ARDS memory malfumctions gave me a sense of humility and removed the enourmous pressure to always gets things "right". I have never, however, returned to my profession, had to retire early, and generally, honestly, feel that at age 52 my adult life was effectively aborted (and that is a deliberate choice of words, aborted).
The diagnosis I left the Ohio State Wexner Medical Center with is "ARDS with Hospital Complications", though there is no wirtten detailed explanation about what those complications were. One was a terrible fall that resulted in three back surgeries over the next eight years; these operations in and of themselves were successful; however, they have resulted in scar tissue which has caused peripheral neuropathy, very painful, which impairs my daily life, making it difficult to walk and causing excruciating pain. The last three years of effective physical therapy and pain management have been life-saving.
I suppose I might close for now though there is so much more I would like to share.
Please know how siincerely I thank all of you for your postings; you have given me that extra affirmation of post-ARDS reality which now fuels my confidence is dealing with that first doctor and gives me the courage to tell her that my experience with ARDS right now, twenty years later, is real and deserving of care.

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I add my welcome, Teresa. Like @plexiclone, I, too, am glad you found us and that you found info on Mayo Clinic's website to help you educate the MD. She will benefit from your patience in explaining the patient perspective and how undermining her comment was in building patient-doctor rapport.

I will be interested to hear how your appointment goes next week with a primary care physician and with the follow up with the first physician. Please come back to tell us how it goes.

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Thank you, Colleen, for your warm welcome. I feel comforted my your invitation to come back and share how my new appointment goes next week; I don't expect to see the first one again; will certainly get the Mayo print-out to her with some personal feedback. I read my post out loud to my oldest daughter, who is very interested and understanding, and my sister, who seemed astonished by what she heard! No one in my family is ever willing to help me recall events or to share any of their own feelings...perhaps my posting will help open the door as I would really like to make my experience, as old as it is, real. The silence is deafening! More later...sincere thanks, Theresa

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@giffordtheresarev

Thank you, Colleen, for your warm welcome. I feel comforted my your invitation to come back and share how my new appointment goes next week; I don't expect to see the first one again; will certainly get the Mayo print-out to her with some personal feedback. I read my post out loud to my oldest daughter, who is very interested and understanding, and my sister, who seemed astonished by what she heard! No one in my family is ever willing to help me recall events or to share any of their own feelings...perhaps my posting will help open the door as I would really like to make my experience, as old as it is, real. The silence is deafening! More later...sincere thanks, Theresa

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Isn't interesting how different family members react. It can be hard to family members to recall the events or share their feeling. Post-intensive Care Syndrome affects them too.

@seanne shared in another post "“Various family members stayed with me around the clock in the ICU. They experienced my frightening ups and downs and the reality that I might not survive. Once home I was full of questions about what I'd been through. It didn't dawn on me that asking about my hospitalization continuously re-exposed them to their own ICU trauma.”

I wonder if @plexiclone @seanne @rosemarya @rckj or @andreab might have some tips to share about encouraging family members to share, support and fill in some of the blanks?

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I have asked people who were with me about what happened and most are forthcoming. It’s interesting getting different viewpoints from each person who was there.

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@plexiclone

Thanks for the kind words Colleen. My employer saw me on the ventilator so they knew how serious my illness had been. I returned to work after 6 weeks off and went directly back to full time shifts. My employer, and some really nice colleagues, set up a place for me to do nebulizer treatments during the day. I would do a nebulizer once I got to work, then another one around mid-shift and sometimes another close to the end of my shift. The biggest problem I had wasn’t only doing my job, it was that once I got home I had to rest before I could do anything around the house; doing both felt like it was killing me. The first two years were beyond awful; I wouldn’t wish it on anyone. I was sick for most of it with one respiratory bug after another because my immune system was compromised due to the sepsis. I had to learn that my new life meant that my body couldn’t fight off illnesses carried by others at work.
20 years later my life is probably better than most ARDS survivors but there have been some bumps in the road. I now need to take antibiotics for any dental procedures beyond a regular cleaning. 3 years ago I broke a few ribs coughing when I had bronchitis. I leaned the hard way how many people show up to work seriously sick and then gift their bug to me and then I require Prednisone to get my lung function back to baseline. Every time I get sick beyond a cold, it takes many weeks to fully recover. I’m on long term steroids to keep my lung function close to where it was before I had ARDS and I use lots of albuteral to exercise. Every year, usually during the winter, I get really sick for about 6-8 weeks; I’m able to work for the most part but I’m not able to do much outside of work.

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Enjoyed your story. Thank you for sharing. Been through an amazing journey myself.

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@lsljlllove3711

Enjoyed your story. Thank you for sharing. Been through an amazing journey myself.

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Tell us more, Lauren. When did your journey start? What words of encouragement would you give others?

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@colleenyoung

Tell us more, Lauren. When did your journey start? What words of encouragement would you give others?

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My journey began January of 2014. I ended up at a local hospital with double pneumonia that led to H1N1 from 2009 which then led to ARDS. Had to be put in a coma, paralyzed and put on life support for 6 weeks. Six hospitals in five months where it was determined I had a stroke while in the coma resulting in weakness and numbness on my left side. Had to learn to walk again. Stroke has caused left side of both eyes to be legally blind BUT today I see things I've never seen before...thank You Jesus! This critical illness has also caused painful neuropathy. Even through all the pain and suffering I am so thankful to everyone who was part of my survival. With God's help and support from my family and friends,
I chose to take what happened to me and make it as positive as I could and fight my way through. Although it was very difficult at times, I knew I had so much more to do with my life. God has a plan and a purpose and I knew He kept me here for reason. Through my journey, I want to inspire others to choose: FAITH over hopelessness, JOY over depression, PURPOSE over pain, GRATITUDE over bitterness, DESTINY over defeat and VICTORY against all odds!

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