40 & Fabulous

I have been weirdly excited to turn 40 years old. It isn't something I've been dreading or worrying about. I was recently reading old blog posts and came across this one from when I turned 35. Apparently entering my 30's was kind of a big deal. Although I came to terms with it when it finally arrived; at least according to this blog post! 

Now I have the ability to look back on the past 10 years to see how my 30's actually went. And if I'm going to be honest, the start of my 30's sucked. It was on my 30th birthday that I told AJ he couldn't return to the house. He had left that day after we fought about his addiction. That was the first step that eventually led to our divorce. For all my hopes of a new decade, day one was pretty shitty. 

Over the next 10 years, there was a lot. AJ and I got divorced, learned how to co-parent, we struggled to define what "we" were. AJ continued to struggle with his addiction and mental health and ultimately ended his life. I had to learn how to survive a devastating loss while also learning what it looked like to be a solo parent. I had family members that dealt with a number of different health issues and lost more people I loved. 

Of course, there was so much good and joy in those 10 years as well. I switched jobs, worked part-time jobs, and paid off some debts. I started dating. I made a commitment to therapy. I spent a lot of time working on me. I traveled whenever I could and made memories often - with old friends and new ones. I have watched Jacob grow up into this amazing kid who I feel so lucky I get to call my own. 

When I look back on the last decade, it was messy, chaotic, and devastating. It was full of tears and heartbreak. But it was also full of growth, change and love. It was a lot. After reflecting on this, one thing I decided was that I want my 40's to be different. I want to welcome my 40's with open arms and in a way I want. Maybe I can manifest how the next 10+ years will go by how I start the decade out. 

And so I decided I wanted to welcome my 40th birthday in peace. In quiet. And by myself. 

I have spent a lot of time over the last 10 years working on myself. Learning how to live through these things that have happened, learning to accept and love the person that I've become, learning what I need to do to take care of myself, learning what brings me joy. 

Just this last week in therapy, I was able to identify something important about myself. So much of my life has been defined by this strong impulse to help other people; to ease their burdens, to fix their problems. Especially the people that I love. I will gladly take on more myself if it will help make something easier for someone else. I will add more to my plate, I will take on the hurt and pain, I will put myself last every time if it means I can help someone else. 

In these situations, I can now see how much that was hurting me and even hurting some of those I love around me. I can see now that by always putting myself last, I hit a point where I could no longer help myself, much less help anyone else. 

So a big part of working on myself has been working to put myself first, to take care of myself, to do things that bring me joy. Just to be clear, this is still very much a work in progress. But I have been much better! I'm doing better at saying no, taking time for myself, doing the things that bring me joy. And if you remember from my first post of 2025, that is exactly what I wanted to focus on for this year. The year of 40. 

So let's take a look over the past 10 and a half months and see what I've done. 

I traveled. Jacob and I took our annual February trip, doing a week long cruise this time. I took a siblings trip to Connecticut and New York City, combining my love of Gilmore Girls, Friends and broadway shows. Jacob and I got to enjoy a week in Myrtle Beach with the Zaruba family, which is always a great time no matter where we go! 

Speaking of broadway shows, I bought myself season tickets to the 2025-2026 Broadway Season at the Orpheum. And the Ordway. And at the Des Moines Performing Arts Center. 😁 Did I maybe go a little overboard? Eh, ask me after the season is done. I've also crossed off a few other shows off my list. Every time I go to a show I am reminded of how much I love going to shows. 

Shows I've seen this year so far: Dear Evan Hansen, Book of Mormon, Pirates! The Penzance Musical, Friends! The Musical Parody, Cabaret, Kimberly Akimbo, Oklahoma, The Addams Family and The Jersey Boys. Oh! I can't forget Spend Awhile on the Nile, which featured Jacob as Pharaoh! 

I treated myself to a few massages, hair cuts and even getting my nails done. I started a weight loss journey towards the end of last year, cutting out pop and trying to eat healthier. I treated myself with new clothes when my old ones no longer fit. 

Jacob and I had a mini-photo shoot and got updated pictures of the two of us. And I am in love with these pictures! I convinced The Zaruba family to let me take family pictures while we were on vacation. And even though it's now October and I still haven't edited any, I know I'm going to love those pictures as well! I also did my own little fun photo shoot but that one was just for me. But these pictures, I love looking at when I need a confidence boost or just want to feel amazing. 

I paid off my car and am working on becoming truly debt-free once again. I completely updated the downstairs of the house and am in love with how it looks. I'm working on going through old clothes, toys and other things that we no longer need or use and either selling them or donating them. 

I chose to do things that bring me joy like visiting the State Fair, taking Jacob to new movies he's wanted to see, going to a couple of Wartburg Choir concerts, participating in a couple of protests, attending a women's retreat through church, going to a concert of one of my favorite bands, driving two hours for a pumpkin trail and light display, and spending time with friends whenever I can. 

I also treated myself to a new pink diamond ring that I wear on my right hand as a daily reminder to love and take care of myself. 

So far, the year of turning 40 has been filled with fun, joy, laughter and love. 

And right now, I am fulfilling my wish to welcome 40 my way with a solo trip to the North Shore. I booked a room facing Lake Superior with a whirlpool tub and a fireplace. I woke up early this morning and drove to Iona's Beach (with pink rocks!!) to watch the sunrise with a cup of hot chocolate. I explored Gooseberry Falls, Pebble Beach and Palisade's Head all before coming back to take a nap while it rained outside. The perfect kind of nap weather. I did some reading by the fireplace. I enjoyed an incredible 90 minute hot stone massage that was so relaxing and just wonderful. I'm ending the day with a dinner reservation at Charlie's Alpine Bistro and some pasta. Before I go to bed I'll either finish my book or rewatch some Game of Thrones episodes. Or maybe both. 

It was a perfect, peaceful, quiet solitude day. 

I spent time reflecting on what I want the next decade to look like. And I think for the most part, it's pretty simple. I want to love my life. 

I want to love who I am as a person, embracing all my flaws and mistakes. I want to celebrate my highs and learn from my lows. I want to do things that bring me joy - no matter how big or small. I want to be the best mother I can to Jacob and help him navigate his teen years. I want to take him on adventures and make memories that we'll never forget. 

I want to be a mentor to others, a person who people come to for advice. I want to be loyal and someone always available to listen. I want to be dependable and someone always willing to help or step in. But also a person who knows my limits, my capacity, and my boundaries and can say no when it's necessary. 

I've seen videos where people talk about being in their "fuck it 40s" era. And I resonate with this so much. I no longer care what other people think about me. I'm working on no longer caring if people don't like my response to something because I know it's the right thing for me. I will take all the pictures, all the silly selfies. I will sing loudly at the concerts or in my car. I am going to do what I want because I can. 

So cheers to the next decade. A decade of joy, love, peace, happiness, and laughter. A decade of being intentional about my choices. A decade of choosing me. A decade of loving others. I'm so looking forward to the journey.

What does a liver donor look like?

I've learned a lot about what it means to be a living liver donor. It's pretty fascinating. Maybe you'll think so too. 

Over 100,000 people in America are currently waiting for an organ. Unfortunately, many people will never get a call saying an organ has become available. A living donor is a solution to this problem. It not only shortens the waiting time for a person who needs an organ, but also reduces the pressure on the waiting list for others. 

The liver is the only organ in our body that can regenerate itself. Even before I leave the hospital after the surgery, they will be able to see some regrowth starting to happen. This is just amazing and crazy to me. 

Within a few months, the liver will have fully regrown and be fully functional again. The portion of liver my dad receives will also regrow to a normal size and barring any complications, also function fully. 

Like I mentioned in another post, a person can donate up to 69.9% of their liver to someone. This seems like a huge amount! But again - the wonders of our bodies. For me, my right lobe is 55.7% and the left is 44.2%. I will be donating my right lobe, which also means that my gallbladder will be removed. 

The surgery itself is a major surgery, but also a relatively safe one. It will take between 3-4 hours and I will spend the first night after the surgery in the ICU so they can keep an eye on things. I will stay in the hospital for up to a week, depending on how the surgery goes, and then stick around Rochester for another couple of days just to follow up with some labs and an ultrasound to make sure everything is looking good. I'll have follow up labs on days 14 and 28 post surgery, along with follow up appointments 6 months, 1 year and 2 years after. 

I'll be off work for about a month to recover. I'll have a restriction of no pushing, pulling or lifting more than 10lbs for up to 8 weeks and I won't be able to drive for at least two weeks. I was told that days 1 and 2 after the surgery are generally not bad, but once that third day hits, I'll probably feel like I was hit by a truck. Good to know. 

The one doctor we met with compared the recovery to a pregnancy. When you're pregnant and growing a baby, that baby is generally selfish and takes what it needs to grow. The same can be said when regrowing a liver. All of my energy will be going to the liver as it regenerates and so being extremely tired all the time is a big part of the recovery. Luckily for me, I love naps. 

Recovery obviously looks different in every person, but for liver donors, their recovery is generally pretty steady. If there are complications, they normally happen right after the surgery while I would still be in the hospital. Generally, living donors do not experience any long-term problems after they donate. 

Mayo in Rochester does two living donor surgeries per month and living donations make up 10% of all their liver transplant surgeries. 

Now you have an idea of what it looks like to be a living liver donor! 

The Evaluation Process

For many months now, my Mom and Dad would head to Rochester for various tests and appointments for my Dad. Often they would be over there for 2-3 days at a time, staying in Rochester instead of driving back and forth. They would tell us about all the different appointments on different floors or different buildings - like the one blood test that couldn't be done in the same place as the other blood test he just finished - the spots they would find to sit in between appointments and listen to someone play piano, or send us pictures of the different restaurants they would eat at. 

It always sounded like a lot and a bit of a nuisance. But I truly had no idea until I was in the exact same situation myself. But I'm getting ahead of myself... let's back up.

The first step to becoming a living donor is to fill out the living donor form. Simple enough. Answer some questions about myself, my health, medical history. There are very specific requirements to even be considered as a donor. You must be between the ages of 18 and 60, your BMI must be under 30, you must be in good health, you must have good/stable mental health. In addition to that, there are other things to consider such as do you have the capability to take a month or longer off from work? Would you need financial assistance for lost wages? Do you have someone to be available as a caretaker after the surgery and during your recovery? 

Once I passed that step, I had a phone call interview with a Nurse Coordinator from Mayo. They explained more about what a living donation looks like as a potential donor and asked some more questions. I learned a few more things like that this surgery would take 3-4 hours, I would spend one night in the ICU then a few more days in the hospital before getting discharged. Then I would need to stay in Rochester for a couple more days for a few more follow up appointments. Those follow up appointments would continue over the next two years to make sure my liver was still functioning properly. I wouldn't be able to drive for a while and I would have a lifting restriction for up to 8 weeks. When none of this scared me away, I was told I qualified for the next step which would be to come in for a variety of tests and appointments. 

At this point, I waited to give my sister and brother a chance to get through the application and phone interview process as well. We had decided that even if we all qualify for the actual tests, only one of us would go through that process at a time to see if we were a match. So if I went through the process and wasn't a match, then Meg would do the tests. 

We got the appointments and tests scheduled and I was told I'll be in Rochester for three days. Over those three days I would have a lot of different tests to make sure I was healthy, had no underlying conditions and see if I could be a match. Being a match meant more than just having the same blood type and being healthy. A donor often needs to be of similar size of the recipient so that the liver volume will be close to the same. This looks at not only the overall liver size, but also the size of the vessels and such. This is often why people aren't able to match - the livers aren't close enough in size and volume. 

Here's an interesting fact. A person can donate up to 69.9% of their liver to someone. During a liver donation, they will either take the right lobe or the left lobe. So if one lobe makes up 73% of the total liver mass, then that person can't donate because it's above that 69%. 

Soon my Mayo patient portal was filled with messages and appointments. I also received my appointment package in the mail - which was *several* pages long. It detailed each of my appointments - where, when and with who - and also told me what I needed to do to prepare for each test or appointment. I'm not going to lie... it was a bit overwhelming! I definitely set reminders in my phone like "no more food" or "stop drinking anything". 

Meg and I had talked and decided that she would come with me to most of the appointments. If I was a match, Meg would most likely be my caretaker, while my Mom would take care of my Dad. My Mom also mentioned how nice it was to have someone else at the appointments because they throw a lot of information at you and it's good to have a second set of ears. And this was 100% true. Meg was my note-taker and I was grateful to have those notes to go back and review after leaving Rochester.

So, what did I do while in Rochester? Well, let me tell you. I had appointments to meet with a Nurse Coordinator, a living donor advocate and a social worker. I had an appointment with a doctor for a general check in, along with the surgeon. I had to do a urine and blood test. The blood test included a total of 26 vials of blood. I learned that this did not beat my dad's overall record of number of vials drawn at once. :) One of the blood tests had to be done by a different technician and in in a different room. So I had one blood draw for 25 vials and then I had to walk across the room to another station and get poked again for one more vial. Super fun. I had an x-ray and an MRI. The MRI took over an hour; I was told it was one of their longest imaging sessions. Also super fun. I also had a CT scan, an ECHO test and an ECG test. 

Now I had a better understanding of what my Dad has to do every time he visits Rochester. It is a lot. 

One thing about Mayo is that they're really great about putting your test results into your patient portal. This can be both good and bad. But it was definitely interesting to see the results of everything. I also learned a few things!

1. I still have the antibodies in my body from when I had mono as a junior in high school. 
2. I have gallstones. Which apparently a lot of people do and they might never cause me any problems or they might cause some really intense pain down the road. However, if I end up donating my right lobe, they would remove my gallbladder as well, thus saving me from potential pain and suffering. 
3. I also learned I have a trifurcation of my main portal vein going into my liver. Most people's vein will split into two - one for each lobe. However, my vein splits into three going into the liver. This doesn't mean anything is wrong or would cause me from not donating, just a unique aspect of my liver. 

I also had one last visit with the Doctor before leaving town who told me that as a potential liver donor, I'm "as good as they get". I was healthy with no underlying conditions. The only thing they were still waiting on was the volume and mass of my liver to see how it compared to my dad's. So I left Rochester knowing that I was a potential match and once those last tests came back, if they were good, I would be recommended to the committee to be a donor. 

The following week, I got the official phone call that I was a match for my dad. 

Then it was time for making an actual decision. Up until this point, I had been very deliberate about not getting ahead of myself and not thinking about what being a donor would actually look like and mean until I knew I was a match.

What goes into make that type of decision? A lot. But we'll talk about that a little bit later.