Taking Life One Easy Breath at a Time

By ACA | November 20, 2019
When Tim Thomforde was diagnosed with COPD, his quality of life began to gradually decline, and he had to abandon many of the activities he enjoyed. Since undergoing a double lung transplant two years ago, however, Tim has had experiences he never dreamed possible when he was struggling with COPD.

When Tim Thomforde was diagnosed with COPD, his quality of life began to gradually decline, and he had to abandon many of the activities he enjoyed. Since undergoing a double lung transplant two years ago, however, Tim has had experiences he never dreamed possible when he was struggling with COPD.

For Tim Thomforde, the difference between life before and after his double lung transplant has been striking. Tim went from being in a wheelchair on oxygen for nine years to walking his dog at 14,000 feet on top of a mountain in Colorado following his transplant in August 2017.

“It was pretty
amazing because when they pulled the tube out, I could take deep breaths,”
Tim says. “It was like waking up from a bad dream. It had been 12 years
since I felt I could really breathe.”

In 2008, at age 50, Tim was diagnosed with chronic obstructive pulmonary disease, or COPD, which was the result of 30 years of smoking and the emphysema he developed because of it. COPD is a chronic inflammatory lung disease that destroys the lungs’ air sacs, causing obstructed airflow from the lungs. Symptoms include breathing difficulty, especially with activity, as well as coughing, mucus production and wheezing.

Tim remembers vividly celebrating his 50th birthday with
family and friends, and then having oxygen tanks delivered to his farm in
Luray, Kansas. “When I first got on
oxygen, I felt pretty good again. But it held me back because I was always
worried about my tank being empty,” Tim says. “As time progressed, my
breathing got worse. So many things would trigger me — the hot, humid air, any
kind of perfume or dust. I was afraid to do many of the things I used to do. It
changed my whole life.”

Prepping for transplant

Tim was referred to Mayo Clinic by his physician in Hays, Kansas, to begin discussions about a lung transplant. “His lung function was in the 15% to 20% normal range when I first met him in October 2008,” says Mark Wylam, M.D., a pulmonologist at Mayo Clinic in Rochester.

“I couldn’t walk to the bathroom without getting short
of breath,” Tim says. “When I would try to cook breakfast, I had to
get the pan out and go rest before I could make eggs and toast.” Although Tim’s
quality of life was poor, he had to quit smoking and get as physically healthy
as possible before he could be listed for a transplant.

“Getting a transplant is like climbing a mountain. You
have to prepare and make changes in your diet and physical fitness to be able
to do this, which is why early referral is critical,” Dr. Wylam says. “Every
day you’re on the list is a day to get more fit, so the body is strong enough to
undergo the transplant.”

“I trust (Dr. Wylam) and know he has my best interest at heart.”

Tim Thomforde

Tim was put on the transplant list in July 2014, six months after he quit smoking. While he waited for a new set of lungs, Tim was on several medications and participated in pulmonary rehabilitation at Mayo to stay in shape. Because Tim’s blood type is AB negative, finding a compatible donor was difficult.

“Organs are matched to your blood type, and only about
3% of the total population has AB blood,” Dr. Wylam says. “That’s why
patients with this blood type tend to wait longer on the transplant list.”

During the wait, Tim relied on his care team at Mayo. “Dr.
Wylam is such a great guy. He’s great at explaining things. He tells me what he’s
thinking. I trust him and know he has my best interest at heart,” Tim
says. “In 2016, I wanted to spend Thanksgiving on my farm with my family.
But I was worried I might get the call that they’d found me a set of lungs. Dr.
Wylam said he’d come and get me if the lungs came in.”

Relishing life renewed

On Aug. 12, 2017, Tim got the call he’d been waiting for.
And on his 59th birthday, Tim received a new set of lungs during his
transplant, performed by Mayo surgeon Richard
Daly, M.D.

“From the day I woke up from my surgery until now, I
have not required any supplemental oxygen. My oxygen saturation is between 97%
and 100%, and my lung capacity has increased from under 1 liter to 5 liters,”
Tim says. “My near-death situation has turned into a new life, and the
most thoughtful and heroic gift from my donor made this possible.”

“I am eternally grateful for this kind act and for the care I received at Mayo Clinic.”

Tim Thomforde

In the two years since his
transplant, Tim has done lots of traveling, and he’s been able to enjoy getting
back to the activities he loves.

“Just a few months
after the transplant, I walked my dog to the peak of a 14,000-foot-tall
mountain. I got to finally meet my 9-year-old grandson in California. I spent a
week with my children and grandchildren at a lake cabin. That was the first
time all my kids and grandkids were all together,” Tim says. “Reading
stories to my grandkids, making s’mores, and taking them fishing. That’s how
they’re going to remember their grandpa — not the main who was hooked up to an
oxygen tank all the time. I don’t take any of this for granted.”

“There’s nothing
like a lung transplant to rebirth an individual to full capacity. I enjoy being
a lung transplant doctor because of that stark difference we can make in people’s
lives,” Dr. Wylam says. “The transplant patient is completely
liberated from their disease and able to have a normal life.”

Tim calls every day a miracle.
“There are no words to show my appreciation and the appreciation of my
family for this generous, lifesaving gift from my donor,” he says. “I
am eternally grateful for this kind act and for the care I received at Mayo
Clinic.”

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