Changing into a health care provider takes years of intense research, late nights and dedication. For Gianna Paniagua, it was all taken — plus two coronary heart transplants.
Paniagua, 31, is without doubt one of the nation’s longest-running toddler coronary heart transplant recipients—and now, in opposition to all odds, she’s enrolled in Columbia College’s Postbac Premed program, the place she’ll get the credit she wants to use to medical faculty a 12 months later.
“I am after what I need at this very second,” Paniagua informed The Put up of her surprising journey to get so far. “Worry comes from feeling that one thing is lacking from me and I do not really feel like there’s something lacking.”
Baniagua, who was born on the Higher East Aspect, was recognized with hypertrophic cardiomyopathy — a illness through which the guts muscle enlarges, making it tougher to pump blood — when she was an toddler. She obtained her first coronary heart transplant in 1992 at Morgan Stanley Kids’s Hospital, New York-Presbyterian, when she was simply 14 months previous. Regardless of being No. 1 on the transplant record, Baniagua needed to wait three months earlier than being matched with a donor.
Going to the physician’s workplace quickly turned a routine for the artistic child, who did not really feel like he missed out on a lot rising up and dreamed of changing into a health care provider.
“He wasn’t there earlier than. That is not one thing I am sorry about,” mentioned Paniagua. It simply exists.”
It wasn’t till I received into faculty that I noticed it was totally different.
She began her first 12 months on the College of Pittsburgh by enrolling in pre-medical and nice arts lessons. However her classmates failed to grasp her lack of ability to have a good time and her medical crew satisfied her to cancel enrollment from her pre-med research as a result of she did not have the “endurance” of the notoriously strenuous coursework.
She gave up her introductory main in her second 12 months, however continued to attend science and biology lessons. She used her classmates’ failure to grasp coronary heart illness as inspiration for her to begin telling her story by her paintings.
“I believed I could not turn out to be a health care provider and artwork was one other technique to enter the world of drugs,” mentioned Paniagua, who creates installations, paper items and sculptures. “Sufferers can see it, talk with it, and wholesome folks can establish it.”
After graduating from faculty, Baniagua started experiencing power ache and her well being started to deteriorate. Medical doctors ultimately came upon she had most cancers – a “gentle” case of post-transplant lymphoma often known as PTLD – and she or he would wish to endure a spherical of chemotherapy.
Then she determined to pursue her desires and apply to Colombia, which she did similtaneously she began remedy.
Whereas recovering, unwell and unfold out on the hospital lavatory flooring, Baniagua opened her electronic mail to verify she was accepted.
“It was actually cool and peculiar and kinda surreal,” she mentioned of opening her acceptance electronic mail. “I’ve lastly been doing what I’ve needed to do since I used to be three.”
In July 2019, she was allowed to depart the hospital and moved into her residence in August. However she turned more and more unwell through the COVID-19 pandemic and returned to dwell along with her mom in Pittsburgh. Strolling left her breathless and she or he suffered from coronary heart palpitations, extreme fluid retention, nausea, complications, and ultimately seizures.
“I felt like I used to be dying,” she mentioned.
Sadly, she was proper.
She was informed she would wish a second coronary heart transplant, which is widespread for toddler coronary heart transplant sufferers, however Banyagawa wanted her coronary heart transplant instantly. With out it, she would solely have 4 months to dwell.
On high of her bodily signs, Baniagua additionally started fighting the “emotional lack of accepting that you simply may not get up tomorrow.”
Getting authorized for a coronary heart transplant isn’t straightforward. Not solely did Paniagua join with the appropriate donor, hospital program, and surgical crew, however she additionally needed to persuade docs that she needed to dwell.
One of many questions was: “Why do you need to dwell?” I do not assume something prepares you to have two docs gazing you and should combat to your life with verbal persuasion,” she mentioned. “The emotional stress was terrifying.”
Being one of many longest-lived toddler coronary heart transplant recipients within the nation has made her a high-risk affected person as a result of massive quantities of scar tissue attributable to many biopsies over time.
“It was type of a kick within the intestine. Such as you did not actually have a probability,” she mentioned.
Happily, Dr. Mary Kepler, previously of Vanderbilt College, was on the transplant crew on the College of Pittsburgh Medical Middle and enrolled in a program there in a couple of weeks.
In February of 2021, Paniagua efficiently obtained her second coronary heart transplant at Vanderbilt, enabling her to proceed her pre-medical research.
Nevertheless, her restoration was not straightforward. Paniagua remembers having the worst ache of her life – not with the ability to transfer her physique even a centimeter and needing to be on a ketamine drop simply to get to the toilet.
Right now, as a lifelong affected person, she believes she will supply a novel perspective to medical faculty and assist others like her.
“It is perhaps the very best factor that ever occurred to me,” she mentioned. “You had been born with the character that you’ve got. You had been born with the skills that you’ve got. And the folks you had been born with do rather well in attempting to assist push by the transplant.”
She even not too long ago began a transplant help group in New York Metropolis.
“A million folks have gone by this with you,” she mentioned, referring to the US finishing its millionth organ transplant this month. “It’s a must to be one in 1,000,000.”