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Breathing new life
Capt. Dean Violet, a volunteer firefighter at the Dry Creek/Lokoya fire station on Oakville Grade, is back at home in Napa following a double lung transplant on Aug. 10. J.L. Sousa/Register | Buy photos
Napa firefighter savors each day after double lung transplant
Friday, December 05, 2008
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When a chemical explosion rattled San Francisco Airport in 1989, Dean Violet had no idea that he’d end up as a lung transplant recipient.

Now Napa County Fire Assistant Chief at Dry Creek-Lokoya Volunteer Fire Department, Violet was working as a paramedic in San Mateo County when the blast rang out. Working aboard an ambulance on the scene, he was exposed to aluminum and titanium oxides peppering the air.
Violet’s lungs would never recover, even though he said he was ready for light duty just three weeks after the incident.

“It was hard to catch my breath. (Doctors) said it was pneumonia and it got worse,” he said, adding that his condition initially yielded several inconclusive medical test results.
But thanks to the efforts of Kaiser Permanente’s Dr. Noman Absar — who sent Violet’s lung biopsy to the Mayo Clinic for further testing — Violet eventually got a diagnosis of Pulmonary Alveolar Proteinosis, a rare lung condition.

Affecting fewer than 10,000 Americans, PAP occurs when the body generates high numbers of antibodies which prevent the lungs from ridding themselves of unhealthy tissues, according to the Pulmonary Alveolar Proteinosis Foundation.
Today, Violet is healthy and gaining strength after nearly a year away from home, much of it spent at the intensive care unit of UC San Francisco Medical Center.

The lifelong Napa County resident left the hospital 57 pounds lighter, but with a new set of lungs, thanks to a young and anonymous Santa Cruz organ donor.

“It’s like night and day,” Violet said. “When I went into the surgery, I was completely dependent on a ventilator.”

Violet’s mother, Lynn, said the family’s hopes were dashed three times when prospective donor organs were deemed unsuitable because of their size, blood type and other factors.

“We had gone through this for a whole year and it was getting worse and worse. ... His doctors and therapists knew he was literally running out of time. But when they got the lungs, (Violet) sent out a text message that said, “Lungs lungs lungs! They’re taking me in at one in the morning,” she said, holding back tears.

“We are so thankful to the donor and the donor’s family,” she said, adding that she hopes to raise awareness about how people can become organ donors when they receive or renew their driver’s license.

Today, Violet is feeling stronger, and although he will not fight fires again or perform duties as a paramedic, he participates in fire response training at Dry Creek-Lokoya Volunteer Fire Department, where he has logged countless hours over the past decade. Violet also continues his work as a sales representative for Sea Grave, a Clintonville, Wis. company which manufactures fire trucks.

In the meantime, Violet said his Kaiser health insurance shelled out a whopping $4.1 million to cover his surgery at UCSF. Fellow firefighters, paramedics, family members and Sea Grave employees also pitched in to help by organizing a Sept. 13 benefit on Violet’s behalf. The Calistoga Fire Department joined Sea Grave in donating a $2,000 gift package for the silent auction, he said.

Fortunately for Violet, his medications — which would cost $19,000 each month without the benefit of health insurance — are also covered. Following an impressive drug regimen which keeps his body from rejecting his new lungs, Violet downs 21 pills each morning, followed by five in the afternoon and 21 more each evening in addition to two self-administered shots every day.

Not letting the regimen slow him down, Violet is back to work, helping Napa County Fire Chief Gary Green run the volunteer station. If you ask Green, colleagues’ concern about Violet during his hospital stay were evident even in the most stoic firefighters.

“We all thought we were going to lose him. ... (But) we had high hopes and we visited him and tried to keep his spirits up. We hoped for the best,” Green said, adding that Violet is known as a “highly qualified, intelligent and caring firefighter.”

Although Violet’s active firefighting and paramedic days are over, Green said he will tap Violet’s firefighting expertise and leadership abilities to train and support firefighters. Violet, who decided to become a firefighter and paramedic when he was a teen, said he’s just happy to be back.

“I’m trying to live my life to the fullest,” he said. “Don’t take for granted each day that you’re here.”

“He has stayed pretty positive and has had a good attitude about the whole thing,” said his niece, Saira Violet, who took turns with Violet’s mother and father, Bill, to care for him after the surgery.

For his part, Violet — who graduated from Vintage High School in 1980 — said when he got out of the hospital, getting home was the number one thing on his mind.

“I could not wait to sleep in my Tempur-Pedic mattress and my recliner,” he said, adding that he and his family are grateful for the thoughts and prayers from friends and family throughout his recovery.

“We want to thank so many people for their prayers and their support,” Lynn Violet said. “The doctors are calling him the miracle man.”
13 comment(s)

NAPA66 wrote on Dec 5, 2008 12:56 AM:

" I am so very happy to learn of Dean's commital to doing what he loves. He truly is a "Miracle Man". He also has a very loving family, and my prayers were always with them. They are truly nice people. Good luck Dean and good health! "

glenroy wrote on Dec 5, 2008 5:56 AM:

" A remarkable man…… "

db76 wrote on Dec 5, 2008 7:02 AM:

" This is the perfect example of why people should fill out organ donor cards and talk to their families about organ donation. There's no reason not to have a card filled out. "

Ruff Limblog wrote on Dec 5, 2008 8:52 AM:

" A Local Hero gets the care he deserves and there's a 'happy ending'!

Now what was all that Republican-enabler 'bluff and guff' recently about how our firefighters are given too generous a pay and benefits package???

These people should be ashamed of themselves.

Decent Americans take care of their heroes, ALL the time, and are joyous when a brave person has things work out for the best.

~Ruff "

Nonna wrote on Dec 5, 2008 9:24 AM:

" What a beautiful well written article.
I hope it will get more people to get on a donor list.I have been on one for many years and even now as I am older they can still take my eyes
What wasn't mentioned in this article beside the fact they put thier lives on hold was the monetary cost for this family as they traveled daily to SanFrancisco, thank God for the cousins who helped with gas cards and bridge fare We are all so grateful to have our miracle boy back! "

steph wrote on Dec 5, 2008 10:27 AM:

" Capt. Dean is an inspiration. I especially admire his work ethic and positive attitude.

We see here, too, that not all medical insurance providers are as evil as they are frequently made out to be. "

drcitizen wrote on Dec 5, 2008 2:41 PM:

" Hey Deano,

I was your volunteer 11 years ago at STA#13. I read this article out of state. You have truely committed yourself to the Napa County Fire Department, Soda Canyon Volunteer Station, and Dry Creek Station. I am happy to hear about your success and wish you the best in the future. Keep up the great work. Dan P. "

momv724 wrote on Dec 5, 2008 2:52 PM:

" Thank you Natalie for such a very good article on our son Dean. The doctors and staff at UCSF Medical Center were so dedicated and the care he received was top notch. It took so many people to bring Dean back to health. "

enapa wrote on Dec 5, 2008 3:40 PM:

" $19,000 a month for pills? Wow Big Pharma really is destroying this country. No wonder our health insurance is so expensive. "

Fyrdawgs wrote on Dec 5, 2008 5:44 PM:

" I would personally like to express my many thanks to the ICU Nursing staff @ UCSF , and all the Doctors that worked on my case.

I would also like to that Chief Steve Campbell and the members of the Calistoga Fire Department who worked so hard to put together such a nice package for my fund raiser, along with Jim Demattei of Seagrave Fire Apparatus. I wish I could thank each and every person that helped me through a very difficult time, but the list is way to long.

I would also like to thank the members of the Napa County Fire Department personnel from Dry Creek, Soda Canyon, and Carneros, Napa City, Colma, SFFD and Redwood City, and San Mateo County EMS/American Medical Response for all their support. "

steph wrote on Dec 5, 2008 6:04 PM:

" enapa--
On the other hand, without Big Pharma, where would Dean be? "

napafam wrote on Dec 6, 2008 12:26 AM:

" We are so happy for you Dean!!!! We have kept you in our prayers every day and will continue to do so. We are thrilled that you are home and feeling so much better. Keep healing, we love you!!!! "

kathybonacini wrote on Dec 16, 2008 10:12 AM:

" Congratulations to Dean and the entire Violet Family. It was a pleasure to work with you after your transplant, you are inspiration to medical and non-medical people alike. It was definitely a Violet team effort. Best wishes to you always. Enjoy this new chapter of your life- the sky is the limit! Sincerely, Kathy PT "

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