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ATG-Chemo Cocktail – Shaken not Stirred

Hi guys.  So the last time we spoke was July 9th when I was introducing you to Poley McPoleface.  If you want more info on why we named him that, please go back to that post.  I included a link.

My hope was to blog yesterday but the truth is, I got really sick.  Saturday night I had my first round of chemo which was Cyclophosphamide (aka Cytoxan).  Truth be told, other than a couple tears on my part, and a little nausea, it was really uneventful.  And I’ll take uneventful any day.  With the chemo they stream in lots of fluids into my port in order to protect my bladder and kidneys and keep everything moving along.  Since I have so many fluids coming in, they carefully measure my fluid output.  I have seriously never discussed urine so much in my life as I have in the past couple of days.  Who knew it could be so important and interesting?  Well my urine output wasn’t keeping up with my fluid intake so they had to give me somethings call Lasix, which basically triggers your bladder to go any time something is in there.  So needless to say, I was up all night going to see Potty McPotface.

On Sunday, I woke up feeling pretty ok, albeit tired.  At 10am they started my first round of horse ATG (Antithymocyte Globulin).  Horse?  What the heck does a horse have to do with anything?  Well, my friends, I’ll tell you.  ATG is an antibody against lymphocytes and will effectively suppress my immune system so as not to be active when I receive my sister’s immune system.  The way this medication is produced is that certain cells are injected into a horse (yes an actual horse, and sometimes rabbits!) and the horse produces large number of these antibodies that can then be removed and injected into humans.  WHO EVER THOUGHT OF THIS????????  

The ATG went through ok, I had some chills, but they went away pretty quickly.  Denise and Harry Zapata came for a visit (my first visitors!  Other than Sully who has been with me all day everyday), and we had some laughs and really nice time chatting.  After they left, my sister Kath came.  We chatted and walked the halls a bit.  After we came back from our walk, I started feeling pretty bad.  I started getting chills again, BAD.  Then a 102 fever.  It’s such a horrible feeling, being freezing cold yet burning up at the same time and shaking uncontrollably.  I was so uncomfortable.  I tried to power though it, breathing in through the nose, out through the mouth.  Yeah, that doesn’t always work.  By the time the nurse came in I was making the sounds of a sobbing, choking animal.  I actually told the nurse “I’ve never made sounds like this ever in my life!”  Not my finest moment.  A few hours and lots of drugs later, I finally felt a little better.  Though I kind of felt drunk and my skin was still hot to the touch.

I didn’t sleep too much that night, and I had to go on the Lasix again, so I was up and down every hour or so.  I was beyond thirsty and when I tried some water, it all came up again.  Blah!  This blows!!

Ok so now it’s Monday, I’m feeling ok even without much sleep.  Sully and my sister Maureen are here with me.  Moe decorated the room with twinkle lights and pictures of my nieces and nephews.  It really spruced the place up!

Though I can’t help but remember that this time last week I was on the beach in Montauk with my love, reading a book, listening to the waves crashing and sipping cold sparkling rose.  Today I have 12 lines of stuff flowing into my port, and I’m counting my urine.  At least I have my new shark friend to keep me warm and comfy.

 

 

 

 

Poley McPoleface

Poley McPoleface

So I was finally admitted to my room around 12:15 this morning.  It’s a cute room.  My nurse took me on a tour of the floor then ran through questions, vital signs, hospital protocol and the like.  After that I was able to unpack my thing and get settled in.  I was feeling totally fine other than my chest where my new port is.  The local anesthetic had worn off and it was super sore.  I was given some Oxycodone which only helped a little.  In the middle of the night the nurse asked me if I wanted a Morphine drip.  Sure I do!  It seemed slightly excessive for my level of pain, but I really wanted to sleep.  Well, it worked like a charm.  Up until this morning when I had 2 cups of water and promptly threw them up.  I felt better after that so I nibbled slowly on the bagel I ordered.  10 minutes later that came up to.  Note to self: taking Morphine for soreness, is not worth it.  I’m starting to feel less sore so I just opted for no drugs at all.

Around 2ish, I was finally able to get down some tea and crackers.  So I went for the gold and ordered a grilled cheese (not as good as Nana used to make, but it did the trick).  Did I tell you that you order your food like room service here?  Anytime, I want to eat, I just pick up the phone and order what I want from the menu.  It’s fabulous.

Oh and remember those lumens I was talking about all lighthearted yesterday?  Yeah, they are all fun and games when they are just hanging around unconnected.  Today I was permanently tethered to my medicine pole (is there a more official name for that thing?), for better or worse, until I get out of here.  It comes with me on walks, it comes with me to the bathroom, to the shower, to bed.  It’s like a puppy that follows you everywhere, but it’s not cute and doesn’t cuddle.  Sully and I held a competition on what we should name the pole, and Poley McPoleface won in the ballots.

For those of you who were surprised about the name of my medicine poll, I ask you read this article:

CNN Boaty McBoatface Article

 

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Getting Platelets

Platelets, Ports & Hives, Oh My!

So today is my admission date and also the day I received my port.   This official name for this port is a Triple Hickman Line or Central Venus Catheter.  My doctor actually knows Dr. Hickman who created this port for children.  The line was so incredibly effective, that it is now the standard of care in transplants. 

The purpose of the port is to for me to be able to receive medications/treatment, hydration, and to serve as an access point for taking blood, which will be done at least daily.  This avoids me having to get an IV every time, which I am totally in favor of.  The line is threaded into a vein in my chest and has 3 lines hanging out of it where they will hook up my meds or draw blood.  These lines are actually called Lumens.  My sisters and I were saying the other day how pretty the word Lumen is.  Like if a restaurant was serving a Sparkling Lumen Cocktail, I would order that.

Placing the port in my chest is a minor surgical procedure.  However, for me, even minor surgical procedures require a platelet transfusion, which I got this morning.  I have received at least 10 platelet transfusions so far and only had a reaction to the first one.  I got a tiny little hive on my chest.  Not a super huge deal but one that has to be addressed. I was given Benadryl and the hives subsided.  Because of that little hive, I now receive Benadryl every time I get a transfusion.  It’s at the point where I don’t even mind getting them because I know a little nap with coming them!

The protocol was no different today; I received my Benadryl and got my platelets.  However, as soon as they were done, I started to get really itchy and notice hives on my chest and neck and all over my back.  Yucky and itchy!  So everyone was quickly alerted and more Benadryl was ordered, IV this time. 

Hives

Hives

The hives eventually subsided but the port placement that was supposed to be at noon is now at 4PM.  This is important to note because I hadn’t eaten since 10PM last night!!  So by the time the procedure was done and I woke up from my crazy Fentanyl and Versed dreams, and declared fit to eat, it was like 7PM.  I was ready to start munching on one of my lumens!  Luckily the sweet nurses took note of my starvation and ordered me some food, which of course, was the most delicious thing I have ever eaten in my life.  They also have Marino’s ices on the menu here!!  This place rocks.

So as I type this, I am just here, hanging out with my lumens, waiting for my room assignment. 

Port & Lumens

Port & Lumens

Sully went to run home to pick up the rest of my stuff.  We brought one suitcase with us this morning, but didn’t want to hump the rest of it around the hospital all day. You know you’re in for some shit when you check into a hospital with a suitcase, some other bags and your pillow.  Boo.  I’m ordering a Marinos ice every single day I am here.

Marino's!

Marinos!

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