Tuesday, May 26, 2009

Part Deux

Hello Again everyone!
Time for me to get this blog up to date isn’t it? I left off on my last entry getting discharged from Henderson…yeah! Or so I thought…
The Week-end:
Unfortunately, my week-end home was pretty awful. My stomach/intestines were not functioning properly so I could not retain any fluids. This was supposed to be my ‘free pass’ week-end where I would feel pretty good before all the chemo side effects from the week prior kicked in full force. Nope. I spent the week-end extremely nauseous, extremely dizzy and in bed the whole time.
Some may recall that after my ‘free pass’ week-end the expectation was to go to the hospital every day for blood tests, counts and infusions if necessary. There was an 85% chance that by the Wednesday I would be re-admitted to hospital. I wanted to be part of that 15% who made it past that date but in fact by that Monday my body had had enough.
As I got ready to go in for my tests that Monday the 20th April, I blacked out in the shower and came to on the tile. Luckily I had not been able to shower standing for a while so I had only slipped from my shower chair to the floor but still… I blacked out a couple more times getting ready and by the time I did get to the hospital I was on my knees in the elevator so not to fall over. It was my arch nemesis again that ‘done me in’ – dehydration (blasted!&##!).
The back Nine:
So, bingo-bango after only a measly 2 days at home I was re-admitted, hooked up to the IV again and pumped with fluids 24/7 and antibiotics via IV every 8 hrs. The other chemo side effects eventually kicked in and after a couple of days I was also receiving my anti-nausea meds by IV on a regular basis and had a butterfly needle inserted in my upper arm for direct morphine injections due to throat sores. The good news is the throat pain only lasted about three days, it really could have been much, much worse, but after those 3 days I didn’t need another shot of morphine.
I did have to get several blood (3-4?) and platelet (2) transfusions while in. The platelets were an adventure. I had crazy (and admittedly scary) side effects. I got a rash and welts on my face and torso and then the whole left side of my face down to my shoulder paralyzed. I could not feel anything in my face as though I had been shot up with extreme doses of novacaine. Once identified as a reaction they immediately IV’d me a nice large bag of ‘Benadryl’ and eventually all the face numbness and welts subsided. The next transfusion they gave me the ‘Benadryl’ prior to the platelets.
Home:
After several days my blood counts started go up and after nine days I was safe enough to come home and did so on April 28th. I came home with a pretty bad cough so on oral anti-biotics for about a week and a half. This eventually evolved into a pretty good cold but has since morphed back in to a tolerable cough. My doctor basically said my body for the next while will take longer than usual to fight back. Perfectly understandable.
So, where am I now? Not physically I mean but status-wise. I am on a really dull roller coaster. By that I mean very few highs energy wise… I roll along the track at a pretty slow pace and quickly go down a swift hill into deep fatigue. My first weeks home were about 70-90% sleep. Last week I was doing pretty well and my sleep during the day was more like a couple hours at most and mainly lots of resting but this week already I am sleeping about 3-5 hours a day and still getting a full nights sleep too so my little coaster has been out of gas this week for some reason.
I am doing really well from my transplant doctors perspective and my care has been transferred back to my regular cancer doctor here in Oakville so that is amazing medical progress and I am so pleased. My Oakville Hematologist will soon book my CT scan and that will confirm that my treatments were a success – he will monitor me regularly again for the next 5 years.
Okay then. That is the medical update. Pretty dry stuff. I have lots of bits and pieces and funny stuff to relay but this entry is already several miles long and my brain is about to turn off…so, until next time…
Thank you to everyone for your most awesome support-
Carey

Thursday, May 21, 2009

Finally an Update!

Hello Everyone!
It has been a while, hasn't it? Over a month since I last posted but my focus, fingers and energy level have not been aligned until now to write an update.
So, where to begin? Well, I actually did end up spending just shy of three weeks at the Henderson Hospital, since then I have been home recovering but let’s break it down into ‘segments’ shall I? -->
The 1st Seven:
I entered Henderson on the 9th April and after a quick baseline chest x-ray was immediately hooked up to the IV for fluids to get me all plumped up for the next week worth of chemo. Once hooked up, the fluid part of the IV ran 24/7 for the next 3 weeks (save for 2 days) except when the chemo meds were running so I basically was attached via two lines to an IV pole for 3wks – amazing what you get used to…it sort of reminds me of when you go skiing; you know, at the end of the day when you take your ski boots off you feel as though you are floating above the ground. That was what it was like when unhooked finally from the IV, free floating! It’s amazing what you get used to until it is gone. But, I digress. The next 6 days I had chemo. The chemo meds were only an hour or two each day but beforehand was the nausea and steroids, both by IV which took an hour or so and then nausea meds again after which were another hour and again at 8pm and midnight each day so all told the infusions were about 4-5.5 hours a day. The rest of the time I spent just hooked up to the fluids, getting my temperature+blood pressure+heart rate monitored every 4 hours until midnight and daily blood draws each morning at 4:30am, and; napping, watching TV, flipping through magazines or (best of all) with some fantastic visitors. Daily my MIL brought Hayden in for a visit and it was an instant mood lifter for me. His visits were not too long (he is 4 and hospitals are not that stimulating) but I got my Hayden fix and he got his mommy fix and it was wonderful. By day 5, which was the Monday, I had my head shaved. It was time. My nurses were letting me know that I has leaving hair bunnies all through my floor as it floated away from my head and me, my bedclothes, my sheets and my floor were covered in my shedding so ‘Off with her head!’. Results = a really chubby Demi Moore in GI Jane but at least I don’t have really funny ears or large dents in my head…
Day Eight and Nine:
Re-infusion Day. The day I received my stem cells back. My re-birthday on April 16th (Happy real birthday Claudia) The process consisted of me lying in my bed with a nurse monitoring my vitals after every infusion on one side and the transplant coordinator giving me lemon lozenges and cold compresses on the other. Another ‘freeze team’ of three thawed my cells one bag at a time (eight I think?) and then drew them into big fat syringes. They would then give the syringe to the doctor who pumped each through my pherisis very s-l-o-w-l-y. Lather, rinse, repeat eight more times and in about an hour it was all said and done. No major side effects due to the nice nausea meds and Ativan (stress reducer) given before hand. It went really, really well.
The next day my blood counts were low due to the chemo finally kicking in with them so I had a couple of bags of blood transfusion and was discharged home that afternoon.

Okay, definitely more to come – my 2nd round in the hospital and my weeks so far at home- but for now consider this my 1st installment about all that…I am tired and need a little lay down now for a while. I will write more soon to get this all completely up to date.
For now let me say I am recovering and slowly but surely am on my way to better days
With such happiness and hope,
Carey