bumpy week-but pulling thru
Ok, I started this update on Thursday morning but fell asleep while typing it. Thankfully my husband saved it for me when he moved the computer and tucked me back in bed. I fully intended to get back to it in the afternoon but things just didn’t work out there. I did update it yesterday 3 times but lost wifi each time I went to publish therefore losing my update. So today, I’m finishing it out in word and copying it the website. Anyway, here’s what wend down………
Mon., Tue., and Wed. are somewhat of a blur. I kept spiking a fever that we struggled to keep under control. I laid on ice packs 24/7 and took 2 tylenol, then 2 hours later, 1 motrin, and repeated that schedule for 3 days. I would get delirious as the fevers would rise and I’d want to sleep so my husband stayed up pretty much the whole time, checking on me and gathering my temperature readings every 1/2 to 1 hour. He is exhausted but I think we finally got it licked. I did however develop a bloody nose that was pretty constant and some mild bleeding from my gums. I suspect low platelets again. We went to the oncologist on Tue. and found my platelets were back at 4 so Wed. I had a transfusion. Wednesday night they delivered another antibiotic to add to the cocktail. An IV bag to be given every 24 hours for now but with plans to up that to every 12 hours. Thursday, the fever stayed down all day and I got some long overdue tasks accomplished. In the late afternoon the temp started to rise again and out came the cold packs. The bleeding had stopped so I at least got eliminate the cold pack off my face. Friday morning I went in for my regular blood draw and dr. visit. Due to my low platelets, some blood had pooled and settled around the rectal area and swelling had occured. It looked like it may even be abscessed. After my transfusion, my platelet count only climbed from 4 to 5. Also after a week of neupogen shots my whites actually went from 0.2 down to 0.0. These were all concerns of the Dr. However when he heard I hadn’t had a bowel movement since Tuesday, he pretty much told me I needed to be in the hospital. Dr. D with all his drama said, “If you get colitis in a neutropenic state, it will be fatal.” So off we went to St. Rose Dominican Hospital-San Martin campus. Orders had been faxed to the ER and we were carrying orders as well. We could have waited at the cancer center for them to get pre-authorization and just admit me skipping the ER but the Dr. didn’t prefer this method. Well….next time he’ll just have to deal with it because coming thru the ER created problems of it’s own and cost an extra $150. But hindsight is 20/20 right? Anyway, I started out confident we made the right decision but by Sat. morning we weren’t sure. The antibiotics they gave me are exactly what was administered at home. I checked my temp more often then the nurses here do. The only thing changed is they gave me milk of magnesia every 2 hours until a bowel is produced. And they have stronger pain meds. I had an ex-ray of my chest, an ex-ray of my abdomen and a ct scan of my sinuses. The abdomen showed no signs of colitis and not much impaction. Dr. D said it’s not that bad, you poo, you go. Yeah right, I wished it worked that way but now the “team” of doctors are on board and I’m settling in for at least a week. The infectious disease dr. came in, and as all i.d. dr.s do, went straight for my port. I assured here the infection was not there but we had plenty of other candidates. After a while she asked to see my backside and exam it. When she was thru she said, “I’m sending a surgeon in to look at that,” What???? What surgeon would do non-emergency surgery on someone with 0.0 whites? She also said she would look at the CT scan and see if surgery was necessary on my sinuses. Again…..what? Anyway, things had been moving along well and I had been feeling well but before this dr. left, she changed up half my meds adding new ones I haven’t had before and discontinuing what we thought was working. By mid-afternoon, I was exhausted and couldn’t keep my eyes open. My fever spiked to over 102 and my blood pressure fell. I started hearing talk of ICU. I asked them for cold packs but at first they said no they don’t really do that. I eventually convinced them and soon there after the fever broke. Then after 2 days of laxatives, I finally produced. The nurse immediately showed up with dilloted for the pain. God Bless Her cause that was excruciating. She did insist on taking pictures of my bum because things were out of control and she didn’t the dr.s were addressing in so she felt if there was a picture in the front of my file, they would have to deal with it and I wouldn’t have to go thru 5 painful exams. That’s basically where we are now. Just waiting to see if the new cocktail helps anything and trying to stay as comfortable as possible while doing it.
On the MDA front, my sister was matched with 8 out 10 markers which I thought was great but they say they really want at least a 10 out of 10 or a 14 out of 14. I guess some markers are more important than others and the 2 Sheila is lacking are too important to ignore. They found some core blood that they want to further test and one possible donor that needs to be looked at harder. I should know in a couple of weeks. However over the weekend, Dr. Wu stood in for Dr. D here at the hospital and we started talking about transplants. Come to find out, that is what he did back in New York before coming to Vegas. He was discouraged that they wouldn’t look closer at Sheila with an 80% match. We discussed the core blood risks and non-related donor risks. I’m going to try to get a copy of Sheila’s blood work and have him give me a second opinion and then I want to go outside the state for a third opinion. It’s too important not to.
Anyway, my sprits are up. My fight is back and I’m ready to deal with whatever I need to. I’m a planner and I hate the unknowns, but I’m learning to trust and have faith and to let go.
Thank You’s to everyone wishing me Happy Birthday and for praying for me. I’ll let you all know as soon as I know if any bone marrow drives will be coordinated and the process necessary if you want one in your area.