Posts Tagged 'platelets'

60 ounces and a shot

My goodness! I survived my 4th round of ICE chemo and have started the stem cell immobilization process. This means that everyday I have to take: 1 Bactrim, 1 Levaquin, 3 antiviral, 6 Tums and 1 injection of Neupogen along with any pain or anti nausea medication. This is not much compared to some, but its still a lot of pills. This will continue until I have hit that 10 million stem cell number. Since I just finished chemo, my blood counts have to measured pretty often because chemo kills your white & red blood cells and your platelets. If your white blood cells are too low, then you are neutropenic and have to be hospitalized for isolation. If your red blood cells are too low, then you have to have a blood transfusion. If your platelets are too low, then you could potentially bleed to death and also need a platelet transfusion. None of these scenarios are fun, but are a reality when you are undergoing chemotherapy. Not all chemotherapy kills your immune system. Since I have what is considered a blood cancer, the chemotherapy that I receive will absolutely destroy my bone marrow. People that have other types of Cancer such as breast or other organs receive a different type of chemo. Chemo sucks either way, but there is a greater risk with people that have a blood cancer versus people that don’t. This means that you have to be watched closely to see what your body does.

I have been going to Richmond pretty regularly to check my blood counts. As of right now, my blood counts look okay, but my blood pressure is too low. Chemo can cause cardiac damage and I have to have some medical tests to ensure that heart can handle transplant. This is true for everyone that has to have a bone marrow transplant. My blood pressure has definitely been an area of concern since this whole thing began. It tends to be low (which is good), but when I get chemo it gets even lower and the medical staff start freaking out. In order to maintain or increase my blood pressure, I have to drink at least 60 ounces of fluid a day. 60 ounces? How in the world and I going to do that and will I be spending all my time in the bathroom? I know to some of you that may not be a problem, but to me it requires a huge effort on my part. My mom has been diligent about giving me a ton of water to drink and making sure that I drink it. She says that “its either this or the hospital.” Yes, mom good point.

My mother also has the pleasure of giving me an injection of Neupogen every single day. I prepare the needle and she stabs me with it. No problems there. I tried to give myself the injection, but could not do it. I am grateful that I have her because I am not sure how many other people could give me a shot. Wait a minute… I take that back. I am certain that there are plently of people that would love to stab me with a needle. 🙂 Well, sorry for all of you, but the job is taken. All in all, things are not that bad. I am still recovering from chemo and trying to mentally prepare for what is ahead. Thank you for your emails and comments, I love hearing from everyone.

Some Bloody Good News

So I have some good news and some gross news. I will begin with the first. My insurance company has agreed to cover phase 1 of my clinical trial tandem autologous transplant. I know, I know. What the hell is phase 1? The truth is, I have no idea. I am not managing this process, MCV is. They are the experts in getting insurance companies to cover the clinical trials. I know that having a double transplant is cheaper then undergoing an allogenic transplant, so I am assuming that is why they have agreed to cover phase 1. Don’t know how many more phases there are, but I will keep everyone posted.

Now for the gross news. I have to have a blood transfusion. My red blood cell count and my platelets are too low as a result from ICE chemo. My white blood cells are normal because of an injection that I received after chemo (Neulasta), but if they were too low then I would be neutropenic and have to be hospitalized. Chemo affects everyone differently and when I had the other chemo (from Oct 07-March 08 ABVD) my white bloods cells definitely took a hit, but my red blood cells and platelets were okay. Now that I am getting a new cocktail, ICE, my red blood cells and platelets are taking the hit. Your red blood cells deliver oxygen through your blood and your platelets help coagulate your blood when you bleed openly. Having low counts of both of these means that I am very fatigued, get out of breath very easily, and can’t function at a semi normal rate. I have to walk slow. I can’t go up some stairts without laying down right afterwards. You basically feel like anything that you are going to do will make you pass out and God forbid if I accidently get a cut, I could bleed to death. FUN! So, in order to make this right. I will have my first ever blood transfusion tomorrow to increase my counts. The whole thing is suppose to take 5 hours and I am a little freaked out about it. There is something creepy about getting blood put into my veins. My nurse at VA Oncology told me that I need to get over it because that will be happening a lot when I undergo transplant. I swear this just gets better and better. In the meantime, I will contiue to be a little grossed out. This vampire will be taking pictures tomorrow to capture this bloody experience. Perfect timing for Halloween!