Showing posts with label neutropenia. Show all posts
Showing posts with label neutropenia. Show all posts

Sunday, 21 September 2008

An Illegal Glimpse Over The Fence

We did it!  We mounted an escape bid.  Well, my wife did really.  She is very clever and very cunning (and may also be reading), did I also  mention beautiful and talented too?  :)

They (she and the kids) arrived after lunch today and we told reception we were going for a walk and could be some time.  
Backtracking a bit.  I woke up this morning and was feeling fine!  My arm was looking more like it belonged to me and less to Hellboy.  In fact it looked almost normal (almost, but still a bit squidgy).
I had managed to get through 24 hours without a temperature spike and at a time when I was most fearing having one (one of the lads who is a nurse here has just passed his blood taking test and is eager to let blood.  If my temperature spikes they want a blood sample from my line and my arm too and I didn't fancy him having a good old root around, scratching his head, looking like a dog who was sure it had buried its bone here but then again maybe over there... near the tree (dig), hmmm, howabout next to the fence (dig)).  No.  Didn't want that.
Jumping in time again.  My wife arrived looking lovely (you still reading dear?) and we shot off in the car.  The perfect crime.  The original plan was  to go for a walk round the park, but as the most walking I had done was to the toilet and (mostly) back, we decided to drop in on the in-laws, let the kids play in the garden whilst we had a sit in the sun (me very in the shade).  It was really nice.  I had forgotten how great sunshine was.  My artificially lit room, with only a glimpse through the bars on my windows (okay, slight exaggeration) to the beauty that is freedom.
Yesterday, the doctor had said that if my temperature stays in check and my blood counts keep climbing then they would probably be able to convince the ward uber-fuhrer to sign my release papers.  I was silently hopeful.
Anyway, after a lovely afternoon with my witty, intelligent wife (just checking you're still reading, dear) and the kids, it was time to return.  Rather than drop me off, they came back in and stayed for a bit (until Harry became painful with his constant demands for chocolate and yet another drink).
A little while later a couple of other friends, Gary and Kelly came to visit, which was great as I hadn't seen them for a while.  Sadly, whilst they were here, a sign went up on my door.  I had been marked.  I don't know if it was punishment for leaving the defensive perimeter, but it looks like it may damage my case for release tomorrow.  Basically, after my neutraphil count has jumped up and down over the last few days, today it is 0.5, which is officially neutrapenic and also meant that I should not have left the ward.  Oops, I didn't know.  Open the communications channels here people!  Anyway, all is okay.  I got given my "night time drink" (I opted for hot chocolate, as it is usually the one they can do the least damage to).  I studied said drink and still fail to understand how basic hot chocolate can be made to look and taste so bad.  An enigma scientists will no doubt be debating long after we are all gone.
Anyway, I'll let you know if I manage to will my neutraphils back up tonight and use my get out of hosipal card.  If not, then roll on next "night time drink", perhaps I'll give Horlicks another chance.

Wednesday, 25 June 2008

Released into the wild

I got released from hospital last night.
I went in on sunday, to A&E, with a temperature of 39c. I was taken in and a lovely doctor checked me out and put in the usual needle. Blood was taken and I was given IV anti-biotics.
After a few hours, my blood results came back and I was not neutropenic, but I had an infection and they were going to keep me in. After some more loitering, I was taken for a chest x-ray, which came back clean and I then got allocated a bed.
Didn't sleep too well first night and still had a temp the next morning, when woken up at 6 to have blood taken!
Time there pretty much involved: several hospital meals (which actually weren't bad), lots of IV fluids and trips to the bathroom - dragging a top heavy squeaking drip stand which wanted to fall over (had to more or less waltz with it to keep it upright) and taking of more blood.
Finally, after tracking down a doctor, I asked when I could leave (if I hadn't I think I could have just stayed as long as I wanted). They said that they did not know where my infection had come from and probably wouldn't let me go until they did. After a bit of negotiation and several more hours they said I could go but would need to come straight back if I felt unwell again.
I forgot to mention, while I was in hospital my left hand swelled up. Most likely due to the blood clot but it looked like the false hand of that bloke in the comedy bowling movie Kingpin. It looked fake and kind of freaked me out when I saw it out of the corner of my eye!
Anyway, I'm back home now. Just had the nurse over to give me my latest fragmin anti-coagulant injection (ooh, sweet). The one good thing about being in hospital this week was the constant fluid from the drip meant that I havn't had the steroid dry mouth/dying to pee thing going on...oh, until now. Back in a mo.... There, that's better. Need another drink now though.

Thursday, 1 May 2008

Scan time

This week I've felt a bit rubbish. I got a chest infection and my temperature shot up. I went to the docs and got some anti-biotics, which started to do the trick. The plan is for us to nip away this weekend and I don't want another bank holiday spent in hospital, so I checked in with the clinic and they told me to come in for a blood test. Anyway, wind back a bit, it's been a bit of a busy day, involving visiting 2 hospitals, getting a scan, a blood test and a shot.
I had a scan scheduled for today. The idea was that I'd then have the results in for my next chemo appointment (a week on friday). The hospital rang me on monday to say they detected elevated blood levels that indicated a possible infection. I had just been to the doctors and got some antibiotics, so I knew what they were talking about. During the week, I'd still felt rough and my temperature had jumped around a bit, so the plan was that I'd give a blood sample at the hospital I was getting the scan at, prior to having the scan and then go to my usual hospital after the scan and get the results, to see if I would be okay for the weekend.
I got to the hospital in good time (thanks to Mr. SatNav), gave a blood sample. The blood was taken by one of the nurses who usually takes it at my local hospital, which was a bit strange, but apparently they go around all the hospitals doing their blood thang.
I got to the scan appointment early, but they were running late. I got brought a big old jug full of a frothy looking clear liquid, which I had to drink over an hour. I had had a scan previously, during diagnosis, so knew what to expect. The main difference was that the drink I got at the hospital during diagnosis (private appointment, thanks to medical insurance) was mixed with squash and tasted good, whereas the NHS version tasted like aniseed and was foul. It took the hour to get through the foul stuff this time. Yack. Not nice. Next time, I'll take my own squash along!
Anway, after an hour they came and took me through to get changed. You get to wear one of those "open at the arse" backward fitting hospital gown efforts. I'm pretty sure they are only for comedy value, to keep the spirits of the nurses up. With my "outfit" on, I was led through to the scanner. It looks like a big, humming doughnut, with a flat bed at the end, that passes through the hole. I layed on the bed and someone came to stick another needle in my arm. They didn't do too great a job of it and sprayed my gown with a touch of the old claret. Anyway, you lie down and they leg it out the room and the doughnut tells you to "breath in and hold your breath". You're then fed through the hole slowly, getting told you can breathe normally, just before you have to anyway. Then they feed in some contrasting dye stuff through the needle in your arm and its time to go through the 'nut again. Finally, they get you to hold your arms above your head and its repeat the drill. Then, that's it. Needle is taken out and you're out of there.
I drove over to the clinic and after waiting a few minutes got to see my consultant, which was cool, as I'd not seen him for a while. He went through my bloods and told me that the infection markers had come down but that I was neutrapenic, which means that the neutraphils in my blood were below 0.2 (where normal is about 3). The neutraphils are the little dudes that make up the majority of your white blood cells and are responsible for fighting infection. So, obviously, when there arn't many around, you're pretty open to infection and more worryingly that can lead to sepsis, which can be fatal. Whilst I was there he was able to show me the scan results. He said they're not officially released but hey, I was happy to see. He showed me the original one, with the chest monster sat there. There were parts that measured 13cm across! It still freaks me out to think about it. Then, he showed the current scan and there was not much left of that big mutha. There are still abnormal cells but no big mass! I was well chuffed. He was very pleased and said I was showing an excellent response and was on track. All good. He was then able to check my lungs and sinuses for infection, which was a bonus. There was a very small amount remaining in the lung but not a lot and the sinuses looked clear now too, which was cool. So, with the antibiotics, he thought I'd be okay to go away, but just to make sure, I was given an injection of GCSF (this stuff stimulates the bone marrow to make white blood cells).
So, all is good. I feel much better today and my blood count should be building up. I just need to check my temperature regularly.