Thursday, September 27, 2012

26 September 2012

I have three failed IV pokes in my numb arm covered with gauze while I wait for somebody to get me hooked up well.  The day is starting well I guess.


They went to the other arm and got those platelets in.  Fun.  

P-Count at 7k prior to transfusion.  Better than the 3k last week following Rituxin.
Received bill from 1-5 September in hospital.  It was only $66K.  Can't wait to see what gets covered by insurance.

Felt okay for awhile until I decided to do some stretches and aggravated that bad nerve.  Lasted all night and affected sleeping. 

25 September 2012 (Tuesday)

Sitting in my IV chair at the Pacific Cancer Institute getting the last of four treatments using Rituxin.  It's about time this stuff kicked in...

Took shark liver oil pill on Tuesday morning.  Has some ingredients that claim to support this process.
Later on, felt pretty bad all day until night.  Hard time sleeping.  

Tuesday, September 25, 2012

24 September 2012

platelet monday... after 18 friday post-platelet infusion, 5 saturday and 5 monday.  seeing the flatness at 5 was nice but the boost up to 18 after a transfusion was pretty lame.  we'll see how wednesday is.

the physical therapy was a bit different today, with some focus on that nerve pain I was feeling yesterday.  i joked to lisa that i had electro-shock therapy but really it was an electronically-stimulated heating pad used to relax things... i think it actually helped some.  the pain is still there, but not as bad as yesterday.

took a shot at 3 hours of meetings today as well... one meeting lasting that long really.  made for a long day, but it was a useful effort. 

Sunday, September 23, 2012

23 September 2012

Pain in my butt day... I think my sciatic nerve is being affected... possibly, I'm getting feeling back in my right leg, but the feeling is not kind.  It's along the same path that the original numbness occurred that tipped off this whole mess.  I tried some stretches.  Bending at the hip is difficult beyond a particular point.

Overall, it's a very uncomfortable day.  The forearm is starting to itch in some places, my shoulder feels like I got a shot, but I didn't.  The foot feels like I'm walking on a bunched up sock all day.  I can feel stickers I step on in the house brought in by Angel... so that's good.

It's a goofy-head day too.  Dizzy.  Spent a lot of time sitting on the couch.  There's a NCIS marathon showing, so that helps after the football earlier.  

Two days of blood tests with no phone calls.  Does this mean I have good results or a lazy doctor?  Not sure.  I'll find out tomorrow.  Stay tuned.

22 September 2012

Post-platelet day.  Got a blood test in the morning.  Enjoyed some Taco Bell for lunch... soft tacos, but I ordered the cheesy nachos and I think I tore up the roof of my mouth with those.  Ended the day feeling like I had a sore mouth.  I'm hoping some of that is feeling returning to the left side of my face and tongue. 

Going to try some yogurt this weekend.  Some time ago, there was some information I found about yeast abundance affecting platelet coagulation. 

21 September 2012

Sitting in my IV chair weighing the news of a low platelet count just one day after getting new ones.  Ugh.

Now the planning is all about the surgery to get my spleen (a splenectomy for those readers wanting to google the procedure).  Just got a call from the nurse... 11-12 October time frame in Oahu.  The surgeon wants me over there a day early to consult.  I suggested an earlier consultation via skype or other means.  We'll see if their procedures are flexible.  Pressing the limits.  Apparently, they tie off the artery to the spleen and that makes it a fairly bloodless operation.  A few days recovery. 

They need an EKG before surgery, so I'll do that.  I'll go get some vaccinations too that sets me up for the degraded future immunity.

What is this? 

Friday, September 21, 2012

20 September 2012

Physical therapy day.. took it a bit easier to avoid too much damage to the body.  Good hour of working things out.  It seemed like there was more random tingling going on in areas today.  I keep noticing things, but I think it's still wishful thinking.
Had the blood tested but didn't get the results.  Will have to round that up in the morning.
I need some sun.

Thursday, September 20, 2012

19 September 2012

Another round of platelets.  These things aren't lasting too long. Before transfusion today was p-count = 3.  Confusing.  It seems like doing platelets along with medication leads to body not taking the platelets.  Test tomorrow and see if they stuck.
Goofy-headed... that's my new term for how my head feels.  I think the numbness is affecting the Eustachian tube inside my ear and making me a bit unstable.

My right arm still feels like it's been in the freezer too long.

Attempted a meeting today for a couple hours.  I think it went well.  Not too tiring.

Tuesday, September 18, 2012

18 September 2012:

New platelets and 3rd rituxim treatment via IV today.  Oddly, the p-count from yesterday to today went up from 4 to 12 with no distinctive action taken between yesterday and today.  Entered the day with significant petechiae showing up since having physical therapy Monday.  My face is showing some of this, really for the first time.  This adds to the intrigue about the 12 count since this stuff would normally show up with a lower count.

The First Couple Weeks


16 September 2012:  
 Seeing single fairly consistency. 




13 September 2012:  



12 September 2012: 
Took a crack at socializing in the evening after attending a meeting for work.  The meeting was touch due to vision issues but it felt good to participate in a good discussion. 



4 September 2012: 
Update From Lisa.

Good signs during physical therapy.  Walking really well and good balance, relatively speaking.  Vision is still double but learning to compensate for it.  Everyone is still saying that these issues will most likely decrease or completely go away.

Received the results from the MRI.  Doctors noted that I have a cavernous malformation, which is a small cluster of thin-walled blood vessels that have the tendency to hemorrhage. This is a birth defect and does tend to run in families.   There seems to be a lot of information on the Internet.  There is surgery that can be done that can reduce the likelihood of hemorrhaging.  This isn’t performed here so the neurologist is sending  records to Stanford University.  They typically don’t do surgery after the first hemorrhage of this kind.

ITP is the other complicating factor (low platelets).  Been treated for that last two years with no significant improvement they need to evaluate the entire situation.  So with that said I don’t really know the long term plan yet.  The short term plan is to get and keep platelets up.  They just started another treatment as an inpatient, a medication called Rituximab.  This will suppress the immune system and the hope is that it will allow  platelets to build long enough so that they can remove his spleen.  The spleen is the organ that destroys the platelets marked for destruction.  This only has a 50% success rate.

It seems the doctors can only deal with the symptoms because there is little understood about what is causing the immune system to destroy the good platelets.  I’m hoping this latest treatment will have a positive impact but it seems they are determined to remove the spleen regardless.

2 September 2012:  
ICU Day

Taken to get MRI of head.  First time for that.  I requested Pink Floyd music and got Bruce Springsteen instead.  Holding still with a rack over my face wasn't too bad after the music started.


1 September 2012:  
Emergency Room.

Felt odd at home and hung out in bed most of the day feeling dizzy, or as if I was clouded by drugs.  When the headache moved around in my head and numbness started to appear at the back of my right leg, it seemed time to call the doctor.  He urged me to get to the emergency room and so we went.

Emergency room was full.  I wrote on the triage sheet that I had bleeding in my brain and I got to the front of the line.  My doctor knew I needed platelets, but it did take awhile to get to that.  I had a CT Scan which verified the bleed in the brain and suggested that I had a vein problem in my brain that led to the bleeding.  Not much information flowed during this visit.

Eventually, I was moved to the ICU with Lisa.  Late that night I fell asleep and woke up after awhile to discover my right body was numb and  my vision was now double vision.  Their plan is to get me to a MRI the next morning.