Monday, December 31, 2007

Well, hallelujah!

Well, hallelujah!

Got all sorts of good news at the clinic today.

First off, I haven't forgotten how to use a wheelchair (I know, that's a little sick but it's the most exercise I've had in quite awhile). We got to the clinic and I used one of their chairs rather than trying to hobble around on crutches (my foot's pretty swollen and painful).

They had a little trouble drawing blood from the 6 week old catheter but the phlebotomist (blood tech) was patient and knew what she was doing, eventually coaxing 8 tubes of blood out of it.

After the time in the lab, we went to see the doc. When asked how I was doing, I said I'd be doing jumping jacks except for this stupid foot thing. (I am feeling so much stronger than yesterday) She had me take the shoe off and even I was surprised at how swollen it was. We talked about it a little and, once she was assured that it's a chronic problem with nothing to do with the transplant, asked what I usually do for it.

Usually, it's Aleve, ice and elevation. She chimed in with, "and we won't let you take anti-inflammatories". Then the first of the really good news, "your platelet count is high enough for you to take Aleve". It's amazing what becomes worth rejoicing over at different times of our lives.

Then she got to the results from Friday. The blood cultures and nasal swab had come back negative. No RSV, no fungus, no nothing. She listened to my lungs and the crackles (indicating possible fluid in them) that were noticed Friday are gone. Lungs, heart, etc all sounded good.

Before leaving, we made another appointment for Friday. For this one, they'll draw some more blood for tests. I'll see Dr. Kauffman, to talk about the whole experience and future plans. Then I'll go to Interventional Radiology...WHERE THEY'LL REMOVE MY CATHETER!

Got home and took the Aleve and iced things down. I still can't put weight on it but am willing to bet that there'll be real improvement by this time tomorrow.

A few days ago, Alice began an effort to fatten me up. She's got me eating three meals a day now...I think. I feel stronger. I'm looking forward to being able to move around and get over the last of this. Alice should be returning to her job next week, and I'd darn well better be lots more independent than I have been. It will be quite a change for both of us.

As always, thank you for caring enough to keep up with this adventure.

Jerry

Sunday, December 30, 2007

Since getting home

Well, I've been home for just about a week now...and realized I haven't entered anything since getting here.

Note that this is mostly a recap of bad stuff...as I try to understand what's been going on.

I started thinking why that was. There's lots of conflicting thoughts running around in my brain. When I first got to the hospital, I still felt pretty good and was blogging often. Even the worst days pre-RSV weren't bad. I was still on the Bone Marrow Transplant (BMT) ward, 7E, and everyone was incredible.

Once I got the RSV, I was moved elsewhere, spending 6 hours every day under a tent and unable to leave the room unless I was going for some x-ray or ct scan...and would then need to wear this horrible NIOSH N95 face mask. During that time, I was also cut off from a reliable wi-fi connection.

Now here I am, with all the comforts of home (literally) and I should be shouting from the rooftops how great it feels to be here. It really does.

So what's different? Health-wise, I don't feel better than I did. More importantly, I feel like a burden (Alice doesn't feel this...and will be mad that I put it in here). I've never been good at being dependent. I'm normally able to do whatever I need by myself. However, since being home, I am so dependent on Alice. More than that, she's already got her own pain but needs to do all my usual chores plus her own.

We've enjoyed cooking together almost as long as we've been together; now I get to sit in my recliner and watch. On top of that, Alice has always enjoyed watching me eat. I usually have a big appetite and am told I obviously enjoy whatever I'm eating. These days, one of my portions can easily feed both of us...and I'm only eating two real meals each day, unless you count my daily portion of ice cream and cake. :-)

Since being home, I've had more upper/lower GI "distress" than during the month in the hospital. I'm frequently short of breath and am using an inhaler to help my breathing. 4-5 laps around the inside of the house has me out of breath.

The Friday trip to the clinic sounded positive except that I discovered that I'd had a staph infection along with the RSV. Also, they were concerned about pneumonia, a not uncommon result of the RSV. I seem to have the signs of an oral fungus as well as the possibility of another bacterial infection. I received a few pills for the fungus and some IV anti-bacterial. Also, I was given a prescription for some anti-pneumonia medication.

Spending a few hours in regular shoes Friday has brought about an old foot problem. Having nothing to do with the Amyloidosis, it feels like some sort of sneak attack. The laps around the house, necessary if I ever want to rebuild my strength, have stopped. Seriously painful, I can't take the usual anti-inflammatories to control it. Ice and elevation are about it...and they're not helping fast enough. My trip to the clinic tomorrow may very well be on crutches.

As you can see, the list goes on and on.

However, I'm alive and will in time return to normal. I know this. Having written all this down has helped to bring this all back into focus. I realize it'd be perfectly normal to be suffering some depression. So it's all normal and to be expected. Too bad I set such high expectations when all this began.

So, enough rambling...it has done me lots of good and, if you've read this far, thank you for taking the time.

Also, thank you to everyone who's called, sent cards, offered to help with chores, and all the other wonderful things you've done.

Jerry

Friday, December 28, 2007

Trip to the clinic

Today, Jerry was outside of the house for the first time since he came home from the hospital late on the 23rd. It was time to go to the clinic for his first checkup.

For hospital time, it really passed quite quickly. We started at the lab where they drew some blood for a variety of tests. Then we went to see the doctor. We met yet another doc, Ken Prince, who was quite pleasant and very thorough. Because of Jerry's noisy chest, he prescribed a couple of medications, one oral, one intravenous, so off we went to the infusion center. (In fairness, I should mention that all of these offices are close to each other and on the same floor of the Winship Cancer Institute.)

While Jerry was getting his iv meds, I went off in search of lunch. There is a small cafe on the first floor where I got a sandwich for me and some chicken noodle soup for Jerry. Almost like a picnic, except for all the nurses and the iv, etc. ;-)

We had a couple of quick stops on the way home (drop off movies, have prescription filled, pick up snack type foods) and managed to get home in the middle of a rather nice rain storm, perfect weather for a nice nap, which we both promptly took advantage of.

Unfortunately, Jerry is having an adverse reaction to our outing (maybe the soup) and has been suffering some nausea. Thankfully, he's not suffered from that very often, but it is one of the side effects of the chemo. His appetite is still way down, but he has been eating regularly, until now. I'm sure this too will pass.

Tomorrow, I have to go into the office to cover our Saturday hours, thankfully a short day. I will be asking a couple of our neighbors who have offered their help to be "on call" should Jerry need anything. He's a pretty low maintenance patient and is capable of taking care of himself, just needs a bit of a hand now and then. Still, it will be very strange for me to focus on business after focusing so completely on him for the past week! Hope I remember how to do my job!

I'm hoping Jerry will blog later and fill in all the gaps. For now, I am going to search for something he might consider eating.
Cheers!

Tuesday, December 25, 2007

First full day home

Jerry's first full day home started out quite well. He said he'd slept well and that he was hungry - a great sign!

As the morning progressed, his coughing kept getting worse. He'd barely catch his breath from one bout before another began. He wasn't running a fever, but his temperature was up. We finally decided it was time to call the doc.

Dr. Kaufman prescribed an inhalant which he promptly called in and I promptly left to get. We are very fortunate to have a terrific pharmacist, Scott, and his wonderful staff. They consistently provide us professional service while showing just how much they care. I hope they understand just how much we appreciate them, especially in this particular medical adventure. The inhalant seems to have helped some, though we did have a rocky evening. Jerry wasn't the least bit hungry but was willing to have an Ensure.

For the rest of the world, this is Christmas morning and we wish each and everyone of you the merriest of Christmas. For us, it's the next day of our challenge to rebuild Jerry's strength. I am kind of a nut about Christmas, but I've found it necessary over the years to be quite flexible about the exact date due to the challenge of having family scattered all over the country. I know we will celebrate this holiday with some of the traditional fanfare (food, gifts, etc.) eventually, but for today we are celebrating what we see as the core message of the holiday: love.

I can honestly say that I love Jerry more today than ever and I see that love shining back at me from his eyes. We are blessed with loving family members who continue to boost our spirits from all across the country. We are deeply grateful to our friends, both in town and out of town, who have shown us love in many forms, especially over the past couple of months. In all the ways that truly matter, this is our best Christmas yet.

With love and deep gratitude, Merry Christmas and Happy New Year!

Sunday, December 23, 2007

Safe and sound

Finally home, safe and sound.

Now the real work begins. For the past two weeks, Jerry has been confined to a small room and found simply crossing the room to the bathroom to be tough. Now we begin the process of rebuilding his strength. I'll do the bullying, he'll do the physical work.

We have to start slow because the doc said he was not to do anything strenuous. He is not allowed to raise his heart rate. Guess that means I need to keep my distance. ;-)

For those of you nearby, I may be calling on you for help, mostly simple things. I find it difficult to take the recycles to the curb, or carry in all the groceries, particularly the bottled water.

If you are feeling well, please call and maybe come by for a visit. I know Jerry is nuts about me, but, aside from medical personnel and two visits while at the hospital, I'm the only human he's interacted with for the past 4 weeks. We need fresh blood, so to speak!

I have an especially dear friend, Lisa, who has been a constant help to me throughout Jerry's time in the hospital. She even came over before we got home from the hospital to help me by throwing some bedding in the dryer! I am very, very blessed to have her as my friend - and she is an incredible hair dresser and handy ann! I feel deeply grateful to have such a caring friend!

Now, with him home and on the mend, I will have the best Christmas ever!

I'm going home!!!!!!!!

Dr. Kauffman just walked out the door after giving us the wonderful news. We're going home! He's now filling out the official paperwork and, when he's done, we're outta here. One of us will add more info later.

Saturday, December 22, 2007

Musical Chairs...or rooms

Okay, it's now about 10pm on Sat., Dec. 22nd.

I was up and in the shower early this morning, figuring I could get it out of the way before the treatments and all the other stuff started. Unfortunately, they didn't tell me that they were starting the treatment later than usual...possibly so they could get the nasal culture back. The first treatment was pretty uneventful...no test results yet.

The second treatment started around 3:30. About 10 minutes into it, Dr Kauffman* walks into my room...this is a major no-no. During the treatments, nobody is allowed in there due to possible side effects. Anyway, he comes in to tell me that the cultures were back and, although still positive, much better than before. He then said if I can avoid any fever tonight and if I continue to look and sound better, then I can go home tomorrow! I'm not getting my hopes up...we've been this close before.

About 15 minutes after his trip to see me, Dr Kauffman came back again. This time telling me that I'm moving again. The good thing about this move is I've got better wi-fi, no more dialup. The bad thing is the room is smaller and has a traction apparatus above me. Instead of a pair of big corner windows in the first room and a single large window on the ground floor, this one is about 3 feet wide but angled in such a way that I can't see anything.

Some of the nurses asked if he really came into the room? Yup...they couldn't believe it.

I'm not exactly sure of my room number...the door says G534 but the note on the whiteboard says G533. BTW, they have me listed as Gerald Lipsky. The phone number should be 404-7122-3533 or -7534. However, during the tent treatments, I don't answer any phone...it's hard to talk through the mask.


*who you might recall was my first Emory doctor. When I came to the hospital, I was seen by Dr. Lonial and then Dr. Lechowicz...they each do a 2 week stint here at the hospital. Now it's come full circle and I'm Dr. Kauffman's patient.

Friday, December 21, 2007

Embarrassment

Okay, I'm a computer geek..have been one for many years. Guess who got me back online? Yup...Alice did it.

When I'm discussing work, she often asks a question from an angle that I wouldn't consider. Her question usually points me to a new way of looking at the problem...giving me a nice clean solution. This time, she asked a very simple question:
Don't you have a dialup modem in your laptop?

The answer was 'Duh!' I called a coworker who got me the phone number and I was up and running, albeit at old-fashioned dialup speeds. But hey, it works.

So what's been going 0n? Not a lot. Blood tests, CT scans of sinii (sinuses) and chest, x-rays, etc, etc. As Alice mentioned, we had a major letdown earlier this week. We were told I was going home, just waiting for the official discharge papers. A little while later, they recanted. The culture had come back positive and I was going to have another series of the tent treatments.

I can deal with everything they throw at me, except for these treatments. They screw up my entire day. If it weren't for them, I could justify the extra time here because the longer I'm here, the easier it will be for Alice once I'm home. Apparently, my numbers are good enough for me to go to a restaurant with no mask on...as long as it's not really crowded.

Alice mentioned two of the angels here; there're several more. Vani is special, asking the doct0r questions any time she sees something unusual. After spending a day waiting for a nasal culture, she took the initiative to ask the doc if she should get one. There have been so many nurses, some very good, some not so good...but this is only from my perspective.

So, bottom line is I'm back on and will, hopefully, be able to keep the blog more up-to-date.


And the wait goes on

Our slight set back is growing quite tiresome, mostly for Jerry. The treatment for this nasty RSV is two 3 hour stints alone in his room with this ghastly mask on inhaling this riboviron that is supposed to kill the virus. His spirit has taken a beating, but he's a champ and he keeps bouncing back.

I am learning the odd realities of hospital time. When we've been told 5 or 10 minutes, it's never been less than half an hour. When they say half an hour, bet on at least a full hour. "Coming right down" to get Jerry for tests is typically "sometime" within the hour, if we're lucky. I realize that Jerry is not the only patient (though of course he's the most important one!) but it amazes me that anything manages to get done on hospital time.

We've met quite a number of terrific nurses, but there are two who have proven to be true angels: Ida and Carrie. Ida works on 7E, the bone marrow transplant ward. She has come down to visit Jerry several times on her break or on the shift change since he was moved. She brightens his spirit just by showing how she truly cares. Carrie works on the ward where Jerry is currently staying. She is unfailingly pleasant and cheerful and has consistently been promptly responsive to any requests we've made. She has paged people to make sure they respond during the time windows between Jerry's tent treatments and always follows up to make certain the people who need to show up do so. We both feel so well cared for when she is there.

When I go back this evening, I am going to attempt to get Jerry back on line by using old fashioned phone line. He really does need his window into the world. Let's hope it works!

I deeply appreciate the notes and phone calls. Sometimes it can feel like I'm trying to take care of Jerry all alone, but you wonderful friends have perfect timing and reach out just when I/we need it most.

We need 36 hours without a fever to bring Jerry home. He had a fever today around 2; let's hope that is the last one!

Wednesday, December 19, 2007

Slight setback

I thought I would be bringing Jerry home tonight or tomorrow at the latest. However, this nasty childhood RSV virus (I recognize my redundancy) hasn't quite finished with him yet. It's so darned frustrating!! As of earlier today, he will require two more days of treatment, but we're still not certain if that means he comes home after another two days or what.

I have decided to begin my Family Medical Leave because I cannot seem to be there when the doc is, so I'm going to basically camp out at the hospital all day asking lots and lots of questions. I am not limited to just one room, like Jerry is, so I can wander and find new people to ask my questions.

The folks at Emory are terrific, but just like the rest of us, they have their own language and don't always remember to translate for the regular folk. I intend to have them translate until I fully understand.

I'm off to spend some quiet time with my handsome husband!

Monday, December 17, 2007

Communication glitch

Dearest family, friends and other interested parties, Jerry has asked me to let you know that due to the inconsistent signal from his new room, he is not able to update this blog at this time. Which also means, I'm sorry to say, his picture won't be posted until he's home again.

The good news is, he may be home as soon as Wednesday!! I'm trying not to get my hopes up too high because I don't want to experience that nasty pain of disappointment.

Jerry pointed out to me today that I haven't been blogging about how I am doing. I told him that how he is progessing is much more interesting, but he gave me one of those looks, so I'll try to share how it is from my side of the room.

Mostly, I'm grateful, but tired. I am deeply grateful that we found this early, that Jerry was in such awesome shape and especially for all the prayers and thoughts sent our way. I'm grateful that he seems to be responding well and that the nursing staff all seem to like him so they take especially great care of him.

I'm tired because I've been operating outside of my normal routine for a while now and that seems to take more energy.
I am tired of Emory Hospital, even though I am grateful for all the terrific care they have given and are giving my husband. It's still a hospital and not the cheeriest place to be. I'm tired of doing the grocery shopping! Jerry has always been the better shopper (he reads labels and compares prices) so I gladly agreed to his handling that.

Most of all, I'm tired of not being able to kiss my sweet, handsome husband and of not being able to sleep with him. This new room doesn't even offer a comfortable chair to try to sleep in! No more pajama parties!

Happily, my gratitude far out weighs my exhaustion! It is what keeps me going and keeps me smiling.

We'll be sure to post when Jerry will be leaving the hospital, then he will catch up on his side of the story.

Thank you for listening and for caring!

Sunday, December 16, 2007

Back a week--Written off-line on the 16th

Well, it's Sunday night and I haven't done anything here in the blog for quite awhile. This time it's not my fault. Among several other shortcomings here in the dungeon (actually, it's the ground floor but feels like a dungeon) are almost non-existant wifi. When I can connect, it seems to die within about 5 minutes or so. It's been frustrating as all !@#$ trying to do anything.

Anyway, I finally figured out that I can still do entries off-line. Once I'm released, I'll post them.

So what's been going on? Friday evening, I had my first tent treatment. Not what I expected really. They came in with this industrial exhaust fan/filter (think large home ac filter, but pretty thick) and a plastic tent, maybe 8-10 mils thick. They put it over the head of the bed, covering my upper body. Then, they cut away the entire front of the plastic. The exhaust filter sits in here with me, right behind my head.

On the side, they have a funny-looking box, where they place a bottle of liquid. A pump draws fumes from the bottle and passes it to a hose that connects to the face mask. They turn on the exhaust, turn on the pump and slip the mask over my face. I lay like that for 3 hours at a time. I sure hope it's doing some good because it's rather hellish, mostly because of the length of time and how much of my day it sucks up.

That was about it for Friday. Saturday I got my new 'do. Alice took the promised picture today, Sunday, and I tried to post it...leading up to all the extra frustration. Sorry, as much as I'd like to keep things up to date, I can't do it all from my phone.

Saturday night, I received 2 units of whole blood. What a difference in energy. No more shortness of breath...of course, I can't actually walk anywhere yet, still stuck in this 12 x 12 room. The process of getting the blood was no fun though. Because of the quarantine during tent treatments, they can't really do anything during that time. So, the blood was done at bedtime. It takes two people to read numbers aloud to ensure that it's the right blood for the right patient. After it's running for 15 minutes, they check vitals. After another hour, they do it again. About an hour later, they change bags, doing it all over again. Suffice it to say I got no sleep that night. On the other hand, I asked for some benedryl before the next treatment and slept right through those 3 hours.

Also I had two treatments Saturday and two more Sunday. I'm now up to 5 total. The doc tells me that I'll have another nasal swab Monday and, if the results are clear Tuesday, I'm outta here Wednesday. No guarantees and I'm not packing until then.
entered Sunday 10pm
====================================

Friday, December 14, 2007

Yet another first!

When I first met Jerry, he had a full head of hair. He let me know, very early on, that most of it was a weave since he had begun to lose his hair in his 20's. It took a few years, but I like to believe I finally convinced him to give up the weave and show off his beautiful head.

I guess the chemo has made him young again: he started losing his hair again!

There are many things I've never tried or done. Some I hope to do one day, others I could pass on for the rest of my life and be happy. One of those "pass on" things for me has always been cutting hair and especially using any kind of hair trimmer. Not sure why, but it has always frightened me.

Tonight, it truly was an honor to help Jerry by shaving his head. I won't say I wasn't frightened, because I was. But more than that, I felt useful and helpful and that felt terrific!

Think about it: he's in a place where they feed him, change his linens, and focus on his well being. There's really not much of a practical nature that I can do for him. I know he values the time we share, as do I, but I find myself always wanting to do something for him. Well, tonight I did and for that I am deeply grateful.

My handsome husband has a beautiful head. I plan to take the camera when I visit tomorrow and he will post pictures here, somehow. We tried to take pictures tonight with his phone, but the lighting was poor so they came out too dark. Though I like his beautiful head, I will gladly welcome back his beautiful curls!

Thursday, December 13, 2007

twists and turns, another angle

Alice is one incredible woman. Not only that, we frequently think alike. I was planning on titling this twists and turns but you-know-who beat me to it.

So, here's how things played out from my side. They woke me at 4am Wednesday for the usual vital statistics, BP, temp, O2 levels and pulse. Turned out I had a fever, again. Now, to hospital folks 100.5 means fever and they handle it aggressively. Mine was 102.x. Within an hour I was on IV antibiotics and had blood and urine samples taken. A few hours later, I had a chest xray. Oh, and the worst thing was a nasal swab, where they shove a long Q-tip type thing up your nose and twist it around. Not something you'd want to have done to you.

When they started taking all the samples, Ida also mentioned that my red cells and platelets were also coming up. My white cell count took a giant leap from 1.4 to 5! As a reminder, it was 7 when I was admitted. That put me at a calculated ANC (don't ask) of 496...go home day is based on ANC crossing over 500. I was told that I'd be going home Thursday.

In the long run, that swab was priceless. It identified a virus. RSV, which is not uncommon in children. So, they know how to handle it...5-7 days, I'll be tented for a few hours a day while they give me Ribavirin. (the Emory wi-fi system seems to be down or I'd provide links).

So, now I find out from a nurse I'd never seen before that moment that I'm in for 5-7 more days...okay, I can handle that. However, he then continued with the fact that I'm moving. I knew it wasn't his fault and he was really helpful, dragging this huge cart that could hold ALL of my stuff.

I was definitely wiped out from the packing and moving. One of the symptoms of RSV is shortness of breath. I felt bad calling Alice but we'd agreed that she wants to be helpful in any way possible. I had packed some things away that I'd need overnight. Alice took care of those and then went home. As you can see from her posting below, she'd already had a busy day, starting off joining me for breakfast.

I go to sleep after another round of IV antibiotics and all sorts of pills. When I started this adventure, I began a medication log; I've given up on that. The last thing before lights out was a 4-5 hour drip of IV IG, immunoglobulin, that they give for viruses.

Apparently, they periodically up the drip rate. Around 1am or so, they raised the rate a tad, from 40 to 55 mililiters/hour. By 1:15 or so, I woke up to my entire body shivering and a feeliing of horrible cold. I hit the nurse call button and the nurse came in, She took one look at me, asked a few questions and left. Next, about a half-dozen interns (think Grey's Anatomy's first season) come into my room. They can't get my O2 readings but my BP is 145/90. It's usually on the low side, like 100/65. I counted 5 blankets on me this morning; they were sure trying to ease my discomfort.. They put an oxygen mask on me and the interns went away.

What's interesting about all this though is I discovered the heat in the room had never been turned on; it's a research center and there's frequently empty rooms! I don't know what the temp was in here but maybe I wasn't crazy...maybe it was actually cold...I know, more denial.

So the doc just left...after telling me that the blood culture showed some staph which probably means more drugs...blessings go to whoever invented this port thing in my chest. Imagine them just screwing and unscrewing these drug bags together and then connecting them to me the same way. They're also going to restart the IV IG at the lower rate.

This morning, I'm awakened by a transport person waiting to take me for a CT scan of my chest...rude awakening. But, the scan looked clean.

Sometime this morning, my temp is back up to about 102. A few hours later, I realized I'm hungry and ate my cold breakfast. Too bad it was supposed to be hot. Lunchtime, I felt like I had an appetite. I think I ate at least some of everything they brought. I think I mentioned earlier that when I have no appetite, it's time to be concerned. For it to return, feels good.

Oh yeah. and in the middle of all this craziness, I found out that my greatest masseuse ever is closing down her practice. Now you have to understand that this relationship is about so much more than just massage. It's the state of mind that lets her know all the places where you hurt. I understand and support her reasons; they're honorable and have her long-term goals in mind. She's a wonderful woman who I've told people about but never given out her name because I was afraid she'd be too busy to see me anymore.

Talk about a bummer day.

Wednesday, December 12, 2007

Twists and turns

Life has such strange twists and turns!

I visited with Jerry this morning because I had work related stuff that would keep me busy until late in the evening. He told me that he was very close to the magic combination of numbers with his various blood cells that would add up to his going home! Such terrific news! He might possibly be coming home as soon as tomorrow!

I skipped off to work feeling very happy that I would soon have him home with me where I know he is most comfortable. Late this afternoon he calls with the bad news: he has a virus and he will have to stay in the hospital for at least a week while he undergoes this special treatment for it. I'll leave Jerry to give you all the particulars. He loves that medical stuff.

Well, of course I was deeply disappointed by that news but grateful that he was still where he would excellent medical care; ward 7E at Emory. Then I get another call. They moved him!!! He called because he was just too tired to unpack and needed some help.

Of course, I left for the hospital immediately. I finally found him, at the far end of the hospital. I had to track someone down to get a mask but was not offered a gown or gloves. One look at his room and I'm wanting to beat up somebody! I know hospital rooms aren't known for their beauty, but this one doesn't offer a comfortable chair for him to sit in, it has bent window blinds and who the heck knows where the light switches are! He'd had a dresser to keep his clothes in. In this new room, he has just a small night stand with a couple of small drawers!

At this point, were my mother here, she'd be warning folks to clear out of town as she recognizes the signs of when I am angry. Still, I am mostly keeping my cool. I ask Jerry if he has met his nurse yet, and he said no. He'd been there for a couple hours by then! So, I push the nurse button. Oh, a woman had come in and did bring ice when requested, but she hadn't introduced herself and wasn't wearing a badge to identify herself. Also, she didn't seem to know how often Jerry was supposed to use this breathing contraption - kind of a lung exerciser. Needless to say, I was quite surprised when this same woman came in when we called for the nurse.

Still, I'm trying to remain calm, though I am not a happy camper. I asked her a few questions and her answer was that she hadn't read Jerry's chart yet!!! Rather than make an enemy of the person who would be looking after him for the next little while anyway, I did my best to remain calm and explain to her that we had gotten spoiled on 7E but I still expected him to receive that level of care. I told her I would gladly work with them in any way that would be useful, but that I expected her to keep him as comfortable as possible.

Then I marched up to 7E to ask what the heck happened! I did learn the process of reporting a nurse and I found one of Jerry's favorite nurses, sweet Ida, whom I hadn't met, and asked that she look in on him. I left with grateful tears knowing that someone was there who truly cares about him and would look in on him.

Now it's way past my bedtime but I feel better for having vented here. We still are quite fortunate; Emory is an excellent hospital and I'm sure Jerry will be given excellent care. And if not, they will have to contend with me. As I said to one of my favorite techs on 7E, "Don't mess with my man - I'm a lot meaner than I look!"

Thank you for listening and thank you so very much for your prayers.

Tuesday, December 11, 2007

Red Blood Cells

One thing I need to clarify;
the wbc's are always the first to come back, due to the growth hormone shots. I'm told that the red cells could continue to fall, requiring that blood be given. Part of me is wishing that it drops a tad more so I can get the blood, chock-ful of red cells.

Today was the lowest energy level day ever; I barely had the strength to walk across the room.

It'll get better. It's just a matter of time now.

White Blood Cells

I got great news this morning that I wanted to share.

My wbc count has gone up! It's been lower than .3, they can't measure anything lower than that. As of this morning, it was 1.4. That's still a ways to go to reach the 7+ it was when I got here but it means:
I'VE GOT FUNCTIONAL BONE MARROW AGAIN!

Now it's time for breakfast.

Monday, December 10, 2007

Days +9, +10 and +11

I'm bbbaaaacccckkkk! Well not exactly, but I'm posting again. I think sometimes things come up that I need to process myself before actually committing them here.

So to catch up...Saturday morning rolled around. The diarrhea I've been suffering from forever continued...but I had a revelation! Something topical would let me sit down a bit more comfortably...maybe. I asked the doctor about it during rounds; she said she'd get the stuff right up here...3 hours later, they bring up "Boudreaux's Butt Paste", a knockoff brand of Desitin! That's not what she promised; she'd mentioned a product that was loaded with hydrocortisone. Of course by this time, she's gone. I spoke with the nurse who, after finding another doc to write new orders, got me the good stuff. Interestingly, the diarrhea seems to be abating as well. For those of you who thought I shouldn't get back on the bike at all or should really back off, my butt will not be able to sit on that seat for awhile.

Also on Saturday, the morning lab work showed my platelets down below 10 (I have no idea what measurement they use). That's a trigger to get my first blood products. Yup, I was given a bag of platelets. It took them most of the day to get here; I'm type A- which is pretty rare. They had to bring it in from another state. I could possibly be the only ever amyloidosis A- patient.

Yesterday, I was told that I'm borderline on Hematocrit (HCT), a measure of how much oxygen your blood can carry. If it drops any further, I'll get some whole blood. This is a good thing since my energy levels have dropped quickly. Between the low HCT and the mask, I had to take a rest halfway during my mandatory mile walk (in lieu of the bike riding).

The good news is that the white cells have been bottomed out for 4 days now and, hopefully, should start increasing any day now.

I'm sure this low energy level is perfectly normal, I'm not used to getting winded just walking down a hall. It's a little depressing. As one of my nurse's said, "This too shall pass".

During one of today's vital signs readings(which happen throughout the day and night), my blood pressure was at an all-time low, 90/58. Although it always runs a little low, like 110/65, this seems to be a little radical...but it also explains why on occasion, I feel lightheaded if I stand up too fast. It's possible that the large dose of diuretic to remove the fluids might have overdone its usefulness. It's standard medicine for bringing down blood pressure which it seems to be doing very well.

On top of all that, my appetite, which I'm proud of, is giving out on me. In a way, it's a good thing as my activity level is down too. On the other hand, I think all my water weight seems to be gone. When I checked in, I was 185. Before all this started, I stayed around 165. This morning's weigh-in (they weigh us twice every day) recorded me at 165.

Alice is very good at thanking all you wonderful folks for the good thoughts and prayers you've been sending our way. I'm afraid I'm not so good at it; I think it's my independent streak that doesn't want to recognize my need for others. However, through all of this, I've been heartened by the cards and emails I've been receiving.People ask if they'd mind if I were put on their synagogue or church's prayer list. Absolutely not.

Last night, I and the nurse who got me the right butt stuff were chatting. Her father was a Baptist minister; He served at what is now the "Tabernacle" when it was still a church. She asked very nicely if I'd mind if she said a prayer for me. I never say no to something that might help, but was expecting something a little more fire and brimstone than I got. It was a very nice prayer...but I didn't expect it to happen that moment; I figured she'd say one next time she was in church.

Today I woke up to the smell of breakfast. I ate, got up and walked, showered and then realized I was tired. I closed my eyes and awoke to lunch and a phone that had been ringing for about an hour. I think I needed it.

Hope that catches everyone up. I'm discontinuing the bike chart for now. It'd be pointless to keep putting in "walked".

Jerry

Saturday, December 8, 2007

Masks!! Okay, now I'm mad!

This amyloidosis has been quite a challenge, but I've been adjusting so far. I really don't mind stepping up and taking care of the home fires while Jerry deals with this bit of annoyance. I enjoy the walk to and from the parking deck to his room. What the heck, I haven't had time to go to the gym for a while, so it's getting me back into shape for when I can finally return. I don't mind schlepping my meals to his room so we can share some normalcy.

But these darn masks make it mighty difficult to kiss the man I love and that makes me MAD!!!

Okay, I get that it's for his protection and I would truly hate to pass along any germ that would cause him any illness with his white blood cell count so low. But not kissing my handsome husband!?!? This is a new kind of torture!!

I went to an annual holiday party with some dearly treasured friends and it almost felt like I was naked without him beside me. I even ate extra dessert because I know he loves the desserts these friends make. Heck, my dinner plate looked a whole lot like his at pot luck suppers! (I did cheat and make half of it salad.) We all agreed we were looking forward to next year when Jerry would be back at the table amazing us with his wonderful appetite.

For all those concerned, Jerry has learned his lesson about exertion on the bicycle. He really didn't expect his body to react like that. He is considered a low maintenance patient because he really does do what the doctors and nurses tell him to do! You know, for a genius, he really is pretty smart in the ways that count the most - he's sensible.

I had hoped to be having another pajama party this weekend, but alas, I must sleep alone. He's worried that I'm not getting enough rest and I do think it would be a difficult challenge to sleep with one of those dang masks on. :-(
I've got my fingers crossed that his numbers will bounce back now that he's getting the growth hormone shots and I'll have him home in our own bed very soon.

Thank you, each of you, for your continued support, prayers and comments. You give both of us such strength!

Friday, December 7, 2007

Day +7 & +8

The days just march on, don't they? I heard a few days ago of another Amyloidosis patient here who was discharged on Day+11. For me, that would be just a few more days. The criteria for discharge is based on blood counts; white blood cells (your basic immune system) need to be adequate for some level of protection. Mine are at rock bottom now but yesterday began a series of Neupogen (growth hormone) shots. As before, they'll jumpstart my bone marrow, what's been made so far, to put out extra white cells.

Yesterday, I became 'famous' here in the ward! I had finished my 30 minutes on the bike, racking up 10.3 miles. I got off the bike and realized I was a little light-headed. I stood against the wall and held onto the bike. Next thing I knew, I was looking up at a ring of about a dozen people, doctors, nurses, etc. They of course were looking down with real concern on their faces. Someone handed me a cup of juice which really tasted great. I waved everyone off me so I could stand under my own power. They offered a cart ride back to my room; I said I'd accept an escort but that I'd be walking under my own power...and that's what I did.

I found out afterward that someone saw me go down and hit my head on the floor. She called a 'code', which means everyone comes running. The big concern was that, with my platelet count so low at the moment, if I bled from the head, it could have gotten very messy.

I've been forced to promise no more 30 minute rides. I can do two 15 minute rides with a break between..which is what I'll do. As you can see from the list, I just walked today. Oh yeah, and we're now in 'flu season lockdown'. When out of my room, I need to be masked. That took a lot out of me when walking.

Beyond the walk, I did pretty much nothing for most of the day.

I've been having some stomach issues; I feel like I've overeaten all the time. They tell me it's still due to the chemo and have now doubled up on my Nexium (the purple pill). So far it hasn't helped. Hopefully, it'll kick in for tomorrow.

Enough for tonight.

TTYL,
Jerry

Wednesday, December 5, 2007

Balance: an interesting concept

No time to blog lately. I've been too busy being a super wife/branch manager/non-complainer. ;-)

(Please, those of you who are kind enough to listen to my complaints, let's keep them our secret, okay?)

For me, balance is really a simple thing: faith and family first. This journey involves both for me. Jerry is the very heart and soul of my family. "Home" is wherever he is so it feels quite natural to have dinner with him most nights. It may take a little more planning, but it's worth any effort. It's also a great diet plan. I sure don't want to schlep lots of food to the hospital every night. It's a fair distance to walk from the parking lot to his room, carrying stuff especially!

Jerry's choice to live within his principles has always inspired me. His attitude and approach to dealing with this "bit of inconvience" really blows me away. I am really amazed at how well he is doing. I've heard so many horror stories about chemo and the bottoming out, I am frankly amazed when I walk into his room and find him looking much his normal self. Okay, sometimes he gets a little lazy about shaving, but he does that on weekends so it's not all that unusual. It is a reminder to me just how fortunate we are that he was in such terrific shape when this started.

A co-worker emailed me today and asked how we were doing. I told her we were on the bumpy road part of our journey but that I knew we'd be sailing on a smooth highway again in no time. I told her we couldn't miss with so many terrific people pulling for us. I am so deeply grateful to each of you who ask how Jerry is and for each of you who send thoughts and prayers his way. It does help. Keep up the great work!

With gratitude and prayers for peace.
Bike nut's (super) wife

Day +4, +5 and +6

Has it really been that long since I've actually written anything here? It's now Wednesday, D+6.

Monday and Tuesday were pretty quiet days. I rode close to 11 miles Monday. Monday night, I got hit with a 'good' case of diarrhea. Called the nurse and asked about something for it. Another lesson in hospital life. It seems there first has to be a collection of a sample, sample being defined within strict limits of fluidity. Once a qualified sample is sent to the lab, they have to culture it. Once they figure out what's going on, they may give you something. No thanks.

Because of the diarrhea and just feeling really weak in the morning, I stayed off the bike Tuesday. We're required to walk at least a mile though so I did it at a decent clip. It's funny though; part of me feels that I would have felt better in the afternoon had I actually rode. I feel as if I let myself down.

Tuesday night, Alice came over bearing Hanukkah gifts. I should mention that she's here every night; usually bringing her dinner so we have a picnic in the room; just staying caught up with each other's lives. She's going through lots of her own stuff right now. She had a second low back steroid shot that still hasn't helped.

She's a Branch Manager for Georgia's Own Credit Union (formerly Georgia Telco). Her branch has been in what was BellSouth's executive building...not the big white tower, this is a very nice building close to Colony Square. Since BellSouth's demise, many of her members have retired, moved on, etc. The Credit Union saw this as a wonderful opportunity, new offices in the building meant new members. Alice's branch is moving to a new area of the building, much more visible. It's also growing, doubling in employees working for her. I'm so proud of her. She handles all this so naturally. Those of you who know me might remember my foray into managerial duties. I hated it, feeling like I couldn't do the fun stuff anymore.

So now she's got her back, her new branch and me to balance and I've never heard a real complaint from her.

So anyway, Tuesday was Hanukkah festivities. A few cards, some nice balloons from a dear friend of Alice's, and a pair of zip-up hoodies. I'd asked for these before all this fun began. I realized how nice a sweatshirt with a hood can feel on a cold day...especially with my already folicularly challenged pate. So now, 'when' I lose the rest of it, it'll be just the thing for winter. The doc says it'll still fall out; I say it's been fighting so long to hang around, it's not going anywhere. Good chance the doc's right and I'm wrong but that's my story and I'm sticking to it.

Today I woke up feeling halfway decent. A good breakfast and onto the bike again...I wanted some endorphines! Did almost 10 miles out there in my 30 minute stint. Not too bad, huh? As usual, the shower I earned felt wonderful.

While typing this, my doc came through doing rounds. He said the worst should be tomorrow and was rather surprised when I told him about my 10 mile ride!

Enough for now.
Thanks for reading,
Jerry

Sunday, December 2, 2007

Day 2 & 3

The past few days have been different, as I guess I get settled into the routine of the place. Saturday (Day 2), I woke up after what felt like a good rest. Breakfast came and, afterward, I got on the stationary bike in the hall. While there I figured out how to tell mileage vs time. As you might have noticed, there's now a small list here showing how good (or bad in days to come) I get.

The exercise felt GREAT! While riding, my two doctors (one may be a resident) saw me and actually checked me out while on the bike. It was kind of funny to have them listening to my heart and lungs while I'm huffing and puffing. They said it was fine though and to keep up the good work. A bandage change after a shower and I was set for the rest of the day. Too bad I don't remember much for awhile; guess I just spaced out. I know I ate lunch but can see just how easy it is to lose track of time and days. Hopefully, this blog will help.

Much of Saturday seems a blur, until Alice got here around dinnertime.
The Pajama Party was such a great lift. We didn't do much of anything but chat; we always try to touch base about our days whenever we can; it made things seem a bit more normal.

Around 2 or 3 Sunday morning, I had a problem. I was feeling a bit congested and having a little trouble swallowing and my breathing was a little coarse. I laid there for awhile thinking, "if I call the nurse, Alice will wake up and be worried." How stupid can I get, huh? So I did the smart thing, woke her myself, said "it's no big deal but I'm getting a nurse" and did what was necessary. I asked for some Benedryl to clear up the congestion...he also brought a 'pain pill' to ease the swallowing. I found out the next morning it was more oxycodone.

It turns out that the swallowing trouble is normal and it may get worse. It's an inflammation of the mucous linings of the alimentary canal...that's us from our mouth to our anus. Anyway, it's normal for mouth and throat to get inflamed from the chemo. Depending on how far it goes, it can cause other problems and possibly even keepme from eating. Hah, I'd like to see that happen:-). My standing mantra, "we shall see".

So, Sunday morning comes along. We wake up, breakfast shows up after a bit. Alice gets her breakfast from the kitchen and we chow down again. Other than the settings, it was a good way to start the day. After breakfast, Alice heads home...gotta take care of herself and the pets and the house and all the things that normally take two people to do. It's just not the same with only one person doing chores.

Before Alice left, the day nurse, Heather, warns me that my white blood count is starting to come down and I should wear a mask when in the hallway, on the bike. So much for charting how I do, right? So I get on the bike and start pedaling. It's a little strange but what do ya do? I'm a bit slower of course, kind of like a car with a dirty air cleaner, I guess. 25 minutes into a 30 minute ride, the doc comes along and says I don't need the mask. What a difference!

Something caught my eye behind me while I was riding. I turn around and see a small guy walking with two large men in Department of Corrections uniforms behind him. It seems we have a prisoner on the floor. I don't know his story and doubt that I'll find it out. I do know that we're supposed to do 21 laps around the floor (or in my case, some time on the bike). He might have done 5 laps or so. Then again, he also had leg irons on which might give him extra credit for his laps.

While typing this, I just realized that it's laundry day. I've got a few things to wash out...maybe sack out in the laundry/TV room for awhile.

One last thing that seems a little strange, I feel spacey. Not drugged but not totally myself either. The cool part of it is a friend who plays a Theramin sent me a link to a duet he and a friend did. What a great sound. It took me back to the 70's.

Saturday, December 1, 2007

pajama party!!

I'm off to spend the night on the delightful bed chair that is in each room for just such a purpose. I feel like I've packed for a week! I have to have the basics: pj's, toothpaste, pillow. But I've also packed dinner tonight and breakfast for the morning. I'm not part of their meal plans, as is appropriate. If anyone has clever ideas for easy picnic type meals to make from cooked turkey, pork or chicken, I welcome the ideas. We do like sharing meals whenever possible.

With continued gratitude,
Bike nut's wife