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Thursday, 30th September 1999 T +23 |
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The cramps have intensified, they may be due to constipation but no one is
quite sure yet. The neutrophils stayed at 0.1, but the white cells went down
to 0.4, I also had a haemoglobin transfusion.
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Wednesday, 29th September 1999 T +22 |
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The neutrophils finally moved, today they were up to 0.1, and the white
cells were 0.5. I needed a platelet transfusion today. Overnight I had some
painful lower abdominal cramps.
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Tuesday, 28th September 1999 T +21 |
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White cells were back up to 0.4 but the neutrophils haven't moved and are
still sitting at <0.05. I got out of bed and walked a little, the first
time in over 2 weeks. My temperature has stayed under control for a while
now and my appetite continues to improve.
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Monday, 27th September 1999 T +20 |
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My white cells were 0.3 again today. I have been eating some more as my appetite
starts to come back. The pain seems to be easing so the morphine has been
turned down again which is making me more alert again.
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Saturday, 25th September 1999 T +18 |
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No high temperatures again today and last night's blood cultures were clear,
so far, of the bugs that showed up earlier in the week. My platelets were
down again, so I had another platelet transfusion, but my white cell count
was up to 0.4, which is promising. For the first time in quite a while I had
something to eat, only a couple of nibbles, but it was a start.
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Friday, 24th September 1999 T +17 |
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The high temperatures have remained at bay all day, hopefully the line
cleaning yesterday did it's job. I have been feeling a little bit better
today so the morphine was turned a notch. I needed a haemoglobin transfusion
and my white cells were still 0.1.
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Thursday, 23rd September 1999 T +16 |
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My temperature spiked in the morning and another 2 bugs have been found. The
thought is that they might be in my central line. So Dr John cleaned out my
line by putting some hydrochloric acid in it and then extracting it back
out, this was done 3 times just to make sure. We hope this works otherwise
they would have to change my whole central line which would be a very
dangerous procedure at the moment. I also had to have a platelet transfusion
today. The highlight of my day was having Nurse Jo to look after me today.
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Wednesday, 22nd September 1999 T +15 |
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My white cells dropped from 0.2 down to 0.1 today, but there are still some
neutrophils there. Last night's blood cultures showed a serious bug in me,
but I am still in reasonable spirits.
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Tuesday, 21st September 1999 T +14 |
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I had a good night last night, but then spiked another temperature in the
morning, however it then stayed down for the rest of the day. Both Cathy and
Karen came in to play at different times today, I sat up each time and had a
great time. My white cells look like they might be starting to rise, there
might even be some neutrophils there also.
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Monday, 20th September 1999 T +13 |
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My eyes are now also sore, I have started on some eye drops. My temperature
stayed high most of the day too so I was feeling pretty miserable all day.
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Sunday, 19th September 1999 T +12 |
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My temperature continued to spike overnight, so this morning an antifungal
antibiotic was added to the long list of medications I am already taking. I
drank some water today, this was the first time in over a week.
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Saturday, 18th September 1999 T +11 |
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My tummy was still sore today, so this evening the morphine was turned up
another notch. My temperature also spiked this evening, which is the first
time in a few days.
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Friday, 17th September 1999 T +10 |
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My liver function has almost returned to normal. This morning I was still a
bit sore and not eating or talking much. This evening though, I did
manage to talk for a little while, it took everyone by surprise. I needed
both a platelet and a haemoglobin transfusion today, still no white cells
coming back either, maybe next week.
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Wednesday, 15th September 1999 T +8 |
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I am still feeling miserable, my mouth is sore and is my tummy. The morphine
was turned up again today to relieve some of the pain. My liver was slightly
swollen, so I had an ultrasound to check it out, nothing serious was
found.
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Tuesday, 14th September 1999 T +7 |
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I had another platelet transfusion today. My potassium level was also low,
so yet another pump was added to infuse potassium intravenously via my
central line. I also started daily GCSF injections to assist the growth of
my white cells.
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Monday, 13th September 1999 T +6 |
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I am still feeling miserable, not talking or eating. The morphine was turned
up again today, which makes me quite sleepy, but I still managed perk up a
little bit when Cathy came to do some painting and gluing with me. Another
pump was added today, because of all the drugs that need to go through each
day, a total of seven pumps now. Things will probably stay about the same
until my counts start to recover, which isn't expected for a while yet.
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Saturday, 11th September 1999 T +4 |
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More of the same overnight, the morphine has been turned up to try and
relieve the pain as well as starting another drug to try and ease the
stomach cramps. I spiked a fever today, so I am now also on antibiotics,
there are a total of six pumps now hooked up to me.
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Friday, 10th September 1999 T +3 |
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I am still feeling miserable, not talking, eating or drinking. Along with
diarrhoea I am also getting stomach cramps which are pretty painful. My
platelets and haemoglobin were both low today so I had transfusions of both.
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Thursday, 9th September 1999 T +2 |
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After more diarrhoea overnight I am feeling pretty miserable. I haven't
eaten or drank anything today, I am still losing weight, I am now down to
11.5kg. I have started on morphine to try and ease the pain.
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Wednesday, 8th September 1999 T +1 |
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As expected, my counts are still on their way down. I will probably start
needing haemoglobin and platelet transfusions within the next few days. It
is expected to take somewhere between 2 to 4 weeks for the transplant to
engraft. To try and keep my stomach working, the nasal gastric feeds have
been started up, but at a very low rate.
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Tuesday, 7th September 1999 ***TRANSPLANT*** |
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This morning Cathy came in to help decorate my room, we have gone for a sea
theme. There are fish, seaweed, jelly fish and octopi so far, and we will be
adding to it with more craft sessions.
Today was the big day, I had my second transplant. This time it was
umbilical cord blood that came from an unrelated donor. It was put into my
central line, just like a blood transfusion. Now we sit and wait for the
transplant to engraft and start producing blood products of its own, this
could take up to 4 weeks.
Elmo, from Sesame Street, was also at the hospital today. He came to
Camperdown Ward too, he wasn't allowed in my room, but still came to my door
to say hello.
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Monday, 6th September 1999 T -1 |
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I moved into the transplant room today, I am not allowed out of this room
until my counts have returned to a satisfactory level, which will probably
quite a few weeks away. Everyone who comes into the room needs to scrub and
gown up like last time. I am still feeling a bit under the weather today,
not talking much. I had a heavy dose of chemo today, Melphalan, as well as
starting on Cyclosporin which helps my body to not reject the transplant. I
will need to take Cyclosporin for quite a few months. I vomited again as
well as having diarrhoea, this is probably from the chemo combined with the
TBI I have had.
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Sunday, 5th September 1999 T -2 |
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I had another NG tube put in, I wasn't very happy about that, at least I had
a night without it in. All my oral medicines now go down my NG tube, I don't put up as much
of a fuss this way, this is much easier for Mummy and Daddy.
The nasal gastric feed has been stopped for the time being, the TPN also
needs to stop today for a few days because of the chemo tomorrow. I had diarrhoea
today, this is probably also due to the nasal gastric feed, this should
settle though. I am still nibbling on some things but don't have the huge appetite
I had the other day.
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Saturday, 4th September 1999 T -3 |
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I started on a nasal gastric feed last night, along with the TPN I am
already having. However, I didn't feel like eating during the day and this
evening I vomited and out came the nasal tube again. This may have been due
the nasal gastric (NG) feed, I didn't tolerate it well last time I had it,
but was probably a combination of the feed and the ATG.
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Friday, 3rd September 1999 T -4 |
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Today I was able to eat for a while after the morning TBI session before
having to fast, so I was much more relaxed. Cathy and Karen both came to
play and sing, we had a great time. This afternoon's TBI session was the
last, I will have a strong dose of chemotherapy on Monday.
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Thursday, 2nd September 1999 T -5 |
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I didn't get a chance to eat after this morning's TBI session before having
to fast for the afternoon session. I was very irritable because I was
feeling very hungry. I ate very well after the second TBI, as I did last
night also.
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Wednesday, 1st September 1999 T -6 |
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I started my Total Body Irradiation (TBI) course this morning. There are 2
doses each day for the next 3 days, each of which is under general anaesthetic.
During the morning session I had another nasal gastric tube put in while I
was under. I have to fast before each general anaesthetic, which is a bit awkward
as another drug I am now on is a steroid called Methylpred which gives me a
huge appetite.
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