Friday, January 10, 2020

Chemo Round #2 and Pain Pump Surgery


I had my first round of chemotherapy on December 30th and faced the following weeks filled with nausea, vomiting, and severe abdominal pain and inability to keep any liquids or solids down.  

I ended up being so dehydrated and sick that after a few visits to the ER  and the nurses at the ER unable to access any of my veins for an IV. In desperation one night I was taken to Huntsman's Acute Care clinic. They closed at 6 pm and my home health nurse told them we were on our way and that I needed to be seen that night. We had 30 min to get their on time and Mom sped to Huntsman with 5 min to spare. I was raced into the Hospital by wheelchair since I was too sick to walk and just as we entered Acute Care the nurse told me that we were too late (it was 6 exactly) and they couldn't see me tonight. I was so frustrated as I was so ill and could barely talk or keep my head up as I vomited over and over that night. Frustrated, we were told that the only place to go was to the U of U's ER. 

We rushed down their and waited at their ER. This was one of the most disgusting ER waiting area/hospital and filled with lots of dirty homeless people. Due to me being immuno-compromised, I sat in a wheelchair crammed in a corner of the waiting area trying to cover my face to avoid getting exposed to anything. It was an interesting experience to watch the homeless/ suicidal patients walk in and go straight back to get checked out, while I had waited over 2 hours to be seen. Finally, I was called back and evaluated for severe dehydration, nausea/vomiting and was admitted to U of U. All the beds were full so I had to wait another few hours to be transported to the ortho unit since that was the only open room for the night. Finally at midnight I was able to go into this new room but ended up only staying for a few minutes. Luckily someone over at Huntsman's impatient was leaving which left an open room for me. I finally was able to settle down and get all my luggage off my lap and out of the wheelchair. The night was a blur and I was so sick and exhausted from being tossed around from place to place I didn't know where I even ended up. I was on the transplant floor for cancer patients and had a large room which was nice. I ended up staying inpatient at Huntsman for over a week from January 15-23rd. Luckily I have an awesome family who made posters to encourage me to stay positive as well as having Aubrie and Brynnley come visit and play with me. 

                                          

            

                                          

              

                                          

I continued to struggle with the severe abdominal pain caused by the cancer wrapping around my bowels while in the hospital and tried many combinations of pain meds, even the strongest ones with no relief from pain. I ended up meeting with the pain specialist team of doctors and it was suggested to have an interthecal pain pump placed in my abdomen that goes directly to my spine. This was quickly talked about and one positive was that the dose and therefore the side-effects would be much less since it goes directly to the spine. The pump itself looks like a hockey puck and is huge! It makes a huge lump on my left stomach area and I can feel it every time I move. The pump is filled with dilauded and also allows me to push a button to allow a bolus dose when my pain is bad. The pump is not comfortable at all and I hope it gets better! Unfortunately, I was warned that I am in the high risk category to have spinal headaches for the week following surgery and of course I experienced this awful pain. The spinal migraine lasted about 10 days and the pain significantly increases any time you sit upright and difficulty with light sensitivity. 
                                                  

  
A few days after having this surgery I returned to the hospital for my 2nd round of Chemotherapy on January 27th.  I struggled to continue to fight the fight every day even if it was trying to walk around the house.  I continued to have no energy as my weight dropped 30 lbs since December from not being able to eat. I went to the ER multiple times to get some hydration by IV. Unfortunately, my veins in my arms/hands were so scarred that none of the nurses could even get a needle in me, despite using an ultrasound machine.  I ended up in the ER 4 times ( Feb 2, 4, 5, 9th) due to the pain and dehydration. I had been avoiding having a chest port placed this time with chemotherapy and was hopeful I would only need a few pokes a month. I decided that it was time for me to have another port placed if I was going to continue chemo and needed the hydration to stay alive.
                                                         
                                                   The "Red Devil" chemotherapy:
Following my 2nd round of chemo, I have not been able to return to driving yet, still can't eat, and having to live at my parents for help. The nausea, despite the medication help, seems to last about 2 full weeks after chemo. Also the other side effects that I have had are vomiting, chemo brain fog, severe dry hands and feet that are cracking, and loss of taste- metal taste instead.
                                                   

 I was scheduled for my 3rd round of chemo Feb 24th but was too weak to even walk or talk and told Dr. Werner that I was taking a break from it. Instead of chemo I had surgery that day to place a new chest port that gives direct access to my heart.  I am still torn and deciding if chemo is really the right option for me at this time. My quality of life has changed quite a bit but it has also helped me to see the little things in life that are truly of importance.


I am so grateful that my parents have allowed me to stay at their house since all this started so that I can get the 24 hr care I need. I am a very independent person and don’t like asking for help. There is no way I could have lived through the past few months without their constant love, support, and hours spent taking care of me. It has been a blessing that Aubrie and Brynnley can come visit me and sleep over at my parents and brighten my day! Their little voices, gentle hugs and kisses and their excitement in life is what keeps me fighting each day. 

Sunday, January 5, 2020

Chemo round 1

I had my first round of chemotherapy on Monday December 30th at the main Huntsman.  The medications that I will be given include the pre-meds for 1 hour, Doxil (Red Devil) for 1 hour, and Carbo for 1 hour. My Dad and Jeff spent the morning up at Huntsman with me. I am still undecided about getting a port put in again because it was not comfortable, so instead I have to have the PICC line team use their machine to get a good vein for chemo.
 (My first real, not liquid, food I had after chemo was a Gandolfo's sandwich, unfortunately it caused lots of stomach cramping)

Something unique I have to do while receiving Doxil is keeping my hands and feet in ice packs the entire hour. There is a condition that patients get where you get sores in your mouth, feet and hands so ice is supposed to help. I am also unable to take any of the normal supplements that I have been taking due to it being too overloading to the liver. The treatment went well with no complications.

I soon remembered how tough it is to get through the days after chemo! I pretty much didn't exist for the entire week afterwards. I was incredibly nauseous despite the constant meds as well as sleepy and in pain---yes the terrible stomach pains with eating are still bothering me daily. I continue to be fearful to eat due to the pain I experience.

I was lucky enough to run across a program that Huntsman offers called SOS and Huntsman at Home. One of the doctors I met with was a pain specialist Dr. Odell. He put me on a Fentanyl patch as well as continuing to take Norco for break through pain from my stomach. I was also placed on lactulose to help keep my bowels working since I can't take any laxatives as it would increase my bowel pains. Prior to starting chemo I also met with a nurse from Hunstman at Home. This is a wonderful resource 24/7 for cancer patients to call and get help managing their symptoms or getting fluids if needed. My parents and I definitely took advantage of all their knowledge which was very helpful, especially when I started to have chest pains. I have been on a pretty strict regimen for nausea, cramping, pain, and sleeping meds to help get me through this first week.

I don't remember much about the New Year holiday but tried to make sure the girls had some fun memories. On Jan 5th my dad took me out to see if I could walk in the swimming pool at the rec center. It felt so good to move in the water that I stayed over 30 mins. As soon as I got out of the pool I could hardly walk to the car due to fatigue, but it was still worth the feeling of being able to move and get out of my bed.

My next round of chemo begins at the end of January....I sure hope to have mores strength to endure the treatments as it is getting harder and harder to stay strong. I'm grateful for my girls who massage lotion into my hands and feet each night and to my parents for continuously helping make sure the girls are fed and taken care of as well as taking care of my needs.

Friday, January 3, 2020

New Years 2020

Happy New Year 2020!

Due to having started chemotherapy a few days before, I was not feeling the best on New Years Eve but still tried to make it a fun night for the girls. 

This year I blew up balloons with fun activities to do each hour or half hour until midnight
 (10 pm really). The girls got to pop the balloons to see what activity to do but they were too afraid to pop them and couldn't even sit on them! Some of the fun things we did were: party poppers, Ice cream bar, hot chocolate bar, playing games, and making goals for the new year. 
The favorite thing of the night was making "cheers" to eachother in our fancy glasses full of bubbly. 

                                                 We all made some goals for the upcoming year:
Jeff: Lose 50 lbs this year
Mckinzy: Attend the temple 1 time a month, get through chemo and celebrate at Disneyland.
Aubrie: Get baptized and get her ears pierced.
Brynnley: Start Kindergarten