The last drop of chemotherapeutic agents went into my Dad's body at 1pm on Saturday.
In the last few days he has received a 2 bags of platelets and 2 bags of blood. The transfusions were necessary as his platelet and hemoglobin levels were coming back low.
He has lost all the fluid weight he has gained since being admitted. Now he must maintain his fluid and food consumption in order to not lose anymore weight. Chemo is not a diet.
The doctor was concerned with his central line (the main tube that delivered everything to his artery beside his heart), as the site was red and tender. There was speculation that the central line is the cause, or could potentially cause an infection. (About once a day my Dad has been running a fever; a fever is a sign of an infection) The doctor made the decision to take the central line out on Saturday. My dad and I watched the Flames game while the doctor removed the central line at his bedside with MUCH MORE ease then when it was being put in. You may be thinking, "but Sam, how will he be getting his medications now that his central line is out?" Let me tell you... Earlier that day the nurses put him through mini hell while they put a peripheral line in his arm. A peripheral line looks just like an IV line and is in the elbow crease of his right arm. All of his meds, and anything needed to be transfused will now be administered through this line. This is only a temporary situation. On Monday a pick line will be inserted into his arm, and the tubing will go up his arm and insert into that main artery by his heart again. The nurses will be able to draw blood from this line; something they cannot do with the current peripheral line. We haven't said goodbye to our friend central line quite yet. Another one will need to inserted into my Dad (this is a procedure done in the operating room- OR for all you Grey's/ER or people with actual medical designation), but not until the next round of chemo. He said the resident doing the last central line procedure looked more scared then he did, and after numerous attempts, ended up having the attending finish the procedure. As you can imagine, Jer requested that a student NOT do the next one.
Days 7-14 is a crucial time period. This is when his blood counts are at their lowest levels and he is at the most risk of getting an infection. Kelly and I have been very diligent with proper asepsis... if we could shower in bleach, I'm sure we would.
On a lighter note...
I think I have a pretty cool Dad. He sports trendy clothes (sometimes...sometimes he struggles). He knows of the 'hot' places to go in Calgary. His stampede party schedule is idolized by my friends. Well.... His LATEST fashion trend is none other then, the snuggie. MY pink snuggie my friends got me for Christmas. Jer Diddy...always keepin' it fresh.
Sam-Good job on the blog! Sounds like your dad is staying very strong!
ReplyDeleteps- I hope I don't have to do central lines in the future as a resident..
Great work on the blog, Sam!! Glad to hear the first round went so well!! Our thoughts and prayers are with all of you!! Glen & Trish
ReplyDeleteHey Jer, keep it up and glad to hear everything is going well. Keep positive and watch those counts go up. Great job Sam on the blog and being his nurse. Kelly you rock. You are doing great and we are all rooting for you. Allan and Jan send their best as well. Di and Darrell
ReplyDeleteGood to hear an update!
ReplyDeleteThat's too bad about the central line, although its a common source for infection. Dad had a few of those lines too, along with the infections, and a PICC as well... It's just unavoidable because you definitely can't be putting chemo in a peripheral/regular IV line, and you can't poke him everytime they need to check blood levels, or he'll look like a pin cushion rather quickly. : )
Take care you guys! And make sure you feed him like a growing teenage boy! Get that weight and strength back up!
Jocelyn
Hi Jerry, Kelly & Sam, happy to hear you're through round 1, we're thinking of you all and great job with the blog Sam, keeps us close even though we can't be there with you yet. Rick and I are there even though you can't see us, we're thinking of you often.
ReplyDeleteLove, Rick & Sharon
Thank you for the keeping the blog updated, it is so appreciated. Good to hear round one is over with. We are all manifesting well wishes for you Jerry, Kelly & Sam and you are always in our thoughts.
ReplyDeleteTake care,
Karen