*(Day +24), Friday, (June 4th), has been a hard day.This will also be the longest post so far. Just warning you. Last night I couldn't sleep so my night nurse, Em, gave me ambien at like 3 a.m. Anybody who has ever taken ambien knows that it's probably not a good idea to take it at 3 a.m. because it makes you pass out immediately and I ended up being really drowsy all morning. That also means that I didn't get up at my usual early time of 7 a.m. (ish). I didn't wake up until we got our daily knock on the door. I don't think I've ever explained this process so I will now. Every morning the doctors come by our rooms to meet and of course the one morning I don't get up early in is the one morning my mom actually wanted to get up at 7. lol. She usually gets up early to take a shower because she doesn't want to miss morning rounds and there is only one shower here on the unit for the parents to use and certain people think it's necessary to stay in the shower until after doing hair and makeup. Which could easily be done back in their child's room. So she has to get up early and hurry before those certain people wake up. Otherwise she gets stuck sitting there waiting for a long time for the shower. Every morning the doctors come by and meet in the hallway outside of each patients' room. They wheel around these things called COWS (computers on wheels) and knock on our door. We never know exactly what time it's going to be but we knew that today a new doctor was starting. There are 9 attending doctors here and they change every two weeks. When I first got admitted for chemo, the attending doctor was a woman named Dr. Macmillan. We really liked her. On transplant day the attending doctor was Dr. Tolar, who is my doctor so I lucked out. Next was a doctor named Dr. Lund. Today the new doctor started and her name is Dr. Smith. I've met her once now and she seems really nice. There are 21 rooms and I'm room 19. The doctors always start with the last room and work backwards so I'm the third room every morning so it's always pretty early. My mom missed the doctors this morning but after that COW session they come back and come inside my room to see me. Today Dr. Smith introduced herself and we just talked about my counts. Today my white blood cell count was .2 again. It hasn't gone down but it hasn't gone up. I'm at day +24 right now and Dr. Smith says that if I haven't moved to at least .3 by day +28 then we should be worried. I'm hoping to be at least .3 (if not higher) in the morning. My hemoglobin was in the 7's during the night but I got a red blood cell transfusion earlier so my counts should be higher now. My platelets dropped from 32,000 to 9,000 which is a bummer but 9,000 is still better than 1,000. My bilirubin counts (there are three of them and that's what tests your liver function) were normal. That's good. That's the first thing I always look at because I'm so paranoid about wondering if I got enough iron chelation. If I didn't chelate long enough then my liver will fail and that's the thing that they can't fix and would cause my transplant to fail. I always exhale the biggest when I see that the bilirubin counts are normal. We also talked about the swelling in my legs and feet that is caused by all of the fluids they are pumping into me. They're going to keep pumping fluids into me but they're also going to give me a drug several times a day that will make me have to pee a lot so I'll pee all of the liquids out. Aren't you glad I told you that? Dr. Smith also looked at my mouth sores and I'm happy to say that they're a lot better today. I just have that nasty sore on the left side of my tongue but the yellow part is gone. There's just some blood in it and the chunk is still missing. Nasty but awesome. :) After Dr. Smith left I ate my usual pop tarts and drank my usual favorite hot chocolate from the lobby downstairs. I spent the morning watching the OC again and I got a platelet transfusion. I napped really comfortably until the afternoon because I'm still on a high dose of morphine so after a couple of pushes my legs and mouth feel numb enough and I can sleep well. We're still counting carbs because of my temporary diabetes but I didn't have very many carbs for breakfast and lunch today . After lunch my mom's old debate coach came to visit. He works as a professor of communication studies here on the University of Minneapolis campus so he came by after class to hang out and meet me. I really like when I have visitors. We spent the afternoon talking about debate stories and memories. I also told him about my freaky cheek thing yesterday. He thought it was pretty gross. After he left my mom went out and got Applebee's for dinner. My carb count is still low for today so I'll probably have pop tarts tonight after my shower and then watch more of the OC until I fall asleep. I like when my carb count is low. It makes me feel like less of a fatty. I'm still wearing my fat girl clothes. I'm still bald. This leads me into explaining my breakdown of the night. I was on facebook and just randomly started crying. I couldn't stop. My mom left the room so I could just cry. Anybody who knows me knows that I'm famous for saying "sometimes I just need to cry". It was one of those nights. I was looking through my friends' pictures on facebook and just had a breakdown. Everything just hit me. I'm so mad that I was diagnosed with Aplastic Anemia. I'm so mad that it was me. I'm mad that it ruined my middle school and high school experience. I'm mad that it impacted/limited my ability to compete in debate. I'm mad that it impacted/limited my ability to take hard classes. I'm mad that I missed a lot of school. I'm mad that I had to do homebound for part of my schedule. I'm mad that I had to work my ass off to get a 4.8 for my senior year. I'm mad that things weren't easy for me. I'm mad that I missed so much school for transfusions. I'm mad that my body has bad reactions to transfusions. I'm mad that I missed out on the simple things like riding bikes and jumping on trampolines. I'm so mad at this disease. I'm mad that I didn't get transplanted faster. I'm mad that I couldn't be transplanted sooner. I'm mad that nobody cares about Aplastic Anemia or Dyskeritosis Congenita because it's so rare. I'm mad that I have these two rare diseases. I'm mad that I'm sick. I'm mad that I have to go through this transplant right now. I'm mad that I couldn't stay and finish the debate season. I"m mad at myself for not being strong enough to finish the debate season. I'm mad at how I left. I'm mad that I couldn't stay and compete for forensics season.I'm mad that I had to miss out on parts of debate camp because I had to drive home and get transfusions. I'm mad that I had to sleep in on some of the days of camp because my body just didn't have the energy to keep up with everyone else. I'm mad that I had so much iron overload. I'm mad that we moved all of our stuff up to Minneapolis in December and then had to come home. I'm mad that I was so sick I couldn't return to school when I got home. I'm mad that I had to be on the iron chelation medicine 24/7. I'm mad that it made my stomach so sick. I'm mad that I was throwing up almost every day for several months. I'm mad that my doctor let my iron overload get so high in the first place. I'm mad that I accepted presents from everyone and then ended up not transplanting so I looked like a liar. I'm mad that I had to give up the idea of dating because it's not fair to ask somebody to stick around for you and worry about you while you go through a transplant. I'm mad that I had to miss out on part I'm mad that I had to go through chemo. I'm mad that I had to take medicines that killed my immune system. I'm mad that I had to go through radiation. I'm mad that I had to be in pain. I'm mad that my mom has to do everything for me because I feel so guilty. I'm mad that I can't leave my room. I'm mad that my white blood cell count is only .2. I'm mad that my platelets are only 9,000 now. I'm mad that my hemoglobin was only in the 7s. I’m mad that I'm here. I'm mad that I missed being at graduation. I'm mad that the live feed messed up and I couldn't hear my name read live at graduation. I’m mad that the tape of graduation isn’t here yet. I'm mad that I missed the debate banquet. I'm mad that they ignored me at the debate banquet (except for tara). I’m mad that I was the only senior not to get an award at the banquet. I'm mad none of my friends have come to visit me (even though I shouldn't expect them to). I'm mad that I had to fill out my will at the age of 18. I'm mad that I missed prom. I'm mad that I could die at any time. I'm mad that I have to go through this. I’m mad that I have to worry every day. I’m mad that I’m in pain. I’m mad that I’m missing out on all the graduation parties. I’m mad that I’m missing this summer. I'm mad that I'm fat. I'm mad that I'm bald. I'm mad that I gained 20 pounds in four days. I'm mad that I have temporary diabetes because of all the steroids. I'm mad that I have to count carbs. I'm mad that I have mouth sores that hurt. I'm mad that my legs are so swollen from all of the fluids they are pumping into me I'm mad that I have to get up twice an hour to pee because of all of the fluids they are pumping into me. I'm mad that my nose won't stop bleeding. I'm mad that my eyes are blood shot. I'm mad that my leg hairs didn't fall out. (that one is kind of a joke). I'm mad that I have to take so many oral meds even with my mouth sores. I’m just mad. Thank god for zoloft. Lol. I promised you honesty in this blog through the good, the bad and the ugly. This is the ugly. I hope you can handle it. I know it's hard to read this but please don't get me wrong, tomorrow I will be better. I have faith. I just needed to get that out of my system. I know everyone else has problems in their lives too but I hope that everyone takes a good look at themselves before they go to bed tonight and just know how thankful you should be for all of the health and happiness in your life. Despite my breakdown tonight, I still consider myself to be in strong spirits. This was my longest post yet. I’m going to try to get some sleep now. Goodnight.
*(Day +25), Saturday, (June 5th), was a pretty mundane day and I'm okay with that because I needed it. I was up until 3 a.m. watching season 2 of the OC because I couldn't sleep. I've been really shaky today and during the night for some reason. I think it's just that I can't find a comfortable temperature in these rooms. The rooms are so dry because of the strong filtration system so it makes the temperature fluctuate a bunch. I slept in later this morning but my mom woke me up around 8 a.m. to tell me that my white blood cell count has jumped to .3! Now I just need to get to .5 and stay there so I can go in the halls. That will put me one step closer to getting to leave and go stay at the Ronald McDonald House. I spent my morning eating my typical warm strawberry pop tarts and watching more OC. My mouth sores are much better today. The gross yellow patches have healed and I only have a few bloody ones left on the left side of my mouth. They look bloody but aren't bleeding, thankfully. I am getting more sores down my throat that you can't see and they hurt and make me sound like a man but it just feels like I have a really bad cold or something. The doctors came by with their COWS (computers on wheels) outside my room like they do every day and didn't really say anything new. They just talked to my mom about my white blood cell count going up to .3! Then Dr. Smith came by later on to see me like usual and again, didn't really say anything new. No complications today except for the usual: low platelets, puffy ankles/feet and sores in my throat. No changes were made except they upped my morphine some more because my throat sores are worse. I only push it at night a few times in a row and then during transfusions a few times in a row so that my mouth and legs will get numb enough for me to sleep. I don't like to push it during the day because it makes me too groggy, like I've said before. I started to get restless around noon so I got out of bed and did some exercises. The physical therapy people come by every few days to make sure that I'm doing my daily exercises (which consists of me getting out of bed three times a day. lame.) So I've just started getting out of bed whenever I'm not sleeping or eating. That way they don't hassle me. They gave me this machine that is like portable bike peddles. I sit in my chair and I do ten minutes biking forwards, ten minutes biking backwards. Then I put the peddles up on my hospital desk thing and I do five minutes with my arms going forwards and five minutes with my arms going backwards. Doing the peddles actually really helps to stretch out my muscles in my shoulders/back and in my knees/ankles. I got a platelet transfusion this morning around noon. They got here right when I was done working out so I took a nice nap during my platelet transfusion because of the benedryl they gave me. I had a good lunch and then I took a nap while my mom went out shopping. She came back with more fat girl clothes and cupcakes from that cupcake store I love! They rotate the types of cupcakes they make on certain days of the week so today I got a mini very vanilla cupcake, which is my favorite because the frosting is really really good homemade whipped cream. I'm very picky about my frostings. I also got a mini tiramasu cupcake. I'm also very picky about my desserts and tiramasu is my favorite desert in the world. The last mini cupcake I got was the Smores cupcake. This cupcake is a grahm cracker cupcake with chocolate nutella in the middle and marshmellow fluff on top. This place is awesome and always makes my day better. I had a nice low carb day so that I could indulge in these mini cupcakes and still be over 100 carbs less than I have been for every other day I'm also tracking how much I drink and I keep drinking more every day because they want me to be drinking a lot before they will take me off my fluids and let me leave the hospital. Plus the more I drink the more I pee and the less my feet swell. Yes, I just talked about pee. My swelling always gets worse at night after I shower because of the strain it takes to take a shower. I'm getting better, though. I have one of those old lady chairs in the shower but I only use it to balance myself while I scrub my swollen feet and legs. I'm very careful to get really really clean every night because I'm so paranoid about infections. I've gone through an insane amount of soap. lol. Thankfully my english classmates got me tons of fun shower gels. I also change my sheets and pillows every night to keep everything as clean as possible. I'm pretty OCD right now. Better safe than sorry, right? Alright well tonight is going to be pretty mundane also. I'm not scheduled to get any platelets tonight because we're waiting to see what my platelet count is in the morning. I'm also not getting any red blood cells tonight because my hemoglobin was in the 9's. I'm just going to go take a shower now and then my night nurse will check all of my counts around 3 or 4 a.m. and I'll hear the news in the early morning. We're praying for .4! Or maybe even .5! Fingers crossed! Also, the guessing pool for what day I'll be discharged to go to the Ronald Mcdonald House is now closed. No more guesses. We'll see who wins! Goodnight all.
*(Day +26), Sunday, (June 6th), has probably been the weirdest (but not scariest) day so far. We did get some great news this morning at 6 a.m. when we learned that my white blood cell count jumped to .4. We need it to get to .5 before I can leave my room so we're getting closer. Once I hit .5 for five days then we're going to start testing my anc counts. Once my anc starts growing then I can leave the hospital. It's moving slowly but we're getting closer every day! I've decided to start ordering room service again because almost all of my mouth sores are gone so I can eat a wider variety of things. Plus then I don't feel guilty because my mom doesn't have to make me food. For breakfast I had a surprisingly good omelet, hash browns and fresh fruit. All of that was only 70 grams of carbs. Two pop tarts are 76 grams of carbs. Isn't that funny? As you can see, we're still counting carbs because of my temporary diabetes. Thankfully it's been getting a lot better and I'm not having to get very much insulin anymore. Some meals I don't need to get any insulin at all which is great because that means it’s going away. My mom met with the doctors in the hall for the morning COW rounds and then came in just to tell me that not much was changing today. She went to take a shower and I ate breakfast. My morning was spent watching the OC....of course. I think my mom is starting to get sick of it. And today was Sunday so she wasn't working so I probably should have let her watch TV. Oops. After her shower my mom took a nap so I turned off the lights and just continued to watch the OC. I was on my computer playing games and all of the sudden I felt unusually groggy. As I've said before, they have morphine constantly running into my body at a low continuous rate and then I have a button I can push every ten minutes that gives me a bigger dose of morphine. I only use the morphine when I'm in pain and want to sleep because otherwise I'm super groggy and only half awake. So when I got unusually groggy I was confused because I hadn't been hitting my morphine button. All of the sudden I felt like I was going to pass out. I turned to my right and looked down to the floor of my bed and saw a massive puddle of blood. It was dripping out from one of the many tubes I'm hooked up to. I looked up at the pole that I'm constantly connected to because I thought maybe they had started a red blood cell transfusion when I wasn't paying attention. There were many bags of medicine hanging but no red blood cells. So where had the blood come from? Me. My hickman, which I've blogged about before when I got it placed right before starting chemo, (go here if you can't remember what a hickman looks like. Mine is located on my chest about the same height as my port scar but on the left side instead of the right. It looks just like the picture but the tubing is purple instead. Kinda cool. I get it taken out when this is all over and it won't leave a scar like my ort did.) Anyways, the hickman is how they tube all of my medicines and blood into my body. They can also draw blood from the hickman. Apparently one of the tubings came loose and when it did that, it caused my blood to start pouring out. Nobody had been in my room for 45 minutes so I could have been bleeding for up to 45 minutes at the most. My red blood cell count was in the 9's this morning, which is pretty good. They quickly checked my red blood cell count after I saw the blood and I had dropped down to the 6’s, which is bad because I get transfused if I fall below 8. Thankfully I was in the 9's because if I had already been in the 6's, I could have dropped to some ridiculously low number. The lowest I've ever been was 5.2 and that was in the ER and the blood bank freaked out. Dr. Smith and her team all happened to come in right as all of this was happening, just my luck, and then they freaked out and I had several nurses rushing in to help so my room was full and things got really chaotic. I got really light headed and nauseous from all of the blood everywhere so I just sat in bed and started to cry because I didn't know what to do and it freaked me out. The puddle was so big that it had reached all the way under my bed and hit my favorite pair of pink slippers. Except the slippers aren't pink anymore. They're soaked with red blood. We had to throw them away. I'm very sad because old navy doesn't have them anymore. :( I guess I'd rather have the pink slippers be the casualty of the day as opposed to me. So obviously the blood bank rushed to get me two bags of red blood cells to pump back into my body. After that, we pumped a bag of platelets into me to help my counts. I haven't heard what my counts are now but I know that my white blood cell count was not affected and is still .4. Thank god. And I'm not getting anymore red blood cells or platelets tonight so my counts must have been good enough after the transfusions. All of this started around noon and I just finished getting all of my transfusions at 6 p.m. Busy day. I did take a nap from noon- 2 p.m. because I was so overwhelmed by everything that had happened. I slept really well because they gave me a ton of Benadryl by IV to make sure I didn't react to all of the blood and platelets. I woke up and ate lunch at 2. Irene, our care partner that I've mentioned before, came by today while we were eating lunch to visit. She got to hear all about our crazy morning and we just chatted for a while. She left around 3 p.m. I thought I was going to take another nap but ended up watching more OC and taking all of my nail polish off. It had already started to chip so I'm going to put a base coat, color, then top coat and then hopefully they'll still be perfect when Em works again in a few days and she can do her flowers again and I can put a top coat on it and take a picture before it gets messed up since I didn't last time. It's only 8 p.m. and I'm already done blogging. This might be a record. I'm determined to get my shower and everything done early tonight because every night I end up keeping my mom up until like 1 a.m. and I don't think she likes that. lol. My mom napped and read for most of the day. We are starting to get more comfortable with each other and we're joking around a lot. My nurses always comment about how they like to hang out in my room and hang out with us because we're fun. lol. My mom got up around 7 p.m. and drove out to the Mall of America. She has implemented a rule that I can have my favorite pasta from Tucci Benucch every Sunday night. This worked out well because my day was so crazy. My pasta is exactly what I need right now. She should be back any minute with dinner so I'm going to finish up this blog. Other updates for the day: I'm getting really good about eating less carbs every day and drinking more fluids everyday. Both of these things make me feel better about myself and make me healthier. I'm still getting lots of fluids and medicine to make me pee a lot so that the fluids don't make me swell. They want to keep me from swelling but they need to keep my hydrated so that the meds will work. My feet are a lot less swollen today but I'm having some tightness and pain in my knees/muscles. I've been using my pain pump a little bit today. My weight has gone down but I'm still much higher than my normal weight. Definitely NOT 200 pounds anymore. Thank god. I'm still bald but I'm starting to get some stubble. It looks dark to me but my mom said it's blonde on top. I'm hoping for the blonde. I'm still experimenting with scarves and my mom has found several good ways to tie them so I've been wearing all of the scarves that people have given me. If my face becomes less puffy, I might be tempted to post a picture in the near future to show you the cute styles we've come up with. Maybe. I'm in much better spirits today, as you can see from my insanely long blog post. I'm quite chatty. Plus it was a crazy day. I need to get out of this room. My mom should be here any minute with dinner so I will end this blog. Check up on me tomorrow when I start week five!
**Reason of the Week: Like I've explained before, they have a system up here where you can make a "team". This is a list of nurses that you've had and like and want to to have on a regular basis. If you ask them to be on your team and they accept, then the charge nurse tries to schedule them to be your nurse when they work. People work different shifts so I usually have anywhere from 2-4 nurses per day and I've picked out a few nurses that I like for each shift. The charge nurse has gotten really good about giving me people on my team as opposed to random nurses. (we had some problems at first where I kept getting nurses that I hadn't put on my list. which is annoying because it's nice to see the same faces on a regular basis.) Everyone on my team is really awesome and nice and I'm starting to build relationships with all of them. Great nurses are always a reason to smile (RTS).