D+6

Just a quick update. Been feeling pretty low the past few days. Sunday was the last "good" day. Monday I just felt wiped out..... And the feelings haven't changed since then. No energy, diarrhea, nausea.... Just a part of every day now. However, I haven't had to go into hospital with a fever. And I've kept my fluids up. So it's not all bad !!
I had to start my injections last night. Yet another pill/prick/suction of me. But I shouldn't complain..... It's all going well.... As expected.
I'm off the the hospital now for another blood test and check up. My white blood count should probably be '0' now - neutropenic. This way I can start to build up and start again !!!

Wish me luck.......

.......Love is the answer....At least for most of the questions in my heart..... Like why are we here? And where do we go? And how come it's so hard? ...... It's not always easy and Sometimes life can be deceiving....... I'll tell you one thing....... it's always better when we're together.....

Looking forward to seeing my sis on Wednesday....

I'm in the middle of a Jack Johnson-a-thon .... and so I guess, feeling pretty alright so far too.

It's Sunday.... Thursday was implant day and my days have been relatively good. If I jinx myself by writing the following then <insert "F-style" curse word here>

Anyway here goes.... so far, no temperature, the anti-nausea drugs are keeping things at bay, no diarrhoea... the worst so far is the irritating Dracula's neck jewellery (Thanks Nigel - liked that one !!). But even that is beginning to settle and not be as annoying.

OK Coldplay-a-thon now..... JJ was getting a little melancholy for me......

I've been very careful so far. Bucket loads of anti-bacterial hand wash, lots of water, hydrating fluids and no contact with anyone or thing. Although I have managed a couple of trips to the park with the pups. I've also been sleeping well(ish). The olympics have helped too. Live streaming on the iPad on the middle of he night is great. I'm back on the Dexamethasone so that may explain some slight insomnia. 

I'm now on a neutropenic diet too. And it looks like I'll have to stay on this for the unforeseeable future. As I now have no immunity I won't be able to combat food bacteria. I'll have to start from scratch with my body. One of my biggest disappointments would have to be that we will not be able to visit "Sizzler" for the next year !! Oh woe is me..... how will I survive ?? !! No salad bar or all you can eat soft-serve is allowed to pass my lips !!! Looks like it will just have to be fine dining establishments and home cooked delicacies. 

I have a bowl of drugs I have to take every morning..... 

• Dexamethasone - Anti-sickness 2-3 days after chemo (all good now)
• Metroclopramide - Anti-sickness 20mg 2 tabs up to 4 times per day
• Pantoprazole - Antacid (and for nausea) 40mg 1 tab per day
• Fluconazole - Anti-fungal 200mg 1 tab per day (for the foreseeable future)
• Valaciclovir - Anti-viral 500mg 1 tab per day (for 3 months post transplant)
• Filgrastim - 300mcg Injections daily in evening D+5 onwards
• Gastrostop - 2mg Once it starts.... max 8 per day !! eeuww

I have my first check up appointment on Monday morning. I'm hoping Tina (my Nurse) will be very happy with me. 

My beautiful niece - who's birthday it was yesterday

And so back to the couch and the relaxing.... my Blue boys are about to start. I haven't picked them to win and after the WCE performance yesterday I'm hopping for some winning vibes in the house. I must also say that as my first year as an Aussie I'm a little disappointed at the performance of the number of Olympic Gold's for Australia!!! Go Team GB !!! Just saying......

Oh yes one last thing.... we've booked our wedding venue. Looking forward to Jan wedding......

And if a double-decker bus.....Crashes in to us......To die by your side......Is such a heavenly way to die........And if a ten ton truck........Kills the both of us To die by your side........Well the pleasure, the privilege is mine........

So I'm lying here as we chat, and my old (new) stem cells have been put in !! Omg !! What a feeling !! ...... Actually there's no feeling at all. Just lying on a bed with a drip hooked up. I've had 2 liters of saline for hydration, phenergan (anti-histamine ... To stop the preservative in stem cells from reacting with me) my stem cells ( that smell like creamed corn) anti-biotics -Vancomycin to prevent infection.... And after that I stopped retaining information !! And I keep needing to go to the toilet !! Too much information ?
I woke up this morning feeling a little nauseous. But after downing a coffee, 2 x pramin, 2 x dexamethasone and an pantoprazole (ant-acid) I began to feel a bit better. Yesterday was a good day. No side effects to write home about. Just the frustration of the cvc in my neck. Uncomfortable and a bit itchy from the stitches. I'd only been able to sleep about 2-3 hours on Tuesday night. But last night managed to catch up with about 6-7 hours. Nice !!
Straight home from here and onto the couch... Will see what's on tv and wait for the drugs to kick in...... No visitors for the next few weeks. We even cancelled the cleaning lady !! WTF !!! Luckily on my "take home notes" it actually says no cleaning or gardening !! Haha ... Fabulous I say !! Now if we could just get the dogs using the anti-bacterial hand/paw gel i reckon we'd be good to go.
I've been told I'll get very tired soon, so will pause for now and catchup later.
This is all I have at the moment..... Just saying !!

I'm working on a dream ......Though trouble can feel like it's here to stay .......I'm working on a dream ....Well our love will chase trouble away.....

I really don't know how I would get through all this without Dirk. And I'm not sure I can put into words how much I love him and appreciate how he has been there for me. I know if the tables were turned I'd do the same for him (I'm not sure I'd be as good as he is though) ..... but it's not the other way around. And at the end of the day he is putting up with everything.... and not complaining, and doing everything & anything for me. And his support has been relentless since January. For any carer out there... I cannot begin to think how hard it is for you. Thank you seems so little for what you do...... BIG love to you all. But ALL my love to MY carer. (he won't like this mushy stuff, but it has to be said) I love you Dirk......

I finished work on Friday..... I won't go into it too much... needless to say, I may have overdone the "farewell vino's". Maybe not the best idea, but done now. Apologies have to go out to my work friends that had to see me that way !! (hopefully by the time I get back to work it'll be forgotten !! ) awkward !! But I had fun... so that's what's important right? 

Yesterday was D-3 (the format my hospital use for transplant day calculations) Transplant day is D 0 then D+1, D+2 etc etc. until you are discharged. It was an easy start to the week with just the blood test. I managed to get sorted after that, with shopping, washing and last minute house stuff. Knowing that I probably won't have the energy or strength to do much. I wanted to get my sister's room ready and looking nice. I also needed to buy a heater for her room so she's not too cold. I'm really looking forward to seeing her, and I know it will also help Dirk. Just having the extra support here. He will be able to go out and even go back to work without having to worry about leaving me alone. So got that sorted, and then we went out for a last "drug free" dinner.

Today (Tuesday) was CVC (Central Venus Catheter) and Melphalan (Chemo) day. I was a little nervous about today. I guess knowing that someone was going to cut into my jugular and then pour in a drug that will make me feel like shite will do that to you !! So I put on my colourful jumper and even made up my face to help make me feel happy and not sick looking (it may sound vain, but it makes me feel happier to look healthy) and we drove into hospital. As always, the nurses were great. I was taken to theatre "recovery" for the CVC to be fitted. It's done under local anaesthetic - not the most pleasant experience - I felt most of it. The needles going in to such a soft area was probably the worst feeling. Then all I could feel was the pressure of the wires and needles. But it was bare-able. Afterwards an X-ray is done to ensure the CVC is situated correctly, then I was wheeled back down to the Haematology Care Centre (HCC) where everything is done for Haemo patients. I'm calling the CVC my new jewellery, as it dangles around my neck, and I'll be wearing it for the next couple of weeks until I'm discharged.

Dirk was waiting for me with a muffin, as I hadn't eaten anything yet. I managed to scoff a little of it before I was prepped for the infusion. To stop the mouth ulcers and probability of Mucositis they give you ice to suck before, during and afterwards. My nurses told me to continue for at least a couple of hours afterwards too. If there's one thing I've learned so far, it's to listen to the nurses and Dr. They go through this everyday, with a variety of patients and situations. They Know !! So I have listened to what they've told me so far and followed it to the hilt. 

The day was relatively painless and we returned home around 2pm. Mav had decided to eat his bed !! lol... we had left both dogs inside as it was raining badly and we didn't want to get home to wet dogs !! We knew they'd be a surprise at home, we just weren't sure what it was going to be.

I continued to eat ice until just before 4pm. Then I called dad to let him know about my day before I fell asleep until 7:30pm. We had some tea and watched some TV and now I'm in bed... they also put me back on the dexamethasone (hence being awake still at 12:45am !!) but I'm also paranoid about how I feel... silly I know, but I'm also watching the Olympics so it's not all bad !!

Tomorrow is a "rest day" and I intend to rest before the implant on Thursday. Drink lots of water and stay away from germs !! Fingers crossed all will be un-eventful.....

Once again, thanks for all the messages, posts and emails. I know I may not have responded to all of you, but thank you all the same. I've had some great emails from people I haven't spoken to for a while, it's great to hear from them. Also from people I don't even know. I'm sorry if I haven't responded yet... I still intend to. But I hope this blog helps in some way to anyone that may not have the support I have, or is just interested in the whole process....

Anyway, as usual this is a late night entry, which means, when I read it again in the morning I find spelling mistakes and incorrect grammar (which I hate) and sometimes cringe at what I've written. But I guess that what happens when you share your personal shit with the world !!

Night, Night, God Bless xxxx 

The title is dedicated to Dirk - "Working on a Dream" by Bruce Springsteen.

In this life long and hard though it may seem ..... Live it as you'd live a dream...... Aim so high...... Just keep the flame of truth burning bright.......

  I've been awake since 4am. A lie in really seeing as the past week I've been waking up at 02:21am !! I played solitaire on the iPad for a while and then thought "blog" .... why not?
Actually, I think I drank too many SSB's last night, so I also have a bottle of nutrient water open to re-hydrate before work today !! .... I know... I know.... shouldn't have done that !! I will never learn !!
The insomnia has been a little frustrating.... I have no idea why I'm waking up in the middle of the night. I'm not on any specific drugs at the moment so you'd think I'd be sleeping like a baby - or maybe I am.... just a newborn that wakes up every four hours !! doh !!
Dad sent a letter to his friends this week. It was so beautiful, but made me cry so much too. If anyone can write a beautiful letter it's dad. This is the time where everyone gets back to normal ..... but when we are left with a massive gaping hole in our lives where mum used to be. I think this is the hardest time of all. I can't imagine how hard it is for dad. If there's one thing I can't wait for it's that big hug that he's bringing to me in a couple months.... flights are booked for dad.... and also brother and sil (sis-in-law) !! WAHOOOO talk about exciting. Looks like that wedding might just be taking place after all.
Talking of flights booked..... we've also used some frequent flyer points to get my sister out from NZ to be a carer for me. Hopefully this will also help Dirk out from doing all the work.
We've been absolutely paranoid this week..... half of Perth seem to have come down with flu ... people are walking around town germ infested and coughing all over each other..... so far we've been lucky avoiding it. But then on Monday Dirk came down with the beginnings of flu.... I went into meltdown and barked orders at him about how to get better and getting to the Dr's. Luckily he was able to get in to see our Dr. and he was put on antibiotics. We haven't touched each other since and I've already gone through a can of Glen20 !! The last thing I want is to have a delay on next week's treatment. I just want to get through it and focus on getting better. 
Had bloods done yesterday and have an appointment with Dr Brad tomorrow. Then Monday it's more bloods. Tuesday is the day I have the cannula fitted then straight back to the ward for the Melphalan (chemo) infusion. Wednesday is a "day off" before the Thursday stem cell implant. I am then sent home to recover - being closely monitored by everyone. Sounds pretty simple to me !!! 
OK... I have to interrupt this serious talk as there is an ad on TV for "Magic Mike" mmmmmmm - this might have to be my "recovery movie". When I'm having a bad day, Magic Mike will have to be played. It could be the only thing that makes me feel better.... except Dirk of course !! <cough> of course. 
Where was I ? .... skin peeling.... another side effect I've begun to experience. Not quite as nice as Magic Mike..... reality is a bitch !! 
Well it's time to get up now and get to work. I have two days left before the break...... 
I'll try and blog as much as I can over the next few weeks. You may not get pictures and long updates but will do my best..... 

Winter Beach Day

First time in the Ocean

In this life long and hard though it may seem ..... Live it as you'd live a dream...... Aim so high...... Just keep the flame of truth burning bright....... - M-People - Search for the Hero Inside Yourself

You walked into the party like you were walking onto a yacht ...... Your hat strategically dipped below one eye ......... Your scarf it was apricot .....

..... I tried to ignore the fact that it was coming out.... I wore one of my hats to work ..... I even went across the road to the pharmacy and purchased some new head gear......but by the time I got home from work I was covered in hair..... I felt like I'd been dipped into a hairdresser's bin !! I had fine little hairs all over my face and up my nose ..... and so, as soon as Dirk got home.... the clippers came out and off it went ..... and I laughed. 

And when I looked in the mirror .... I cried..... The fun was over very quickly. It was definitely real now. There was no denying I had cancer. It's not like I was about to make a movie like G.I. Jane !! (I wish) I had a bald scone, and it wasn't going to change anytime soon.

I got Dirk to take some pics (we even recorded the head shaving for posterity!!) he was desperately trying to make me feel ok. Eventually it worked and he had me laughing.

The pets didn't notice at all.... I was still mum to them and all they wanted was attention and cuddles.... nothing was any different in their eyes - you've got to love that about cats and dogs, their love is unconditional and it's totally irrelevant how you look or how much you yell at them for eating your best plant while you're at work. You yell at them and tell them NO!! and they come and put their head on your lap and love you even more than before..... 

One thing that is annoying about your hair falling out is that you don't have a choice about the day..... mine fell out on the coldest night of the year so far !!! It was only bloody 2C Wednesday night - and for those of you saying "pah .... meh .....that's warm compared to blah... blah... blah...." It's bloody cold in Perth when your house is rigged up with air-conditioners and not central heating !!

Thursday morning came and once again, the shock of what I looked like as soon as I looked into the mirror ...... more tears - but there is a bright side...... the shower feels great on a bald scone and  my "getting ready time" has been cut by half !! I was ready in about 15 minutes !! fab-ness !! Hat went on and off I went. 

And here's the amazing bit.... when I walked into work, one of the guys on my team had shaved his head too.... he didn't want me to be the only one walking around the office with a shaved head !! Some people are so amazing. (Although I hated to point out that there is also a bald-headed guy in our team that we've just hired !! oops !!) 

I haven't quite got the confidence yet to walk around without a hat. I'm happy to take it off and show people, but not yet at the point of leaving it off. 

The comments from my friends and family have been the best though. By over-sharing on Facebook, I've been inundated with gorgeous comments. This really helped me over the past two days. 

We shaved it to a #1 all over, but even the tiny short hairs are still falling out. I imagine it'll be smooth all over before it starts to grow back. But hopefully by then I won't be bothered one little bit about it.

We're off wig shopping today. The hospitals in WA give a wig voucher to cancer patients. So I'm off to try a couple. If I think I'll wear one, I'll get one. If not, I'll return my voucher and not bother. I'll just have to see how it looks and if I think it'll make me feel better or not.

Luckily though.... 23C today and sunny !! 24C tomorrow too.... got to love Perth in winter !!

Tell me how I'm supposed to breathe with no 'hair' .... Can't live, can't breathe with no 'hair' ....

It's falling out !!! (My hair) Today.... as in, right now !! Yesterday it wasn't... today it is. In clumps too.
I was prepared for it..... just not today. I knew it was going to happen. I just thought it would be after the next lot of chemo... and I wouldn't be at work ! I'm not really quite ready today... I was preparing for 2 weeks time. I haven't had chance to practice my bald look yet. Hopefully it won't take much practice, especially as I only have overnight now to get it down pat !! eBay might take a hammering tonight.... get your hats online eBay sellers.... I'm coming !!! Hat donations also welcome peeps....... Oh well..... here goes I suppose. Now I must go out and get that Hermes scarf !! ..... and the clippers - gulp.

Piet Mondrian - Art Gallery of WA

Anyway... I am drug freeeeeeeeeee!! I can't believe how different I feel compared to the past 6 months. I'd really forgotten how it felt. In fact it's been nine months since I felt like this... in fact, I've not been this weight and felt like this. Nine months ago I was "post surgery" and still losing weight. So to be able to enjoy the way I feel at the moment is quite a nice feeling. I'm still tired. I've been sleeping a lot. But during the day I feel good. I went back to work yesterday for just two weeks. This is how long I have until the Stem Cell implant happens. Yesterday Dirk & I went to hospital to visit my nurse practitioner - Tina - She went over the whole process of phase two. And I have to say, she is pretty amazing. We also bumped into my Dr - Dr Brad. He was saying how well my collection went. To understand how the collection calculations work I have copied the following:

"How many stem cells do I need? Over the years, a number of studies have been completed to determine the number of stem cells you need to safely undergo high-dose therapy. The number of stem cells is quantified by a special laboratory technique called “CD34+ cell analysis by flow cytometry.” A small sample of the stem cell collection is tested for the number of CD34+ cells in the product. We know that a minimum number of stem cells to safely complete a transplant is 2 million CD34+ cells per kilogram of body weight. The number of CD34+ cells is checked in each daily collection and the number tallied. The stem cell collection process continues daily until the planned number of stem cells is collected – usually 1–4 days. Some transplant centres check the number of CD34+ cells BEFORE starting leukapheresis to make certain there will be a good collection that day. Most transplant physicians collect enough stem cells for two transplants (over 4 million D34+ cells per kilogram body weight). "

Giorgio de Chirico
Art Gallery of WA

The reason Dr Brad and Tina were so happy was that my "CD34 - Absolute Count" was 97.3 from just one day !! Yay me !! (They needed the count to be 4 Million CD34+ cells per kilogram of body weight.... mine was 9.7 Million - I think!!)
The next hour was spent talking to Tina bout the next stage. One comment that kept being repeated was " I'm not going to lie to you.... it's not going to be easy"
Diarrhoea, tiredness, sickness, mouth ulcers, indigestion, fever, bruise easily, hair loss..... these were the most common side effects. My body must have heard this and saved me the worry of the "hair loss" by getting that one over with nice and early !! Thanks body !!
So anyway... I was also thinking about my blog and once I start this next stage. I will try my utmost to blog what's happening, but the posts may be very short and also randomly posted  as I really do not know how I am going to be. Like I said though, I will try my best to share what's going on.

Black cockatoo in our tree

I have no idea how I'm going to manage a photo a day too. I mean, how different does a ceiling look day after day !! Another thing I will have to do my best with.
One of the most exciting things that has happened this week though..... and it negates all the above feelings and makes me happy...... is that my dad has booked his flights and will be coming to visit. BIG YAY !!! Soooo excited and cannot WAIT to hug him. If there is one thing that is going to get me through all of this, it's the thought of seeing all my family soon. If all goes according to plan, we may have a wedding to plan for January. This is going to keep me very busy and just a tad excited. But before I jumped too far ahead, I will get through this so I can get excited about 2013. This is my plan.......

Wahol

Note: I caught up with a very dear friend last week and we decided to go to the Art Gallery of WA.  They had an exhibition of Picasso to Warhol. I had a great time taking snaps of the art. Afterwards we came home and hit the vino..... I believe I went to bed around 2:30am.... to be honest with you, I can't remember....