18 March 2010

Day 17

Hemoglobin 9.2
Platelets 147
WBC 4.0
Creatinine 1.62

My creatinine was lower today, so my kidneys seem to have responded well to better hydration.  I didn't receive another infusion today, instead I'm trying to drink about 3L of water on my own and see how my kidneys react to that.  If that's not enough I'll receive an infusion tomorrow at my appointment.

Today I felt worse than usual.  I wonder if it is related to my kidney function (since I didn't receive the fluid infusion today).  We'll see how things go tomorrow.

17 March 2010

Day 16

Hemoglobin 9.5
Platelets 142
WBC 3.7
Creatinine 1.81

I was pretty nauseated again today, I think mainly due to the medications I'm taking.  The doctor I saw today thinks the reason my creatinine took such a jump is because I am not drinking enough water.  So today at the clinic they infused a liter of saline and will see if it impacts my creatinine when it is tested tomorrow.  If not then they will change my medications.

I didn't prepare what I wanted about my medications like I said I would yesterday.  Maybe for tomorrow.

16 March 2010

Day 15

Hemoglobin 9.6
Platelets 128
WBC 4.8
Creatinine 1.77

It's great to be home, but it is also much more difficult.  I get tired fast, but it is just like the previous times I have been discharged, so I expected this.  The worst part are the pills I need to take.  About 40 total every day, many of which are used to combat the side effects of other medications.  I will have more on that tomorrow.

My creatinine also took a huge climb, which is worrisome.  Hopefully it is just a fluke spike and tomorrow it will have decreased.

15 March 2010

Day 14

Hemoglobin 9.3
Platelets 91
WBC 8.4
|Neutrophils| 7.1
Creatinine 1.48

I'm being discharged today.  I'm excited to be going home.  Tomorrow I'll begin daily clinic visits at the Bone Marrow Clinic.  It won't be fun having to come back here every day for a while, but definitely better than being inpatient.

14 March 2010

Day 13

Hemoglobin 8.9
Platelets 70
WBC 9.0!!!
|Neutrophils| 7.4
Creatinine 1.52

This morning I woke up when the doctors made rounds and threw up.  Once they left I went back to sleep until Dietz came to visit around 1300.  I took all my pills, received some dilaudid, and threw up again.  Now I feel fine.  The problem here is that I threw up most of my pills that I took, including my CSA and MMF.  So now my doctors are concerned that I will not be able to keep my meds down and, thus, unable to be discharged.

I had not thrown up in like four days before today.  So I am not sure why I threw up the first time.  Every other time I have had chemotherapy I have had morning sickness for a while afterwards.  With it I get really nauseous right away in the mornings, usually throw up, then feel fine the rest of the day.

The second time I think it was a combination of having taken my pills (there are a lot of them, so my stomach was full of water) immediately before receiving a strong dose of dilaudid... I think the two just did not mesh well. I didn't have a problem taking the same medications last night, so I am hoping this is a one-time deal.  As long as I can keep them down tomorrow morning I think I will be ok.  I really hope they do not discharge me for that reason alone.