Sunday 31 May 2015

You'll Laugh. You'll Cry. You'll Hurl.

A good week and a half on from the beginning of my Flag-IDA chemo stint and I'm starting to feel 'normal' again thank goodness. I had blissfully forgotten how hard the chemo can hit in terms of chemo brain and general fatigue, but luckily those side effects have been relatively short-lived this time around (still a good week though). Others have very nicely filled their places now instead - namely the ones that affect your mucous membranes - mostly the gut unfortunately. My skin is also extremely dry this time round and nails have become irritatingly soft...but other than that I can't really complain! Just a bit more like 'that' hospital scene in the bucket list now is about all! I'm sure you'd all rather not hear about all this, but I don't see the point in not talking about the rubbishy stuff too! I certainly am not looking for sympathy, I am simply just trying to be informative about all the aspects that chemo can affect in life. I've definitely felt more nauseous and inappentant this time around, largely due to the lack of steroids! But fortunately, I have a lovely boyfriend to encourage me through the rubbishy moments, like when I don't fancy the ham and cheese panini I've ordered for lunch (I think that's probably when he's looked most worried about me, since being inappetent is somewhat of a rarity for me!!). :)

It's been a bit of a mixed bag week to be honest. I've been referred again for massages, which have been most welcomed! Maxine really is an angel sent from the Royal Marsden gods! I wasn't well enough to have a massage this Thursday so instead she put together an anti-nausea scent stick for me - which is amazing - bless her heart! Who knew a certain smell could help so much? I was also able to see the physio last week and have a short session in the gym here. By short, I mean 5mins of cycling, some sitting to standing exercises, lunges (with help from bars) and some steps.. How so much can change in a year - this time last year I was doing insanity for crying out loud... But nonetheless, I was still proud to get through my 15min gym session and still be able to walk back to the Teenage Cancer Trust Unit afterwards (with some help from Phil..)!! I had a lovely visit from my Auntie Sara and Uncle Will on Saturday morning too - was great to catch up, but unfortunately was starting to feel wiped out by the chemo by the weekend.

Despite there being only 3 patients in when I arrived on Monday, by Saturday evening we had a good gathering for the Eurovision. The kitchen put on the most ridiculous amount of pizza, wedges and garlic bread for us to try and eat after we'd already had our dinner too! They do like to spoil the inpatients up there! It was very kind of John (the youth worker) to organise it all though, including providing some appropriate decorations! I had just enough energy to sit through the songs at least, but that was mainly only because I was hooked up to chemo!

Just a couple of the huge trays of food - the trolley in the distance is also full!
The family went on holiday to Norfolk for a week that Saturday too, which luckily coincided with me feeling especially grotty from chemo! It does sound like they had a lovely time, truly exhausting the dog to the point where she was not at all interested in me facetiming them when they got back this weekend. Poor thing is pooped! And has an injured leg to boot... 

This last week has been fairly uneventful though. On Tuesday, I got moved to a lovely side room on the adult ward, Bud East, as the TCT needed my bed for a newly diagnosed patient who was still yet to receive any chemo. Caroline, the ward sister, was so apologetic, bless her, but I really don't mind! For a start - side room + en suite is a pretty nice change - but also, I completely appreciate that there is another patient, who is probably a lot younger than me, whose need and their family's need is far greater. And I'm sure will appreciate the facilities at the TCT a lot more than me at the moment. As a newly diagnosed patient, I think knowing you have those facilities is a great comfort to the horrific blow you've just been given. At least, I know it was for me. And anyhow, I'm more than happy in my own company :) it's just like being back at uni to be honest! Well, minus the great housemates obviously!

Phil came to visit on Wednesday and Friday, which was really lovely! And Ellie came to visit Thursday evening, which was equally lovely - however, I put a slight dampener on the evening by firstly getting chest pains (that luckily went with some Gavascon - slightly embarrassing...) and then, after sending her home as I felt so tired and feeling terrible about it, had rigors. Oh yes, cue the start of another nice neutropenic sepsis. The irony was I had literally been explaining the symptoms to Ellie not two hours earlier! My nurse was amazing and got the doctors to get IV antibiotics and paracetamol into me within an hour. I then had a nice night-time chest xray, and after some further rigors, and several sets of observations, I did manage to get a few hours sleep.

I failed to mention in my last blog about the beautiful blood clot in my armpit that they found on ultrasound when I first got readmitted. I have since been on Tinzaparin (and will be for 6months...) to thin my blood and break down the clot. But since my chest pains on Thursday, they were a bit concerned about me having a pulmonary thromboembolism too (despite the pain going after the Gavascon...). A CT on Friday actually did show some small clots in my lungs...oh yay...but luckily I'm already on the treatment they give for them, I just have to have a higher dose now. 

Overall, the good thing this week is that my white blood cells literally plummeted overnight and were technically unreadable on Wednesday! So chemo did good there, they are still low and so as part of the protocol I receive GCSF from now until my counts are above 1 again. Once they're up I'll be allowed out for 7-10days-ish - woop! Haemoglobin and platelets have both been pretty low too so have been receiving blood products to up these fairly regularly too - the platelets being important particularly because of the blood thinners I'm on. I'm also on two IV antibiotics still to cover me for the infection, but luckily I haven't had any more rigors or temperature spikes since Thursday evening - and we are hoping to keep it that way! I'm also feeling a lot better and have a bit more of an appetite thank goodness.

Mum and Lot came up to visit today. Was lovely to hear all about their holiday and have a catch up, but they both did look very tired bless them! Sounds like Lot didn't get much sleep over the week thanks to Flo being a bit of a pickle! The remainder of my weekend has largely been taken up by Breaking Bad, as I imagine tomorrow will be too! 

In the mean time, I hope people don't mind me not giving my contact details at the hospital out on here since I don't know if I'll get moved back to TCT or not. So, if you'd like to send me anything it's probably best to go to my home address, which if you don't already know you can personal message me for on facebook :) And, sorry and thank you to everyone who has wanted to visit, but I've unfortunately had to turn away for one reason or another, for being so understanding. I do hope to catch up with you all soon now I'm feeling somewhat better. :)

Much love to you all xxxx

Thursday 21 May 2015

Just When I Thought I was out...They Pull Me Back In.

Despite being offered a bed on the Teenage Cancer Trust Unit to start my next lot of intense chemo on Friday, I opted to postpone this until the Monday and have a nice weekend at home with the family before being institutionalised again for at least a month - I needed time to come down to Earth with all the news, as did the family - and also the weather was too good to miss out on!

Had a lovely catch up with Phil's Grandad and Uncle on Friday afternoon. And then Phil and I had a very yummy dinner out at The Old Mill in Kennington with Phil on the Friday night as my counts were so good. We did splash out a bit - I had the scallops in a garlic and chorizo sauce to start, then their steak and lobster plate and the cheesecake for pudding (was all incredible - never a duff meal there!). Phil had the calamari, Porterhouse steak and chocolate and banana pancakes (all also come highly recommended!). Saturday morning, me and Phil did a bit of retail therapy in Maidstone and I treated myself to a Burger King for lunch. In the afternoon, Lottie had her Rally Driving experience at Brands Hatch that Phil and I had got her for her birthday. She seemed to thoroughly enjoy it at least, which we're very glad about! :)

Think she's enjoying it!
And she came 3rd out of 6 (4 of whom were guys!)
Dad then made an awesome paella for dinner! Definitely been filling up on food I won't be allowed for a while!! Was extremely good!
 
So yum!
Sunday involved a bit more of a chill out day. Went to see Phil's family in the morning after packing up all my stuff ready to head back into hospital. And then we had a scrummy, very fresh KFC - another food I won't be allowed for a while! We had a relaxed afternoon watching Fury and then we had a lovely Roast Beef dinner (done medium-rare) whilst I'm allowed! 

Monday, I was back in hospital after a pit stop for breakfast in their canteen beforehand. This next month will involve an intensive 7 day stint of the chemo protocol I explained in my last post. My counts should be okish until day 10-14 when they will start dropping. I will be in hospital through this time as my counts will hit rock bottom and I will be at risk of infection etc. again as a result. I then have to wait for my counts to come back up naturally when I will then be allowed out (hopefully) for a bit of time at home before I most likely will need another cycle of this.

They are looking for a stem cell donor now, so best case scenario, if this goes quickly, I could have the transplant after just one cycle of Flag-IDA. However, this is unlikely and I will most likely need another cycle like this, with another month in hospital, prior to going for my stem cell transplant. I will know more about dates etc after my bone marrow after this cycle and when a donor is found. The point of this chemo is to reduce my MRD prior to the transplant to give me the best chance of not relapsing in the future, so fingers crossed this will kick its arse! And if it doesn't, the transplant certainly will!!

This week's been inevitably uneventful, as it tends to be in hospital! We had a quiz night on Tuesday with a few of the inpatients, which was nice! Though it would appear my knowledge on Pitch Perfect quotes and James Bond baddies is fairly poor!! Katie and I were very lucky this morning, as well, to go on a tour of the genetics lab here at The Royal Marsden, which was very interesting and didn't help my itchiness to get back to uni. Unfortunately, what with the Stem Cell Transplant and everything now, I think I'm fairly set on not being able to go back in January, and will have to delay it another year...but we shall see... Who knows...

Hope to see some of you lovely people soon anyhow!

Much love to you all xxx

Friday 15 May 2015

All We Have To Do Is Decide What To Do With The Time That We Are Given.

Being brave is defined as "ready to face and endure danger or pain". However, I don't believe being brave is defined by doing something you have to do because you have no choice in the matter. I believe being brave is doing something you don't have to do but do anyway, regardless of the fear you have, to try to better yourself or help others. I'm not brave - I just have to deal with whatever is thrown at me next - I have no choice in the matter. My sister is the brave one - despite being terrified of heights, she threw herself out of a plane in order to raise an amazing amount of money for Leukaemia and Lymphoma Research.

My incredibly brave and slightly insane sister

The last two weeks have been pretty good! Lot's 21st was great fun for a start! Despite being neutropenic, I was given the all clear by the Marsden to go out for dinner with my lovely family for an awesome curry to celebrate Lot's birthday! The following day she had her parachute jump, and the weather couldn't have been more perfect! She did amazingly well and completed her jump with a smile on her face :) despite suffering from a 'sinus squeeze' (Google it!)! And it was so great to catch up with all my brilliantly supportive family!

The weekdays have been filled with hospital visits for AmBisome and a nice trip to the Marsden for a bone marrow biopsy to see how I've responded to my intense consolidation phase. The sedation wasn't quite so perfect this time but still can't complain :) I had a lovely couple of days with Phil at the end of the week, and on Sunday I also had a great day at sunny Leeds Castle catching up with Ellie :)!

This week I had my Monday and Wednesday AmBisome and then had another visit to the Marsden yesterday. This was for a repeat kidney function test, to check they're ok after the intense chemo I've had and prior to my next lot. There was a possibility that I'd have to have another bone marrow biopsy as my neutrophil count was low still last week, but thankfully that didn't have to happen. And my counts had come up since, with my neutrophils now 2, so that meant we could have a good takeaway last night - fish and chips - yum!! I got my bone marrow results as well yesterday...firstly, the Marsden's in-house tests showed from the aspirate that there are no leukaemia cells obviously present in my bone marrow; however, the MRD test that Bart's do did come back as detectable again, and although this has reduced a bit, it isn't enough for it to be below the threshold where they'd regard me as being at low risk of relapsing.

This now unfortunately means I have to have a Stem Cell Transplant, which begins with a 7 day course of high dose chemotherapy that I start on Monday. I was offered a bed today to start it all, but I really do need a weekend to let this all sink in before I say goodbye to the outside world again for at least a month... When I know what is occurring after the next week I will be sure to write another blog to let everyone know, but in the mean time Leukaemia and Lymphoma Research have some very good booklets on the transplant process with loads of information that can be accessed here:
And a very good one on donating stem cells if people are interested in registering with Anthony Nolan here.

So, for those interested, my chemo plan from Monday involves the following drugs:
- Fludarabine - on days 2,3,4,5 and 6 of treatment given IV over 5mins
- Ara C(Cytarabine) - given IV over 4hours on days 2,3, 4, 5 and 6
- Idarubicin - IV over 5-18mins on days 4, 5 and 6 
- GCSF - given days 1 to 7 if needed - subcut injection
I'm sure I'll find out soon what occurs after all that!

But in the mean time, if anyone is interested in registering to become a stem cell donor, you can easily at: http://www.anthonynolan.org/8-ways-you-could-save-life/donate-your-stem-cells/apply-join-our-register. It's an absolutely fantastic cause, and I still cannot believe how many amazing people I have met already who can say they are still alive thanks to a Stem Cell Transplant! They are a true inspiration, and if I can be half as strong and supportive as they have been to me when I get through the other side of all this, then I'll be more than happy!

My blogging over the next few weeks will probably become very hit and miss, since the next week alone will be tough, let alone when I actually have the transplant... So please don't expect regular updates or very in depth ones when I do. With regards to visitors and gifts though, for those who have asked, the same rules apply as before I'm afraid...since I will have absolutely NO immune system left before I have my transplant, and even afterwards it is like a newborn's to the point that I will have to have all my vaccinations again - yay... So, if you want to visit but are told you can't or I'm not up to it, etc. etc. then please don't take offence, unfortunately - it's one of those things and is even more serious than last time...

Thank you so much to everyone though for all of your constant support and messages. You really all are keeping me going and really mean a lot - thank you.

Much love to you all xxx