We had the post port / pre-chemo visit Thursday afternoon. It was interesting. Thank goodness I had brought a book that I had just started.
We arrived at 1:15 and immediately heard the doctor being paged to call the ER – never a good sign for a quick visit. Of course, immediately after that we heard at least two calls from other physicians calling him. And, then the waiting room starting piling up.
I’m glad I had book to keep my nose in. Of course, there was a heavily pregnant couple in the small waiting room. They were, thankfully, being very unobtrusive. Then the mother, father and small child came in. This is not a waiting room most small children would be comfortable in. Thankfully, the father did take the child out as s/he was getting very agitated at being stuck in such an unstimulating environment.
Why don’t parents bring a favorite toy or something if they are coming to a non-peds doctor? I mean, doesn’t that just make sense? I seem to recall always having either a book or some game with me when I was a kid. Even small children have games that can entertain them. I’ve seen it when I worked in the children’s section of the library.
Anyway, we finally got in to see the doctor about 2 hours after we arrived. Yes, I said 2 hours. Now, he is usually not running that late, but when the ER calls and other doctors are calling, you know the office has become a zoo.
Once in the room, I explained, once again my concerns about the drugs. Thankfully, one of the chemo nurses wrote everything down and is calling the drug company to check formulations against my allergies! In an attempt to reassure me, Dr. Professor explained the minuscule odds, even among atopic patients, of a reaction. My answer was, “I seem to be living in outlier land right now.” He had to concede that was true.
Ms. Clarity was then reassuring me that they would be watching me very closely the entire time. And, she explained that they have epinephrine, and, if absolutely necessary, I would be sent via 911 to the hospital. Subsequent chemo would then need to be done in the ICU under an allergist’s supervision.
I don’t have the greatest history with immunotherapy. Remember what I said about living in outlier land? Well, I’m one of those patients who did not tolerate immunotherapy very well. As in repeated systemic reactions, not well.
Ms. Clarity also said I would be getting benadryl intraveneously, as well as low dose steroids for the day before, of, and after chemo. I may have been being a pain, but I felt I needed to point out that I have had reactions that took 3 epinephrine shots to counteract and have had enough steroid suppression to get a rare pneumonia. Yes, I am being paranoid. Perhaps I’m focusing all of the fear on the allergic reaction? Maybe, but its familiar, and I found plenty of literature indicating its high allergenicity.
Weirdly, no one actually looked at the port. I did however ask why I was having so much back and neck pain from it. Enough that I have been taking both prescription M.otrin and V.icodin in order to sleep. The tension is so bad that it actually travels into the back of my head. Thursday night I couldn’t even pick anything up past a certain level without feeling pain. It was really weird.
I was told that this isn’t that unusual. Some people just don’t adjust to having the port as well or as fast as others. It still sucks. Thursday night DH yelled at me to start taking the painkillers in a more consistent manner. Did I mention I am not very good about taking painkillers? You would think I would learn.
So, I have to do a peeing plus blood test for Monday. Yes, I get to collect 24 hours worth of urine to make sure my urine output is ok for chemo. I don’t recall if I mentioned that while I was in the hospital, a few people mentioned I was peeing like a racehorse while emptying the catheter buckets. I understand that they have to check certain levels, but hey.
On Monday, they will also be doing the two gene tests that will let me know if I need to warn my female relatives to be checked. I think Lynch Syndrome is more likely than BRCA 1/2 considering my family’s medical history. Of course, the chance of either is rather low, but I feel it will be better to check and warn than to not check. I mean, due to having had several relatives who had had colon cancer and melanoma, I was already doing preventative care for both. (As were most of my relations on that side of the family.)
So, Monday, I also get all my nifty chemo prescriptions that I fill vs. the ones that they give me on Thursday. Thursday is when the first chemo treatment will be. They said it will probably take about 4 hours. I’m taking my nifty netbook to play games or write. They don’t have a working wireless and most cell phones don’t get any service in their location.
Of course, that we got out of there at 4 PM irritated DH to no end. He was grouchy and grumpy the rest of the evening – except for when I fed him pasta. He’s a good man, but this is getting to him. Of course, without his beard and mustache I feel like I have robbed the cradle!