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Goodbye TSEB

Handdrawn PhewYesterday was Dad’s last TSEB (aka rotisserie) treatment.  Dad had a sense of relief knowing that he no longer had to endure the medieval torture.  Phew!

Today, Dad started with a routine blood draw.  His hemoglobin level was acceptable at 8.7.  The two neupogen shots, which Dad received on Tuesday and Wednesday, had been very effective.  Dad’s white blood cell count was now at 2.16.  Even though his white blood cell count is on the lower side for a normal adult, it was a dramatic increase from earlier in the week.  Mark Honor, physician assistant, determined that Dad would not need to receive his third of three planned neupogen shots today.  Dad’s platelet count was extremely low at 11.  Dad is required to have his platelet count at 50 or greater in order to have his PICC (peripherally inserted central catheter) line removed and his central line catheter inserted on Wednesday.  Thus, Dad received another platelet transfusion.  He ended the day with spot radiation on his shoulder and the “egg” that now looks more like a dark crater.

Wash Your Hands

Dad’s Monday started early with a blood draw at 7:30 a.m. at the Moffitt Cancer Center at International Plaza (MIP).  He then met with Mark Honor, physician assistant, at 7:45 a.m.  Dad’s platelets are down to 13.  His white blood cell count is low at 0.4, but his hemoglobin is looking fair at 9.5.  Looks like the two bags of blood last week helped boost his hemoglobin.  Dr. Sokol, hematology oncology, indicated that Dad should receive 3 shots of neupogen this week, on Tuesday, Wednesday and Thursday, to increase his white blood cell count.  At 9:30 a.m., Dad received his second infustion of brentuximab vedotin.  During the first 30 minutes, Dad received his pre-medications of Tylenol and Benadryl.  Dad then received the brentuximab vedotin for the next 30 minutes without any side effects.  At 12:45 p.m., Dad received his 6th of 8 TSEB treatments.  When he says that the TSEB treatments are “unpleasant,” I can tell he is biting his tongue from saying what he really thinks.  Only two more rotisserie sessions left.

Handwashing

How to wash your hands.

I am already somewhat germaphobic (and claim that Dad passed that gene onto me), but with Dad’s weak immune system, I am constantly washing my hands.  I am always barking at Husband, Son and Daughter to wash their hands.  Today, Son stayed home from school due to a terrible cough.  Mom is highly concerned that I will end up with the same terrible cough, which would impact my ability to be there next week for Dad’s move-in day.  Dad will be admitted as an in-patient for his stem cell transplant next week on Thursday, February 4th.

Time for me to wash my hands.

Two Hands

God has given us two hands, one to receive with and the other to give with.

Billy Graham

It is important that we, recipients of the good works of others, recognize and appreciate the organizations that are making a positive difference in the fight against cutaneous lymphoma.  The Cutaneous Lymphoma Foundation, whose mission is to support every person with cutaneous lymphoma by promoting awareness and education, advancing patient care, and facilitating research, is holding a question and answer event, locally in Tampa, on Friday, February 19th, from 5:30 p.m. – 7:30 p.m. at the Embassy Suites in downtown.  Two of Dad’s doctors, Dr. Glass and Dr. Sokol, are the guest clinicians that evening.

 

The Moffitt Cancer Center’s Magnolia Ball is one of Moffit’s annual signature fundraising events.  Since the first Magnolia Ball in 1994, over $33 million has been raised to help Moffitt develop new ways to prevent, treat, and cure cancer.  This year’s 23rd Magnolia Ball, Saturday, April 9th, at the Tampa Marriott Waterside Hotel, will celebrate Moffitt’s 30th Anniversary and will feature live music by the Goo Goo Dolls.

 

A Short Pause

The original plan for this week was for Dad to complete his TSEB (total skin electron beam; aka the rotisserie) therapy.

Monday, January 18th:  No appointments on Monday, January 18th, due to the U.S. Holiday for Martin Luther King, Jr.

Tuesday, January 19th:  Dad met with Dr. Montejo, radiation oncology, to discuss his progress and to share with Dr. Montejo that his legs were quite red, tender, and slightly fragile.  Dad had easily nicked his leg and had an open wound.  Dad and Dr. Montejo discussed whether the tender, red state of his legs were due to the radiation or the disease.  Dr. Montejo did not think it was due to the radiation treatments, but Dr. Montejo took a photo and sent it via email to Dr. Glass, cutaneous oncology, seeking his opinion.  Dr. Montejo was pleased with Dad’s response to the radiation therapy overall.  He said that Dad is “looking good.”  Dad received his fifth of eight planned TSEB treatments that afternoon.

pause-buttonWednesday, January 20th:  Dad met with Dr. Montejo again to discuss Dr. Glass’ feedback on his legs.  Dr. Glass seemed to think it could be due to the disease or the radiation.  Dr. Montejo made the decision to pause Dad’s remaining TSEB treatments until next Monday.

Thursday, January 21st:  Dad received a call from the Moffitt Cancer Center at International Plaza (MIP) in the morning asking Dad to come in for a blood transfusion (for red blood cells).  Dad received one bag of blood.

Friday, January 22nd:  Dad returned to MIP for a second bag of blood (for red blood cells).  The nick on Dad’s leg is healing and has now scabbed over.  His platelets are doing their job!

Dad has not been going to the gym as he intended, but he is walking more.  Unlike those buried in snow along the East Coast of the U.S., Mom and Dad are getting outdoors and enjoying walks through the neighborhood.  The weather in Tampa is lovely this time of year with highs in the 60s.

A Full Time Job

Sand ClockAt 8:00 a.m., Dad started his Friday at the Moffitt Cancer Center at International Plaza (MIP) with the traditional blood draw, which indicated that he needed platelets and red blood cells.

At 10:00 a.m., Dad had an appointment at South Tampa Dentistry to obtain the required letter of dental clearance for transplant.  While at the dentist, he was diagnosed as having thrush, an infection of the mouth caused by candida fungus (aka yeast).  It occurs in babies, toddlers, older adults and those with weakened immune systems.  Antibiotics, which Dad is taking as a part of his cancer treatment, can upset the balance of microorganisms in the mouth and may cause thrush.  The dentist prescribed a mouth wash to treat Dad’s thrush.  Dad first noticed the thrush about two weeks ago, but he had not mentioned it to Mom nor me.  I am glad the dentist noticed and is treating Dad since thrush can spread to other parts of the body.  This is often seen in people with cancer, HIV, and other conditions with weakened immune systems.

Dad was back at MIP at 12:00 p.m. to receive a platelet (one bag) and a red blood cell (two bags) transfusion.  The transfusions were not completed until 5:45 p.m.  The good news is that he did not have any radiation scheduled.

It never ceases to amaze me how much time is required to treat cancer.  Dad’s days are often filled with appointments like today.  It is a full time job.  I am sure Dad is looking forward to the three day weekend.

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