Friday, February 10, 2006

day+8

My platelets count is very low today (11), so I just completed a transfusion of platelets. My Hgb count is very low (7.8) as well so Joanne, my day nurse, just initiated the start of the blood transfusion which I'm receiving at the present moment. I continue to receive the IV antibiotics, vancomycin and zosyn, around the clock. Tobramycin, the IV antibiotic that I received while I suffered from a fever a few days ago was discontinued after it abated and went away.

The medical staff informed me of the results from the blood culture of my infected PICC line. My PICC line infection was due to a common skin bacterium, staphlococcus epidermis.

The rash in my groin is still there. They switched me from the anti-fungal powder to a cream called Clotrimazole. The rash can take weeks to go away I was told, so at the moment they'll continue to watch it but considering everything else my body has undergone during these past 2 weeks, a rash isn't a big deal really. While in Egypt in 2003, I had a rash in the same area. The heat and humidity of such warm places can be incubators for such discomforts, but with the application of anti-fungal powder it proved to be a very minor issue.

I continue to not see any more blood in my urine, which is fabulous. My lipps are chapped and dry continously, but once my counts begin to rise and the condition of my mouth improves, this issue should start to go away. The only new physical discomfort to report is a sharp, localized pain at a specific spot along a vein in my lower left leg just below the calf. I showed it to the BMT team this morning during their normal rounds. I asked them if it could be a clot, but they disagreed. Perhaps it's an inflammed hair follicle they said. In any case, they aren't very concerned although they'll watch it. Scott called it "superficial," looking at it within the broad realities of the transplant. He's right, but of course as the patient I'm very sensitive about every little change to my body, which is battered but healing slowly.

The BMT team told me that I'm doing very well and that my WBC should begin to rise very soon. Indeed, it went up a whopping .1 today to make the count stand at .2 now. Scott said it wouldn't be a surprise if on Monday my WBC stands at anywhere from 1.0 to 2.0. Wow. That sounds great, but I don't want to rush or get worked up with anticipation about a process that ultimately will move forward according to the workings of my body, so I'll just take each day as it comes and see what happens. The WBC is the first to rise, followed by the Hgb and then, finally the platelets normally.

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