Monday 18 January 2010

Well the usual Monday team meeting followed by a review of current projects and then a plan for the week probably happened but once again I was not there. I never thought I'd long for Monday mornings at the office. More awake today than I have been I did check my emails and I even Skyped with a few colleagues but soon fatigue overcame me and having found the optimum tilt on my bed I napped while I waited for porridge to arrive.

Being a Monday morning the hospital was full of more bustle than it had been at the weekend. There's a greater concentration of doctors whizzing around and more specialists brandishing the tools of their trade. A cheery phlebotomist breezed into my room not long after the remnants of my porridge had been whisked away, replaced by a mug of tea. Armed with a large 'sharps bucket', a few empty vials, and an elastic tourniquet band with vampire bats printed on it, she prepared to take this mornings bloods. Two vials rapidly extracted and she fluttered away.

For those not nerdy enough to have googled it yet what I am stuck waiting here for is a decent Absolute Neutrophil Count. In a microlitre of normal blood, that is one cubic millimetre, there should be between 1,500 and 2000 neutrophils. Below 500 and you are considered neutropeanic. C'est moi!

On Friday I had zero.

By Saturday I had 30.

Today, ladies and gentlemen, I can announce that I have 400! Cue subdue fanfare.

I take this two ways: Firstly it means that I cannot go home so I am stuck with my room and the 'one hand wash' for a while yet. What it also means however is that the reboot of my immune system has started, my body has found itself able to make some new white cells and they are slowly coming out and doing their thing. My sore throat is still there but much subdued, inspection with a Maglite earlier today by one of my doctors revealed the presence of puss. Not something I would ordinarily be happy about let alone share on the internet but it is a sign that my body is fighting back. My cannula holes still itch but are slowly disappearing. Today at a cellular level wounds have been cleansed and new flesh created. This is, whenever it happens, amazing, in the true sense of the word, but today it is also exciting.

My doctors both expressed genuine excitement at this weekend's change being a team that really invest in the people they are treating rather than adopting a them versus the disease approach whilst being annoyed by the human that's in the middle. I really cannot fault the care I have had here although I think it is less my charm and more that my wife is heavily pregnant that helps curry favour with the nurses.

I have no idea how the growth of neutrophils is supposed to work. It may be linear, logarithmic, or just completely wayward. As such I have no idea how long before I have 500 needed to leave neutropenia or even the magic 1000 that may secure my release. At least we are back into normal weekdays now so they will be counting them every day.

2 comments:

  1. Hey Rich
    Way to go!!! The only way is up! Up Up and away etc etc!
    Great to see they are going in the right direction, I'm sure they won't be much longer now. Glad to see you are much brighter tonight too!
    Keep going
    Nicky
    PS loved the cells!

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  2. Rich,

    Congratulations on all the new cells you got running around inside you.

    Looking back, when I was treated, the rate of improvement, once started, spiked rather than a slow upward trend before leveling off to a more gradual rate of improvement.

    It won’t be long now and the cell door will swing open.

    Enjoy the rest you’re getting now when your baby comes sleep depravation will be the order of the day.

    Hang in there.

    Doug

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