Wednesday, January 31, 2007

Phoenix


The legend of the Phoenix has been around for centuries: The Phoenix is a supernatural creature, living for 500 years. Once its life span is over, the Phoenix builds its own funeral pyre, and throws itself into the flames. As it dies, it is reborn anew, and rises from the ashes to live another 500 years.
Right now Jack is in the flame portion of this process. His white blood count is at zero and he is in "protective isolation " and a special low- bacteria diet to reduce chance of infection since he has no immune system at this point. He also has a lack of red blood cells and platelets, so is at risk of bleeding and is very fatigued.
Any little task feels as it takes more energy than he is willing to spare and is not his talkative self. Getting an answer to a question has been a challenge at times. One of the things that he does do when up is to check for comments on the blog site – so for those of you that have figured out how to do that – keep them coming!! They are helpful and it is nice that everyone is sending good thoughts and prayers. I am sure he feels more than a little isolated right now.
His blood pressure on Tuesday when we went in for our daily check was 87/55 (heart rate 100) in a sitting position and 72/48 (heart rate 109) in a standing position. He got hooked up to an IV and had 5 hours of fluids to raise it to an acceptable level. He did sleep through most of the process but did wake up for lunch.
His blood pressure today when we went in for our daily check was 103/52 (heart rate 73) in a sitting position and 80/34 (heart rate 55) in a standing position so guess what we did again today!! He got hooked up to an IV and had 5 hours of fluids to raise it to an acceptable level. He was a little more alert today and once he woke for lunch, he stayed awake until 4:15 when they finally released him back into my care.
I got 2 more prescriptions to fill and I have to take his temperature every 4 hours - I am sure that will go over well at midnight and 4AM.
Hopefully Jack will get some energy soon. The first sign that engraftment is taking place is an increase in the white blood cell count and there is nowhere to go but up from here. (However, the doctors told me that we would probably be in this holding pattern until the weekend). I ask him every day if he is up to updating the blog since he set the bar very high (and he enjoyed doing it). I am sure that is the first thing that he will catch up on when he has the strength so you all will know when he is doing better.
Keep up in your thoughts and prayers – the support has been wonderful. C

Saturday, January 27, 2007

Homing


They brought me my previously harvested stem cells still frozen. Each bag was thawed individually before being in infused through my central line. As soon as my new stem cell were infused, they began their trip through my circulatory system to the center of my bones where they began. Sorta like the homing pigeon.
Even though the stem cell start to home right away, it will be a few weeks before the transplant "takes and begins" to produce healthy new blood cells.
I will continue to get Colony-Stimulation Factors to stimulate the production of blood cells in the bone morrow and to multiply more quickly, thereby shortening the time necessary for the stem cell transplant to engraft. Use of the agents can help reduce the incidence of infections and fever, lessen the need for antibiotics and shorten my stay.
We are 75% through the procedure. From here it is post followup and tweaking meds to get me through it the fall-out... -Jack

Thursday, January 25, 2007

Re-Birth is upon me!


After two straight days of Chemo we have Nuked all that was bad in my body. Unfortunately, we have also Nuked was was good in my body. If we stopped here it would be a downward spiral where there could be no return....but Tomorrow the re-birth is coming as long as they didn't misplace my stem cells!!!!

We have decided to put around 6 million stem cells back in. It is in approximately 5 bags and will take 2.5 hours to unthaw and to load if there are no complications. Will use that same great machine that we extracted them with to put them back. Tomorrow is considered day 0. Everything builds from here. We will be considered through stage 3, 75% complete after tomorrow. Only post follow up visits afterwards...

That's it for the day, going to see what movies are in the queue. Won't be leaving the apartment much for the next week or so. Got to stay away from all the germs out there. Now that I think about it. It is now in single digit temperatures in Boston, I could probably get out as there aren't many germs living in this weather... -jack

Tuesday, January 23, 2007

Nuclear Fallout! New undisclosed location is necessary!











As you can see from the pictures it actually happened today. I got nuked...We are reporting from an undisclosed location again.

Have to wear the protective mask as contaminates are everywhere. Took preemptive measures by cutting my hair short as I was exposed to the fallout at the maximum level that a human can have. It is inevitable that my hair will fall out!!!!!

The radiation meter pegged 200mg of Meliphalan IV for 20 straight minutes. I hydrated for 3 hrs before and 3 hrs after the exposure with a potassium saline solution. For the 20 minute exposure I packed my mouth full of ice chips. This was to minimize the destruction to the inside of my mouth and my digestive track. Took several pills to combat the nausea and vomiting. Afterward I had another great meatball sub. May be the last real food I have for a while.

I will be exposed to the same treatment tomorrow .

Got my counts today. They will start going down over the next few days. When they come back to the following levels I will be able to leave the bunker and come home:

Automated Neutrophil 3.6
WBC 5.2
HCT 35.6
Platelet Count 233
Bun 25
Creatinine 1.0.

Got to go watch some movies. Thinking of Terminator 3... talk to you tomorrow -jack

Friday, January 19, 2007

Drugs, Cat and Mouse, Where are they till Tuesday?


They tracked him any way they could, watching him through binoculars, bugging his Ford Escape, flying over him in a Cessna plane to pick up his conversations, and trying to intercept them with an antenna atop Church Park Apartments.

It was a two-day game of cat and mouse, as the DEA monitored the movements of "Zaney" Jack and his lieutenant "Cheryl" in a frustrating quest to snare him. But Jack went to BUMC today and plotted out which pills, which days, what times he would be taking them with "Stem Cell" Kate!

Nothing else to do now that they pushed Chemo back till Tuesday of next week. Zaney Jack and Cheryl are off to enjoy the weekend. Next update Tuesday.... -Jack

Thursday, January 18, 2007

Would you buy drugs from this man?


Met with the Doctor to review the meds I will need to take after the chemo and stem cell transplant. Good news! I no longer have to take my Lipitor.

I was wondering should I skip taking them and just sell them as a "controlled subtance" instead....

The doctor said that with the next phase I might not feel very well with the treatment so they are giving me some meds that should help me improve how I feel.

Here is the list I must take starting next week and what I can expect from each.

Acyclovir 400mg, 1 tablet 3 times a day - nausea,headache,sore throat,rash,numbness,leg pains
Levoquin 250mg, 1 ea day - dizziness,loss of appetite,diarrhea,drowsiness,vision changes
Diflucan 100mg, 1 ea day - nausea,abdominal pain,diarrhea,dyspepsia,headache,loss of hair
Ativan .5mg, 1 to 2 tablets, 3 times a day - dry mouth,chest pain,trouble breathing,hallucinations,constipation
Decadron 4mg, 1 tablet 2 times a day - Indigestion,nausea,dizziness,swelling,blurred vision,trouble breathing
Compazine 10mg, 1 tablet 4 times a day - Drowsiness,muscle stiffness,eye problems,uncontrollable movements
Ktril 1mg, 1 tablet 2 times a day - Headache,dizziness,anxiety,difficulty sleeping,diarhea
Protonix 40mg, 1 ea day - Headache,abdoninal pain,nausea,flatuence,rash,feaver,edema
Ambien 5mg, 1 at bedtime - Drowsiness, dizziness
Furosemide 40mg, 1 tabket 2 times a day - Blurred vision,loss of appetite,stomach cramps, yellow vision

Anybody want some? I decided that I will take them instead of selling them since I was told they will help me feel better... Being the internal optimist that I am I would hate to think of what I would feel like without them...

Thats all for now!!! -jack

Wednesday, January 17, 2007

The Psychiatric Hotline - I knew it was coming!


Met with the Shrink today. He wanted to make sure that emotionally I was ready for the treatment. I told him that I passed all my psychiatric issues on to my children (see above picture) and that I was free and clear of psychiatric issues unless I called upon them on demand.

He asked the basics: are you obsessive compulsive, are you co-dependent, do you have multiple personalities, are you paranoid-delusional, are you schizophrenic, are you manic depressive, etc... I did share that given the leadership qualities it took to manage my life at work and home, I shifted from anyone of the above categories to another given whatever was needed for the specific situation. I asked him based on the treatment I was having which of the above was most likely to surface. He didn't have a good answer for me so I just asked him to prescribe the normal 1-2 punch of Prozac and Zoloft.

Today was the last day of stem cell collection. Got 10.1 million total. 7.1 million yesterday and 3 million today. Only needed 2.5 million. I am now 25% complete with my treatment. Will get a great hair cut by the end of the week and pick up 10 more prescriptions to take with the Chemo starting on Monday... Talk to you tomorrow -Jack

Tuesday, January 16, 2007

Exceeding expectations - Thanks for the prayers!


Today was a lot of hard work. Showed up at the clinic at 8am and didn't leave till 4:30pm. The goal was to collect atleast 2.5 million stem cells over 3 days and hope for 5 million. It is nothing short of a miracle or more likely based on everyones prayers.

After the first day on the "machine" we collected 7.1 million stem cells. I will go back in tomorrow for 1/2 day to collect a few million more and then I am done till the chemo on Monday. We will use 5 million in the treatment and store the other 5 million in case I need it over the next ten years.

For any of you that are interested in how the process works. The COBE Spectra Apheresis System (see picture above)has a centrifugal technology that takes whole blood; separates it into red blood cells, platelets, plasma, and white blood cells; collects the stem cells out of the white blood cells; and then reheats to body temperature and returns all the other components back to the blood stream. Today we cycled completely thru my blood 4 times in and out of that machine. It took about 6 hours, 2 DVDs (ladder 49 and glory days) and 1 meat ball sandwich to get thru it. At the end of the treatment I was 5 lbs heavier. Talk about a big meatball sandwich. That is what I thought. The Doctor said it was the 5 lbs of saline solution that they mixed back with my blood. I will have to take double the lasix tonight to get rid of that...

That's it for the day. It is tequila Tuesday at the Cactus Club. Going out for couple margaritas and perhaps a chimichonga. No... I didn't ask if I could drink alcohol on the treatment plan. Didn't think I would get the response I wanted...

Monday, January 15, 2007

It only rains in southern Boston MA


I thought it only rains in Southern California but...it rained on Friday, it rained on Saturday, it rained on Sunday and its raining today in Boston. Lucky I am not staying in a hotel room. It would be driving me crazy even with all the DVD's I have to watch.

I have only slept 3 or 4 hrs a night for the last 3 nights. As a result, I nominated myself as the community watch person on Massachusetts Ave. I look over the city all night long looking for car breakins, murders and robberies with my phone in hand poised to call 911 if I see anything. As you can see from my view on the 11th floor, I can cover a very large area.

Only thing so far was on Saturday night when I seen a girl slap her man across the face, he took off his coat and raised his fits as if he was going to punch her out and screamed you F*in B*ch. Just as I was about to hit 911 they started hugging and kissing. I guess the city is safe again.

Well today I got another 3 shots of growth hormones, lets hope for another 1 million stem cells in the blood. My blood pressure was back up 110/67. Good enough to start the stem cell collection tomorrow. Next 3 days I will be putting in full days at the office. I was told to arrive by 8am and I would be out by 4:30pm... Tomorrow is another day!

Sunday, January 14, 2007

What makes your blood pressure rise? Certainly, not my happy family!


Apparently my normal blood pressure of 110/65 is due to all the stress at my job and at home. Now the I have been in Boston for a week with no issues to contemplate or decisions to make, its dropped to 74/50.

I knew I was in trouble when the Doctor said she was the "big boss" and Cheryl was the "little boss" and was not even going to be the "boss of me". She said relationships can be tested with the treatment if the patient decided to make his own decisions and she wanted me to know upfront what the pecking order was. I tried to test that theory today when Cheryl put one of those "green vegetables" on my plate. When I "accidentally" dropped it the floor, I thought I was off the hook but Cheryl held me down and shoved it in my face anyway. Glad this wasn't Chemo week... that could kill me.

Anyhow today was not eventful, got a bag of saline solution dumped in my central line to replenish my fluids (that's why the Doctor thought my blood pressure was low) and got 3 more shots the growth hormones to get another million stem cells in the blood for Tuesday.

Got to go, the Patriots are playing and Cheryl said there will be more green vegetables if I don't get in there and watch it with her...

Saturday, January 13, 2007

Wonder how Cheryl would look in a Nurse outfit!

Two days have passed since I was with Nurse "Sexy" Simone. Now I am wondering what Cheryl would look like in a Nurses outfit. I think it is only fair that she dress up. She is my care giver after all.

Today I got 3 shots of growth hormones. They are suppose to make the stem cells jump out of my bones and into the blood stream. I was told my bones would ache after the injections. I wonder if I will be able to tell the difference between aching bones at 50 yrs old vs aching bones because of growth hormone injections. I need to collect at least 2.5 million for the treatment. We are hoping for 5 million. I will get additional shots tomorrow and Monday.

Got to go. Got 1500 pieces of a puzzle to put together, 33 movies to watch and 3 books to read. Not much time for anything else...-jack

Thursday, January 11, 2007

I always liked Nurses for some reason

Another 8 hours at the hospital. I thought "No time to play!" It is just like my job at Wachovia. Boy was I wrong. Got there at 7am today, my nurse Judy got real friendly right from the start. Stripped me down to my boxers, started calling me honey and made me get in bed. From there she took me to see another nurse and a female Doctor. They shaved my chest bare. The one she introduced as sexy Simone rubbed my chest down with some type of oil and then filled my veins up with some good drugs and the one playing the Doctor drilled a hole from my neck to my artery going into my heart. She inserted a two-prong line that she said we'd play with over the next two weeks. Another lucky day, can't wait till tomorrow!!!-Jack

Wednesday, January 10, 2007

There is a God!!

Met with the nutritionist today. She put me on a high calorie, high protein diet. Lots of red meat, eggs, cheese, etc. All of my favorates. She said I was looking a little thin and wanted to ensure that I was as strong as could be for the treatment. Got to admit it, never considered myself a thin man but she is the expert. Tomorrow they will put in my Central line and Friday I have the day off...

Tuesday, January 9, 2007

Started doctor's visits and more tests.
Phone number at apartment is 617-536-0361. There is an answering machine set up so leave a message if we are not there.

Sunday, January 7, 2007

On the road . . .

Got a late start out of Charlotte on Saturday but made it to historic Lexington, Ky. As we passed a familiar smell, we did wonder - are there no skunks in Charlotte? Up north that was a normal event but we don't remember that happening home??
We did stop for a late lunch in Harrisburg,PA ( not our favorite city!) and watched football. GO PATRIOTS!!!
In Newburgh, NY - have about 4 hours left but did not want to move into the apartment at midnight. We also caught the end of the "other" game. (sorry, Dad).

Thursday, January 4, 2007

Change of address!! Seems that the people that are in the one we were getting are not ready to vacate!

New address is 221 Massachusetts Avenue APT # 1104.

The following is highlights of Jack's schedule for January.
Leaving here Saturday - 1st appointment is 1:45 pm on 1/9 for some tests.
1/11 - Catheter placement
1/12 - 1/15 Growth factor injections
1/15 - 1/17 Stem Cell collection
1/22 - 1/23 Chemotherapy
1/25 - Stem Cell infusion
1/26- ??? Growth factor and antibiotics every day until blood counts return to normal