Showing posts with label LDS Hospital. Show all posts
Showing posts with label LDS Hospital. Show all posts

Monday, October 5, 2009

Wet or a Warm Blanket?


On Thursday evening I was a wet blanket. I was mad because no one outside of the hospital other than my Sister Kim seemed to remember my big PEG #15 day. I was mad because my big PEG day was marred by faulty port-o-cath. I was mad because I'm not in charge of every little thing at Starfall anymore. I was a wet blanket, embodied, tears and all.

Sometime before midnight and dawn on Friday I woke with a moment of clarity. Deep inside I've always known that my port-o-cath was in the wrong place. It had been installed during the lowest trough of my treatment, when I was malnourished and depressed. My skin was simply not healthy enough to stretch to accommodate this 1/2" x 1" device. When you know something is wrong, there is just no denying it. I wasn't looking forward to having the device removed and something else installed, but realized I have a year and three months of weekly chemotherapy before me. The device must be as healthy and stable as possible.

Essentially, because the skin wasn't healthy enough to stretch part of the suture scarred open, leaving a 1/4" hole. A hole is a very dangerous potential for infection.

The latest status? Port-o-cath removed. PICC installed. Here's the lowdown if you want it. PICC will remain in left arm until cycles 9 and 10 are complete, and PEG Asparaginase has completely left my system and I can go off of blood thinners. This is roughly 6 weeks from now. At that time, a new Port-o-cath will be installed, left side, but lower.

Now as for Friday, and all the procedures, I have to say it was one of the best, most blissful days of my life. See I asked for warm, not wet blankets. Hospitals are famous for their abundant supply of warm blankets.

I had the strangest offer when I arrived at Angiography. The nurse asked if I preferred to be sedated or conscious for the procedures. To be sedated would have added another 2 hours to the event, and I would have missed all the action. I've been sedated once, when the port-o-cath was installed. I liked missing that. I really had to think about this choice, after all it is nice to be oblivious when potentially painful things are happening to your body. But, I really love the team in Angiography, I like to hang out with them, they make me laugh. The surgeon's are skilled, and I like to appreciate their work.

I decided to go through it consciously. It's more my style, after all I'm trying to become as conscious as possible, right? What an opportunity to practice. And not in a masochistic way! The numbing is really incredible, no pain, just a little pressure, thankfully, no IV!

First they cover me with as many warm blankets as I like, next they tape me under a big blue tent so I can't see what is happening, then they numb me up with lidocaine and the adventure begins.

We had a great time while pulling out the port-o-cath. We all shared stories about some of our travels, especially into the wild. One person actually witnessed orcas catching and eating sea lions off of the ice! U2 was requested—one of the nurses had created a play list of the current tour. I asked, "Won't you be bored at the concert having heard all these songs in order already?" He explained, "My wife and I memorize the play list, then sing along with the musicians. It's a spiritual experience." I really got where he was coming from, and my heart filled with the joy of the two of them, sharing their voices with each other, and everyone else there.

Suddenly the port was out, whiz, bang, bam, and then it was time for closing the wound. Dr. J had to trim off or shave off the edges of the wound to create a ungranulated surface that would encourage the sides to adhere to each other. As he sewed he told us the story of how play lists on the radio came to be. Apparently, some desperate radio executives were having a power lunch at a local diner with a jukebox. All day long as the executives discussed their predicament, people kept nickeling the same song over and over, right down to the waitress, who selected that song at the end of her shift. "Aha!" said the executives, "People don't want variety and change! They want the same thing again and again." So they (and shortly after every one else) changed their format to 25 songs and that is one of the many reasons the world is stuck in a rut.

Once I was sewn, Dr. J looked over his work and said, "I don't mean to brag, but that looks pretty damn good." and then strutted off into the other room to get a mirror for me to appreciate his handiwork. You know, it did look pretty damn good. Two days later, it feels great too!

With the port-o-cath removed they shuttled U2 and me, past Randin waiting so patiently, ("Hi honey! One down!" I said), into the room with the X-Ray machine for the PICC line.

I won't lie to you. The only thing pleasant about having a PICC (peripherally inserted central catheter) installed is the warm blankets. And, once a PICC is installed it isn't very comfortable. One of the fun things about the X-Ray room however is they often turn on and off the lights so they can see the images. You kind of feel like you are camping with a flashlight. And one time one of the nurses had to crawl under the blue tent to release the tourniquet so it was like camping with another person.

By 3PM and after 5 hours of waiting in Room 5 (AKA the Icebox) I was home, filled with Daptomycyn (systemic antibiotic for all my new holes and burns) and Methotrexate. No matter the drama, the perceived obstacle, there is no stopping this protocol when the chemo is due, you get it.
  • Burns: Better everyday, but still, slow healing.
  • Hair: I look like a person wearing a shaggy rug on her head,
  • Hair: or like the grumpy old man yelling at kids to get out of my yard.
  • PEG: YES finished! 6 weeks from now I'll know what it is to be PEG free.
  • Chemo: No, not chemo free. Methotrexate, 6MP, and Vincristine will accompany me the rest of 2010. As well as Dexamethasone, but at a much lower dose after cycle 10.
Dawn and Lisa Marie came over for dinner. I'm not ashamed to admit we were mung bean munchers. The food was great. Lisa Marie and I talked at length about the day's experiences. She introduced me to a concept called contrast. When the distance between two extremes occurs, it creates an opportunity for seeing and experiencing on a much more profound and clear level. As she said this, she opened her hands to represent the distance and immediately I recognized the midline. In my spiritual tradition, it is the space in between the subject and object where the bliss of consciousness resides.

I'll tell you, I was in this space all day long. Yes, I was dealing with disappointing, sometimes even painful events but I had accepted their necessity as a blessing. I wound up asking for, and receiving nothing but warm blankets all day.

Saturday, June 20, 2009

Back in the Hospital Again

Apparently, I have a nasty bacteria (Gram Negative Bacteria) that will kill me if we don't kill it first. I feel fine, so I think we're on top of it. It makes me feel great that Sharon, the nurse who spotted my erratic fever on friday followed through and took the cultures that revealed the bacteria. And I thought it was just my nice woolen cap overheating my ears!

Even though I'm back in the hospital, my spirits are high and I'm feeling better. I decided to go ahead and have a feeding tube just to help me get those extra calories while I'm sleeping and to take the pressure off of worrying about food all the time. I'm a worrier. I can't say having a tube up my nose is the most comfortable thing, but it is a fashion statement of sorts. My whole appearance these days is a fashion statement: I'm a cancer patient. No hair, no eyebrows, no eyelashes, tube up the nose and looped over the ear, chubby steroid cheeks, geeky hat, swollen feet, no butt, chicken legs, tri-catheter. I've moved from despair to comedy. I just couldn't look much more ridiculous. My ideas about my outward appearance are certainly radicalizing. I am this new thing, and I most certainly am not.

In my search for myself in all this chemical induced haze I received some helpful advice from my yoga teacher Kalika. She said:
    You my Dear are the teacher.
    Listen Brandi,  Keep listening.  I know it's the hardest
    time to be able to hear but you've got it.  Keep listening.
    Slow down.  "Be" in nature.  All the things that make you Brandi.
    Be Brandi.
            Brandi is in my heart, and when I listen, I hear that she is very, very tired right now. Not just from the experience of this Leukemia and the chemo, but from her life lived up to the diagnosis. Previous to this much needed rest I packed three simultaneous lives in one. Brandi the director of Starfall.com. Brandi the yoga teacher. Brandi the wife of Randin Graves living in a remote village in the Australian Outback. I've been giving out, for a long time, but I haven't made much room for receiving. For listening.

            All tied up in receiving is this terrified corner of my heart that never wants to be indebted. Indebtedness equates to weakness, vulnerability, and ultimately the risk of intimacy. Again, experiences I learned to avoid by mimicking my father. I'm not blaming Dad. These are the experiences I chose to value in order to protect myself. And they served me very well, made me strong and independent. Until now, when suddenly I was thrust into the flip-side, real world of dependence. I am humbled, I am humbled, I am humbled! I am grateful, I am grateful, I am grateful!

            So my thoughts are, prior to this illness, I experienced the extremes of independence. During this illness I will experience the extremes of dependence. And then, I'll have the rest of my life to understand and navigate interdependence? And true intimacy?

            P.S. I weighed in at 104 lbs today!

            Friday, January 2, 2009

            Yes! Yes! Yes!


            You never know just what will be the thing to change your mood. I never expected that a day in the hospital, undergoing a CT scan, a lumbar puncture with Chemotherapy, and a bone marrow sample would help put things back in perspective but, it did. I'm doing well, and I am very hopeful for the future. The LDS Hospital Blood and Bone Marrow rocks. I love my team! If you ever have leukemia, go here!

            But the kicker was the package I found on my doorstep on returning home. My friend Jennifer Laffranchini Hane makes chocolate, or so I had heard. This woman does not make chocolate, she makes the most incredible shakti-packed morsels of bliss I have ever consumed. These items are magical, medicinal wonders. 

            What ever you are doing, stop now. Order chocolates from Raw Chocolatier