Friday, January 29, 2016

More work created by chemo -It is more than it appears- to be on the surface-

OH MY GOODNESS- I have been sick all week with diarrhea and and a cold started bad Wednesday evening- It is  more than it appears-

Germs are now a problem and I always prided myself on being able to tolerate germs- so my diarrhea and chest cold ain't what I thought -- I need to avoid getting infection and I kind of already have one so I am taking an antibiotic-  No sores in my mouth! using Imodium now too - Been keeping my hands covered in lotion and ointments but now it is even more important that I do not allow them to crack open. 

Took a shower and washed really good- all the  blankets that I been suing have been washed also today. I hate Purel though and all that anti bacteria crap- will keep washing with hot water and mild soap 

Neutropenia (Low White Blood Cell Count)
This information explains how to avoid getting an infection while you have neutropenia (low white blood cell count), and how to recognize the signs of infection.   Neutrophils are a type of white blood cell. They help your body fight infection. When your neutrophil count is low, you’re at risk for infection. To prevent infection, you must follow the instructions below until your neutrophil count returns to normal. Watch for any signs of infection and report them to your doctor or nurse. Be sure to take your temperature orally (by mouth), as directed by your doctor or nurse. Call your doctor or nurse if it is 100.4° F (38° C) or higher.


General Hygiene 

  • Shower or bathe daily. Wash carefully under your arms, in your anal and genital areas, and in skin folds.
  • Wash your hands using soap that can kill germs. Look for the words “antibacterial” or “antimicrobial.” Dial® is one example, but there are many others. Wet your hands with warm water and then rub your hands with soap for at least 15 to 20 seconds. Rinse your hands well under warm running water. Dry your hands with a paper towel.
  • Perform mouth care after each meal. Use an ultra-soft toothbrush and brush and rinse as directed by your doctor or nurse.
  • Use an alcohol-based hand sanitizer (such as Purell®) after shaking hands and after contact with young children.                                                                         
    Ways to Prevent Infection
  • Avoid having visitors to your home who have a cold or recently had an infection.
  • Wear a mask if you have to go out in public places, use public transportation, or are in crowded areas.
  • This will help protect you from catching a cold or other respiratory infection.
  • Do not have any dental work or procedure done that is not urgent. Speak with your doctor or nurse first.
  • Ask your doctor or nurse if you can:
    • Use tampons
    • Use suppositories
    • Have enemas
  • Do not eat raw meats, raw fish, or raw eggs. Ask your nurse or dietitian for the resource Low Microbial Diet, if you have not already received it.
  • Do not share eating or drinking utensils.
  • Do not get a manicure, pedicure, wax, or tattoo without the approval of your doctor or nurse.
  • Do not shave your scalp. Try to avoid shaving any other part of your body. If you must shave, use an electric razor.
  • Do not touch any animal waste products (i.e., litter boxes, fish tanks, pet cages).
  • Do not garden or handle soil. Avoid flowers, live plants-                                                  Call Your Doctor or Nurse if You Have Any of the Following Signs of Infection:
  • A temperature of 100.4° F (38° C) or higher
  • Shaking chills
  • Nausea and vomiting that is not getting any better
  • Flushed face
  • Sweats
  • Cough
  • Diarrhea
  • Mouth sores
  • Headache
  • New onset of pain
  • Irritability
  • Pain or burning during urination
  • Feeling tired, especially if you also have flu-like symptoms

TGIF

I am so Happy it is Friday - you have no idea- I will talk to Liz today at work about making my schedule lighter after my next chemo-  I do not like being do drained -

Today is going to be a great day though. David Libon is coming in to meet with the MAP team and  Dr. Chopra  and Dr. Forsberg- I am so excited for this new professional adventure.  I learned so much from him before and we work great together. I will also enjoy the interplay between him and Dr. White. A  BIG thank you goes to Dr. DiGregorio, Dr. White is no longer "green".  She was realy able to mentor him.  There aint nothing like having mutual respect for your professional colleagues  on the same team. We are dedicated to making a difference- Thank goodness I do not need to worry about "my numbers" . When you are under paid- your numbers just do not matter. Ha ha.

Still have congestion and upset stomach. But Ruben is coming to clean today which also makes me happy. Emie will help me with paperwork too and clean out refrigerator. and then I will do nothing all weekend. Wow - that sounds so good- Well- when I say nothing I mean- I will sit with my  kitties and watch birds fed- and visit with my family.  OMG- Selene is coming too- and she got the blog ready for me. That is making me so happy!  

More people have learned that I am getting chemotherapy as my clients and  co-workers. Many have felt bad for me and expressed concern-- Trust me- as bad as I have been feeling and I do not like this chemo crap, I know that  LIFE IS GOOD-  I am loved and I can give love and I have my soul and my brain is working and my bills can be paid and I have a warm home and enough money to provide for me and my family. I am deeply blessed. I will not die from cancer any time soon. And when I do die- it will be okay. I have had a wonderful life and learned so much. and always tried to asssit others in any way that I can. I think God is happy with me.


shower time !