Friday 28th April 2017
My apologies for not updating my blog sooner but the past two weeks have been very eventful! Here is the story:-
From Friday 14th April my mouth unfortunately just became more sore each day to the point where from Sunday 16th to Tuesday 18th it was as much as I could do just to take sips of water and even the water felt like it was burning my mouth. Talking was an issue too. Reno had to go back to work early on the Tuesday so my sister said she would call in before work to see how I was doing. On the Monday, Somersham ward had given us some medication to drop onto my tongue but even this caused a burning sensation too so, when my sister arrived she phoned Somersham ward to get some more advice. They said I needed to see my GP who would be able to prescribe something for me. We managed to get an appointment and subsequently a prescription and returned home to start the treatment. I really was in a lot of pain but did my best to do as the dr had said and try the medication. By Wednesday 19th there was no improvement at all I could still only just manage sips of water so my sister once again contacted the surgery so that we could get some advice over the phone. A GP called back and did another prescription which included some pain relief patches so that maybe I could try and get more inside me than just sips of water. However, nothing improved as the day went on and by teatime my temperature began to spike. It seemed to be up really high one minute and then normal again a few minutes later. By this time both my sisters and Samantha were getting concerned and wanted to ring the emergency number I have which I am supposed to ring should my temperature rise above 37.5 or I feel unwell. But, me being stubborn, kept insisting that I didn't actually feel unwell it was just that my mouth was so sore. By about 9.15p.m. my sister decided that whether I liked it or not she was ringing the emergency number. Thank goodness she did. My other sister arrived to look after Sam because we were told I had to go straight to hospital as quickly as possible. I now know that phone call could well have saved my life.
When we arrived at the hospital a cannula was put into my hand and antibiotics given as well as blood taken which was sent straight to the lab so that results could be seen as quickly as possible. Then the nurse proceeded to tell me that whenever my temperature spikes above 37.5 I must always ring even if I think its a waste of time I must still ring. She really wanted to make me understand that it could mean there is a problem with white blood cells which would then make someone Neutropenic and this is life threatening, so she told me about a young lady of 33 who phoned in to say that her temperature had gone up but because she felt well she wasn't coming into hospital she was just letting them know. Against the hospitals advice the young lady stayed at home and was found dead in bed the next day. She certainly made me understand and also quite frightened me but I now know why she did. We went to the day room to await the blood test results. After about an hour and fifteen minutes the nurse came through and said 'Carol I am really sorry I have the results but you are not going to like what you hear.' My heart was pounding. 'Your white blood cells are at 0.0 and your infection levels are at 235' she said 'The infection level is double what it should be and you have
Neutropenic Sepsis' my thoughts went back to the young lady she had told me about before. 'Am I going to be ok?' I asked panicing. 'Yes' she said 'because you are here and we are going to admit you and look after you.'
Over the next couple of days until Saturday I had to have fluids intravenously to rehydrate me, 8 Litres in total, and 2 units of blood to boost my own. My mouth continued to be sore until eventually after trying many different mouthwashes which all felt like they were burning me, I was actually communicating by pen and paper and the pain was getting unbearable. Also I still had not eaten and felt really quite weak. A doctor came to see me once again and suggested we try a cocaine mouthwash and a diamorphine syringe driver which is where diamorphine is automatically fed into your arm. So the syringe driver was set up in my arm and the cocaine mouthwash was brought to me.
I carefully parted my lips and poured the small amount of mouthwash in and was told to swill it around my mouth for as long as I could before spitting it out. This I did and once I had spat it out I said 'Thank you so much' My mouth was numb but I was able to speak, drink and put soft food in my mouth and swallow which was exactly what I needed to do to build myself up again and get better. I actually cried because I felt so relieved that for about 2 hrs that the effects of the cocaine lasted I was actually pain free. The nursing staff were pleased that they had found the combination that was going to work for me! So, the mouthwash came about 5 mins before each meal and at bedtime and whilst my mouth was numb I ate and drank as much as possible! I still couldn't chew but that didn't matter the main thing was that I could get nourishment and no longer needed to be drip fed fluids because I could drink plenty myself. From then on I was still given intravenous antibiotics but I really made good progress and was eventually discharged on Tuesday 25th April 7.45 p.m.
During the time I was in hospital I also had a change in my skin, my face looked and felt like it had wind burn and my hands went a very purple/red colour. Apparently another side effect from the chemo which eventually made my face peel and my hands (which are still peeling and I look a bit like a lizard shedding its skin!) I was given cream to apply which thankfully made the areas feel less warm!
All during the time I was in hospital my sisters once again were amazing even my nephew and his wife were helping with school runs for Sam and dropping her off at the hospital for visiting. My sisters shared looking after Sam and staying overnight and at the weekend Reno came home and took over from them. They are all so wonderful I cannot thank them enough. Reno arranged to come home on Wednesday evening 26.04.2017 and have the following two days at home so that he could come with me to my Oncology appointment on Thursday 27.4.17.
All I have done since coming home is rest and been waited on hand and foot!
We went to the oncologist yesterday who said he is very pleased with the way things are going but they are going to lower the dose of chemo I am due to have on May 2nd to try and reduce the side effects. He examined me and can no longer feel the tumour!!!! 'It's working' he said. Hoorah!!!!
He is arranging for me to have more scans and will see me again in four weeks (just after my 7th treatment of 8) when we will start to talk about surgery. He tells me that provided everything goes ok with my other treatments (and if they don't at least they know the combination of drugs I will need to treat me) then it should only take me 3-4 weeks recovery after my last treatment to be ready for surgery. That means that by the middle to end of July my chemo will be done with and so too will the surgery! When we left I was so chuffed that he couldn't feel my tumour that I had a real boost and thought even if I have to suffer with a sore mouth from now until surgery then I really can cope and I can get through it. I just have to make sure I eat well, drink plenty and rest even more. He also gave me a sick certificate for four months so I don't even have to think about work, I just have to concentrate on me and keeping as well as I can and that's exactly what I intend to do.
Today I have felt quite good in myself and think I look really well compared to a few days ago but still having to use the mouthwash to be able to eat. I am hoping that over the weekend this will improve greatly and my mouth will stop being sore ready for chemo on Tuesday. (The oncologist says the reason my mouth is so sore is not the thrush (that's all gone now) its because just like my face and hands my tongue has been stripped of a layer of skin underneath!)
Anyway, as you can see quite an eventful couple of weeks but I stay strong and expect the worst after treatment then when the worst doesn't happen I can look on it as a bonus!
Lets bring it on and get this cancer beat!