2017-09-12 Recovery Day 190

Today was the day I checked in at UCSF MC for my Stem Cell transplant. We got the final word at 10:00 this morning that a room was available and that we should check in between 13:00 and 14:00. Dianne got home from work around 10:45 just in time to join me for a final walk before our trip to San Francisco. Dianne, Denise and I left for San Francisco around 11:00. We arrived at UCSF MC at 12:30 and wend to the cafeteria for a quick lunch before checking in.

After checking in with admission, we got to my room, L1162. It did not take long that the show got underway. First up the nurse assigned to me, explaining things. Next up the doctor assigned to me, I forgot his name. I had to sign a few documents. I was told that my vitals will be taken every four hours, 12:00, 4:00, 8:00, 12:00, …

Guess sleep is out. So far I have been given a PICC line into my upper left arm and a chest X-ray. The next thing will be the chemo infusion scheduled for 22:00, yes your reading it correctly.

Around 18:00 trouble started with the PICC as I have pain @ a level 8 around the entry point of the line. When the potassium was added at 18:15 the pain increased and my finger tips started to tingle. At 18:30 I received 8 mg of Dilaudid which has lowered the pain but the tingle is still there. By 19:00 the pain was gone and by 19:30 the tingling stopped.

However the pain and tingle returned around 22:00. After consultation by the nurse with the doctor I received another dose of Dilaudid, this time via IV. At 22:45 I received the chemo treatment. The drug used is called Melphalan (trade name Evomela) and is use as a high-dose conditioning treatment prior to hematopoietic progenitor (stem) cell transplantation in multiple myeloma (MM) patients. It takes about hour, starting with 15 minutes of chowing on ice chips, 30 minutes of infusion and continuation of ice chip chowing and another 15 minutes of ice chips chowing. Chow on ice chips is to prevent mouth sores.

Finally at midnight I was done with step one of the stem cell transplant. Step two is two days of rest, if there is such a thing in a hospital.

This is it for today.