2017-09-18/20 Recovery Day 196/198

I apologize for not letting you know what happen the last two days. I found out that a number of you got very worried not finding a blog entry for the last two days, not counting today. Believe me I would have put up a blog entry, if I was able. However, I hit my rock bottom low the last 2 1/2 days. It is part of the treatment plan, during the last 3 days my lap result numbers dropped so low that many things can/will happen. Since this is expected, depending on the numbers and the relation to other variables, adjustments are made in the medication to achieve the overall goal. One point to remember is that every case is as different as its patient, and there for the treatment plan.

So what happen the last few days? It is all linked to the start of the treatment, the drug
called Melphalan (trade name Evomela) used as a high-dose conditioning treatment prior to hematopoietic progenitor (stem) cell transplantation in multiple myeloma (MM) patients.

Because of my frequent nausea and vomiting, which was very painful, I received many medication, including one drug call Marinol which is a synthetic from of marijuanas. The later one did not help, other then getting me high.

Thing did not get better this morning, I had painful stomach cramps and pain with three bow movements between 6:00 to 10:30 AM. Dianne had just arrived when also my case doctor and his team arrived. Just as I was about to answer his question how I was doing, my system fell apart in front of and his team. What do I mean with my system falling apart? I was about to get up to go to the bathroom for another bow movement, when instead I had dry heaving that turned in to vomiting. This lasted for over 10 minutes.

To make a long story short, the timing was the best since the team now had a full view of what I was facing. The rest of the day was used to readjust my medication to prevent this from happening again. It starts to work, I still have stomach cramps, but a a very low level, my nausea is also reduced. I was able to have a chicken noodle soup for dinner, so far no problem. The big test will be tonight. That’s it for today.

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