Showing posts with label PT/INR. Show all posts
Showing posts with label PT/INR. Show all posts

Saturday, November 12, 2011

Something About Exercise

Today, for the first time in ages, I used my NuStep.  I managed a whole six minutes, but I did it at a good pace, and it gave me great satisfaction.  I have set a goal of adding a minute a day, if I can.  I also want to do it every single day, just like I used to before I got sick.  I really NEED to get my strength back.  My sats (oxygen saturation point of my blood) went to 93, but that's OK, as long as it doesn't go below 90,.

Before all this started, I was doing 45 minutes a day on my NuStep.  I credit this fact with helping me survive all the chemos and radiation that I have had so far.  And though I have lapsed in the use of it, I know that getting back to some type of routine exercise can only help with my prognosis.  Besides, I am going to need to get stronger if I want to go back to work.

Jane and Nancy are out at some race at Phoenix International Raceway.  They work there twice a year, but I'm sorry to say, I can't remember for which vendor they work.  It's a great job; it gives them their Winter Solstice money.  So while they were out, I had Cathy go get some Curbside Takeaway from Outback Steakhouse.

Can I tell you JUST how bad I was?  I got the lobster tail add on to go with my Filet with Wild Mushroom sauce.  I was in heaven.  Although, frankly, the lobster was a tad overcooked, it was still very, very yummy.  And Outback does steamed veggies really well!  At least I wasn't so bad that we added one of their desserts to the order.  No Chocolate Thunder from Down Under for us.  ;)  Dammit.

Meanwhile, on the health front, I am SO sick of coughing.  It's been over three weeks of this.  I'm off the prednisone, and finished the Doxycycline, and now I want to be well!  But I am sleeping well, and that is truly helping.  My INR was a bit high, so I had no Coumadin yesterday, but today I will have 2.5 mg and that will continue until Monday, when I have my next test.

So, all in all, I'm really doing well, I think, thanks to all the support and love I get from my family and my friends.  You all take such good care of me!


Friday, November 11, 2011

I Want to Go Back to Work

On Tuesday, when I see my oncologist, I am going to ask him if I can return to work earlier than scheduled.  I know he thinks I should just go out on disability, but just because my body doesn't function all that well, my mind is still in decent shape. :)  I'd like to return on the 28th of November, if I can.  That's despite the fact that the 29th begins another chemo week. :P

My company has always been very accommodating of my disabilities, so I don't think that will change.  Maybe I won't be able to start out at 40 hours a week, but I can come close, I think.  Yes, I still have to have my Camptosar infusion every other Tuesday, and have a week on the Xeloda, but my PCP is trying to get my insurance to cover a home PT/INR test kit so that I don't have to keep running to the phlebotomist every Monday and Thursday.  And frankly, my veins are giving out.

I'll call the Leave Services people on Monday and see what I need to go back to work early.  I'm guessing my oncologist will have to fill out more exciting paperwork... like the ever-popular physical abilities assessment sheet.  I'll have to go download one from the Boeing Intranet.

Anywho, a return to work will do wonders for my mental state.  I've said before that the connections to other humans are something that really lifts my spirits, and gods know I could use that.  Not that I'm depressed or anything, but I think I am feeling rather useless, and I'd rather be doing something constructive with my time and energy.  And I miss my numbers!  Keeping my checkbook balanced just isn't enough challenge. :D

So, that's my plan for Monday and Tuesday.  Yeah, Tuesday begins another chemo week.  But I can handle it... yeah. :)

Have a great weekend, everyone.  Love, hugs and kisses to all.


Tuesday, November 1, 2011

Did My Camptosar

Happily I was able to have my camptosar infusion today, although with the bronchitis and asthma flare up, it's left me a lot more lethargic than usual.  I got my four Xeloda pills down with my dinner.  They are always a joy. :)

I saw my Primary Care yesterday, and he put me on some doxycyline because my sputum was starting to become colorful, and we just can't afford a bacterial pneumonia.  Better to be safe than dead, I say. :D

Of course, tonight will see the Dreaded Decadron Insomnia, but I have books to read, and I reloaded Diablo II, so I can play that for a bit. 

Finally confessed my self-proclaimed "behavioural issue" with Dr. Ramaswamy.  I told him that I have major problems knowing when to complain about symptomatic issues.  It's really, really a difficult issue for me.  Mostly, I told him, I feel like a whiner because that's how I was brought up between my ever-stoic parents and the even more stoic nuns.  He told me to call him if there was any doubt in my mind; any niggle of suspicion that something isn't right.  If we can just deal with it over the phone, then that is what we will do.  He listened to me, and he had an answer for me that makes sense, and so I shall try very hard to stick with this plan.  Dr. Ramaswamy is truly the best.

He says, too, that the swelling of my ankle and foot looks alot better than it did in the hospital, and that the INR rates are very challenging on me because of my chemo drugs, and being on prednisone at the moment.  So we're sticking to Monday and Thursday blood tests.  He did say he was going to have his assistant contact my insurance company and ask about home testing for PT/INR's.  I would do that in a heartbeat.

So, you know, I'm not feeling great, but I'm not back in the hospital, and THAT makes me happy as a clam.  And on that note, I think it's time to hit the hookah.

Love to all, peace on Earth and hugs all 'round!

Friday, October 28, 2011

Cough... Cough

Well, whatever this malady is that is now affecting my lungs, it seems to be pretty tenacious.  I had lots of liquids today, some chicken soup, and still, the goopiness persists.


Doc called to tell me to stop the coumadin for a couple of days because my INR was up to 5.  Ai carumba!  Don't get a paper-cut, or bang your knee on a table.   I have to go in to see him on Monday afternoon.  Got more lab testing on Monday morning; the regular PT/INR and then my pre-chemo stuff, the CBC and platelets with differentials.


The worry I have is that they won't let me do my chemo on Tuesday if this coughing is still active.  Although, frankly, I can't see how it will make a difference.  But that's me... I worry.


Oh yes, I am sucking on my hookah again.  I figure if I do it just before I try to get to bed, I should have a better chance at getting to sleep, despite being wired up.  Much easier to sleep when you can breathe. :)


Sometimes it just gets overwhelming, the things you have to do to try to survive cancer.  My left leg is swelling again, at the foot and ankle.  I was hoping that would go away with the coumadin and the dissolving of the DVT.  Maybe it is just going to take longer than I want.  At least the pain in my thigh is a thing of the past.


Then, there's the watching of the glucose levels, my heart rate, my oxygen saturation, my temperature, my weight, the condition of my feet and my hands, and good gods, how on earth do we survive as a species?  We're so complicated and have so many systems that can break down!


I need to go get new glasses, but my vision changes almost every day.  That's the chemo.  It's just all so weird.


But, it's time to try to get some sleep.  Monday is Samhain, or Halloween, and I have lots and lots of family and other loved ones that have passed beyond this world, and I want to honor them and remember them and ensure they know that  death doesn't end the loving.  


Peace and love.

Tuesday, October 25, 2011

Hookah Power!

It's 4:33AM and I am using my nebulizer once again.  Actually, I am doing MUCH better since yesterday morning when I went to get my PT/INR.  I had to take the scooter because I was WAY too weak to walk.  That's nothing to worry about; mostly a combination of the chemo and this cold I have that is running its course.  I hope to be back to walking on Thursday when I have to return to the lab for more blood-letting.

There really is nothing new and exciting to tell you about for this post, but I wanted to let you all know that I am feeling better.  And most happily, my breakfast dose of Xeloda this morning will be the last of this round, and then I have my chemo week OFF. :)  YAY, I need a break.

My hands are definitely beginning to feel the effects of Hand-Foot Syndrome.  There are many things I can't do with my hands at the moment, like open bottles, make coffee (our carafe's handle, the one we fill with water to pour into the coffee maker, has a very uncomfortable handle for me.)  It hurts to grasp anything, which is a bit problematic for someone who, when she walks either uses a cane or a walker.  But the good news is that Hand-Foot Syndrome clears up once the chemotherapy drugs are withdrawn.  So, I shall just suck it up. :)

And that's it.  I'm looking forward to Halloween on Monday; hopefully we will have trick or treaters, and I can watch them from a distance. 

Love and hugs to all.

Thursday, October 13, 2011

Hell's Bells!

Ok, I had turned off the Air Conditioner last week, when we were experiencing high 70's through high 80's weather and it was great, but this week, we're back to high 90's again.  This is actually normal for us here in the Phoenix metropolitan (dang, that word is a pain to type!) area for this time of year. 

If you notice on my Weather Channel widget, our lows are great; tonight we'll hit 64... blanket weather! ;)  So, now that the sun is long past being down, all my windows and doors are open and the fans and cross currents are bringing that cooler air into the house.  And it's LOVELY!

Jane says she heard our Great Horned Owls last night, so I hope I get a chance to hear them soon.  Our bats were back again this evening as we were all out enjoying the sunset and the cooler temperatures.

Went and had my PT/INR today, since Dr. R has changed my schedule from Monday and Friday to Monday and Thursday.  Had a chat with my case worker from my insurance company, wondering WHY this time, they wouldn't cover the Coumadin Clinic.  She's going to find out.  Seems my insurance isn't covering quite a few things these days, not the least of which is the only sleep aid that I, as a person with advanced lung disease, can actually use.

Yes, I broke down and asked Dr. R for a sleeping pill to use on my Dreaded Decadron Insomnia nights.  He prescribed Rozerem, which doesn't have a sedative effect, which would be a bad thing for a person with lung disease and sleep apnea.  But my insurance company said "prescribe Ambien" to which my doc said... diplomatically... "NO!"

Oh sure, I could spring for it myself, but for two nights in a month, they can bite me... I'll just stay up all night.  It's not cheap, by the way.  And frankly, I have other, much more important, priorities on my finances right now.  But, you know, I'm freaking sick of non-medically trained bureaucrats (dang, that's even harder to type!) telling MY DOCTOR how to prescribe medicine, when they don't know crap about me as a patient.  Yeah, I'm perturbed... which is nicer than saying this pisses me off royally.  Probably because I'm sleep-deprived.  Alas.

Still, all in all, life as I know it is fantastic, beaurocracy-ridden insurance companies notwithstanding, and so, I have a smile on my face, a song in my heart and a glass of red wine at my side.  I have a huge family that loves me to bits, friends that give me shoulders galore, and chihuahuas that provide unquestioning adoration.  For what more could one wish?  A freaking good night's sleep on Dreaded Decadron Insomnia nights!!!!!

And could I also ask to be rid of this silly twitch in my left eye?

Love to all. :)

Saturday, October 1, 2011

Coumadin... ai chihuahua

So, I went to Sonora Quest to get my PT/INR.  I was happily anticipating a quick finger prick and then I'd be out of there.

But NO!  "We can't do the finger prick; we're not technicians, and we don't have the equipment."  But, after looking at my arm and examining the vein options, the phlebotomist says to me, "Don't worry, I'm really good at getting blood from you challenging types."  She smiled reassuringly.  Frankly, I believed her.  After a thorough arm going-over, she went for my hand.  It was a perfect job. :)

Then off Nancy and I went to Walgreen's to get the Coumadin.  They were surprised to see me.  I've had my prescriptions there, at least the ones I can't wait on for my mail order joint, for probably a year... and I've never been in the place until yesterday.  Jane and Nancy have always gone to get my drugs.  I think they didn't believe I existed.

I was on my pretty red scooter, and thankfully, the aisles of the Walgreen's were uncluttered enough to get through.  Plus, I didn't hit a soul.  YAY! :D

Jane brought me my favorite salad for dinner, and I made inroads into the See's candy that my friend Annette had brought me in the hospital.  Oh lord, they have chocolate covered ginger.  WOW, that is SO good!  And despite those inroads, my glucose was great this morning.  I'm just about back to my weird normal. :)

Dr. Ramaswamy had said that as soon as he got the results from the PT/INR, he'd call to tell me how much Coumadin to take that evening.  At 4:30 PM, I decided to call, and they said they didn't have the lab results yet.  Gloria, Dr. R's nurse asked me if he'd put STAT on the orders.  I couldn't remember.  They were odd looking to begin with because they were generated in the hospital, and were not in any way like his normal lab orders.

By 9PM, I was half asleep at my keyboard, so I took my regular evening drugs and went to bed.  I figured it was better to not take ANY coumadin than to try and guess what to take.  Guessing and blood thinners do not mix.

The phone rang at 11:45PM.  Jane got it; Dr. Ramaswamy, beside himself and very apologetic said the test results were still not available, but take a half of one of the coumadin.  I did that, and took a Vicodin because my left leg was making it hard to get back to sleep.  .... I woke up at 9:15 this morning.  Holy moses!  I haven't slept that late in years!

And speaking of the devil; just got off the phone with Dr. Ramaswamy who told me how to dose myself for the next couple of days.  Then Monday, it's back for another blood letting.  Joy. :D

All in all, I'm doing really well.  I feel a bit fragile yet, but I think I'm getting stronger every day.  Hugs to all!

Friday, September 30, 2011

I am SO Happy!

It's wonderful to be home.  Nancy made me bacon and french toast this morning.  I slept through the night with no one coming in at two AM to find out why my heart rate went up.  (Dreaming a really good dream and you just woke me out of it?)  But the monitoring was most appreciated.


Must make sure I drink plenty of fluids and not walk too much.  There's a switch.  I got in trouble for walking too much in the hospital.  I thought it would be good for me.  Oh well.


I am wearing what are now my very favorite pair of earrings.  Got 'em on clearance from QVC.  Pearls... beautiful, dangly.  Let me see if I can find them.  They may be sold out.  There they are on the link above.  I got them in the sunset grouping.  So very pretty!


Now, it's time to rest up a bit, because I have to go out at Noon to get my PT/INR at the local lab, then hit Walgreen's to get my coumadin.  Oh boy!  :D


Hugs to all!



Thursday, September 29, 2011

HOME!

This is just a quick note to let everyone know I am home.  I have a couple of new prescriptions, and I have to go to the blood lab tomorrow so they can check my clotting rate (PT/INR), but tonight I can sleep in my own bed, with my own pillows---and life is good!

A special THANK YOU goes out to Rebecca, my RN for at least three nights that I can remember, and to Janet from oncology, you made me laugh, and you made me so very glad to have met you.  You are an amazing woman.  Good luck on your treasure hunts!

Now, I'm all drugged up and ready for bed.  Peace, happiness and love to all.

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