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Wednesday, August 15, 2012

Day 501: I survived yesterday...I can survive today



Well, here I am again.

I relapsed.

And honestly, it was 100x's worse this time hearing the news that the Leukemia came back than actually sitting in the doctor's office for the first time finding out that I had cancer.

And just the way it was told to me wasn't exactly the best choice.

Since OU is a teaching hospital, I have a medical "team" that consists of students, residents, fellows, and attending doctors, etc. So in the mornings, I usually see the medical students first, then the residents, then everyone else. Well the first kid who came in here said, well Miss Begay, I have good news for you concerning your biopsy....or so I thought. Maybe I wanted to hear those words so bad come out of his mouth, I made it up, but I swear that's what I hear. Then he said, unfortunately the Leukemia came back. The rest of what he said flew out the window and I labeled it unimportant because everything is repeated 50 times again in each ear before anything is ever done so I could care less. By this time, the tears are uncontrollably rolling down my face and my body is actually twitching while I cry...no noise yet but i felt it coming. So I probably made the doctor uncomfortable because he was just staring at me saying whatever he was saying and I was nodding and trying to control myself but it was hopeless. So then he said, I'm sorry about the news, and quickly walked out.

So then, the OU student on my case came in and I was crying my eyes out and when he came in I quickly wiped my face and said Good Morning! He looked puzzled and was asking if everything was alright. I said no and told him that they said the Leukemia came back. And he was just ask shocked as I was, lol. He was asking who said that and eventually he said, "I didn't hear about this yet so I would wait until the official word comes from the team." Naturally, this gave me hope. Only to be shut down 5 minutes later when the team came back and confirmed my relapse.

Once again, I managed to make everyone uncomfortable in the room by hysterically crying and no one wanted to look at me and I even got a few tears from the residents on my case. After the news and explanation of what was next, a few doctors stayed behind and said I'm so sorry Miss Begay and rubbed my leg or foot (sounds weird) but it was nice to know that the doctors still have not lost the idea that patients are human and we do have feelings. - Which is a WHOLE another story.

Anyways, the main doctor offered to get me some anxiety pills to calm myself down because I guess I was a complete MESS....and if you know anything about me, crying or showing any type of emotion is just NOT MY THING. So when I actually do, it has to be for a legit reason. After they left, my sister was in the room with me and she asked me, "what's the hardest part about this." and I'm glad she asked me....

because I didn't really think about that. Now of course a kajillion things are going through my head but the main thing that kept flashing by was....I don't want to feel like I did during my last chemotherapy round, I was always tired, a little sick, and just overall yucky. I also kept thinking about work and how it just started. All my 7th graders and how they're without a math teacher. How am I going to afford so many sick days and school just started. Are people going to understand that I want to be at work and if I could, I really would. I enjoy working (no matter how much I complain) and putting forth the extra mile....but two years in a row?? No child deserves missing out on having math. :(

But I can't do anything....work vs. life.

no competition.

So anyways, I sat around and cried for a bit then my sister offered to go to Wal-Mart for me and I asked her to pick up some new bed sheets....these ugly white hospital sheets had to GO...and replaced them with leopard sheets, she got me a zebra print luggage to tote my stuff around, popcorn for a somewhat healthy snack so when my salt cravings come around, I'll be prepared, and miscellaneous shower items I didn't bring because I didn't think I would be here for 3 weeks. New things always make me feel better so I cleared some tears. Then I find out that on day 1 of all of this not only do I find out I had cancer AGAIN....but also that I will have a PICC line put in (it hurts) and also I would be having my first intrathecal chemo through my spinal cord....which by far has to be the worst thing ever if you have a doctor who is inexperienced. For my faithful followers, remember last year when I had the guy who missed a zillion times and still didn't get it?? Well I'm still having nerve pains every once in a while.... especially if I do a lot of jumping when I exercise (box jumps, toe taps on a box, lateral jumps, etc.). So of course, naturally, I questioned the doctor who was doing it and grilling them on how many have been successful, how many he has done by himself 100%, etc. For those who are undergoing stuff like this....don't be afraid to ASK these type of questions, it may sound rude, but it’s your body not theirs.

Before the PICC line nurse came in to give me new central line, I took an Ativan (for anxiety) and hopped in the shower to give myself one last good scrub before I would be lying in bed for a few days. While the nurse was prepping for the line, I started to feel....less stressed and happier, lol. It was WONDERFUL, like all the feelings of anger and sadness just went away in la la land. I was relaxed. The procedure itself wasn't too bad after the two shorts of lido cane and my happy pill....but then came the spinal tap. It wasn't too bad but I definitely freaked the resident out because the senior attending had to finish the job because they were poking around where it wasn't numb and I was probably crying. Lol.
So after that procedure, it was chemo time. That’s right, a diagnosis and chemo day 1 on the same day….could this day get any worse right?!

The chemotherapy regimen will consist of 5 days of two different types of medication. The first type of chemo is called Etoposide and the second is called Clofarabine. Both are given through my IV and both made me sick last night. Not throwing up sick (I’m sure that will come later) but more just nauseous like I wanted to throw up but I was just lazy so I endured the pain. Usually, I just go to sleep for these types of side effects and tough it out but something tells me this round of chemo is going to get the best of me.:( So I’ll do these two chemo types for 5 days straight and then rest on day 6, 7, and 8. Then on day 9, they’ll give me a harsher drug called Asparaginase. Yuck…sounds like asparagus. Lol. Apparently from what I hear, this last type of chemo is the worst of the three so by day 12 I should be out of it. L Not looking forward to that. I could already tell a difference last night in the chemo compared to the HyperCVAD series most ALL patients go through during their first round of chemo.  
So aside from all my day 1 crying episodes, I let some people know about my relapse. I told my work people, close friends, and a few others who would be more directly affected than others on my condition. It’s always hard telling people and explaining to people what is going on without them completely cutting them out of my life, because that isn’t what I want. I want people to know that I’m still me. I may look different, but underneath it all…I’m me. And that’s what is so hard about all of this. It’s like every time I went through this, I have to start over and explain myself over and over again. And when I don’t explain myself, I feel guilty for not being honest. Oh well, I guess this is God’s way of keeping those who don’t matter in my life, it’s already precious enough, I don’t need clutter getting in my way right?
So speaking of friends, some work friends came up last night and ordered pizza, brought their happy faces and we watched a movie together. We were all tired but after my awful day, I felt better in the presence of people I really do care about. I asked each of them to come and didn’t expect them all to show and it made me feel good that they did. I wish I could surround myself with more people but people are busy and I get that.

Hmmm…okay so that was yesterday….today, the doctors came in after a restless night I had, and seemed hopeful about my transplant….WHAT?! sorry forgot to mention my full chemo regimen…..

Okay after my 9 days of chemo, I’ll recover for about 14 days (like before) in the hospital then I will have another bone marrow biopsy performed to check the status of the cancer. If they find cancer….I’ll do another round of chemo or basically until remission is achieved. Then, I’ll recover and go straight for a transplant via a bone marrow match somewhere in this world, or do a blood cord transplant. (yuck). So right now, were praying for remission after one round (especially since cancer was caught early) and a transplant to immediately follow. A transplant will hospitalize me for 6 weeks…more details to follow.

Alright so that’s pretty much all for today. They have me hooked up to fluids to continuously flush my liver and it’s annoying. I have to use the restroom every hour. On the brighter side, my liver and spleen (which have been enlarged for quite some time now) are finally going down. J Alright well that was a long first blog entry. If I have more exciting news today….I’ll be sure to post.

I love you all and thank you for your continuous support though all this. I appreciate your thoughts and prayers more than you can imagine. Until next time, stay classy. J I’m taking a nap.

Kim

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