by Doug from AL on Sun Oct 22, 2017 9:03 pm
Day +12
The last few days have been a roller coaster, but recovery is definite now. My white blood cell number finally rose from 0.1 yesterday when it rose to 0.2 and today it was at 0.4. All the other factors are going up as well, and my skin tone and color are now looking more normal. My appetite has grown too. Today I ate 3 complete meals without most of the rumbling stomach that has been present since the final chemotherapy treatments..
The difficult part was the communication between the current doctor and myself. Two nights ago we discovered that neither of the two thermometers provided by the hospital that I am receiving my care from were accurate. One was wildly inaccurate, the other more consistent but about 1 degree high. I told the doctor about that problem and showed him the readings, thinking they would want to know that information.
The doctor after that decided that the malfunctioning thermometers meant I might have had a temperature indicating an infection. He had the nurse collect urine and blood culture samples and prescribed a powerful antibiotic. That decision was not even communicated to me. They simply walked in, connected the IV, and prescribed more for us to inject at home via the line in my chest.
This did not sit well with me or my wife. There was no reason to assume an infection was present and there was enough good temperature recordings to show it was unlikely. The antibiotic was very strong and conflicted with already prescribed medicines, but that was not communicated to us before we were released. Finally, the antibiotic was so strong I could not stay awake minutes after receiving an injection, and when I did awaken, I could not eat until hours later. It also made me so dizzy I had to wall walk everywhere never taking my hands off some supporting structure as I moved.
Today I went and told the doctor that I couldn't continue the antibiotic due to the side effects. My doctor wasn't happy, but by then the culture results were in my record, all showing no evidence of infection. His nurse practitioner tried to prescribe an alternate antibiotic, again without communicating with me or my wife. We only found that minutes before the doctor came into my room, so I asked what evidence the decision was based on, and he did not have an answer. Given the results of my cultures, a two day streak of normal temps, and no other signs of infection, I rejected that prescription as well.
Tonight I am feeling better, eating well, even had a second serving of beef! It appears that my recovery is ongoing and I'll be released on time or earlier. Hopefully the relationship between the the doctors and us hasn't been damaged too badly. A new team comes in tomorrow, so I may not know until the current team returns next week.
One final note, my hair is finally departing from my head. I shaved my head before coming here, so my loss is the stubble left over. Not a big deal for me, but it may be for some.