Thanks for checking in and following my ongoing Myeloma cancer blog, which I began June 2010, to document my "summer vacation" at City of Hope Hospital for my Autologous Stem Cell Transplant. I hope you enjoy my candid musings and treatment status updates. Please comment so I know you've stopped by! Look for my 2021 status updates on the 1's, but I'll surprise you and post in-between :)) Thanks for reading, caring and commenting!
Sunday, February 21, 2016
Sick, so Sick. Big Fever. Stupid Immune System Fail
So if being sick from all my cancer related stuff isn't enough stupid body, you have to allow awful germs in to invade!
I've been sooooooooooooooooooooooooooooooooooooo sick since late Monday Feb 15. I started to feel lousy in the morning. Just weird achiness. But I had my prescheduled, every few month appointment with my SCT specialist, so I pushed aside my symptoms and went. I just thought it was treatment related aches, fatigue, headache, etc. I NEVER dreamed I was getting sick!
I registered a 98.9 temp there. Nothing to cause much notice. (I did take note tho, since I "normally" run normal or bit below.) "Relatively good" appointment with wonderful staff. I'll update on my details next post.
I began to feel rotten while driving home. Worse when we got home and when doing all our usual evening animal chores. I still didn't think I could be getting sick! Not me!
THEN it HIT! It really HIT! You know when a fever is real and it's invading. Moving in. Taking Over. You just feel so awful. Your body just aches all over, and there's little relief. You hurt from the inside out, and the outside in.You can't function. Nothing helps. Nothing relieves. You start begging for relief. Bargaining with the "germ g*ds". Promising all kinds of things, if the pain can just GO AWAY.
I didn't realize how doomed I was. But I hoped for the best, took some Jr strength Tylenol, and pretended I'd be fine in the morning. I got worse. And worse. Each day, each night. It got worse. I sent a message to my oncology office. They called. I couldn't even answer the phone. I was soooooooooooooo sick. I should have gone to ER, Urgent Care. But I barely made it from my bed to the bathroom to the couch, etc. I kept popping Jr strength Tylenol and Advil to take the edge off the fever. When it wore off, I'd take my temp. 102, 103+. I hadn't felt this awful since.... I don't know... maybe my out of remission bug in 2013? Hawaii hotel disaster 2012? SCT fevers 2010? Just awful. Just fever awful. I couldn't eat. Hydrating was a huge effort.
Mon, Tues, Wed, Thurs, sick sick sick sick. Fever sick. Not much else. A cough here and there, but not an awful cough. Just an awful fever. I should have gone to be checked, everyone says. But I couldn't. I couldn't function, communicate, do much of anything. I haven't felt this awfulness in years... Jim gets sick too. We're messed up. What a great life. The weather is stunningly beautiful outside and where am I? I can't believe what has happened to me on so many levels.
Friday my fever finally broke a bit and came down between 102-100.
Saturday down more to 100-99. Starting to think I'll make it.
Sunday, today, down to 98.9. I finally called the "Nurse Advice Hotline". They couldn't believe what I've endured this week. It was "highly" recommended I go in and be checked.
We're going in now...
Live happy, live well, and make a difference somewhere, somehow, with someone or something as often as you can!
Helpful Myeloma Links
- American Cancer Society- Multiple Myeloma
- American Society of Hematology
- Amgen
- Ask Dr Durie
- Cancer Therapy Advisor - MM
- Chemo Care- Drug definitions
- Cytoxan
- Darzalex
- Dexamethasone Steroids
- Health Monitor Magazine
- International Myeloma Foundation
- Kyprolis
- LLS- Myeloma
- MM resources
- Multiple Myeloma Research Foundation
- Myeloma Beacon
- Myeloma Blogs
- Myeloma Central
- Myeloma Crowd
- Myeloma Symptoms
- OncLive
- Patient Power
- Pomalyst
- Revlimid
- Support Groups
- Understanding Multiple Myeloma
- Velcade
My Story... How my MM was diagnosed
My treatment trail ride forks to City of Hope hospital as I will saddle up beginning June 9, 2010 for a new rodeo called an Autologous Stem Cell Transplant!
Chemical Warfare...
My initial chemo regimen:
Pill form Chemo= Revlimid (10mg, 15mg capsules)
Allopurinol- keeping the kidneys healthy
Acyclovir- anti-Shingles, anti-viral
June 2010:
High dose IV Cytoxan chemo
Neupogen to build up stem cells for Apheresis, stem cell harvest, which was very successful, as City of Hope was able to collect 9.5 million of my own stem cells
July 2010 Hospitalization:
Two days of high dose Melphalan chemo
Then July 5, 2010 = my Autologous Stem Cell transplant infusion!
And you can read my whole story from that point forward in this blog!
What is multiple myeloma?
What is multiple myeloma?
Cancer starts when cells in the body begin to grow out of control. Cells in nearly any part of the body can become cancer, and can spread to other areas of the body. To learn more about how cancers start and spread, see What Is Cancer?
Multiple myeloma is a cancer formed by malignant plasma cells. Normal plasma cells are found in the bone marrow and are an important part of the immune system.
The immune system is made up of several types of cells that work together to fight infections and other diseases. Lymphocytes (lymph cells) are the main cell type of the immune system. The major types of lymphocytes are T cells and B cells.
When B cells respond to an infection, they mature and change into plasma cells. Plasma cells make the antibodies (also called immunoglobulins) that help the body attack and kill germs. Lymphocytes are in many areas of the body, such as lymph nodes, the bone marrow, the intestines, and the bloodstream. Plasma cells, however, are mainly found in the bone marrow. Bone marrow is the soft tissue inside some hollow bones. In addition to plasma cells, normal bone marrow has cells that make the different normal blood cells.
When plasma cells become cancerous and grow out of control, they can produce a tumor called a plasmacytoma. These tumors generally develop in a bone, but they are also rarely found in other tissues. If someone has only a single plasma cell tumor, the disease is called an isolated (or solitary) plasmacytoma. If someone has more than one plasmacytoma, they have multiple myeloma.
Multiple myeloma is characterized by several features, including:
Low blood counts
In multiple myeloma, the overgrowth of plasma cells in the bone marrow can crowd out normal blood-forming cells, leading to low blood counts. This can cause anemia – a shortage of red blood cells. People with anemia become pale, weak, and fatigued. Multiple myeloma can also cause the level of platelets in the blood to become low (called thrombocytopenia). This can lead to increased bleeding and bruising. Another condition that can develop is leukopenia – a shortage of normal white blood cells. This can lead to problems fighting infections.
Bone and calcium problems
Myeloma cells also interfere with cells that help keep the bones strong. Bones are constantly being remade to keep them strong. Two major kinds of bone cells normally work together to keep bones healthy and strong. The cells that lay down new bone are called osteoblasts. The cells that break down old bone are called osteoclasts. Myeloma cells make a substance that tells the osteoclasts to speed up dissolving the bone. Since the osteoblasts do not get a signal to put down new bone, old bone is broken down without new bone to replace it. This makes the bones weak and they break easily. Fractured bones are a major problem in people with myeloma. This increase in bone break-down can also raise calcium levels in the blood. (Problems caused by high calcium levels are discussed in the section “How is multiple myeloma diagnosed?”)
Infections
Abnormal plasma cells do not protect the body from infections. As mentioned before, normal plasma cells produce antibodies that attack germs. For example, if you developed pneumonia, normal plasma cells would produce antibodies aimed at the specific bacteria that were causing the illness. These antibodies help the body attack and kill the bacteria. In multiple myeloma, the myeloma cells crowd out the normal plasma cells, so that antibodies to fight the infection can’t be made. The antibody made by the myeloma cells does not help fight infections. That’s because the myeloma cells are just many copies of the same plasma cell – all making copies of the same exact (or monoclonal) antibody.
Kidney problems
The antibody made by myeloma cells can harm the kidneys. This can lead to kidney damage and even kidney failure.
OMG, I hope you're ok. I started feeling off this morning , I hope I'm not getting something too. I understand there's a very bad bug, cold. .? Going around .
ReplyDeleteI hope you've gotten some antibiotics or something. Keep me posted.
Hi Christina, sure hope you don't get this awful bug. Never had anything like it. I know my low WBCs are affecting my ability to heal. Stay well friend!
DeleteOh Julie...please don't wait so long to be checked! Fevers can be indicative of so much, you just can't risk waiting. My daughter, Leah, always described it as, 'my skin hurts', and I agree. Last time we all had fevers like that we were diagnosed with the flu. I am praying for you and anxiously waiting to hear what the doctor said.
ReplyDeleteHi Linda, yes you are right. I'm sure this was the flu. I didn't get the flu shot. Does EZ? Does your family? I am slowly better, but the residual of the fever is so awful. Thank you so much for your prayers and caring Linda! Hoping you and EZ are out enjoying life!
DeleteWe all got the flu shot last year, but H2N1 still got all three of us (Mom, EZ, me). Didn't get out of our pjs for 2 weeks, barely left the house for 3 weeks. Worst we can remember feeling for a long time...miserable! We had the horrible congestion, fever and relentless coughing! We got the more high powered shot this year, and are hoping we are protected better! I'm sure it will take you while to get better...be sure to take it easy and let your body heal. I'm so sorry it's taking so long, but you WILL feel better eventually! We watched too many Hallmark movies to count! Praying for you!
Deletethank you for the information, interesting post. obat bab berdarah
ReplyDelete