Hey! Is that you? It’s so good to see you!
Welcome to more ramblings! I’ve been rambling away to myself for weeks but I keep forgetting there’s no one there listening….situation normal…phew!
I usually blog when a random trigger crops up, which makes me think of lots of funny things which have occurred, or keeping occurring, on this non-stop roller coaster of mirth which we call C treatment. You C, in cases like mine (as ever, I only speak for mine), C is neither the problem, or the source of the hilarity. It’s the treatment. It’s such a c. C what I mean?
Oh, the lols that pinged out of me this morning, from every pore, when I received an email from one of the Churchies, who I’d seen at the 8am service Sunday just gone, to tell me that she had shingles! Laugh? I nearly Tena’d myself. (Well, I did actually.) You couldn’t make it up – she’s only gone and got shingles! Shingles??!!! Hahahahaha! Stop! My rib cage can take no more!
Now I’m not a beartless hitch – I hope you know that. There’s a point to this. The lady in question kindly emailed me, as she’d gathered me into a warm embrace on Sunday morning, without knowing that she had the dreaded shingers. Her doc only diagnosed her last night, and told her to steer clear of babies, small children, and me. Well, not just me, to be fair, though she’s usually pretty good at that… No, those whose immunity has been compromised because of chemo.
I thought that was really kind, given how she must be feeling. I’ve never had shingles, but friends of mine who have, say it’s like burning from the inside out. Ok, I do have recent form there, but not in as painful a way.
So, had the events of the last couple of months not happened, I, like you, would’ve scoffed away and thought no more of it. It’s 12 weeks today since I had my last chemo, after all.
Not so, it seems. I may have covered this before, but when you sign your consent form for five months of cytotoxic lols, you have to acknowledge the risk of mortality (i.e. ‘Uh oh…I could be deeeed’) which chemo brings. The reason people snuff it from chemo (and it is SUPER important to stress, this is from chemo ALONE, not the overall C or the combo of C and chemo) is because your immunity is hammered to the floor – so you can’t fight a fairly regular infection – even a bad cold, or flu – in the way you usually would. A simple infection can lead to sepsis, super quickly, and there’s only two ways out of that situation.
That’s why you have to monitor your temperature many times daily, constantly, during chemo treatment, and for some while after. It’s the only true indicator that things could be about to go whatnots up. That’s also why, if you’re around someone having chemo, you have to be absolutely honest and mindful of anything you have, however small it seems, and think whether that quick coffee or delivery of a loaf of bread is wise. I had absolutely no idea about this pre-C – or rather, how important it can be.
My weirdo Onc explained this aspect to me at the time of the biro-snatching session when he’d sold me up, hook, line and Cinker, for his five month re-tox programme.
“Yeah – sepsis. Can be fatal. I’ve only lost two to that, in 17 years.”
He leaned back, looked over his glasses at me, as though he was expecting some kind of applause to break out. I leaned forwards, looked over my glasses at him, and said, “Butter fingers”.
“Yeah…” (btw, he says yeah a lot, and is a bit hippy – not in that, he’s a bit broad in the mid-beam, but just in a laid back sort of a way). “One was just so ill, he had it everywhere. But the other was just too polite. She knew her temperature wasn’t good but she just sat there waiting for it to pass over. Three days later…” (motion of throat slitting)..well, you just need to keep an eye on things. Yeah?”
“Yeah…I will”, said I, then rang the carer to ask him to go and find a really good thermometer.
You can feel rubbish during a 21-day chemo cycle – but your temp can be fine, nestling within the range you’ve been told to keep. Equally, you can feel super duper, but find that your temp is out of range.
I turned up to my last chemo to the very warm, very deep, possibly slightly suffocating, bosomly embrace of lovely Nurse L. Crikey, that’s a pair to behold, I contemplated, while struggling for breath deep within them, not of my own volition I must add.
I love Nurse L; she’s just so good at hugs, and love, and naughtiness. Once, she gave me loads of surgical gloves off of her trolley so I could still do seed sowing without risk of infection from the soil; another time, she let me vape while she was doing my pre-chemo assessment and hung a ‘do not disturb’ sign on the door to stop her boss coming in. There’s more; but not for now.
Nurse L, shall we say, is a traditionally built woman. (credit for that to the author Alexander McCall Smith … it’s a fab phrase.) She has all the right things in all the right places. Once I’d extricated myself from her 54 double Gs, she set to work to prep me for my last chemo, with her characteristic, very soft, very gentle care. She took the dressing from my PICC, layer by layer, to reveal the business end of the kit.
“Fuck me!”
(I think it’s a medical term?)
Peter the PICC had been in there nearly five months – and he was expressing a need to get out, by emitting green and red stuff. Head nurse arrives, inspects, then makes a quick call to the Onc, who said, in his usual charming manner: “give her the chemo, then rip the PICC out….yeah..???”
The last chemo has dripped through and then, Onc’s instructions are carried out. It’s Nurse L who comes in to rip the PICC. Gone are the hugs, the love – or, not gone, but she is on a bloody mission. As she is saying, “this won’t hurt”, I’m imagining her lined up fair (and traditionally) square opposite the (traditionally-built) tight head prop in the Portsmouth RFC v NZ All Blacks scrum.
Two feet of intravenous line, inserted under anaesthetic, five months prior, come hurtling out of me faster than a five-sachet dose of Move-it-all. Whooosh.
As I’m getting myself together to leave, I feel all wibbly-wobbly, and start shaking.
It’s ok, I don’t need drama – we just need to be home, and we get there. Mini carer brings me dinner in bed because she’s just super. I’m drifting off to sleep but think I must just check my temp. My safe range is 36-38.
Oh. It’s 34.1…and every five minutes, it’s getting no better. I thought high temp was a bad thing but low was ok. Don’t we all think that?
Upshot is, emergency admission into Acute Oncology within the hour, tubed up and fed with IV antibiotics for three days; contracted C-Diff virus from the antibiotics in hospital, came home, got better. Fine.
Only two weeks ago, when I saw my GP, due to another infection, did I realise that I was pretty close to being the third on my Onc’s list. Yeah. I hadn’t been bothered at all – but apparently the old kidneys were shutting down – the start of … hilarity, obvs!
About three or four weeks ago I woke up at night with lady wee problems. Given the previous drama, and not knowing where my immunity is yet, I wasn’t sure if an over the counter remedy would be enough to sort it out. Called the doc’s surgery – gone was the three week waiting list – I was in like Flynn, with a right old ticking off for leaving it so long, and sent home with eight antibiotics a day to take. Bloods were done – it was a kidney infection- and it turns out I’m still super low on the white ones. These are your immunity warriors, so it means I’m still prone to infections, from very normal things. I have my bloods done every two weeks now.
New thing, Monday this week – I’m in for a blood test, and my lympho scar is emitting gunge – nearly eight months after it was created. Bingo – we’re back on infection alert once again.
Weird, isn’t it? I was all ready to go after the last radiotherapy – I thought that was it. Hurrumph.
So what’s the point of this?
First – to thank Churchie for her email – I’m seeing Onc next week, so will mention it.
But…
I think it’s mainly, to a couple of lovely friends who are respectively 3 and 6 months behind me on this process: take your bloody temp at all times – even if you feel well.
And to those ladies (you know who you are) and others – even if you’re 12 weeks clear of cheeeeeeeeeee-mo, and six weeks clear of radiooooooooo – this lovely stuff doesn’t leave you for a little while yet. I didn’t realise that.
Also – to the amazing network of people who support people like me – you may dearly want to see your mate who’s having this treatment, and trust me, they will want to see you even more: but just please be honest if you’re not up to par. Even a bit of a cold can cause all sorts of bother – yet you, nor they, may not realise it. I only got infected from myself, or rather, the line I’d been wearing. Didn’t see that one coming at all.
None of the above is bad – it’s just learning, going with the flow, as we always have, and always smiling and laughing our heads off.
Me and the boy carer are off to the c soon, providing Onc is happy when I see him next week.
Yes. The c. The blue, warm one.
Just for seven days – it’s my first clearance for take off for more than four days max at a time, this year. Our first holiday for 18 months. Yaaaaay!
Above all, he needs it. He really does. And I can’t wait to look after him, as he has me, once we are there.
Yeah.
Pip pip x
Sent from my iPad

