Rituximab infusion | Cycle 2 dose 2 | 23.08.2018
Two weeks after my first dose of cycle 2, on the 23rd of August I went into hospital at 9:00am for the 2nd dose of cycle 2 of my rituximab infusion. Routine checks such as a doctor consultation, blood pressure and temperature checks were made. And I was feeling well enough to receive the medication so we went ahead with it. The first task was the most tricky one (not for me but for the nurses!) It was the task of getting a cannula in my near to non-existent veins! The second attempt was a success in the back of my hand.
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Rituximab infusion | Cycle 2 dose 1 | 07.08.2018
The last time I had rituximab was in 2015; it really helped ease my symptoms but I haven’t really needed it until now, 3 years later. Recently I have developed the butterfly rash on my face, my joints and muscles are in pain occasionally and I’m loosing my hair in bunches. Last month I went to an outpatient appointment to see my rheumatologist who’d suggested I have another cycle of rituximab due to my lupus flaring up again.
I’m not one to accept whatever the doctors throw my way (I know better from previous experiences), I like to do my own research before agreeing especially with previous mistakes which I have to live with till this day. I like to take as little medication as possible, that’s why I was eager to come off my steroids but that didn’t work due to me having a flare up again. I’d had rituximab before and I’d done a lot of research on it plus I was fine with it so I agreed to have it again.
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On the 24th of March 2014, I received a phone call whilst at work to go to the hospital so they could carry out a kidney biopsy. I was called by my regular rheumatologist who explained I had been putting it off for too long now and my last set of bloods showed that my kidney function had declined by 30-40%. I was having regular blood tests done because I was taking mycophenolate to keep my symptoms under control which is an immunosuppressant. People who take immunosuppressant drugs need to have their bloods done regularly and monitored.
The kidney biopsy went ahead on the 25th March 2014; overnight I had a blood transfusion of two bottles. I had the kidney biopsy around after lunchtime; they wheeled me away into the procedure room on my bed when my dad had left after paying me a short visit.
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This type of therapy is carried out underwater to strengthen the muscles or joints. It puts lesser pressures on the joints as opposed to when the exercises are done on land. Hydrotherapy has the following benefits:
- Reduces muscle tension and relieves pain
- Boosts the immune system
- Relieves stress
- Rehabilitates injured muscles
I’ve had physiotherapy sessions previously but on Wednesday it was my first time in the pool for a hydrotherapy session. I’ve had three major abdominal surgeries; two laparotomies and one laparoscopic procedure so as you can imagine my core muscles are very weak. In addition to many other issues I’ve also been diagnosed with something called sensory neuropathy so in terms of my balance, I was all over the place the handrail and the floats were a massive help. Alhamdulilah.
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When I was given an option of which colour rucksack I wanted, obviously I chose the pink coloured one over the navy blue and black colours. I also asked for some wheels with it.
Inside the rucksack, I was to place something called a Total Parenteral Nutrition (TPN) bag and my Micrel Mini Rythmic™ PN+ pump. I was put on this after I spent 3 months in hospital post-surgery suffering from high-output which was depleting me of vital electrolytes from my system. TPN was replacing them just about at that time along with additional IVs of magnesium and potassium. I was constantly eating. The reason behind this was that I had a newly re-fashioned (yes, this is a medical term) ileostomy after an emergency admission which was literally pouring like a tap!
Birds eye view of a used dressing pack and everything else used.
Amino acid solution bag inside my pink rucksack while running through the pump and connected to me.
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At the start of those excruciatingly painful 10 months when I was in the hospital in 2014. While on the renal ward where I had initially been admitted to under the care of my rheumatologist, my dad had come to visit me like usual during the afternoon visiting hours and we went to sit in the day room.
We were just casually sitting, watching the TV while I was reading something on my phone in my hand. Then suddenly for no apparent reason, I started to have a seizure. My hands started shaking and I fell to the side. My dad, who’d never seen anything like this happen to me before, was extremely worried and panicked so he quickly got one of the nurses and she pulled the red emergency triangle and all the rest of the nurses came rushing. Everyone was ushered out of the day room including my dad and I was rushed to the Intensive Care Unit (ICU).
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What is an ostomy? You may ask.
An ostomy is an opening in the wall of the abdomen performed surgically for the discharge of bodily wastes. A little red blob pokes out of the abdomen wall which is either the end of the ureter or small or large bowel depending on what type of procedure had been performed. It is a life-saving procedure saving us ostomates much horrendous pain experienced daily by eating many/certain foods or by other factors.
There are different types of ostomies:
- Ileostomy – An ileostomy is where the small intestine is brought through an opening in the abdomen (tummy).
- Colostomy – A colostomy is a surgical procedure that brings one end of the large intestine out through the abdominal wall.
- Urostomy – A urostomy a surgical procedure which diverts urine away from a diseased or defective bladder.
Within these types, there are further types depending on what type of operation and where on the specific organ it has been performed.
Continue reading “World Ostomy Day”