Monday, October 11, 2010

10/11 - Day 2 of MELPHALAN

8:00 a.m. appointment in IPOP today.  We had Nurse Diane – different “Diane” than before.  Took his blood work, weight, height.  Sent the request for Melphalan because as said yesterday they don’t have it ready – have to notify the lab to prepare it.  We went to get coffee and danish until blood work was back. 
9:10 a.m. – said Melphalan would arrive in about 30 minutes – started the Zofran which is the anti-nausea medication.  Seemed to do a really good job of helping yesterday so hopeful this one will do the same.  Melphalan arrived at 9:40 a.m.
We got the blood work report and were rather surprised that the white blood count, red blood count and platelets were still rather high.  We wondered if this would impact the stem cell transplant tomorrow.  Nurse Diane said no – and that that didn’t matter.  There is a strict schedule to adhere to for the transplant and it would take place on Tuesday. 
The Nurse Practitioner, Kelly Sahl came to see Don.  Checked his breathing, for swelling and just asked the normal questions as to how he was feeling and holding up?  We did get a prescription for Zofran to take this evening and tomorrow – it will help with nausea if there is any.  So far so good – Don did say his stomach was just a tad bit queasy but not bad at all – which is a good thing!!
Got 3 more prescriptions that he will start tomorrow :
Avelox – to treat infection caused by certain bacteria.
Fluconazole – treating and preventing yeast and fungal infections
Valtrex – to treat shingles (even though he doesn’t have them) and cold sores.
As you can tell, these are all given to help ward off any infection whatsoever as his counts will drop in time and he will be so susceptible to everything.
11:05 a.m.  – leaving
Went back to Apt – took a quick trip to 7-11 – came back and Don had lunch and laid down.  I was hoping he would sleep but he’s not – just resting.  Need to walk back to pharmacy in a bit to pick up the Zofran prescription we had to leave earlier.
Unfortunately as the evening went on Don’s stomach was feeling more and more queasy.  He took the Zofran earlier but just not working as well as he wants it to.  I gave him some dinner options – nothing sounded good.  He had suggested earlier spaghetti from Brick Oven.  My initial reaction was “well if that’s what you want” but I knew it just wouldn’t work.  I decided on eggs, sausage and toast.  I knew or thought he could at least get an egg and a piece of toast down.  It just wasn’t meant to be – he took a bite of toast and just couldn’t do it.  He did have some yogurt but said even that was hard to eat. I guess I thought since the Zofran helped so much yesterday and he had a good eating day that it would work the same today.   I guess all this is falling under the category of “we just didn’t know what to expect”.  But Don is taking this one day at a time and he will handle it – I know he will!!!
He’s already showered and going to watch the Vikings kick butt in a bit.  Just keep those prayers coming everyone.  Tomorrow is the stem cell transplant.  We go to IPOP at 8 – they will take blood work first – and they will to notify the lab we’re there so they can transport the stem cells up to IPOP for Don. 
Keep those prayers coming everyone!
Until tomorrow.........
Love you all,
Don & Muffin

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