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| Author |
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| 25 new of 480 responses total. |
keesan
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response 125 of 480:
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Oct 15 18:43 UTC 2003 |
I am supposed to keep gargling salt water for the first two weeks each cycle
because of my mucus membranes not growing back and therefore being more likely
to get infected. This probably also explains why the inside lining of my
throat and gullet feel burning and sore. It does not hurt a lot.
The jaw soreness may be a side effect of vincristine. Last cycle it went away
in a few days.
Things still taste a bit funny.
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keesan
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response 126 of 480:
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Oct 15 18:51 UTC 2003 |
Vincristine side effects may include transient blindness and difficulty in
walking and wrist drop. Effects are worst at 4-9 days. This is day 10.
Today I walked twice as far as yesterday. My wrists seem a bit weak. The
symptoms get worse after three treatments. Oh well, only 3 to go.
The Type I anaphylactoid reaction (laryngitis) is rare. I have it.
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fitz
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response 127 of 480:
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Oct 16 11:27 UTC 2003 |
>123 Advertising the redesinged $20 alerts the public to the change.
Hopefully, no fist fights will ensue from either customers or retailers
thinking that the new bill is bogus. BTW, could you change my $19 bill,
please?
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gull
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response 128 of 480:
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Oct 16 13:35 UTC 2003 |
Re #127:
> BTW, could you change my $19 bill, please?
Sure. Is six $3 bills and five 20 cent pieces okay?
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keesan
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response 129 of 480:
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Oct 16 21:26 UTC 2003 |
Today was blood draw day. I did not bring my white slip because last time
they said I was in the computer and it was not necessary. This time I was
not in the computer and we had to get another white slip. While waiting I
talked to someone else skinny who assumed my voice problem was the same as
hers. She has a tumor of the esophagus and has a tube inserted into her
stomach somehow since she cannot eat. While waiting again for blood draw I
talked to someone who had breast cancer four years ago and needs to get tested
once a year for five years. She had four chemotherapy, surgery, radiation,
and four more chemotherapy, and said she got more tired each session but the
numb hands recover six months later (except sometimes they are still numb).
I should have a positive attitude and keep pushing myself to move even if
tired.
I have it easy.
We stopped on the way there to collect pawpaws from my tree that the neighbors
had gathered for us. The waist-high neighbor made me a poster that reads:
Sande I hop u fel badr.
Her mother objected to the badr so she explained this as
fin
There is also a polr br with some words in a balloon issuing from its mouth
that none of us could quite figure out:
TYANI
HDAKO
KAFA
She did not want to explain what this meant.
We shared some pawpaws with them.
At the hospital Jim shared pawpaws with the infusion nurse interested in
plants, who will plant the seeds. We then brought some to Jerusalem Market,
where one of the owners will plant the seeds in a pot or bucket. They had
fresh pistachios in the husk today, and fresh figs and dates and cactus pears.
Ayse's was closed.
We picked apples on north campus and near the hospital. I picked from a tree
that appears to have been designed as a grafted crabapple that lost its graft.
The tree is a bunch of sprouts with knee to waist high apples. We shared some
of the less buggy ones.
On North Campus we got a few monster windfalls from the Ford library and then
admired the gifts to Ford (Korean lacquer, Liberian embroidery) and the
centennial art (American made popsicle stick lampshade and dollar bill flag).
I think I walked my 1/2 mile today. Jim is now attempting to find some
compromise between how jor cooks rice (boiled in lots of water with the cover
off) and how he cooks it (pressure cooker, bring to pressure, turn off). He
will run the dehumidifier in the kitchen. The house is getting too humid and
now we have fans blowing bedroom air to teh basement dehumidifier and bringing
up cold dry basement air. This won't work in colder weather as the basement
needs insulating. The insulation boards have been waiting 20 years. Maybe
this is the incentive needed to get them on the walls.
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keesan
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response 130 of 480:
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Oct 16 21:34 UTC 2003 |
Correct that KAFA to KAFR and the D in the previous line is backwards.
Monster is spelled Mastr so there could be a missing n in Kafr.
A couple of nights ago we had a friendly 3-way scrabble game. Jim played with
dyslexia and wanted to use the word PRON ('shrimp'). John played with one
eye. I viewed the letters from a horizontal position to which I had gotten
used while grexing on my back. Nobody won since we were not counting points.
We have a piece of drywall blocking the direct cold draft in my room, so that
it goes up the wall instead of aiming directly at me. Cold basement air comes
up to replace the warmer moister house air. Eventually this will all be
ducted to a small warm space with the dehumidifier in it, some year. In the
meantime I added another blanket. No point in heating the basement.
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keesan
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response 131 of 480:
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Oct 17 14:37 UTC 2003 |
I did so well picking apples that today we will be picking grapes. Jim tried
to put a friend who wants to make pawpaw wine in touch with a friend who grows
pawpaws and lives way west of town, and the latter invited us all to supper
and a tour of his orchard which we visited two summers ago by bike. He has
variuos other interesting fruits none of which were ripe in August. A few
miles from him are the grapes of another friend. The two of them may pick
while I sit in a solar-heated car if I run out of energy. I am taking along
a chair cushion and possibly a camping mat as I tend to conk out in late
afternoon.
My throat has been sore for a few days, with some intestinal symptoms and two
days of off-on headache, indicating I got some infection during the low point
of my immune system but the headache is gone and the throat a bit better.
I have to be careful to stay warm today and maybe I should not be overdoing
the exercise like I have been. Yesterday I lay down and could not move for
half an hour.
Looks like I will never know what the POLR BR is saying. Perhaps it ate some
alphabet soup.
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keesan
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response 132 of 480:
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Oct 17 16:39 UTC 2003 |
Just did some more reading on peripheral neuropathy = the tingling and
numbness in hands and feet. For a 'fair percentage' of patients this will
get better within weeks of ending therapy as the nerves regenerate. For
others it will be permanent and maybe worse. I hope the latter effect is
less common in those of us being treated only once in three weeks. Leukemia
patients are treated weekly.
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keesan
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response 133 of 480:
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Oct 17 17:05 UTC 2003 |
The nurse called back with my blood test results. WBC (white blood cell
count) 3.8, normal being 4.0-10.00, last cycle this time being 7.2. This
includes the immune system and the platelets (clotting system). Neutrophils
(immunity) 2.7, normal being 1.4-7.5 so I am lowish normal, last cycle 5.4
(after a bad cold which increases immunity I think) and end of cycle 4.2.
Looks like I am a day or two behind in recovery compared to the last cycle.
It is safe to visit people if they are not sick, says the nurse, and I should
make sure to wash my hands. The first cycle my neutrophil count was only 0.1
(which is what it felt like Sunday).
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keesan
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response 134 of 480:
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Oct 18 04:16 UTC 2003 |
Today we went to pick grapes. It was cold and windy so I went back to the
car while Jim and Peter picked, and fell asleep a few times. Then we hiked
around the largest pawpaw orchard I have seen at a friend's house. He must
have 500 trees planted and is evaluating them for when they lose their leaves,
the size and color and taste of the fruit, etc. He wants smaller fruit
clusters. He has some monster fruits up to 5" long. They are yellow or
orange fleshed with various flavors - canteloupe, mango, avocado -like. The
skins can be green or yellow (easier to spot on the ground). Some ripen too
early or too late for here. Peter took enough fruit to make wine. He has
a winery in Tecumseh that makes grape, apple, and cherry wine already. He
brought lemon-flavored pickled watermelon rind and also wine jelly. Susan
made supper with lots of their garden produce. I conked out on the couch
after supper while the guys talked fruit. It is dark and quiet where they
live - my first dark and quiet experience this year. From Jim's low traffic
street you can hear I-94 at all hours.
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keesan
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response 135 of 480:
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Oct 18 15:12 UTC 2003 |
When I threw up unexpectedly at 4 am I was worried that the chemotherapy might
be responsible but Jim said he also felt queasy. He suspects that we sampled
some seedling pawpaw with too much of some chemical. Our friend told us that
the owner of the largest pawpaw orchard in the country is allergic to pawpaws.
We also tried an underripe one that Jim dried. We have had no troubles with
pawpaws from our own trees.
Or it might be the latest intestinal virus that I probably picked up last
weekend when my immunity was low. I am fine today. We may hike over to
Eberwhite woods to say hello to the people doing the stewardship day there
until noon. I don't think I can cut out buckthorn quite yet.
The wine jelly actually tasted like good grapes, possibly because of the added
sugar. Wine tastes just sour to me.
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keesan
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response 136 of 480:
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Oct 18 18:03 UTC 2003 |
We hiked to the west branch library instead. They have low vision aids such
as magnifying glasses and something that displayed enlarged print on a screen.
And a telnet icon. Jor said he could not get telnet to work here - I suspect
he could not red the little word telnet under the icon.
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keesan
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response 137 of 480:
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Oct 18 23:23 UTC 2003 |
I was not sure I could walk back from the library but I did, and when we got
back Jim went to bed. I have found my limit again. We have to process grapes
now, cleaning out the spiders and stems and making juice from them.
I am still getting nice emails from other translators and friends. My
Hungarian friend phoned our mutual friend who is Slovene and lives in Italy
and let her know I have cancer. The Slovene friend's sister finished
chemotherapy in July. I will write her next week after my CT scan. A
translator friend in wants to pray for me and wonders how she will be able
to pay this month's rent.
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keesan
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response 138 of 480:
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Oct 19 22:56 UTC 2003 |
We walked to Eberwhite Woods and most of the way through it and came out at
the community garden. On the way saw lots of squirrels and trees, some
puffballs and shelf fungus, moss on dead logs, and Jim found some pruning
shears and called the leader of yesterday's stewardship day about returning
them to someone who lost them. At the garden there was lots of swiss chard,
arugula, mizuna, all sorts of kale, celery, lettuce, and slightly frosted
tomato plants. We came back and Jim picked up more of his own tomatos from
teh ground (never did put up cages) and is making instant pizza (baked tomato
and cheese sandwiches) which I am supposed to go eat now.
The garden has some very comfortable straw bales for sitting on, and Zion
church has a pretty good red apple tree and a couple of trees with giant
hawthorn berries which we thought at first were crabapples.
He thinks the walk was 3/4 mile each way, with only two stops to rest, which
would imply I could probably make it into town but probably not back.
Maybe next week I can make it into town. I have pretty much run out of good
books at the local branch library. Got out a Turkish cookbook.
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keesan
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response 139 of 480:
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Oct 20 02:39 UTC 2003 |
I just read about a couple of studies of patients with my type of lymphoma,
older than me. In the first study, of people over 60, survival rate went up
from 57^ to 70% when they added Rituxan to the CHOP drugs, and 18 month
remission went from 64 to 77% with 91% responding (they had fewer cancer cells
but not none). In another study 63% of those receiving Rituxan had remission
for a median of over 5.3 years (about as long as the drug had been around).
A study of 400 elderly patients gave 1 year survival up from 68 to 83%, with
complete remission up from 60 to 76%. I wonder what complete remission means
- no symptoms or no cancer cells found?
My chances are somewhat improved by being under 60, I think. And maybe also
by the fact that my tumor could not be felt after the first session. I will
know more a couple of days after tomrrow's repeat CT scan. Only three more
IVs after tomorrow, with luck. My hand still aches from the last one.
One person I met with lymphoma did not need a second treatment for 9 years.
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keesan
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response 140 of 480:
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Oct 21 02:12 UTC 2003 |
Today after Jim made the fifth trip to Murray's for a belt for the car, we
got me to the hospital as instructed an hour before the 5:30 CT scan
appointment. They asked Jim if he was pregnant and I told them I was the
patient and I filled out a form assuring them I had no allergy to the iodine
contrast solution, and was not taking certain drugs, and had no heart or
kidney problems. Some people have reactions to the contrast solution (barium
citrate smoothie - a very cold white liquid that comes in 16 oz bottles which
they tried to make me drink two of, and I managed 24 oz. The second bottle
was at least not refrigerated. I was shivering for an hour after the first.)
Or to the stuff they inject during the procedure through an IV. The IV went
unusually badly but the technician asked if it was okay not to redo it (and
start all over, forget it) due to its hurting and blood all over the place
and I said yes, let's just get it over with. I only needed it in for 20
minutes while they moved me in and out of a hole in the machine and had me
hold my breath. They took photos (?) before and after the iodine solution,
which stings going in and makes you feel warmish. All I had to do besides
ignore the pain was keep both arms lifted over my head.
Jim says he saw Scott while biking to Murray's.
The CT scan is based on a small dose of radiation so it is done through the
radiology department. They will read it tonight and get results to my doctor
in 2 or 3 days.
Afterwards we visited our doctor friend who brought me to the hospital in
August to share pawpaws and pickled peppers, and he also checked me out and
says I still have fluid on the lungs but he can't find any enlarged lymph
nodes or tumors. I hope the CT scan agrees. There are lymph nodes at all
four intersections of limbs and torso, and under the ears.
We then took me to the public library while Jim picked up a few things from
my apartment, and celebrated at Dinersty. My arm finally stopped hurting.
I make sure to wear old shirts when being jabbed.
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klg
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response 141 of 480:
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Oct 21 02:33 UTC 2003 |
I swig that contrast liquid like cold beer on a hot day. Down the hatch
in 5 min. or less. Never have any sting from the IV fluid. Just a
metallic taste in the mouth and a warm feeling, esp. in the groin, for a
short time. Next picture session is the 1st wk of Nov, I believe.
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goose
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response 142 of 480:
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Oct 21 03:34 UTC 2003 |
It is amazing the number of blood vessels in the groin of a male. I found
the iodine IV to be strangely pleasant. The drinkable contrast though...ugh.
|
rcurl
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response 143 of 480:
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Oct 21 06:37 UTC 2003 |
Re #140: it could not have been barium citrate. Barium citrate is soluble
in water, and soluble barium compounds are very poisonous. The usual
barium compound in contrast agents is the very insoluble barium sulfate.
It is possible that they suspend it in a "citrate" drink of some sort, to
make it more palatable. That, however, would not create any barium citrate.
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jep
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response 144 of 480:
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Oct 21 15:42 UTC 2003 |
re resp:140: So, are congratulations in order? Grex wants to know, is
Jim pregnant?
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keesan
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response 145 of 480:
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Oct 21 15:53 UTC 2003 |
Re 144, No. I can look up which barium solution it was. Fruit flavored.
I should also read about how CT scans work. THe technician watched the
injectin then left the room to run the machine so something must be
radioactive. Also Jim had to wait outside. I did not notice anyone shaking
the solution to suspend anything. What was so bad about the solution when
you drank it, goose? They said some people get nauseous. My big problem was
the coldness and the volume.
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keesan
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response 146 of 480:
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Oct 21 16:03 UTC 2003 |
Computed tomography (CT) a method of body imaging in which a thin
[74]x-ray beam rotates around the patient. Small detectors measure the
amount of x-rays that make it through the patient or particular area
of interest.
A computer analyzes the data to construct a cross-sectional image.
These images can be stored, viewed on a monitor, or printed on film.
In addition, three-dimensional models of organs can be created by
stacking the individual images, or "slices."
How the test is performed
The patient will be asked to lie on a narrow table (gantry) that
slides into the center of the scanner. Depending on the study being
performed, the patient may need to lie on his/her stomach, back, or
side. If contrast media (dye) is to be administered, an IV will be
placed in a small vein of a hand or arm.
Much like standard photographic cameras, subject motion causes blurred
images in CT. Therefore, the technologist operating the scanner and
supervising the patient will give instructions through an intercom
when to hold one's breath and not move.
As the exam takes place, the gantry will advance small intervals
through the scanner. Modern "spiral" scanners can perform the
examination in one continuous motion of the gantry. Generally,
complete scans will only take a few minutes, however, additional
contrast-enhanced or higher-resolution scans will add to the scan
time. The newest multidetector scanners can image the entire body,
head to toe, in less than 30 seconds.
How to prepare for the test [76]Return to top
The patient may be asked to drink oral contrast either immediately
prior to, or 4 to 6 hours before, the CT scan. The contrast may be
composed of non-reactive (inert) chalky-tasting barium sulfate, which
will eventually pass in the stools, or absorbable clear Gastrografin
solution. The health care provider may also advise fasting (no solids
or liquids) for 4 to 6 hours if contrast dye is to be used.
The CT scanner has a weight limit to prevent damage to the mechanized
gantry. Have the health care provider contact the scanner operator if
you weigh more than 300 pounds.
Since metal is very, very dense, the x-ray beam has difficulty passing
through it and results in errors in the involved constructed slices
(artifact). Therefore, the patient will be asked to remove jewelry and
wear a hospital gown during the study.
How the test will feel [77]Return to top
The x-rays are painless. The primary discomfort may be from the need
to lie still on the table.
If intravenous contrast dye is given, the patient may initially feel a
slight burning sensation within the injected arm, a metallic taste in
the mouth, and a warm flushing of the body. These sensations are
normal and usually reside within a few seconds.
Why the test is performed
CT provides rapid, detailed cross-sectional imaging of the patient
which can then be reconstructed into three-dimensional models, as
needed. Intravenous contrast enhanced scans allow for evaluation of
vascular structures and further evaluation of masses and tumors.
CT is often utilized in the trauma setting to evaluate the brain,
chest, and abdomen. As well, CT can be used to guide interventional
procedures, such as biopsies and placement of drainage tubes.
What the risks are
CT scans and other x-rays are monitored and regulated to provide the
minimum amount of radiation exposure needed to produce the image. CT
scans provide low levels of ionizing radiation which has the potential
to cause cancer and heritable defects. The risk associated with any
individual scan is small; however, the risk increases as numerous
additional studies are performed.
During pregnancy, an [80]abdominal CT scan is usually not recommended,
due to risk to the exposed fetus, including developmental
malformations and childhood cancers. Patients who are or may be
pregnant should speak with their health care provider in order to
first take a pregnancy test or choose an appropriate alternative
imaging modality without risk to the fetus, such as ultrasound.
The most common intravenous contrast dye is iodine based. A person who
is allergic to iodine (such as those with seafood allergies) may
experience [81]nausea, [82]sneezing, [83]vomiting, [84]itching, or
[85]hives. If contrast administration is essential for a patient with
any of the prior reactions, the health care provider may choose to
pre-medicate the patient before the scan with a short course of
immune-suppressing steroids and/or Benadryl. Alternatively, other
contrast media or other imaging modalities (such as ultrasound or MR)
may be used.
Rarely, the dye may cause [86]anaphylaxis (a life-threatening allergic
response), usually manifested by swelling in the airway. The patient
is instructed prior to the scan to notify the technologist via the
intercom if he/she has difficulty breathing. If such a rare reaction
does take place, the exam will be stopped, and the patient will be
rapidly treated with special medication and closely monitored by a
physician.
Iodine-based contrast is primarily filtered out of the bloodstream by
the kidneys, and thus patients with diabetes or renal disease will
require continuous hydration and close monitoring of kidney function.
Diabetics on certain a glucose-lowering medication
(glucophage/metformin) and renal dialysis patients should speak with
their physician regarding stopping the medication, and the proper
scheduling of the scan in conjunction with dialysis, respectively.
Consent from the patient or designated guardian must be obtained prior
to the use of intravenous contrast.
63. http://www.nlm.nih.gov/medlineplus/ency/article/003330.htm#Alternativ
e%20Names
Apparently the IV solution can also cause nausea, not just the barium.]
|
keesan
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response 147 of 480:
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Oct 21 16:20 UTC 2003 |
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Hospital | [3]Contact Us | [4]Location | [5]Site Map
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CT Scan
What is a CT Scan?
A CT (Computed Tomography) scan, often called a CAT (Computed Axial
Tomography) scan, is a painless examination that gives the physician
an unobstructed, cross-sectioned look at organs and structures that
cannot be seen clearly on conventional X-rays.
How does CT scanner work?
The CT scan combines a sophisticated X-ray system with a high-speed
computer. The scanner obtains slices (blocks of image data that can be
viewed on an end to end projection) of information that will assist
the patient's physician in making a diagnosis and planning a
treatment. This combination produces a picture of the body, allowing
the physician to see tissue and bone structures in fine detail. The
imaging procedure and the images are best described thinking of a loaf
of bread. The entire loaf being the part of the body that is scanned.
Anywhere in the loaf of bread a single slice can be picked out and
looked at end to end.
Why is CT important?
CT offers a non-invasive way to obtain information about the patient's
body that may otherwise not be as easily seen. It can lead to early
detection and treatment of disease and pathology by a physician. CTs
can make it possible to see various types of tissue and can provide
important information about the brain, spine, joints and internal
organs. The CT scan is a "window" into the body.
What can I expect?
When your physician refers you for a CT exam, it is important to talk
to him/her about all of your questions or concerns. It is important to
tell your doctor if there is any chance you could be pregnant or
trying to get pregnant. You also need to inform your doctor if you are
allergic to iodine or presently taking a medication for diabetes
called glucophage. If abdominal imaging is planned, tell your doctor
if and when a previous barium exam was done. A recent barium exam
could interfere with a CT procedure.
When you arrive, a technologist and or nurse will ask you certain
questions pertaining to your medical history and explain your
procedure. You will be asked to change into a hospital gown and be
given a secure place to store your clothing and valuables. Any metal
or plastic objects will need to be removed before your scan.
[Nobody asked questions, it was just a sheet of paper. No hospital gown
was needed. They just checked that I had no metal snaps or buttons or
anything else metal. I wore loose knit cotton pants, and long-sleeve
t-shirt that pushed up above my elbow for the IV, and Jim's sweater
because mine would not push up far enough. I had no valuables but Jim.
I had no buttons either.]
Some CT produces require two sets of scans. The first scan will be
without IV contrast and the second scan will be with IV contrast. This
is a normal CT technique that helps differentiate tissue types. The IV
contrast is injected into a vein in your arm. For abdominal /pale CT
procedures, you will also be asked to drink an oral contrast (liquid
barium). The oral contrast will highlight and abnormal in your
digestive tract.
[This did the procedure twice for the abdominal scan, before and after
injecting the iodine dye solution. These people should have proofread.]
Must I do anything to prepare for the exam?
Yes. All contrast exams require that you do not eat or drink anything
4 hours before the procedure. You can take your prescribed medicines
if needed, under the direction of your physician. This can be
discussed when your exam is scheduled.
[6 hours, or 4 if you are diabetic.]
What happens during the examination?
In the scanner room, there is a patient table and a structure with a
big round hole in the middle called a gantry. Before the scan, a
technologist will assist you onto the scanning table. Depending on the
type of CT exam being performed, you will be positioned either head of
feet first and in your back or abdomen.
[on not in, or not of. I would not have needed assistance had I been able
to use both arms, but the left one was not able to bend and it hurt.]
When you are comfortable, the technologist conducting the examination
will move the table into the gantry opening until you reach the first
scan position. You will be given specific instruction about how to
breath during the scan, depending on the type of scan you are having.
At that point, all you have to do is relax and remain still while each
scan is being taken.
[And hold your arms stiff vertically for the whole procedure. The machine
had a recording telling me when to breathe. You have to hold your breath
so that your diaphragm does not move, spoiling the picture.]
You can think of the CT scanner as a fancy X-ray machine. Other than a
sound like a clothes dryer, you won't even notice when the system is
on and taking pictures. Several scans are taken while the table is
moving; when the table is moving it is allowing for a different scan
location.
[The machine makes noise when it is on. When the noise stops you are
done.]
How will I find out the results?
When the exam is complete, you may leave the facility. If IV and or
oral contrast was used, it will be necessary to drink additional
liquids, preferably water, throughout the day of the examination to
help eliminate the contrast from your system.
[They never mentioned that I should drink anything so I did not drink
anything for a few hours afterwards. I should read up on tests before
going to them. I drank 1/2 glass of water at supper.]
All procedures will be read by the Radiologist on staff after the scan
is completed by the technologist.
The final report will be available for your physician within 24-72
hours.
[Read the same night, available in 2-3 days.]
Last Updated October 1, 2002. Unauthorized reproduction of this
material is strictly prohibited.
Copyright 2002, St. Paul University Hospital
References
8. http://www.stpauldallas.com/index.htm
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klg
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response 148 of 480:
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Oct 21 16:32 UTC 2003 |
CT Scan (or other x-ray exam) Tip-
If you need to disrobe for the procedure, you'll probably be given a
locker for your stuff. However, it probably won't have a lock. So,
unless you are accompanied by a relative/friend who can hold your
valuables it's a good idea to bring a padlock for the locker to
safeguard your possessions whilst in the procedure room.
|
scott
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response 149 of 480:
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Oct 21 16:41 UTC 2003 |
Depends on the facility, probably. When I had my shoulder scanned a few years
ago the UM hospital had lockers, with locks, and the locks used brass keys
so you could bring it into the lab with you.
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