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Thursday 24 January 2013

Running on low

Today, I received my letter for my next hospital admission, which will take place in just under two weeks' time. However, there's a huge, huge catch.

I was told today that I need to get a FBC and clotting screen done prior to my admission to check that I'm OK for surgery. Problem? My serum iron level is 2 micrograms, but according to my haematologist, it's supposed to be 100. I don't eat red meat by default, so I literally have no way (apart from the transfusion) to raise my iron and therefore my Hb levels. We are really praying that the transfusions are able to top up this huge deficit, because I'm really bearing the brunt of this.

I can't get changed without my body hurting all over and without fainting. I can't seem to do anything without feeling like I'm going to pass out. Things that just used to make me ache before, now give me extreme pain. Getting changed from showering this morning, my body hurt in the same way it used to towards the end of a long-distance run, if not worse. To top that off, the nausea and dizziness that came over me was unbearable and I just felt so inadequate and frustrated that I can't even do the simplest tasks without feeling this way.

Yesterday and today have been difficult days; counting down the days to the transfusions, infusions and surgery is painstakingly slow. I'll also be getting a DDAVP infusion soon, and when I'm admitted, to boost my coagulation and make my blood and platelets behave! I need to go up to the hospital to get yet more blood taken, this will be the fifth time in two weeks that I've needed to get it done. So far, I've had  on average ten bottles drawn each time, and on top of this, I bleed about 100ml blood per day from what is/was the AVM.

Everything just feels like such a drag; I have no energy to do anything, and everything I feel like doing makes my head swim. I've never felt like this before, maybe I've had off days, but this has been a string of days, that has become weeks, of feeling like this. I'm just glad and thanking my lucky stars that I have a great haematologist and surgeon who want to help me get better.

Monday 21 January 2013

Big update!

I can't believe I haven't posted for such a long time! Hope everyone had a great Christmas, I certainly had a good time with my family and boyfriend. We went to a Chinese buffet restaurant and we really enjoyed ourselves for the festive period. My boyfriend stayed over and it was just a lovely, cosy, time together.

As for a health update, I have recently been diagnosed with a platelet disorder of an unknown aetiology. At the moment, we don't know what the exact disorder is, but my platelets don't aggregate in the way they should; in fact, they don't seem to aggregate much at all. My Hb levels are extremely low, hovering around the 7g/dl mark and as such I am due to have some transfusions this week or next.

Surgery is also taking place for me on Wednesday, 6th February, and I'll be inpatient for at least four days. We planned this before learning of the coagulation problems and my extremely low Hb levels, so I'm presuming I'll be in there for at least a week. Not sure though, but I hope to be blogging during my stay, if and when I can. I am not sure about what will happen with regard to the clotting problem and the low Hb during my stay, as these are likely to impede my recovery as they have done in the past. I am, however, just glad that a cause has been identified for my excessive bleeding and that there is prospective for a cure or at least a treatment for whatever problem exists.

For this upcoming operation, my surgeon will be installing a negative-pressure wound therapy pump to the surgical sites to draw out fluid and blood that could accumulate under the dressings. This is one thing I'm pretty nervous about since I'm presuming it hurts quite a lot, but I'm optimistic because we have not yet tried this. I've heard lots of good things about it, and my surgeon finds the idea promising, so I can't help but feel the same way!

Medical school has been going pretty smoothly so far; apart from the fact that I may be missing an assessed module that begins on the Monday after the operation. I also have an exam that takes place on Friday, 8th February, but am pretty sure that I will be able to get a no-detriment mark for this, as I have been advised to do for the previous exam.

I have had the most amazing Christmas period ever, and just wanted to thank everyone who cares for me, thinks about me and looks after me. I have had a really happy year, and hope that this year will be happier for me, and for everyone!