8-21-10 Saturday

Status: 8.25/10. Feeling a little better each day.

Events:  Got up early for a quick trip to Hopkins for some platelets so I won’t have to worry about any incident happening over the weekend.  Next visit Monday for labs.

 Comments:   These bumps in the road aside, right now, still on course for the goal of a transplant.  A parallel course of evaluating the matching donors, and me healing from the courses of chemotherapy.

  Besides hair follicles, the other sensitive cells are the lining of the GI tract (not grammatically correct but you get the idea).  Although you might think of the gastro-intestinal tract as inside your body – it’s not.  It’s on the outside.  Imagine taking a magic marker, and without picking it up, drawing a continuous line from your belly button up to your mouth, down the entire GI tract, exiting the other end, and coming back to where you started.  Topologically, you are a donut.  If you want to get inside the donut you’d have to poke through it, not just go around. 

  So, just as your skin protects you on the exterior, the GI tract lining is your protector on the interior.  If it gets damaged, which it does from chemotherapy, bacteria can get into the bloodstream, and you can have breakdown of tissues and bleeding (especially when compounded with low platelet counts).  So my episode of bacteria in the bloodstream and two GI bleeds weren’t unexpected, but probably preventable.

  My job is to heal without any more incidents and move on.  Think the kids, Lisa, and I will have a movie night and rest tomorrow.  Back to you on Monday.

 Have a restful weekend.

Love,

-Bruce

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8 Responses to “”

  1. Bill Israel and Eileen Breslin Says:

    Bruce: Moving from 8.0 to 8.25 may not sound like much — but it looks the difference between you feeling like resuming your outstanding lessons for the rest of us — and not feeling up to doing it. Excellent! Wonderful to get the progress notes, and to see you getting out with the family. Great news, all around.

    Thinking of you, Lisa, and the kids. Great getting a note from Lisa. Cheering you on, friend!

    Bill and Eileen

  2. Hopie Says:

    What a nice surprise to hear from you on your blog, thought I’d have to wait til Monday. Just enjoy your Sunday with the kids. They only have a little time til school starts. Love you sweetheart.

  3. wendy Says:

    You and the donut lecture I’ve heard from you forever… so one would think the medical community would also know and would have opted to do something to work on prevention… perhaps one of your recommendations for the future chemo patients…cause, if I’ve counted correctly, this is # 3 of this problem for you..ENUF>>>> no more bleeds or infections… it’s time for RELIEF>>>here’s to your newest job…BTW that statement sounded like a LISA statement…”your job is….”

  4. Ashby Says:

    Sorry to hear of past Thursday. You go away to the beach for the week and things tend to fall apart, apologies to Chinua Achebe. But you are rebounding and that is good. The Adventure Guides boys have been chanting softly, quietly, incessantly, “think transplant, think transplant.” For movie night, I suggest “Blazing Saddles.” N’est ce pa?

  5. Mary Says:

    Dear Dr.Dan,
    You don’t know me. However, I wanted to write and tell you how informative and inspiring your blog is. I am a scientist, and was diagnosed with AML last year. My friends and family have always asked me to explain medical procedures and the biological basis of my illness. Your “lessons” are well written, and easy to understand for someone without a scientific background. You are a great teacher! I hope you don’t mind, but I have referred my loved ones to your site. It helps them better understand the science. I wish you all the best in your treatments, and hope that your days are filled with much love and happiness.

  6. mike magee Says:

    Bruce-

    Mary says what we all have known (and I have been privileged over the years to see first hand). You are a great teacher! You are also remarkable strong, courageous and resilient. Good thoughts and prayers to you each day!

    Best, Mike

  7. Bill Schaffner Says:

    Bruce:

    So glad that all indicators are moving upward!

    Bill

  8. Tom Linden Says:

    I agree with Mary and Mike that you are a wonderful teacher and if I could give you an apple today, I would.

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