- More testing
- Promise of a Hickman line
- Interesting conversation with Peter Haywood – Clinical Nurse consultant
- he noted there were advantages to being in a small regional hospital like Launceston – things can happen fairly quickly without excessive delays due emergencies.
- just as we finished this discussion, the Hickman line procedure was cancelled due to a backlog of work for the day!
Fairly common for patients undergoing chemotherapy, a Hickman Line offers direct access to one of the larger blood vessels in the chest/neck compared to a standard cannula in the forearm. This offers advantages for drug/saline infusions and can also be used to take blood samples from. It is essentially a tube implanted through the upper torso and held in place by an internal balloon and some sticky dressings on the external chest. The implantation procedure is usually under local anaesthetic and takes 30-40 minutes.
1. This handy diagram is above my bed so the nurses don’t forget which tube to use!
2. My Hickman line
- Skin biopsy – cut out the lesions that the Dermatologist at Hamilton Island was not concerned about and test them for leukaemia mutations.
- Initial results of bone marrow biopsy
- AMML not just AML
Acute Myelomonocytic Leukaemia is a type of cancer that originates in the bone marrow from a particular sub-type of white blood cell precursor cells. In healthy people, the bone marrow is the source of all new blood cells and so it is normal for cells to replicate and grow out from this source. In AMML, this normal growth process spirals out of control and the influx of defective cells can crowd out other healthy blood cells and hinder their usual roles in nutrient transport and immunity. Acute means that the cancerous cells build up quickly and, if left untreated, can be fatal in weeks or months.
- During the week Claire had flown over from Perth and Dougall from USA (having only just arrived back there 3 days earlier for the start of his last year at Uni).
- It was clear our kids wanted to be with me – which meant so much.
- We issued jobs to each young adult to keep them busy
- Claire was to be in charge of Fashion and Food
- Lachy in charge of the new Blog and IT requirements
- Dougall was to decorate the room to be a homely place (given I’ll be here for months.)