My Heroes, or "But in purple, I'm stunning!"
38If you’re not a Babylon 5 fan, obligatory meme for nearly no context:
With so much of negativity, pessimism, conflict, and contention grabbing attention these days, I’m feeling a compelling need to tell you about what’s happened in my little corner of the world in the last couple of weeks.
Before we begin, I’m fine. I have the strength of a kitten, and the attention span of a gnat, but I’m fine. Full recovery is already underway, and I almost hit “normal” this week.
Two weeks ago, in the space of 7 days, my world went from completely normal, to “what are these little purple spots?”, to “you could literally bleed to death at any moment!”
My immune system suddenly decided that the blood platelets that control clotting were evil, and must be destroyed. On a scale of 150-450 my count was 2. (From repeated 2’s I doubt the equipment can measure any lower.) Below 10 is a critical risk of internal bleeding, including bleeding into the brain (that’s cheery thought, isn’t it?) and of course an ordinary cut would be catastrophic as well.
It’s called ITP, if you want to look it up. By the way, the little purple spots are just failed capillaries. Something that happens all the time, to everyone, every day. A capillary fails, it clots, a new one grows, you never know. But I wasn’t clotting, so every failed capillary bled out a tiny bit. Boom! A new little purple spot.
But that’s not really the point of this tale. I’m not dead, the ITP is responding well to treatment, and I get to keep my spleen. Normal activity is OK, but I’m banned from rock climbing, skydiving, stunt doubling, skateboarding and motorcycle riding for a while. Well, there’s only one on that list…
My new favorite blood doctor says a count of 30 is “adequate” and 80 would be “acceptable”, but that I was out of immediate danger over 30. I’m still just “adequate”. I hope one day to become “acceptable”, and I yet aspire to become “normal” some day in the future.
By the way, I can’t really recommend internal bleeding. At least in the kidney, the pain is phenomenal, and there’s no real upside that I could discern. And that was minor internal bleeding, with no serious damage done to the kidney.
Anyhow, on to our tale. These may be little things to some, but they are huge to me. And of necessity, I am leaving out a LOT of equally good and wonderful people, or this would turn into a novel. There are a lot of other great tales of friends and heroes not being told in this particular account.
The initial treatment looked good, and I was discharged for outpatient treatment after three days. The second day back home, I got a burst of energy, and put the front of the van back on.
Oh, wait, did I forget to mention that the day before I was diagnosed, I spent 8 hours changing the radiator on my wife’s van, without a clue that a busted knuckle could be fatal? Maybe you’re a better shade tree mechanic than I am, but it is flatly impossible for me to do a job like that without getting a single scratch. But it happened.
Two other miracles (among many):
I’d been planning for weeks to go shotgun shooting that morning with friends and neighbors. It’s been a year since last time, so I was looking forward to it. I had to wait for the radiator to be delivered, so that wasn’t going to hold up the repair job. But that morning I “just didn’t feel like it” for some reason, and stayed home. A few days later it sunk in that I would not have had a bruised shoulder that day. It would have been internal bleeding.
And Friday my brother had invited me to go dirt bike riding with him and his boy. I told him I’d love to, but I had to stay home and change the radiator on Saturday. Nothing could possibly go wrong on a dirt ride, could it?
When I was discharged the hospital the first time, my dear wife, the nurse, had told me that HER discharge orders were that I wasn’t going back to work for the rest of the week because of likely side effects of the massive steroid doses I’d been treated with. Grumpy, sleepless, distracted, hyper, etc. I asked if I was going to be that bad, why she wanted me around the house, and she sweetly said “I’m trying to protect the rest of the world from YOU”.
I’m not saying she was right, but later that day the clothes dryer quit heating. For several hours I just ignored it, didn’t even want to think about it. And then from 9pm to 1am I was suddenly tearing the dryer apart and troubleshooting, and ordering parts for the repair.
'Roid rage, me? I think you guys owe her one.
Heroes? Oh yea, right. Hey, remember what she said about distracted?
I was discharged on Tuesday. The dryer incident was Wednesday. Parts weren’t showing up until Saturday. Thursday was normal. On Friday ITP symptoms started to reappear, but more seriously. Purpura vs petechiae, if you’re keeping score. Same thing, but larger spots. And in the mouth. We now know that “wet purpura” means “platelet count below 10, red alert!”
Saturday brought the kidney pain, and a return to the hospital. Well, I guess the dryer isn’t getting fixed.
Wrong.
That Saturday evening in the ER, friends and neighbors Scott & Julie and Mike & Annette came to visit. Scott asked some casual questions about the dryer. Monday I got a call from Scott saying the parts had arrived, asking what my diagnosis was, and how far I’d got with it. I filled him in. “OK, great, Julie and I will take care of it. Thanks! Oh, can I use some tools?”
That’s a hero. They are heroes.
I was discharged the second time on a Tuesday again (yesterday, as of this writing). Remember the radiator job? As we’d parked at the hospital on Saturday, there was some steam from under the hood, but a quick glance made me think it was just the overfilled overflow tank venting.
Nope.
Halfway home on Tuesday (10 miles or so total trip) the van made a funny sound a couple of times that I couldn’t identify. Not loose or rubbing, but surely not right. I leaned over to look at the gages and the temperature was full cold. Nothing from the heater. Ok, what now? Failed thermostat? Dead water pump? We got home OK, and I popped the hood to find out some idiot had not properly installed a hose clamp, and one radiator hose had blown off the engine block and dumped the coolant. And I can’t even blame the steroids for that one, I hadn’t been diagnosed or doped yet. Apparently 75% is NOT a passing grade in some situations. In my defense, it was well after dark when I finished the job that Saturday, but it was still a dumb, obvious mistake.
I was actually quite happy to see a missing hose clamp, that’s a LOT easier to fix than the water pump. I just left the hood up and we unloaded the van, and then we tried to catch our breath and figure out what to do next. And a few minutes later my phone rings. It’s Mike. “Hi, I see your hood’s up, what’s wrong, can I help?” He’d been home for lunch, and was headed back to work. I explained that I’d hired an idiot to work on my car, and it was just a hose clamp and coolant that was needed. “Hey, no problem, I’ll go get it! What kind of coolant?” Umm, lemme see, for Toyota, it’s pink, I don’t remember the number. I go out on the porch to look at the bottle and Mike is standing in front of me! “Hi! I saw the bottle. I’ll go get some and a hose clamp, are the screw type ok?”
Now I need to point out here that Mike’s work is about 15 miles away, he’s going to be late getting back, this is NOT convenient, and he is WAY over-dressed to be working on cars. But he’s quickly gone and back with the parts, and before I can find a screwdriver, he’s got the hose clamp installed. Mike tells me go inside and rest, he’s got this. Which he really, truly does. But I persuade him that since the filler is in a bad spot, the job is a lot easier with an extra set of hands. And because I’m so buzzed with steroid side effects (a MUCH higher dose than the first time) I need to do SOMETHING, so he lets me hold the funnel. In a couple of minutes the coolant is in, and the job is done. We chat about dirt bikes for a minute, and then just before he leaves, Mike slyly grins and says “Hey, while you’re buzzed on steroids, want to go lift some weights?” (There is no way either of us are bodybuilders!)
And he’s off to work.
That’s a hero.
Small things? If you say so. They are huge things to me.
I think maybe I’m trying to get around to a couple of points:
-
This sort of stuff happens all the time, but it will never be the front page news. It should be. As I mentioned at the start, I could tell many more tales of kindnesses in the past couple of weeks.
-
We’re all just ordinary people, but doing a little more here or there can change the world. Even, or maybe ESPECIALLY, if it is just one person’s world. I’ve tried to do the same for them as they’ve done for me. But frankly, I think they’re better at it.
But the funny thing is, we each seem to think that we’re getting the better end of the deal.
Blaine
Part of my inspiration for writing this was my friend John’s account of a neighbor getting involved when a stolen truck was dumped in John’s driveway. Good neighbors and friends are priceless. If you don’t have one, you can try being one. Things spread.
And an entirely appropriate footnote:
Just a minute ago, a day after Mike rescued me and our van, his wife urgently needed to borrow our van to take her mother to a doctor appointment.
- 54 comments, 139 replies
- Comment
Ugly pictures warning!
The arm is pretty bad too.
That’s only blood draws, and they used tiny neeedles, not a shop-vac.
The radiator job, step one, remove front of car.
Words can’t express how much worry I was feeling as I was reading through it all. And indeed, your friends and neighbors – priceless.
Here’s hoping all goes well after this!
@narfcake Sorry, I should have led better with the good news. (Maybe someone could make an edit?) I wrote that up a couple of days ago mostly for those that have been along for the ride.
Yesterday’s number was 133, and the doctor couldn’t have been happier. He was so pleased, he even teased us a bit before the reveal. Our guess was 50. Obviously things will be monitored closely, but I’m just fine. Purple for a while (Hi Barney!), but fine.
My good brother-in-law was quick to point out that a nearly normal number does not mean I’m normal!
The most surreal thing about all this is (except for the round of kidney pain) I haven’t felt the least bit sick. How can you be that close to death, and not have any idea? Other than the creeping purple, I had no clue. That’s a bit of a recalibration that’s still settling in.
And I’m still boggling at the non-fatal radiator job.
@blaineg I love purple, but not this way. I’m glad to see that you are doing so much better.
@blaineg
As a real-life Physician Assistant [and full-time clutzy mechanic], I am boggling at both the radiator job, and the dryer job too- because without ITP, I got a nasty little sheet metal cut and because of the sharpness of that factory edge, it bled for 2 days in spite of my normal platelet levels.
If you ever need any medical information or plain Engrish translations [or anything else I might be able to help with], please feel free to contact me anytime- I can send you my more often used professional-like email if you can remind me how to do it securely.
Hang in there, it’s sometimes a winding bumpy road, but as a [nominally] teen cancer survivor, I can tell you it does get better.
Thomas
@PhysAssist From a quick look around, Meh has no private message function, so: blaineg at gmail dot com (just to give the robots a hard time, but they probably already know that trick).
@PhysAssist Some folks are spiritual, some are not, I don’t mind either way what someone believes. If it gives them strength and comfort, and makes them a better person, that’s what matters where the rubber meets the road.
But for me, a lot of what’s happened is very clearly WAY beyond happenstance, good luck, or coincidence and very firmly in the realm of divine intervention.
I’ve never seen an angel or anything, but if guardian angels do exist, and were helping with the radiator job, two of them had to be my Dad, who taught me to fix stuff, and my little brother, the professional mechanic.
Thank you for sharing both your struggle, I love that people think Meh is a supportive site, and the awesomeness of those around us all that mostly goes unrecognized.
@blaineg
I’m really happy that you didn’t have worse medical consequences. I hope you have/can get yourself stabilized.
Your have the best neighbors. Woah. Great people.
You are right. There are a zillion people out there who are heroic and generous, and no one knows, and they never seek any kind of credit or recognition.
My thanks, all our thanks, to your medical crew and esp to your neighbors.
Maybe someday more of us (thinking of myself here) will be like that.
@f00l Yes, the staff at LDS Hospital in Salt Lake are wonderful across the board. I was in very very good hands the whole time.
One thing that really impressed me was the nursing shift change handovers are done in-room in front of the patient, with the patient as a participant. I’ve never seen that at our smaller in-town hospital.
They are quite focused on working with people, and not just checking off boxes on spreadsheets.
And I couldn’t be happier about the hematologist I’ve been assigned to. With a name like Ormsby I was kind of expecting a senior statesman, or Colonel Sanders or something. But he’s young, cheerful, and a great teacher. On his first visit with me he pulled out a piece of paper and doodled out a diagram of platelets and antibodies and such, in action. I’d picked up pieces of what was going on here and there, but he put it all together and made sense of the big picture for us.
When a nurse came in a while later, she saw it, and said “Oh, he drew the same diagram for us too.”
That is a really good story about how friends just step up to the plate and do things help friends rather than just say, “let me know if you need anything.”
PS glad you seem to be responding to treatment.
@Kidsandliz I have had a LOT of time for pondering and reflection over the last couple of weeks. Well, at least when the high doses of steroids would let me concentrate.
Some of it’s been a bit uncomfortable, and those exact words are one of those things. I’ve used them a lot over the years. And to be brutally honest with myself, they appear to have been more for my benefit than theirs.
Now I have the chance to do it differently.
@blaineg Sounds like you learned a lot of unintended “lessons” from this. A lot of people don’t and never learn… I had that exact phrase used on me a number of times through my 3 cancers too. I also had some people tell me they were doing something and then didn’t follow through. (like bring dinner for me and my kid after my first day of chemo which lasted 8 hours - she ‘forgot’; omg dragging my ass to the fast food place to get the kid dinner was a real effort). Sounds like you have good friends who know the meaning of helping.
@Kidsandliz Ouch! That’s rough.
Yea, the education of a lifetime.
I hesitate to even mention the next bit, because life really is great, and my hope was to brighten the world a bit, not do a “woe is me”.
But strangely enough, this has been FAR more educational than my little heart attack 10 years ago (minor, one stent, clear followups), or last year’s shingles. Maybe I’m in a better place to learn now.
I was talking to Mike one day about the shingles and said something like “If I’m supposed to be learning something from this, I still haven’t figured out what it is.” He smiled and gently said “Patience”.
Just that?
“Yea, just that.”
Crap, I’m no good at that!
The heart attack was of course a re-calibrating life event as well, but the pain was intense enough that it was the focus for a while. And I have nearly no memory of the day once I hit the operating room.
There was one funny bit I can recall. I was in the ER, wired up, and liquid fire pouring into my veins (potassium IV, wow that hurt! It was worse than the heart for a bit.) and the doc looks at the EKG and says to my wife: “You’re a nurse, you might want to see this. He’s still having the heart attack. Look, right there, and there.” As he points at the screen.
Cool, I guess.
@blaineg But not so cool if you are the patient overhearing that. On the other hand I guess knowing you are in the ER while it still happening was at least a plus. Shingles sucks too doesn’t it. I had them during chemo. OMG months of horrific pain. I got lucky in that the pain finally went away although not the itching. People need to get the NEW shingles vaccination that is out. Not sure I have learned as much as you have though with the shit I have been through… So maybe you don’t need any more “learning experiences” (grin)?
@Kidsandliz I’m a kind of a technical and weird guy, if I’d been in less pain, I’d have asked for a better look myself.
Shingles is an entirely different world of pain. Take any chance you can to avoid it!
I’d been moaning to Elaine about the bleeding kidney pain being about 12 on the 0-10 scale for a couple of hours. A while later something jogged the shingles memory. What’s that, about 10,000 on the same scale?
Sometimes I am a slow learner, and the pattern seems disturbing…
2017 IPT
2016 Shingles
2007 Heart attack
1994 Got married
@blaineg hmmmmmmmm 1994 deserves to be top of the list !
@blaineg
Happy about 1994 there.
Sounds like you did good.
@blaineg So what you are saying is that if you didn’t get married you wouldn’t have pain? LOL
/giphy pattern there
@mikibell Oh yes! And that is an entirely different unbelievable tale. Nobody would believe the plot in a movie. Short version, reconnected again after meeting 13 years earlier…
@Kidsandliz Dang it, you cracked my code!
@f00l Yes, I married WAY above my station.
@blaineg
But not above your “Nurse’s Station” perhaps.
There’s a lot to be thankful for in your life. And I’m so glad the thread wasn’t what I thought at all. I first read ‘My Herpes…’
@OldCatLady HAHAHA!
Nope no herpes. Possibly a virus of some sort though.
We’ll never know what triggered it, but the immune system went nuts for some reason. It could have been a medication reaction, even one used for years.
It could have been last month’s cold virus, last year’s shingles, or a childhood hepatitis. Other than eliminating possibly bad meds, it really makes no difference for treatment. To a layman like me, the Idiopathic in ITP sounds like we know WHAT, but not WHY.
The doctor that worked with me during the first night spent a GREAT deal of time with me in three visits working through every prescription and over the counter pill. A few were dropped temporarily, and two have been banned forever. It was like working with my own personal, medical, Sherlock Holmes.
Interestingly, the biggest red flag was an OTC leg cramp remedy that’s quinine based.
@OldCatLady And I was thinking I hope he isn’t telling us he was just diagnosed with multiple myeloma…(cancer of the platelets).
@Kidsandliz It was an early possibility, and the direction my wife’s thoughts went, but it was ruled out quickly. Bone marrow biopsy was mentioned as a possibility in the ER. So was spleen removal. Lots of scary things.
The two options are either production has shut down, or something is killing them off. I was blessed with the easier path.
@blaineg
Try pickle juice or coconut water; or up the potassium in the diet.
Are those ok re platelets?
Pickle juice is FAST. Coconut water (pure, unsweetened) is pretty fast. Not much slower.
Have one or both on hand in quantity if you get cramps a lot.
If you often get leg cramps at night:
Get two bars of traditional soap. Like they used a century ago. Like Ivory. Nothing that advertises itself an being other than a traditional soap.
Get a pair of HIGH white athletic socks and cut the feet off. Or use ace-style bandages.
Either pull the sock tops onto your calves and put a bar of soap in each, someplace where it won’t stop you from sleeping.
Or use the ace bandages to hold the soap bars against your skin.
Snug enough to hold the bars, but not tight. Don’t constrict circulation.
Voilá. No leg cramps. We can absorb electrolytes thru the skin and trad soap bars seem to have whenever we need.
Also, look at whatever soap you use for bathing, if it’s not traditional soap such as Ivory, switch to trad soap bars. Electrolytes will absorb thru the skin during bathing also. This will help.
Was told all this by by a PhD pharmacist I once met. It’s worked for me and everyone I’ve spoken to about it.
He also recommended:
Look at the amount of extra sodium and various added sugars/factory carbs in the diet.
Remove what you can. Go toward ingredients your great-grandparents and grandparents would not he confused by, if they read the labels.
Look at the alkaline/acid balance in the diet. Move somewhat toward alkaline.
This means cutting back esp on commercial sodas, if you drink them, and adding veggies and green stuff.
Tea and coffee are a bit acidic, but commercial sodas are way more acidic.
Juices: lean toward veggie more than fruit. Tomato juice and V8 and similar are great, if you like them.
@f00l Thank you !
The night we got home, a veritable angel of a retired orthopedic surgeon and his wife came by.
Again, I do not deserve my friends. These two would instantly be anyone’s favorite grandparents, and they actively play that role for many in desperate need of it. (And I mean the active, loving, involved, encouraging, mentor type of grandparent.)
When I mentioned leg cramps he said: “Would you mind if I told you of a solution that I have used for patients for many years, with a great deal of success?”
Would I mind?
The suggestion: Loosely wrap the legs in plastic film, saran wrap.
He says it holds in a bit of moisture and warmth, and can make a huge difference.
One calf needed help that night, we tried it.
Guess what?
@blaineg What?
@therealjrn I’m guessing …
/8ball Did it work?
As I see it, yes
@blaineg THAT’s exactly what idiopathic literally means- i.e., “the idiots don’t know why you have the pathology”- and yes, I’m one of those idiots.
@therealjrn Yep, it worked perfectly.
It was one of those where the calf was just waiting to snap into cramp, even walking around before bed. An angry, angry leg.
I’m sure I could feel it calm some as Elaine wrapped my leg, and it completely settled down for the whole night.
Wow.
@blaineg
/giphy angry, angry leg
@narfcake Yep, 8ball got it this time.
While he was telling me about the remedy, he spoke of using on a very elderly patient, who later thanked him in tears, saying: “That worked so very well. I can sleep now. And everyone else just wants to give me another pill!”
@therealjrn That looks more like angry birds.
@blaineg
Drink some coconut water before you go to bed. A lot. And keep some by the bed JIC.
And do the soap thing. And you won’t have leg cramps at all.
Why not sleep through the night?
@PhysAssist HAHAHA!
I am SO grateful for you, and every other NON-idiot who has chosen to develop medical skills to bless the rest of us.
@f00l Oooooooooooooooooooh, I would LOVE to sleep through the night.
But the steroid side effect are sill firmly in charge, and normal sleep was the first casualty. My last dose was Wednesday, but they’re still driving this train.
Normally sleep is no problem at all, in fact it sometimes annoys Elaine that I can often check out the moment my head hits the pillow. If I’m up in the night, I’m right back off.
Not with my little friends in the bloodstream. At first it was just not being able to go back to sleep for several hours, because my mind was running 1000 mph and I couldn’t turn it off. Then any form of normality or schedule departed.
I’m starting to get a little more, but it’s still elusive. A couple of nights ago it was like pulling a double shift of nothing. I crashed hard at 8pm, then was wide awake from 10pm to 6am.
Last night was much gentler, kind of like watching the sleep train go around a model railroad. I had to time jumping on when it came around. There was no point chasing after it if I missed it. But I couldn’t stay on board for more than a couple of stops.
Apparently this is a normal side effect, and the prescription is “deal with it”. One doctor suggested: “No TV, no phone, no tablet. Just read something. And nothing interesting, read the tax code!”
@blaineg Also, possibly steroid related. I’m the quiet one in the family…
@blaineg
But I dint do nothin…
I will if I can, but nuthin yet…
Now, the other (we’s family so I can say this) idiots- they clearly did you well, so God Bless 'em all, and you and your private nurse too!
@blaineg
Maybe ask them if something like a little trazodone isn’t maybe an option. It’s not a sleeping pill, just something that can help normalize your sleep architecture a bit, and keep the wake ups from ruining your night. Sleep heals…
@f00l
I agree w/ coconut water, but pickle juice is loaded w/ sodium and acid, so it kinda contradicts what you said later about watching sodium and acid-base balance ( which IS one of the systems that steroids like prednisone screw up), so the idea is good, just not pickle juice (also called brine)
Ironically if you’re swelling and “retaining water”, another common steroid side-effect, I one of the best things to do is drink more water- it helps the kidneys realize you have enough on board so they let more go out (diuretic fx).
I shut up now…
@PhysAssist Liquids at bedtime… He’s not going to sleep well for a variety of reasons.
@blaineg Eat a half (or whole) banana before bedtime. Every night.
@PhysAssist I did ask on discharge day, at Elaine’s urging, and got the tax code advice again, more or less. The doc was pretty firm and serious. I’m probably a whole lot more fragile than I think I am, and they didn’t want to complicate my blood’s soup any more than necessary.
For example, little things like aspirin, ibuprofen and naproxen are off the list, for now at least, possibly forever, not sure yet. Every one of those messes with platelet production. Just tyleonol now.
I am getting some sleep here and there, and it’s not like I’m going anywhere for a while. If I’m up in the night and napping in the day it doesn’t make much difference. And despite Mike’s invitation, pumping iron doesn’t sound that appealing.
On “medical” advice from our office admin, I’m not even trying to go back until after Thanksgiving.
Oh yea, Peggy is another amazing soul. Probably the single biggest heart I’ve ever met. She’s a second mom to everyone in the department. After we got home I was chatting with her about plans, and saying I would be back on the 20th. She said: “Blaine, don’t be an idiot, it’s a short week. Stay home next week too!”
I actually had NO idea what short week she was talking about. I had to go look at a calendar before I would believe that Thanksgiving is next week. I was sure it was at least two weeks out.
@PhysAssist
I know pickle juice is loaded with sodium, and isn’t alkaline.
But, boy, does it work on leg cramps and similar. Both exercise/sweat/dehydration induced and those that occur at night.
If someone needs relief, it’s the thing.
@OldCatLady I didn’t mean at bedtime…
@blaineg I had to suggest it…
Any Non-Steroidal Anti-Inflammatory [NSAID] [which by definition does not include steroids like prednisone] affects platelet function.
Aspirin does it permanently- meaning that every platelet present or generated while there is aspirin on board will be rendered completely non-functional for it’s whole life- which is about 21 days.
All the other anti-inflammatories cause temporary platelet dysfunction, in that as long as the drug is present, the platelets will not participate in clotting, but as soon as the drug has been cleared out of the blood, the platelets will help with clotting again.
This is definitely a don’t push too hard to be normal, or it will take that much longer to get back to normal situation.
On the other hand, the rules we give patients who are at home and not completely incapacitated are get up, make your bed, do your morning routines, get dressed [like you are going out], and every 2 hours, if you are awake, get up and walk around for a few minutes- go to the BR, get a drink, a snack or whatever, and then go sit, lounge, or lay in a different position for the next couple of hours until you get up again. If you’re sleeping, you sleep, but otherwise get up and move again.
This reduces the risk of all kinds of things that can complicate your recovery- pneumonia, collapsed lungs, clots, etc…
@PhysAssist
Can you elaborate? Re aspirin?
I always knew it makes bleeding note likely.
But how systemic is this for normal people?
How much should I worry about ever swallowing an aspirin?
@f00l
It’s just enough that for most people it cuts their risk of having a heart attack by about half unless they have significantly higher than average risk for one.
I have no significant elevation in risk factors for coronary artery disease or heart attack other than being a 50’s male and mildly obese, but I take a baby aspirin [actually an 81 mg- don’t ever give babies or kidlets under 16 years old aspirin, because for unclear reasons it significantly increases their risk of developing Reye’s syndrome] daily to make my risk of having a heart attack or stroke even lower.
Aspirin doesn’t commonly cause significant bleeding or clotting problems unless you already have another cause for them or you take a massive acute or chronic overdose.
Think about how many aspirin were and are taken every day both before tylenol and ibuprofen became OTC, and still. If it were a massive problem, no one would be told to take it by their doctors, as many are daily.
https://www.mayoclinic.org/diseases-conditions/heart-disease/in-depth/daily-aspirin-therapy/art-20046797
https://www.webmd.com/men/features/aspirin-day-not#1
@PhysAssist
Ok. Guess I outta. Thx.
@PhysAssist Thanks, I very much appreciate your suggestions and info. I had no idea about aspirin’s full effect on platelets, that’s quite the mechanism.
I am moving around as much as I can. Friday’s movie outing was great, but yesterday was just around the house. Headed out to church this morning. Guess that means I need to shave (electric, don’t worry).
@PhysAssist I’ve been on aspirin for 10 years as followup treatment for the heart attack. Now I see more clearly why, and very clearly why it’s been stopped now.
Thanks.
@PhysAssist
My relative the physician agreed.
He takes 1/2 baby aspirin every other day or something.
I may have misremembered his dosage. We’d been drinking wine for quite a while at that moment.
Thanks for reminder.
@f00l De nada! and:
I just read this:
Is stopping aspirin dangerous?
Discontinuing long-term aspirin therapy for cardiovascular (CV) prevention has been shown to increase the risk for CV events by how much?
The correct answer is
A12% B25% C37% D48%
Actually the correct answer is 37%!
Explanation:
In a Swedish cohort of >600,000 people who used aspirin for primary and secondary CV prevention, those who discontinued therapy had a 37% higher rate of CV events compared with those who continued therapy. The risk increased soon after stopping the medication and did not seem to decrease over time.
Current guidelines support the use of aspirin for secondary prevention of CV disease (in the absence of bleeding or major surgery). However, the role of aspirin use in primary prevention is still being studied. [Secondary- means after having developed coronary artery disease as evidenced by angina, angiogram, or heart attack. Primary means before any heart disease has been identified.]
@PhysAssist
I supposedly have good or decent various indicators. But I’m not young and it’s time to take a this more seriously.
So thx.
And there are a few instances of diabetes, stroke, and cardiovascular events in my family. So I gotta check this all out big-time early in 2018.
Each January I monitor stuff like blood pressure and glucose for a month or two just to see what’s up. A year ago supposedly my a1c was fine. My daily values were fine. My blood work didn’t suck. I have the a1c value from then written down somewhere. The family-relation/physician was kinda impressed, mine was way better than his.
; )
But I’m at the age where I need to take this all a little further.
@f00l It sounds like we have some basic similarities.
Only one of my grandparents made it out of their early 60’s, but she [my MGM] lived to 94. Countering that, my parents did well better- having quit smoking earlier, drinking more moderately, being only moderately obese, etc.
My dad died a couple of years ago from kidney cancer complicated by the diabetes he developed in his later 70’s, because by the time it was evident, he was diagnosed as stage IV. He was 87.
My mom has cholesterol issues and can’t tolerate statins very well, but despite almost dying from complications of ulcerative colitis a couple of times, she just turned 92 this year.
My BP, Lipids [cholesterol], and A1C are all in good shape as is my BP, and I had a ultrasound screening for early detection of kidney cancer which was clean.
But I had bone cancer in my late teens, which is now ancient history, but still makes me wonder if there’s some kind of blind spot in my tumor hunter-killer systems, I’m fat and lazy, and prolly drink more beer than I need to, although my PCP knows exactly how much and often that is, and is sanguine about it.
So I will continue to try to improve my diet and to exercise more regularly, sleep more, and relax more consciously.
I am glad you were diagnosed and treated before it was too late. ITP can be scary and dangerous. It’s great you have such awesome friends who banded together to take care of things for you.
My mom developed ITP while she was in college. Knowing how easily she bruises and how she usually has to get platelets before even getting a tooth pulled, I was pretty worried when she had to have a mastectomy. It turned out well though. Her condition is one of the reasons I’m a blood donor.
As you’ve probably already discovered, a 6-pack will never have the same meaning again.
/image 6-pack of platelets
I loved Babylon 5, and that was a great memory. I’m very happy to hear about your positive ending, and about those friends who stepped in and helped. Thank you for the gift of shared joy, and continue to be well.
Here you go, one of my favorite purple things:
Maybe to prevent any more unnecessary scares, a mod could add this after the first paragraph?
Before we begin, I’m fine. I have the strength of a kitten, and the attention span of a gnat, but I’m fine. Full recovery is already underway, and I almost hit “normal” this week.
@blaineg
@Thumperchick? See comment above.
@blaineg Wonderful, thank you for doing that!
There’s another great “little” thing I’ve got to share.
Do people’s names matter to them? I got an education in that!
The first round at the hospital began on the 5th, we got home on the 7th.
On the 11th I sit down in the chair at the ER admitting window. The receptionist looks at me for a moment and says: “Your name is Blaine, right? Tell me your last name.”
When I spluttered “how did you do that?” She simply said “I just try to remember people’s names, I think it helps.”
Well, yea, that’s a wonderful idea, but it’s been a week, and how many hundreds of people has she seen since me? I told her that I was beyond impressed, and that she had an amazing gift. She really had an impact on me.
Getting people’s names set in my head when I meet them has often been dodgy.
During this hospital stay I spent some effort getting, holding onto, and using people’s names. I’m now convinced it matters a lot more than I ever thought it did. At the very least, trying to thank them by name was good for me. But maybe, a couple of times, I saw surprise in someone else’s eyes.
@blaineg my mom taught me a long time ago to be especially nice to people who deal with people on a daily basis - mostly because they can make or break you, but because they are quite often overlooked. So, learning a name of the person helping/serving/etc has always been a priority. It does suck that I am terrible at it!!
People think I am a sweetheart for doing the things that I do… but it is because I have been on the receiving end more often than the giving.
Glad you have friends who have made this time easier!
(autoimmune system hell buddy, here! )
@blaineg
I think names matter a lot. Tho I am terrible about that.
You have motivated me. Thx.
@mikibell My mom taught us well. My dad too. In fact growing up, one of my sisters was convinced that Dad knew EVERYONE. Everywhere he went with her, he met someone he knew. He wasn’t famous, just an office guy.
@blaineg
My Esteemed Younger Brother and My Glorious Sister-In-Law can do this.
They have like 2000 friends or something.
And personal relationship with all of them.
They’re not faking or padding.
Their generosity is astounding. They act on a “do what we can do, that’s right in front of us” principle.
They act on this principle a lot.
Uh. Btw.
They are better humans than I, in case that isn’t quite clear. But perhaps I can still learn.
@f00l They are who I want to be when I grow up.
@f00l
I can’t say some of the more notable things my family members have done. They acted privately on behalf of people - esp troubled kids - that they knew personally.
Some of these kids later became somewhat public names.
These aren’t super famous stories or people or anything. But if I said much, it might make the stories somewhat trackable.
Neither the former kids (who have done a number of public and private acknowledgments) nor my brother/SIL would want this.
They act privately. They are Facebook-shy. They do what they do because they see it as a daily and regular portion of their chosen and dedicated purposes in being alive and in being of general good health and fortune.
And they have good personal and social boundaries. They can’t be manipulated or guilt-tripped.
I am fortunate in my family.
By their example, I have come to believe that an intelligent and responsible path that includes much habitual generosity can really pay off in terms of personal enrichment and contentment.
BTW, your medical staff at the LDS hospital sounds astonishing.
@f00l Yes, and from what I’ve seen of the whole Intermountain Health Care group, it’s uniform. They obviously put massive resources into teaching and training all of their people in caring for individuals.
Care at the in-town hospital (Pop 40,000) is fine, but this is a different level.
As the name indicates, the LDS Church (Mormons) did start and run the hospital many years ago, but they were spun off into the non-profit IHC back in the 70’s. Today’s name is just historical. Says here IHC owns 21 of Utah’s 60 hospitals. I’m glad.
And one other little detail to clarify, for the sake of the point that good ordinary people are everywhere:
The John I mentioned toward the end is a friend, but not a neighbor. John lives in the Denver area, I’m outside of Salt Lake City. There are great people in his neighborhood too.
@blaineg
It sound to me like you are completely surrounded by excellent people; and there’s nothing you can do to escape.
I suppose you’d better surrender.
/giphy goodness
Gotta add a funny. A brother brought his family to the ER Saturday night. Zach is 13, Ashley is 10 and both are intensely curious about EVERYTHING.
So I was explaining blood in simple terms.
Plasma is the juice.
Red cells you know about because of the color, they feed you.
White cells fix you.
Platelets stop you from leaking - I don’t have any right now.
They immediately determined that I needed something to plug leaks and started discussing options. Ashley went with glitter, and Zach chose locktite.
The great thing about glitter, Ashley said, was that all of my scabs would glitter.
“But Ashley, what happens if I sneeze?”
Giggles
I had to push it farther “But Ashley, what happens if I FART?”
We were howling. It was glorious.
@blaineg Hah!
Locktite isn’t too far out of line, though – cyanoacrylates are used for wound closure, so if it was a bottle of instant adhesive …
Sidenote: I see you were wearing Space Racing Stripes Remix in one of the pics.
@narfcake Yep, I had to find a purple shirt, didn’t I.
@blaineg
/image fart glitter
@blaineg
Great explanation for the kidlets!
With only minor quibbles for for us more erudite types-
Plasma is the juice- wherein are contained-
Clotting factors- i.e., the chemical parts of the clotting cascade- these are the part of clotting that anticoagulants like Coumadin/Warfarin effect; Antibodies and other globulins- otherwise known as immune proteins meant to bind to foreign proteins- making them safe and targeting them for clean up by the white blood cells and spleen;
Electrolytes like potassium, calcium, and sodium- charged particles in solution, which enable muscles and nerves to communicate;
Hormones and neurotransmitters that trigger actions in distant organs and other locales from where they are released;
Non-immune Plasma Proteins like Albumin, which because of their large complex mass and structure, help keep the fluid inside the circulatory system, Many drugs are also bound to plasma proteins as part of how they work and are transported.
Plasma constitutes more than half of the blood’s volume and consists mostly of water, which allows transport of all these other components.
If anyone is still awake and even mildly interested, I can carry on with the other components of blood tomorrow…
@PhysAssist Thanks for the details, I’m always curious about how stuff works.
Frankly, I exhausted my knowledge on the subject with my simple explanation.
I’m a computer and electronics geek myself, and the company I work for makes x-ray tubes and detectors.
Yes, vacuum tubes still run critical parts of our world.
@blaineg Yup vacuum tubes… sometimes really big ones. Many years ago, before the electron beam accelerator was actually up and running in the Hampton Roads area of Virginia, I ran a science program there one summer for kids.
The high school kids got involved with one scientist’s experiment to find out which coating inside the tube worked the best in the vacuum. The electrons were sent around the oval tube system (which was a vacuum and the tube went around an area the size of a football field if I recall correctly) with magnets guided by a computer program. So another group helped map them and a third group learned how to program to guide them in a simulation. The “real” folks had already had an oops sending a beam through 3’ of concrete and into the dirt pile over the end stations. Apparently it was a joy and please to find that tiny pinhole. Interesting stuff.
We also took the kids to Bush Gardens to learn about the physics of amusement park rides. Nothing like riding the roller coaster about 10 times trying to get the photos the boss wanted of us up upside down with the home made gravity measurement device in the picture good enough that we could see what it was measuring. With the kids looking at it, while totally upside down (I was in the seat behind them). Good thing we were upside down several times in one ride. Took while. LOL
@Kidsandliz As Mythbusters says: Remember kids, the difference between science and screwing around is writing it down!
@blaineg Too True!
I forgot to add that plasma is also where the nutrients carried by the blood are actually found- some like glucose are in solution [dissolved], and some like amino acids [the building blocks of proteins], and lipids [fatty acids and triglycerides] in suspension [basically like floating around in fluid].
Red blood cells [erythrocytes- literally red cells] are mostly composed of iron bound to a protein called hemoglobin- which transports oxygen to the cells and carbon dioxide from the cells and these gases are exchanged in thin little air sacs in the lungs called alveoli.
Platelets are not actually cells, but fragments of blood cell precursor cells called “megakaryocytes”.
What this diagram shows, but doesn’t really explain is that all the different types blood cells basically come from the same bone marrow cells, which is important mostly when you are low on one or another type, and have to suspend or slow down production of one to make more of the missing ones.
All the cells above on our right of the red blood cells are types of white blood cells, which are responsible for most of our ability to fight off infections.
@PhysAssist And… I recently read that in mice (they were studying platelets trying to figure out how how to get they body make more; context was wanting to be able to cut down on all the platelet infusions myeloma patients need) they had a surprise discovery that we have an immune system lining our lungs. They tagged platelets in the bone marrow and much to their surprise discovered they also showed up in the lungs. So then they killed the bone marrow and surprise again, the lung immune system cells went back and created bone marrow cells. B cells showed up too, not just platelet cells.
While they aren’t looking in that direction with what they were doing my thoughts (hypotheses) were:
this explains graft host disease - since we didn’t know the lungs were involved only some of the time were all the bone marrow cells killed in the lungs, and so they started to re-seed on or before when the donor stem cells are introduced and/or before the the transplant starts to “take”. Kill everything, including in the lungs, and bingo no host graft disease.
In non-hodgkin’s lymphoma patients who have a stem cell transplant, those that have mild host graft do better…and my guess is that continually beating back the errant original cells to keep the blood cancer from re-seeding the donor marrow is why. If, for example, we got rid of ALL cells, then would they even need host graft as there’d be no cancer cells at all floating around.
I told my oncologist about this and he thought maybe there might be something in that. Hopefully he passed that on to the folks there that study this kind of stuff (he is more into drug development).
Of course those studies those folks did on platelets didn’t solve the problem of causing the body to make more platelets - at least not yet (they are still working on the problem).
@Kidsandliz
Well, now I’ve learned something new!
@Kidsandliz
Ok that’s interesting. Not that I took it all in …
@f00l just mentioned “principle” a minute ago.
I think what’s settled in on my soul over the last day or so is just going to say:
Do something inconvenient.
Well, going to try “Justice League”. Wish me and the steroids luck!
Good luck Blaine and the Steroids!
@PhysAssist We made it, and the movie was a lot of fun. Still haven’t seen Thor, something came up that weekend.
Thor was pretty spectacular. Definitely worth the Imax ticket price, if you like the genre. Cate B is an awesome baddy in ANY genre.
Maybe the steroids are finally packing up, at least there was a new symptom last night. With about 30 minutes left in the movie I became ravenous. And I’d eaten half a pizza before we went.
I wasn’t just “hungry” I was turning into Galactus, eater of worlds. “I HUNGER!”
I inhaled a Five Guys double cheeseburger, fries and shake on the way home, and there was still a little room around the edges.
Flash’s appetite had nothing on me.
@blaineg
/giphy "incredible hulk"
@f00l That’s actually another steroid side effect- a late one…
@PhysAssist Do you know how glad I am to hear that is a “late” side effect?
@PhysAssist And it’s one reason I pack on weight every time I have to take them.
@OldCatLady Steroids suck.
@sammydog01 Yep, but bleeding does suck worse.
@sammydog01 I was going to say except when you need them!
Sleep! Welcome back my long lost friend!
I was up frequently during the night, but was able to fall back to sleep fairly quickly each time. Best night’s sleep since this started.
@blaineg Awesome man! Welcome back to the dreamtime! I’m very happy for you!
@blaineg Nice to hear.
Hello friends!
All is well, and I’ll be home for Thanksgiving, but I owe you an update.
The steroids departed, and sleep returned on Saturday. Sunday morning there were some new purple spots over both collar bones, and a very slight bloody nose. Well, we know where this is going by now. But we also know that this is the “uh oh” stage, not panic stage.
So we went to church, kind of must this week, as Elaine was leading two choir numbers, but I also really wanted to be there myself. And then we headed back to the hospital. Platelets were indeed low but at 27 it’s a problem, not life-threatening. The real concern is the drastic drop from 133 on Wednesday. But we caught it early.
They gave me one platelet transfusion and started IV steroids again. To cut the tale short, three hematologists consulted on me (so at least they had me outnumbered) and the new plan is very high IV steroids in the hospital, and then a weeks long taper off on pills at home.
The problem is my system still needs too much support from the steroids, and the attack is back at full strength pretty quickly when the last dose wears off. When I described what looked to me as a pattern of wearing off on Saturday, and trouble the next day, the doctor said that was exactly what was happening.
Now lest anyone think a “mistake” was made the first time around, it’s an iterative process of finding what works best. They have two approaches with the steroids: taper; and shock, which was high dose IV on/off/on on alternate days, followed by several days of high dose oral. Patients generally respond faster and better to shock, and it has the advantage of less time on steroids.
So, the current plan is I get out tomorrow, and continue with oral steroids, tapering down over weeks. But the best news by far is the hematologist readily agreed to some sleep help! (It was the hospitalists that like the tax code.) So I get to try that out tonight, which I’m really looking forward to, since I only got 2 hours last night.
Platelet count is slowly creeping up over the last three days, so progress is happening. Looks like I keep getting better, AND I get to sleep. What more could anyone ask for?
@blaineg
A cure?
Hope they have it under control for you from here on out. Good luck. Glad you have been lucky with respect to nothing really bad happening in say, your brain…
@Kidsandliz Yes, I have been extremely blessed through this! And not just medically, it has been vastly humbling to see how many people care about little old me. What’s been especially touching are the children’s responses.
And, yes, cure is a very nice word as well! Time will tell, and this may be the cure. For some people the first or second treatment would have been the cure. But there are plenty of other tools in their bag of tricks, so I’m hopeful.
The other unanswerable question is this a one and done, or recurrent? Could be either way, and no way to forecast. Well, the odds do favor a single occurrence, so that’s probably better than any weather forecast.
The platelet count is trending up slowly but surely, and they are kicking me out today.
And I’ve gained a super-power! My Spidey-sense is that I turn purple when in danger.
@blaineg That’s a very minimal superpower to roll. Cast the dice again, and at least get X-ray vision or something.
@OldCatLady It may not sound all that impressive, but I wouldn’t trade it for any other power, except maybe invulnerability. That would be handy!
@OldCatLady And there was some chatter on Facebook (there’s some more photos over there, if there’s any interest) about my super powers, based on this ugly picture from this week.
Like my racing stripes?
One friend suggested I stop stiff arming cinder block walls. I think it was actually the mesh sleeve they put over my IV.
So, obviously NOT the Man of Steel. I asked for suggestions for the softest metals, and got Mercury (liquid at room temp) and Gallium (solid at room temp, will melt in your hand).
So, what do you think? Man of Mercury? Man of Gallium?
@blaineg And the gallium suggestion jogged a memory, and Amazon says I bought some back in Feburary! Better dig it out and play with it today.
@blaineg …or adequate clotting!
Happy Thanksgiving everyone!
@blaineg
@blaineg We are all giving THANKS that you are alive and as well as can be expected, but mainly ALIVE!
@PhysAssist Thanks friends! It was a wonderful Thanksgiving day. I picked up my Mom and drove her to my sister’s place, where about half the family had gathered (two siblings & families were with the other halves, and two live elsewhere), so it was a good crowd.
Uncle Blaine got to sit at the “fun” table with some of my fan club.
I was only out for 5 hours or so, but it felt a long day after I got home.
My 9 year old niece had put small bowls of Swedish Fish on each table. She said they were “thankful fish”, you could have as many as you wanted, but you had to think of something you were thankful for, for each fish you took. Love that girl!
Just for laughs. The very first night in the hospital the CNA said “The food here is pretty good, but everyone says the steak is underwhelming.” I took a gamble a couple of days ago. (Altoids Smalls for scale.)
Behold, the Steak Nugget!
@blaineg And I am being slightly unfair, it did provide one of the best laughs I’ve had in the last week. Elaine can attest that I busted out laughing when I lifted the plate cover! When she asked what was so funny, I just held up The Nugget.
@blaineg How was it? It looks kinda dry…
@PhysAssist It was actually a nice little steak nugget, the dry look is a dry rub seasoning. But the little packet of steak sauce kinda reminded me of dipping sauce for some reason.
At least with the chicken fingers you get three of them.
@blaineg Here’s a cropped version of the steak nugget.
Gallium, man.
I just held the vial in my fist for a while. The edges melted, and the center stayed solid. It melts at 86 F.
@blaineg dontcha just love the steroid train? I have a standing prescription for it…first for the annual bronchitis season, second for the chronic hives, which sound minor, but seem like they can be evil! Smh!
But anyways, upside of this, you helped me find a cool Christmas present for my geek/nerd 13yo son. He is going to love gallium. I also grabbed a spool of magnesium while I was ordering the gallium! I foresee explosions in my future!
@mikibell I’m just grateful I haven’t been hit with some of the other side effect like anger. A friend’s 14 year old got blasted by that, and they had a rough night getting him through it. My side effects have been fairly consistent, so I’m kinda getting used to them. Be glad when they end though.
Yes, your son will have fun with the gallium. Don’t tell anyone, but I haven’t grown up yet. I bought mine for me to play with!
I better stay away from magnesium for a while.
@blaineg Argh! Just hit Crtl-W on THIS window, instead of the other one. Dumped a long list of toy ideas. I should know better. I’d just go back to bed, but the steroids are still in the driver’s seat.
Ack! Thppt!
Well, I just found the Lazarus extension for Chrome. Too late for now, but might as well install it.
And start retyping the list in Notepad++
@blaineg Oh, bless ArsClip’s little heart! It had kept the last 15 clipboard entries, so that helped.
@blaineg anything else good for a 13yo son?
Magnesium and hydrochloric acid are cool when mixed together…no explosion unless you light the hydrogen on fire
Exothermic reactions are cool! (Sez the English major)
@mikibell Yep, lots of ideas. I’ll get the list cleaned up and posted in a bit.
@mikibell if you are talking about chemistry… my parents brought my then junior high brother a chemistry set. He made things like contact explosive (only crackles when you step on it which he chose to sprinkle in the school hallway), He’d make cherry bombs with long fuses and we’d blow up sand castles on the beach, smoke bombs (closed the school early on the last day of school tossing one into the ventilating system)…
He also forgot once that aluminum is a catalyst and so mixed stuff in a pie pan. The subsequent explosion meant he had to have over 200 pieces of red phosphorus picked out of his eyes (yes he did have eye goggles - busted. Not using them) fortunately no long term damage. And he blew out the pilot light on the furnace lighting something or other down in the basement. I am sure his hearing suffered with that one. He cut his hand when he did something or other stupid with the ceramic thing he was using to mix things together. Fortunately he was reasonably lucky with his disasters - really only 2 that count.
Least you think he only had disasters and only made things that burn, blow up and/or smoke (which teenaged boys seem to love, or at least the ones he hung out with), he also made things like slime, something or other that bounced… And did really well with the school science projects due to the things he was learning about with his home experimenting (my parents never got involved in those things with us, we were on our own).
And in this day and age I am not sure they’d sell to kids some of the stuff he bought to augment what came in the set BUT that, for him, ignited an interest in chemistry that he finally put to a less dangerous use as an adult. A chemistry set with a bit more supervision than my parents gave might be something your 13 year old would find intriguing.
At Thanksgiving dinner, one of my grow-up, married nieces dubbed Pirouline “Pie In A Stick”. I like it.
And things are looking much better. The existing purple is fading fast.
Sleep and energy levels are sill pretty wildly variable, but progress is happening there as well.
@blaineg
Very glad to hear this.
@f00l And even fainter today, I was surprised and pleased to see how fast it’s fading.
Dad would have liked this one.
Monday night in the hospital, the bathroom door hinges were squeaking, and by that I mean haunted house movie level of sqeeeeek! So every time I opened or closed the door it woke Elaine. When I mentioned it in the morning, two maintenance guys were here in short order, and instantly silenced it with a few quick sprays. I asked if they were using silicon, or something else. They said it was called Houdini, and “It says it’s only for locks, but it works great on everything!” I thanked them, and asked for a look at the can and they were on the way. So now I’ve got another new cool tool.
My first thought was that Dad would have liked it. My second was: there’s probably already a can of it with his locksmithing gear!
Dad was a banker. And a mechanic, locksmith, carpenter, appliance repairman, tinkerer, inventor, teacher, mentor, friend to all small children, rock. He learned locksmithing when his bank duties involved a lot of properties held in trusts. He got tired of having to call out locksmiths to rekey locks, so he got one of his locksmith friends to teach him. He got really good at it.
Dad was always reshaping the world around him to make it work better. Even in his last week back in May, he had me working with him on a project with wood dowels and, yes, duct tape. The goal? Make the remote control on his power recliner work better for HIM. Nevermind what the manufacturer thought was right!
My biggest hero by far!
Thanks Dad!
Another thing about Dad. He has been drawing “kitties” on kid’s hands since I was tiny. They are really good at stopping tears, calming nerves, and bringing smiles. One of the grandchildren gave him this one.
And one of the last ones he ever drew. For a neighborhood child.
@blaineg Missed the edit window. That’s Mom in the center, she’s always smiling.
@blaineg Reading this definitely brought me a smile.
@narfcake Please, take the kitty idea and run with it. Kids love it.
It’s probably not original to Dad, but it’s always been a part of our family life. I honestly have no idea if he “invented” it, or borrowed it from someone else. And it always makes me smile when one of the little ones ask me for an addition or correction to my “artwork”. “No, the mouth looks like THIS.”
The even help with the grown up kids going off to school or military or public speaking. Any scary sort of thing.
Dad passed away at home at the end of May. I got to spend the next-to-last night at his side. When I told my niece (she of the Thankful Fish story above) that I was a little nervous about speaking in the funeral service, she asked me if I wanted a kitty.
When she was done, she asked if I wanted mice too. When I told her I knew about kitties, but not mice, she drew little mice on a finger and thumb.
(Sorry, did’t get a photo of the mice.)
And Dad’s sense of humor was intact to the end. As I helped him get settled that night, I asked if he needed anything else. He said “Yes, how about a long-handled ice cream spoon?”
Baffled, and not sure I’d heard him right, I asked if he wanted anything else with the spoon. He just said “Yes”, and grinned at me.
Once it finally clicked, I got him some ice cream to go with the spoon.
For years I’ve bragged that I did exceptionally well when I picked out my parents, but it really is true.
@blaineg
You did exceptional well.
More stories are good, when the mood strikes.
@blaineg ha…everytime my daughter complains about her father, I remind her we had no choice in getting her, but while she was in Heaven with God, she chose us…
She said she chose us because God was smart enough to only show her me… yes, our family like to smile too…
Glad you have wonderful memories!
@mikibell likes… duh! darn phone screen is too small!
Ok, here’s the “toys” dump.
When I got home from the first hospital visit, I was looking in the mirror, and something looked wrong. A skin condition? No, I haven’t shaved for days. It’s white? When did it turn white? Nowhere near Santa white, but far more than I remember.
But good enough for a “fake Santa” toy list! This is probably a disjointed, steroid influenced, mess, but here goes:
Aaron’s Crazy Putty. Silly putty on, um, steroids. You can get glow-in-the-dark, magnetic, heat sensitive color changing, iridescent, metallic, clear (way cooler than it sounds), and magnetic (with magnet). Not ALL in the same tin at one time, of course, but some combinations do line up. There was even a special edition “Lady Liberty” with flakes of the actual statue! They never explained how they pulled that off, but claim it’s real.
There are generally two sizes: the full size, 4" tin, 3.2 oz; and the sampler size 2" tin, 0.47 oz. Get the big one! Only get the littles if you’re trying to sample a bunch of different types. (There are also a few fancy types in a 1.6 oz tin.) I think my favorites are the magnetic, thermal and iridescent.
Optical Calcite: rock you can see through. Sort of fiber-optic rock. The one I got is pretty cloudy, so I’ll have to look into polishing it somehow.
Magnetic Field Viewing Film: thin green sheet that shows magnetic fields. A lot of those one piece magnets are not. The typical flat “sticker magnet” is a riot of little magnets.
Radiometer: the old spinny in sunlight thing.
Glow in the Dark & Reflective Paracord, I found some that is both.
Glow sticks. Any sort. You can get 200 of the bracelet type for $15 or so. Kids will love it, and it makes it easier to keep track of them after dark.
Cheap quadcopters. No idea where you’d find any of those.
Stomp Rockets: Big fat foam tips, powered by stomping on a plastic bladder. If you really want to wear out the little ones, aim the launcher tubes so they have to run after them. Crowd control at the launchpad is a good place to teach taking turns and sharing. But they can handle full teen/adult stomping too. A few rockets have worn out, and a launch stand broke, but we haven’t been able to kill a stomp bladder. LED version available for night launch too!
Super Soakers. 'Nuff said.
Nerf! The current ball ammo shoots WAY farther than the older discs or original darts. Good for full-on teen/adult warfare. But not indoors with the ball ammo!
Also BOOMco makes fun stuff. Just noticed that it’s really Mattel.
Nerf mele:
Swords, shields, axes, maces, etc. Seems to be more popular than the guns, because you don’t have to reload. I’ve seen 20 somethings, and little girls in pitched battles with them. (No, not the same battle!) It was really funny to see the little girls having as much fun with them as the boys do. Minor surface damage, and one structural failure fixed with superglue. Impressive!
Beamo Flying Hoop: nearly 3 foot diameter “frisbee”. Hoop rim, covered in fabric, kid sized hole in the center. Flies surprisingly well, and you can play hoop toss ONTO the kids. Very funny to watch a kid try and launch something as big as he is!
Nite Ize LED frisbee: FlashFlight is their name for it. Great at night! Normal and Jr. sizes, but get the big one.
Eye candy:
Lava Lamp, still amusing after all these years.
Plasma Globe: wanted one since I was a little kid, but too expensive. Love watching the bolts dance against your fingertips. The bigger the funner.
Plasma/Lumen disc, favorite SciFi prop. Flat version of the globe. Cool, but not as interactive.
I got Dad a bunch of little things to stave off boredom in the rehab center:
Ball of Whacks, bunch of identical plastic pyramid/triangle things, forms a ball, or many other shapes. Claims to be an adult creative tool.
Ugears: laser cut wood puzzles, toys etc. From Ukrane = U gears. From little puzzles, to working trains.
Hanayama Cast Metal Brain Teaser Puzzle: many, all sorts of shapes and difficulties.
Escher’s Mirrorkal Brainteaser Puzzle: odd one. Five Escher sketches in one puzzle made of 9 cubes. Easy, right? One face of each cube is a mirror. Good Luck!
Coggy - Fat Brain toys - lots of stuff there. Mostly younger, but but not all.
Kikkerland Square Bear Toy Figure: Wood & elastic cube that turns into a bear, and back.
Paper/card Corner Cutter - Dad wanted rounded edges on his 3x5 note cards, so they’d slide into his pocket easier.
I’m a sucker for stationery toys in general.
Shifting gears back to general toys:
Metal Earth models. 1-3 sheets of stamped sheet metal (stainless steel?) will make branded stuff like Star Wars, or real world stuff like ships and bridges. Very detailed.
Some are even in colors, like Iron Man, and a Kawasaki motorcycle. You can get by with whatever, but you’ll be happier with some good, small needle-nose pliers and side cutters. And magnification, if you need it.
Perplexus: sealed ball (or cube, or…) with a 3D maze inside. Just maneuver the ball around the maze to the finish point. Easy, right? Wrong! Many different sizes and types, including a Death Star model.
Books:
Either of Randal Munroe’s books. He does the xkcd.com comic.
“What If?: Serious Scientific Answers to Absurd Hypothetical Questions” What if we emptied all of Earths oceans onto Mars to help Curiosity out with it’s quest for water? And he runs the numbers (and makes the numbers funny) and sketches some maps!
“Thing Explainer: Complicated Stuff in Simple Words” Explain complicated things in the ten hundred most common words. (Thousand is NOT one of them.) It started with this comic, Up Goer Five.
Alien Next Door - perfect bedtime story! HAHAHA.
OLD Stuff:
Spirograph is back. So’s a lot of stuff from my childhood.
Creepy Crawlers are NOT, but if you’re ok with children’s toys with open hot plates (welcome to my 60’s childhood), you can easily get original 1960’s ThingMakers and molds on Ebay. The easy way to get PlastiGoop is PattyGoop, and everyone seems happy with it. But if you want to DIY all the way, you want fishing worm lure casting plastic, Plasti-sol. And hardener, and colors, and… forget it, go with PattyGoop! (But go about 10-20% hardener, or they’ll be too soft with straight Plasti-sol.)
I revived Creepy Crawlers for this year’s “Cousin Camp” family get together, and it was a hit with all ages.
Hot Wheels!
Scale model kits. Haven’t really done much with them for a LONG time, but it’s starting to pull me back in, and kits are starting to pile up. I’d better do something about that.
Electronics/soldering. Lots of potential here, and not as hard as you think.
http://mightyohm.com/blog/2011/04/soldering-is-easy-comic-book/
Arduino, Raspberry Pi microcomputer boards. Endless possibilites, overlaps with soldering and electronics, depending on which way you go.
Grown up tools/toys:
Plastic razor blades, great for de-gunking without worrying about damaging the thing you’re working on.
Releasable & Reusable Cable Ties: same as always, but a larger, easy to to release latch. Wonderful in some applications.
Magnetic work mat: Holds all the little screw from whatever you took apart. Label it with a fine dry-erase marker. You won’t remember next week when you go to put it back together!
http://kk.org/cooltools/ Web site, and a book spin-off. Where I find a lot of goodies. “Anything useful” is kind of their definition of a tool. Tool, book, idea, it’s all the same.
Just plain fun:
Wallace and Gromit
Shawn the Sheep, spinoff.
Schlock Mercenary: Funny SciFi web comic. Updated Every Single Day since June 12, 2000, even when a data center blew up. Five Hugo Award nominations. http://www.schlockmercenary.com/ (Hint, actually updates at 7pm Mountain time.)
Motorcycles. Well, off the list for now, but lots of fun, and loads of memories. Dad taught me how to ride. He said he figured he could forbid us, and it would happen behind his back, or he could be involved and have some influence. I guess it worked, I’m mostly a mild-mannered trail rider, not a skyborne lunatic. Lots of good memories riding together off road. Sand dunes. Moab. Canyonlands. The mountains five minutes above town.
Hope all this is some use, and fire away with any questions.
Blaine
Resources:
“Toy” stores:
http://www.thinkgeek.com/
https://www.vat19.com/
https://www.perpetualkid.com/
https://www.fatbraintoys.com/
Raspberry Pi & Arduino toy stores:
https://www.element14.com/community/community/raspberry-pi
https://www.adafruit.com/
https://www.sparkfun.com/
https://shop.pimoroni.com/
Electronics surplus:
http://www.halted.com/
https://www.allelectronics.com/
http://www.goldmine-elec-products.com/
Mainstream electronics suppliers happy to sell to hobbyists:
https://www.mouser.com/
https://www.digikey.com/
https://www.jameco.com/
http://www.jdr.com/
@blaineg
You’re a quality resource. Thx.
Perhaps some can get gift inspiration here.
@f00l There’s nothing me and the steroids can’t do.
That was a lot more than I lost this morning, so I guess it was all for the good.
Also check out “Geek Dad” (site & book) and “Dangerous Book for Boys” and “Theo Gray’s Mad Science: Experiments You Can Do at Home - But Probably Shouldn’t” series.
Hey, Santa…
https://www.amazon.com/Unique-Gadgets-Toys-15-Inch-Nebula/dp/B01H2GN8YO
15 inches, $280. Drool.
Or a “mere” 10" for an affordable $70. It seems the first ones I saw at Radio Shack when I was a kid were about $60-70, which was way out of my range back then.
Oh, yea, stationery toys: https://www.jetpens.com/
Haven’t ordered from them yet myself, but they seem to have a good reputation. Lots of Japanese import stuff.
And I always carry a Fisher Space Pen. Titanium Nitride finish.
http://www.spacepen.com/
And tools in general, and pocket knives.
http://toolguyd.com/ is a great place for tool info.
Way too many pocket knives, including a few from Meh.
But I’ve settled on a Ken Onion Shallot, with a Damascus blade. I’ve always wanted a Damascus blade, and getting in an assisted opening Ken Onion/Kershaw was perfect for me.
Kind of this, but silver handle and blade, and much finer Damascus pattern. I use it to slay defenseless cardboard boxes at work.
Yes, I’ll be extra-careful, I promise!
@blaineg my son loved lots of the things you listed… I did get the magnet detector… He has rasp pi, solder and a 3d printer, he is getting a laser engraver for Christmas He is programming an arduino to make music happen with lights at our house… oy!
@blaineg
Would it be ok with you if this thread had something like
"… And Really Cool Toys"
added to the topic title? Perhaps after your platelets are behaving, Meh people can still come to this thread to discuss wonderful toys.
I hate for these toy recs and the fun stories that can go with to be lost.
Staff could fix the title up, if you felt cool with the idea.
/giphy "cool toys"
@f00l @blaineg or start a new thread and copy/paste there what you have here with respect to toys. Then people wouldn’t have to scroll way down to find that portion of the thread…
@Kidsandliz I’ll do that, great idea.
@blaineg And probably chop it up a bit and post it in pieces, instead of a single brain dump, to make it easier to find stuff.
@blaineg And done. Thanks again for the suggestion.
@blaineg And what a list!
We were playing with my gallium at Mom’s last night.The liquid leaves gray marks (gallium itself, of course) on your skin. It washes off easily and is non-toxic. One of my nephews just rubbed his palms together to “get rid of it”.
I meant to post this earlier, but I’ll claim it’s still Thanksgiving weekend.
The “threaded thanks” exercise.
I tried this with my life-saving experience of the past few weeks, and pulling on that thread is quite the exercise!
From Howard Tayler:
"The “threaded thanks” exercise works in this way: Pick a thing for which you are thankful, and then read up on that thing. Where did it come from? Before it came from there, where did its parts come from? Who hauled it from all those places to the place where you got it? How were they able to make the trip? Find the thread and keep pulling, and identify as many connections as you’re able to. Then express your gratitude for each of those connections.
It might take a while. Probably don’t do this while others are waiting to eat."
http://www.schlockmercenary.com/blog/revisiting-the-threaded-thanks/
@blaineg
@blaineg
I had not heard of this as an exercise before you mentioned it.
Cool idea.
I try to be consciously aware, more or less daily, of how much other peoples’ mostly invisible or unremarked work and effort, and their basic, unthanked decency benefits me each day.
Oooh, I forgot one of the best toys. My youngest brother introduced me to this one. Feel Flux. Gravity might not be quite as constant as you think it is.
It’s magnets, of course, and Lenz’s law, but it feels like I’m breaking gravity every single time I play with it.
The great introductory trick is to challenge people to catch the ball when you drop it through the copper tube. Build it up a bit, and it breaks their brain every single time.
The original model is a copper tube. There’s a stunt model (they call it “skill”) with two aluminum tubes, but the ball falls faster through the aluminum. There was a very pricey limited edition silver tube model, that was said to be even slower than the copper.
It’s not cheap at $100, but for the amount of smiles and laughs it’s been worth every penny.
http://feelflux.com/shop/
I’m not sure how long it will last, but their black Friday special includes an extra copper cylinder, and that’s not cheap.
I was just expecting a blood test today, and the count is up to 102, which is great news. But then the doctor’s office called later in the day and said to step down one pill on the steroids.
Hi friends,
First off, if things of a spiritual and/or religious nature bother you, just skip right over this one. (After my first mistake, I’m trying to not bury the lede. Again, my deepest apologies for any distress I caused.)
Second, I’m not trying to proselyte here, just share some more of my heart, and express more thanks. You folks have been wonderful with your concern, care, advice, and friendship. Thank you! And since I’m off work for a while longer, it still feels like Thanksgiving weekend to me.
I’m a believer. Mostly life-long, but with a significant lapse of years back in the 80s. Well more a lapse of action than belief, I suppose. If labels are useful as shorthand: I’m a Christian, a Mormon, a member of The Church of Jesus Christ of Latter-Day Saints (to use the full name of the church). Call me Christian, LDS, Mormon, I don’t mind.
I’ve been deliberately a bit generic in some of my posts, in an attempt to avoid giving any offense, but as I reflect this morning, I’m feeling ungrateful for not more explicitly saying what I really think and feel. And that’s not good at Thanksgiving time. “And in nothing doth man offend God… save those who confess not his hand in all things…”
To me, there are too many things I see as outright miracles to be comfortable with calling them luck or chance or coincidence. Too many “little things”. To me God’s involvement has been both obvious, and very comforting. Throughout what should rightly be a terrifying experience I’ve been blessed with a great sense of peace and calm. Having said that, there certainly have been terrifying moments! But they’ve been swallowed up in peace and assurance that all is well.
Through this whole experience there has been much of prayer and scripture study. Or at least attempts. With the steroid side effects, focus and concentration have sometimes been rare and precious things. However, a few verses really stood out. (As a little background, we Mormons love and cherish the Bible, and we do the same with the Book of Mormon. We consider both to be scripture, equal and complimentary. I just happened to be reading in the Book of Mormon lately.)
This one wasn’t even from study, just memory. "…I am very thankful before God this day that I am yet alive…"
Mosiah 7:12, Book of Mormon
Considering everything that could have gone disastrously wrong, and did not, that verse has never been far from my mind these weeks.
One of my sisters told me she came across this in her study: “…yet I trust there remaineth an effectual struggle to be made.” Mosiah 7:18, Book of Mormon
So, not just struggle on, but make something worthwhile out of the effort?
During the second hospital stay I was stuck in 3 Nephi 21, and not one single word was getting off the page and into my mind. It’s a fairly short chapter, 29 verses, but I read it over and over, several days in a row, with nothing getting through at all.
Then early one morning verse 10 cut though the fog like pure light: "But behold, the life of my servant shall be in my hand; therefore they shall not hurt him, although he shall be marred because of them. Yet I will heal him…"
3 Nephi 21:10, Book of Mormon
It echoes a verse in Isaiah, but has a very different meaning to me. It was also very overwhelming at the time, because it is Christ himself speaking here. A very direct, personal, and cherished answer.
And so many, many other things that people have done for me. Especially the children. My sister in Texas told me they prayed for me as a family as soon as they heard, but then her daughter ran up to her room to pray for me herself. It just melts my heart. And I’m sure I don’t know the tenth part of everything that has happened.
And Zach, of the locktite theory of platelet replacement? He decided to fast for me, all on his own. A 13 year old boy? The first my brother knew about it was when he noticed Zach was turning down every treat he’d been offered all day, and asked him why. Later, when his Dad told him I was rapidly improving, Zach quietly said: “Then I think my fast helped.” Of course it did!
And I’m afraid I shortchanged my dear 8 year old niece too. (Only 8, not 9! I’m out of sync a bit because I missed her baptism a few months back, because of a silly cold.)
It should have read in full:
She put small bowls of Swedish Fish on each table. She told us they were Thankful Fish. We could have as many as we wanted, but for each one we took, we had to think of something we were thankful for.
Then she continued: “Jesus helped them catch fish. They fished all night and didn’t catch any fish. Then He told them to fish on the right side of the boat, and they caught so many the boat almost sank. They were very thankful, and we should be too.”
Eight years old, completely her idea.
If I haven’t learned anything else in these weeks (and I have), I’ve learned a lot more about why Jesus taught we need to become as little children!
Thanks for listening, or not.
Blaine
PS: Since I seem to have developed a reputation as a resource, with the toys topic, here’s a wonderful resource for believers, or those who wish they could believe. My church has produced a lot of videos on the life of Christ. The text is pure KJV, nothing more or less. They are freely available for anyone to use. Personally, several of them have triggered new insights.
https://www.lds.org/bible-videos/?lang=eng
@blaineg Sorry, I fibbed, one more link.
Submitted for your consideration: #LightTheWorld / “25 Ways, 25 Days”
It’s thing my church started a year or two ago. It’s as simple as daily suggestions for things we can do to brighten the world around us. There’s a short video for each day, or a PDF calendar you can print out.
https://www.mormon.org/christmas/25-ways-25-days
And more good news, clean bill of health on liver and hepatitis tests, so nothing more to do on those fronts.
Got off without a blood draw on Wednesday, but at this point, what’s one more. My hematologist was satisfied with Monday’s 102 count. It will be weekly checks as he tapers the steroid dose down.
I left the hospital last week on 100mg of predinsone. Monday that was stepped down to 80, and then down again to 60 yesterday. The plan is to step down as fast as possible, then continue for a month or two on a much lower dose.
Right now lack of sleep is destroying me. And it’s so highly variable too. 2 hours one night, 4.5 the next. I might get back to sleep again, I might be up for all day. No way to know what’s going to happen. Sometimes a welcome nap sneaks in, but not often enough. And the doc switched sleep meds, so far I don’t see much difference, but it’s the first day on the new one.
Yesterday I was a zombie most of the day, but I got a little stuff done in spite of the sleepless haze.
What do you think of my new t-shirt? Too much?
Just a quick good news update: Yesterday’s platelet count was 197! That the first time I’ve hit “normal” since this started. And they stepped me down to 40mg on the steroids. So far I haven’t seen any change in the side effects in the steps down from 100 to 60, but I’m hopeful.
The other good news is they switched me to an extended release sleep med, and for the first time in a month I’ve got a full night’s sleep!
I’m rather buzzed on the sleep med side effects today, but that’s a fair trade for actual sleep.
Sorry, I owe you an update from Wednesday’s hematologist visit, but Thursday my brain was total mush, if it was even there at all. All I could think of was the Scarecrow’s refrain “If I only had a brain”. Friday was a good day, but I wore myself out. (Well, really half a day before I wore out.) The last couple of days have been mixed mush and semi-ok.
Friday morning I felt good enough to hit the 8:30am showing of “The Last Jedi”, which was great. I still felt good when I got home, so I ran two batches of laundry, and that wore me out for the day. What a wimp!
In any case, the platelet count on the 13th was 174, down slightly from last week, but still “normal”, and the doctor says it’s nothing to be concerned about. There’s no measurable difference in clotting ability between the two numbers, and as long as I’m above 100 he’s not worried.
He said the good news was he was stepping me down on the steroid again, to 20mg, but the bad news is that’s still a pretty high dose, and I can still expect side effects. He’s going to keep it at that level for a month, then step down to 10mg for a month, and then off. So far I haven’t seen any lessening of side effects. Muscle cramps are still hitting randomly, but less frequently I think. Hand cramps are weird! I’ve got followups set for the 20th & 27th.
Blaine
Today’s count was down slightly, but still normal. Also the first day for physical therapy to rebuild strength and relieve some lower back pain that started after the third hospital stay.
I’m beat, but overall I feel better than I have in a long time. Maybe there’s something to this physical activity nonsense after all?
Very glad things are improving.
What is the long term outlook? Have you been reading up? Do you have insight into what sets this off?
Re hand cramps:. If I were in your situation, I’d try drinking coconut water all day. Unsweetened, no added juices, and pref not from concentrate.
Excellent form of hydration.
I’m trying to remember where I saw it priced cheaply. Walmart? Costco? Spouts?
Anyway, if you decided to try it, check around on the pricing.
Really glad about the sleep fix.
Is the ongoing fatigue due to the platelet problem, or the lack of sleep, or both?
@f00l Cramps: the family doc has me taking supplements of magnesium, calcium, & B-6, and I’m already taking potassium. She said this would take days or weeks to kick in. But the frequency of them has decreased already.
I’m not fond of coconut, so that would be another nasty medicine to drink.
A neighbor recommended this nasty stuff: Caleb Treeze Stops Leg & Foot Cramps. “All natural” blend of apple cider vinegar, ginger plant juice and garlic juice, and it tastes as bad as it sounds! It does work quickly though. You’re supposed to dilute a capful in a few ounces of water. I had the great idea of taking it straight, so there was less nasty stuff to swallow. BAD IDEA! It felt like what I imagine drinking battery acid would be like. Those few ounces of water make a big difference!
The fatigue is ongoing steroid side effects, and probably lingering effects of weeks of not enough sleep, because of the steroids. And in the past couple of weeks I’ve been cycling through a range of new (to me) side effects: nearly constant hunger, crazy mood/emotional swings, and the steroid anger has hit a few times as well.
And the old side effects of energy and attention being on hair trigger switches are still hanging around too.
@blaineg
Coconut water doesn’t taste like coconut. It tastes a lot like water with some “indefinable” light flavor added.
Not a bad taste at all. And so good for us, that I’ve kinda learned to like it.
Coconut water is sterile inside an unbreeched coconut (or so I’ve read somewhere).
It is so well suited to us, biologically, that it has been used, successfully, a number of times, directly as an IV fluid replacement, after trauma and emergencies, in jungle or tropical conditions.
If sold as fresh, not from concentrate, nothing added, it should be sterile in a sealed container also.
Give it a try. Consider keeping some by your bedside, if you think you can drInk it when you need to (your dislike of coconut might not carry over). It works pretty fast on leg cramps. Not quite as fast as pickle juice, but fast.
Long term? Odd favor it being a one-time thing, but only time will tell.
Cause? Could have been viral (a cold a couple of months ago, shingles last year, something I had as kid), or a medication I’d been on for years. Probably never know for sure, but here’s something I sent to my family after doing a little digging:
Nearly everyone has asked me “What caused it?”, and there’s a wide range of possible suspects, but I stumbled across some interesting stuff while looking for leg cramp relief.
For several years I’ve been taking an OTC leg cramp pill that’s worked well (Hyland’s Leg Cramps) but that was flagged as big troublemaker on my first night in the hospital, since quinine is an ingredient, and it was banned for life.
Anyhow, I found this on an Australian government health site page talking about cramps and magnesium, but putting a bulls-eye on quinine: (Thrombocytopenia is the T in ITP.)
“Treatment with quinine was common until its withdrawal as an indication in 2004. The withdrawal was a consequence of 198 reports of thrombocytopenia associated with quinine use (since 1972), including 4 deaths. Quinine was withdrawn at a similar time in the US and subsequently, in 2006, the US FDA Federal Register alerted consumers to the problems surrounding off-label use, reporting 665 serious adverse events including 93 deaths since 1969. Despite this, off-label use still continues both here and overseas.”
https://www.nps.org.au/medical-info/clinical-topics/news/magnesium-a-treatment-for-leg-cramps
And then this interesting tale: http://www.ouhsc.edu/platelets/ditp/calvin.html
Now this is just me and Dr. Google, but it’s looking like a good smoking gun candidate. And keep an eye on those “harmless” herbal remedies!
I posted a 1-star review of Hyland’s Leg Cramps on Amazon, and pleasantly surprised when they approved it. The review title is “Works great for leg cramps, but it nearly killed me.” No point in beating around the bush.
@blaineg
Glad you have some sort of possible clue.
Things have been moving along well, sorry for no updates for so long.
The prednisone was cut to 20mg on Dec 13, and was supposed to be there for a month, then a month at 10mg. But on Dec 27 I told the doc steroid side effects were still beating me up, so he cut it to 10mg. He said at that level, the side effect should go. He was wrong, they did let up some, but didn’t vanish.
Still, it’s the only reduction in side effects I’ve seen in the many steps down from 300mg to 10mg. And this week 24th, my platelet count was 201 (I think that’s a record), and I’m off the prednisone completely! So I should be free of the side effects by Saturday, based on past patterns. Though my wife says it may take a bit longer since I’ve been on them so long.
Just monthly blood checks for now, and then stretching them to 3/6/12 month check as things progress. And of course I’ve got my Purple Spider Sense as an early warning system if things go off track.
And with the step down to 10mg, I started back to work on Jan 2nd. That was a little scary after being off for two months, but it went ok, and my ID badge still let me in, so that was a good sign. The timecard and telephone systems changed while I was gone, so there was plenty of catching up and training to do. In our group’s meeting the boss asked if I was back at 100%, and I responded “nowhere near 100%, you’ll have to take what you can get!” That got some laughs.
A few weeks ago Elaine & I were talking with our Bishop (local congregation leader), and he asked how work was going, and how I was feeling. I said I figured I was functioning at about 80%. Elaine shook her head and said, “No, he’s about 40%”. Oh, that bad still?
In a lot of ways she’s getting the worst of it. I know that mood, emotional, energy, attention span, appetite, and even occasional anger swings, are happening. But what they seem like to me, and what they are like to her are two very different things. She must still love me a lot though, since she hasn’t smothered me in my sleep with a pillow!
One of the other guys at work had also been out for two months, but his medical excitement had been planned: replacing a defective heart valve with a pig valve. He claims he’s had no urge to “oink”. The plan had been to do the work via catheter, but they wound up having to crack his chest open to do the job, so his recovery was a lot longer and more painful than he’d expected.
Things can always be worse!
I’m also looking forward to dropping the Ambien CR when the steroid sleep disruption stops!
I started physical therapy 5 weeks ago to rebuild strength from so much time in the hospital and in bed, and that’s done a lot of good.
And just to keep life from getting boring, my right knee started acting up last week. It had suddenly gone bad on me in the summer of 2016, probably torn meniscus, but a cortisone shot had settled it down for a year or so, until last week.
It was really swollen, stiff, and painful on Saturday & Sunday. So I called the knee doc on Monday and actually got into see him on Monday! And wound up scheduled for scope surgery Thursday (yesterday).
We were were at LDS Hospital at 5:30am, and out at 11:30am. The surgery itself was probably about 30 minutes. I’ve got some really pretty color pictures of the inside of the knee, but I’m not really sure what they mean since the doc talked to Elaine, not me (since I was still doped). He cleaned up torn meniscus and some early arthritis.
I can can walk on it fine if I’m careful. And there’s already less pain and swelling than before the surgery, though some of that is probably the pain killers and ice pack.
The doc said I should be fully healed and back to normal in 3 weeks.
@blaineg The knee is doing well, but I got a new side effect today. About halfway through the day I wound up with a whole-body muscle ache. Any and everything I move hurts, even swallowing or breathing deeply. Coughing is a REALLY bad idea.
While I’m sitting still nothing hurts, but that’s not really a fix, because things hurt worse when I start moving again. Doctor Google says it’s a side effect of some types of anesthetic.
On the plus side, my knee hurts less than any other part of my body!
@blaineg Sounds like the flu.
@blaineg
Sorry about the knee. What did they do to it? Just clean it out or something more?
I hope you aren’t still all-body achey.
Very happy about the overall progress.
@blaineg
/giphy sweet hurray
@mikibell welllll giphy you sadden me…5 minutes and nothing that met my expectations!
@therealjrn Yea, kinda like instant flu. But only muscle aches, no other symptoms. It’s easing off now.
The suspect is called succinylcholine, and can cause muscle aches in “1.5 to 89%” of the population. How’s that for a spread? Think they need to do a bit more research?
@blaineg That’s a big enough spread to drive a truck through!
@f00l Yes, cleaning things out, nothing major. I’m really grateful that it was able to be taken care of so quickly.
And the steroid side effects are fading noticeably, so overall things are going great.
Well, I guess nothing can be simple and straightforward with me.
Saturday my leg started swelling up, and by Sunday my foot looked like a blimp. Monday, after some runaround, I got in to see the knee doc. He agreed that the swelling was way beyond normal, and sent me to the hospital for an ultrasound to look for blood clots. That hit the jackpot, I’ve got multiple clots from mid-thigh, on down the leg.
So, for the past few months my problem has been not being able to clot. Now it’s the opposite. As someone once said, “This would be really funny if it were happening to someone else!” Go ahead and laugh, I’m trying to.
The knee doc wanted to put me on a blood thinner to get rid of the clots, but there’s the little complication of the past few months of ITP and no platelets. Though it could be much worse, as last week’s count was well into the normal range.
But he wanted me to get the ok from my hematologist before proceeding. That led to more runaround (by now it was quitting time) and I got bounced through three offices. I kept getting “We’ll have the doctor call you tomorrow”, and I had to keep pushing for an answer NOW. I finally got hold of one of the PA’s in the practice, and she gave the go ahead.
So it’s been another week off work, keeping the leg elevated, but also walking around frequently. I haven’t seen any change in my fat foot until this morning, and it might finally be a little bit smaller. I hope.
And of course Elaine is very stressed out by the whole thing. A professional worrier with a nurse’s knowledge isn’t a good combination. She has a tendency to go for the worst possible case.
My sisters are telling me I should try to be more boring, which was also my hematologist’s advice the last time I saw him.
One of my friends said: “God never gives you more than you can handle. He must think you’re Hercules or something.”
@blaineg
Oh man.
I know you have been on the medical treadmill for a while. But it sounds to me liked you really could use an A+ team to get you back into some sort of hemo-balance.
You and your family are in our thoughts.
Just finished reading this entire post. I felt like I was reading a Reader’s Digest story. Maybe you should consider submitting your story? Might serve to let others know this condition even exists. (I never heard of it) I hope things work out for you.
BTW: Where do you live? I need neighbors like yours.
(I had to take a break from Woot’s shirt forum…Wow! They’re deleting comments right and left! {pun intended})
@JanaS It looks like it’s been a while since I checked in here. I hadn’t thought about sending it to Reader’s Digest.
ITP is pretty rare, and I’d never heard of it before it happened to me. It was also new to some of the medical folks that cared for me. The sort of thing they read about in textbooks, not actually see in a patient. Of course it was familiar territory for the hematologists - thank heaven!
I live just north of Salt Lake City, and I’ll readily admit that the Mormon (The Church of Jesus Christ of Latter-Day Saints) sense of community and caring for others is likely a strong factor in what I was blessed with. And I’ve been friends and neighbors with Scott & Mike for over 20 years.
But my point was really that there are good people everywhere, like my friend John (who’s not a Mormon, and lives near Denver) experienced. It was largely John’s story of his neighbor helping out that prompted me to tell my tale. And I don’t think that the good things that ordinary people do all the time get nearly enough recognition. If they did, it might encourage more people to reach out.
So, lemme see what I need to catch you up on. The last couple of months have been boring, at least “medically boring” as my hematologist has encouraged me to strive for.
The blood clots in my right leg, following the knee surgery, settled down and went away. No more problems there, and the July ultrasound showed the right leg was clear of clots.
Ah, but why the July ultrasound? you may be asking, given my recent history. And you’d be on the right track.
I was jolted out of bed about 2am one morning towards the end of June by what I thought was a massive leg cramp. It settled down and eased off as muscle cramps do, but there was residual soreness that didn’t go away, it felt like a pulled muscle. That seemed odd, but I thought maybe the cramp had pulled something. I already had a doctor appointment scheduled for the following week, so I asked my family doctor about it when I saw her. She poked and prodded my left calf and ankle pretty thoroughly, and said she didn’t see anything obviously wrong, but if I saw swelling to get in touch immediately.
Well, as if on schedule, a week later (on Friday the 13th no less!) the left ankle and calf started to swell. Thus the ultrasound. The good news was the right leg was clear, the bad news was the left leg had multiple clots from the knee down, and that “muscle cramp” was likely a clot.
The coordinated diagnosis between my family doc and my hematologist was this was an “unprovoked” clot, and that means long term treatment with a “blood thinner” (really anticoagulant). The right leg clots were obviously provoked by the knee surgery, so a three month course was considered sufficient there. But where there’s no obvious cause for the left leg clots, long term treatment is the recommendation. The hematologist said there’s 5-6 different tests that could be run to figure out which specific clotting factor is the problem, but that wouldn’t change the treatment any, so there’s not a lot of value in doing the tests. So the bottom line is I’m taking one more pill than I was before.
The left leg settled down after a month or so, and things have been boring since then.
And lest you think it’s all gloom and doom in my little corner of the world, I had a completely uneventful, and highly enjoyable trip to England last month to see the grandkids and other family. Our 15 year old ballerina was dancing at Sadler’s Wells theater with the National Youth Ballet.
We also got out and did some sightseeing, as varied as London and the Cotswold villages. In one day we visited two major cultural landmarks: William Shakespeare’s birthplace in Stratford-on-Avon, and the Triumph motorcycle factory in Hinckley.
And out of the blue, I stumbled across this a couple of days ago:
Yea, that’s a succinct description of ITP, but what’s with the anime characters?
Well, it turns out there’s an anime (Japanese cartoon) and manga (comic book) called “Cells at Work!” where the human body is the city, and the various cells are the characters. The little girls are platelets, and the guy with the knife is a white blood cell.
I’ve watched a couple of episodes and it’s weird, but not bad. The body has fought off an infection, and a scrape, so far. I don’t know if they really cover ITP or if that’s just the usual internet fabrication. It seems like ITP would be pretty dark in this context.
@blaineg sounds like a dark version of Osmosis Jones!
/giphy Osmosis Jones
@blaineg that picture is definitely from Star Wars where Anakin murders all the little Jedi hopefuls. Not saying the anime doesn’t exist, just that picture is fabricated.
@RiotDemon You’re right. I hadn’t picked up on the staging of the scene, and the background. I think that makes it even weirder.
So Anakin is an autoimmune disease?
@blaineg poor little platelets.