Wednesday, November 3, 2010

Post # 39 - T minus 6 days and counting......

Monday evening we arrived in Tampa for the next leg of Bill’s journey. Tuesday morning at 8:15 Bill had a surgical procedure to implant a triple lumen catheter. Tuesday evening Ed arrived from NY and is ready to donate his stem cells.

Picture of implanted triple lumen catheter

Today - Wednesday, November 3, 2010 Bill will be admitted to the hospital for his bone marrow transplant. Bill’s schedule for the next week is as follows:

T minus 6 days (11/3/10):
Admission around 2:00pm
Start high dose chemo at 7:00pm
-Pre-meds: Ativan, Zofran and Decadron
-Chemo - Fludarabine IV over 1 hour
-Chemo - Busulfan IV over 3 hours
Blood will be sent to a lab in PA to test busulfan levels to get dosing correct

T minus 5 days (11/4/10):
Day two of high dose chemo – same as Day one
Ed gets first injection of Neupogen
Final launch of space shuttle Discovery (postponed until end of November)

T minus 4 days (11/5/10):
Day three of high dose chemo – same as Day one
Ed gets second injection of Neupogen

T minus 3 days (11/6/10):
Day four of high dose chemo – same as Day one
Start IV Tacrolimus (Prograft) – Immunosuppression
The Tacrolimus suppresses T-cells and causes magnesium wasting
Ed gets third injection of Neupogen

T minus 2 days (11/7/10):
Rest – no chemo
Start the following preventative drugs:
-Acyclovir – Prevents viral infections
-Omnicef – Prevents bacterial infections
-Micafungin – Prevents Fungal infections
Ed gets fourth and last injection of Neupogen

T minus 1 days (11/8/10):
Rest – no chemo
Harvest Ed’s Stem cells

T minus 0 days (11/9/10):
Stem cell infusion (bone marrow transplant)

As we move forward, my updates and posts will be more frequent.

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