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Posts Tagged ‘emobolization’


Games of Tumors
June 28, 2014.

II still hurt from the spleenic embolization I had last Thursday, June 19.  Spleenic embolization is a non-invasive procedure that is used to disable part of the spleen, where blood platelets are stored.  Think of the spleen as the gas tank for platelets, only mine has grown slightly in size due to long periods of chemo.

To objective is to resize my spleen to make it store less platelet and boost the count.  Humans can exist without spleen you just have to watch your diet.  The conventional approach is open you up for surgery or use embolization technique.  The is latter is non-invasive–and better–because the procedure calls for inserting a catheter in an artery in your groin.  From there, using a dye to map your arteries they navigate the catheter until they reach the spleen.  (Note: This is my second embolization, the first was in 2009 when my cancer mets to my liver.  See post, At the starting line with Dr. B, December 22,2009).

Upon reaching the spleen, certain arteries that deliver blood to the spleen are blocked thereby effectively disabling that area.  The result is a reduction in the effectivity of the spleen to store platelets.  Since mine was already enlarged 60%-70% of my spleen capacity was reduced.

Being non-invasive does not mean it is not painful afterwards.  During the procedure they are awake because they need you to move to certain position to put the catheter in the right place.  Don’t worry it is just a blur.

The after care is the challenging part.  It is deciding how much “care” and recovery you need.  The doctors have warned me about pain from the spleen and a referred pain to the left back shoulder for the next two to three weeks.

While at the hospital, you are practically drugged to your senses.  I was given my favorite “toy” again, a contraption that continuously deliver morphine and as bonus after a prescribed time, you press this red button and more morphine comes out.  Whoosh.  Watch out morphine rush.  Then to help you sleep more drugs and narcotics.  The danger is you become lethargic and constipated.  Reality.

Reality is also traveling back to Chicago from Houston drugged out and in pain.  I have flown many many miles for business and in certain conditions, but none has prepared me for the travel back home.  I was in distressed.  The high narcotic dose makes me vomit and nauseous.  Like many travel nowadays in the US, it is full and delayed.  It was not our  lucky travel day, our flight was delayed then we were put on a late flight in a different airport (HOU airport to IAH airport, which is 35 miles north).  My wife took all the burden of travel since I could not even lift anything.  I love her.

Back at home and after a week, I am slowly recovering.  I still take narcotic pain meds like candies but I found the balance of when to take it and not be constipated.  Next step is a blood test if my platelet count responded.

The never ending bloody saga “Games of Tumor!” continues.  For this battle, Lord Spleen gave the ultimate sacrifice for our kingdom but he is still with us.  FREEDOM! (ala Mel Gibson in Braveheart)

Cheers.

P.S Doctor’s checkup this week for platelets.  Many  thanks my friend Ria for letting us use their house while she and her family were on vacation. Go USA in the World Cup

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