End of treatment phase 1

The fitting of my Hickman line and 6th cycle of chemotherapy went well last week. I’m now rapidly approaching the end of the first phase of treatment. It’s been successful! All that’s left is a day unit appointment tomorrow for my last Rituximab infusion (held over from the first cycle of chemotherapy).

I’m also part way through mobilising my stem cells for collection next week using Lenograstim injections. These stimulate the body into making large numbers of new stem cells. My consultant tells me that they need to collect around two million per kilogramme – significantly more than are present naturally.

Lenograstim

Lenograstim – Manufactured by Sanofi in France. I’m glad that I’m taking this now rather than waiting for lorries to clear endless customs lines next April.

These injections are fiddlier than the earlier ones I’ve had to administer to bring my white cell counts back up. Each consists of two syringes, but you have to mix the Lenograstim yourself rather than it coming pre-made. It’s not difficult to do this – just time-consuming. As the syringes don’t have a self-retracting needle, you need a steady hand. After four days of mixing and injecting I now consider myself to be an expert 🙂

There’s a chance that I may be lucky and the stem cell harvest will work first time. Mechanically, a stem cell harvest is straightforward – provided I can manage to sit still for five or six hours while plugged into their machine. The haematology unit in Nottingham said they’d had a 25% first time success rate last week. However, they will keep trying all week if not – they guarantee(*) to sort me out by Friday at the latest.

I’ve been totting up what this whole exercise is costing. I suspect by the time that I’ve had my transplant, the NHS will have spent a few hundred thousand pounds on making me well. I’m so grateful not to need to go through the endless fights with insurers that so many have to in other countries. It means I can concentrate on getting well and returning to being a productive member of society.

Today, on the 70th anniversary of the start of the NHS, I shall be raising a glass or two in thanks to the great Liberal, William Beveridge. His 1942 report made all of this possible.

 

(*) I’m guessing that this guarantee may come with terms and conditions …