#or spinal chemo

[mkgtweety]

SUP DIGITAL PEEPS OUT IN THE WEB WORLD!!!! mkgtweety HERE BACK AGAIN W/ ANOTHER VID!!!! IN THIS VID, I 1st GIVE YOU ANOTHER FAMILY UPDATE ON MY MOM AND DAD!!!! I HAVE AN UPDATE ON MY MOM'S MULTIPLE MYELOMA CANCER BLOOD TEST: SHE'S STILL IN REMISSION!!!! THE CANCER HAS NOT "FLARED" UP AGAIN!!!! YEA FOR HER DIGITAL PEEPS!!!! THEN I TALK 'BOUT WHAT I HAVE LEARNED IN 1 YEAR FROM HAVING TYPE 2 DIABETES!!!! {I FOUND OUT I HAD IT FROM A ROUTINE BLOOD WORK FROM MY DOC LAST YEAR ON FEB. 26, 2024, WHEN I WENT TO HAVE A CHECKUP CUZ I HAVE NOT BEEN TO THE DOC IN 3/4 YEARS, AND MY MOM MADE ME GO CUZ SHE WANTED TO KNOW "WHAT'S GOING ON W/ ME" MEDICALLY AND THE DOC WANTED ME TO HAVE SOME ROUTINE BLOOD WORK FROM A "FASTING" BLOOD TEST!!!! IT'S WHERE YOU FAST FOR 10 TO 12hrs. THEN HAVE YOUR BLOOD DRAWN, AND THE DOC CAN SEE WHAT YOUR BLOOD SUGAR, A1C, CHOLESTEROL, AND OTHER STUFF ARE LIKE!!!!} I ALSO HAD ANOTHER YEARLY PHYSICAL JUST RECENTLY, ON FEB. 26, 2025, AND I TELL YOU ALL 'BOUT IT!!!!

SUBSCRIBE IF YOU LIKE WHAT YOU SEE AND WHAT I DO!!!! AND IF YOU REALLY, REALLY LIKE IT HIT THE THUMBS-UP BUTTON!!!!

LINKS 2 MY 1st 2 VIDS I POSTED ON2 THIS CHANNEL: {HOW I GOT MY OTHER/MAIN ACCT: “mkgtweety” SUSPENDED OVER SOMETHING STUPID I DID HERE AT YOUTUBE!!!! PLEASE WATCH THESE VIDS!!!! PART 1 1st THEN PART 2 2nd IT WILL HELP EXPLAIN HOW I GOT MY OTHER OTHER/MAIN ACCT: “mkgtweety” SUSPENDED!!!!}

LINK 2 PART 1: https://www.youtube.com/watch?v=4sBINjtVgj0&feature=youtu.be

LINK 2 PART 2: https://www.youtube.com/watch?v=64XtKJoumRg&feature=youtu.be

I GOT A NEW DIGITAL CAMERA FROM AMAZON, AND I'M HAVING A PROBLEM W/ IT!!!! I'VE POSTED 'BOUT IT ON MY TUMBLR AND ALSO MADE A VID 'BOUT IT ON MY INSTAGRAM!!!! SO, IF U WOULD LIKE 2 HELP ME, HERE ARE THE LINKS WHERE I'VE POSTED THE PROBLEM I'M HAVING:

(YOU CAN LEAVE ME YOUR THOUGHTS IN THE COMMENTS SECTION OF EACH POST!!!! THANX DIGITAL PEEPS!!!!) THE INSTAGRAM VID I MADE 'BOUT IT: https://www.instagram.com/p/C6rNTJzMa8u/

THE TUMBLR POST I MADE 'BOUT IT: https://mkgtweety.tumblr.com/post/750135717707022336/i-have-a-problem-i-hope-u-can-help-me-digital

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[rosebramblewolf]

congratulations to my asshole on farting w/o sharting for the first time in one (1) week gd bless

[theunstuffedpepper]

Thank you all so much for the well wishes, love, positive energy, and support. This is such a lovely community and it’s been proven time and time again during times of hardship.

Derrick is hanging in there. We started chemo yesterday. He’s been napping all morning, which has been especially good since we’re on a ‘no food or drink’ order awaiting an MRI and spinal procedure this afternoon. Every bit of news we get from the doctors makes us feel more worried, more scared, and makes it harder to keep our chins up. Nevertheless, we will. He is in good hands and though this will be incredibly hard, he will make it through to the other side. I can’t wait to see him healthy again.

[briarpatch-kids]

Another thing people don't realize about physical disability is that we're often restricted by location as well. I want to live in the woods but like... nobody is gonna drive 2+ hours each way from the city to shower me a couple times a week. I'm restricted to places that have home health services which is not that bad considering what other people go through.

I know someone who had their mom move an entire state over so she could get chemo because it wasn't available where they lived whole family had to pack up and move. Someone else had to move countries to get ongoing treatment for his spinal disease. Transplant patients have to live in expensive population centers while they wait in line for an organ because they MUST be within a certain travel distance from the hospital. Some people can't ever leave the hospital.

[watchinglikeafangirl]

I'm falling for Queen of Tears, I'm crushing so hard on Hyun-Woo. He is such a sweet husband in moments when he just acts without thinking about their situation. The story develops into a very different direction than I thought and I love it so far. I like how we can see there's history between them. They actually feel like a married couple and I feel like they really were in love but things happened and just like other marriages sometimes do, they fell apart over a miscarriage. They grieved differently, they lost touch, they felt like strangers so suddenly and stayed strangers ever since. It hurts but it's still visible how they still kind of believe in their marriage. Especially Hae-in, she's not confident about their relationship but she is confident about their marriage and I like how the show differs between the two and I like how these two still feel like they belong somewhere with the other even if it's awkward. And when she asks if he would come with her to get treatment, he says he obviously will which shows how entitled they still are. Yes, in the end, she went there alone but that's a slightly different thing because he didn't know she was leaving.

Also the scene at Sanssouci is just beautiful. I cannot say how much it touches my heart to see them stand in front of each other and just cry. And what do you mean he brought her sneakers all the way? What do you mean there's a kissing scene with the sunset? What do you mean he drew her a new lifeline since hers was too short? I'm whipped.

The scenes of her getting the treatment, how lonely, desperate and how much pain she bears, it got to me. Having had my own portion if chemo (healed ever since, it's been 18 years), and even though I was really small and young when it happened, I relate on a very different level. I know how scary it is to be surrounded by so many clinical rooms, how they puncture the spinal cord, how it feels hopeless. But it's all here in this show and I like how it's not overly dramatic. It's just how it is and it's not nice to receive treatment of any kind on that medical level. I just like how it's shown and how the show deals with it.

[osirian-rises]

I'm. Sobbing.

It was rare Daphne Andrews would take a day off work. She loved working, loved teaching all her students, even the more difficult ones. It was something she’d always been drawn too, teaching. And French had come after a month long vacation to Paris when she was a younger woman. She’d known the language, but hearing it spoken all around her had been the final push to decide to teach it back in England.

France was where she’d met her Ralph. Dark haired and handsome, with just a little stubble and beautiful green eyes. They used to gleam in the sun as he and Daphne talked at some cafe or bookstore, laughing over her stories of college and his of hiking the various trails that Europe had to offer.

She’d gone with him on more than a few hiking trips, and once they’d even flown down to Toronto to see Niagara Falls for their summer break. That was where he’d proposed, right in front of the waterfall. Daphne had never agreed to something faster. Years had passed, with him working as a Tour Guide, and her still teaching at Amun. They had tried to have children, when they were younger, but had never been successful. And all attempts stopped after he’d fallen ill.

Intraocular lymphoma, the doctor’s had found. A cancer that had nestled in both his eyes, only caught after he’d complained of his vision worsening.

“Ralph?” Daphne called into the quiet hospital room. The only sound coming from within was a television with the volume on low, and the beeping of some machines. “It’s me.”

“What are you doing here?” Her Ralph asked with a fond smile, glazed eyes staring off into the distance. His head turned towards her voice as she walked closer, her heels clacking on the tile floor.

“I’ve come to spend the day with you, is that a crime?” Daphne asked, reaching out to grab her husband’s hand. She was careful not to jostle the IV in his arm, not even halfway done with his chemo treatment. “How are you feeling?”

“Like I’ve been run over by a truck.” Ralph smiled, weakly squeezing her hand. “I’m glad you’re here, actually. There’s something I want to talk about.”

Daphne sighed, staring down at the floor. “Ralph, I don’t want to talk about this again.”

“Oh, come on.” Ralph smiled. “It’s my decision, isn’t it? My entire life is this hospital, seeing everyone as giant blurs. I can’t even see your smile anymore.”

“You can picture it.” Daphne insisted. “I don’t want you to stop the chemotherapy, you know what will happen if you stop treatment-”

“Daphne, it’s almost time.” Ralph reminded. “I don’t know when it will happen, but we both know it’s soon. I’m almost to the end of my second year. I’d rather not be dying while feeling miserable and sick all the time.”

“You aren’t stopping the chemo.” Daphne repeated. The Chosen Hour was close, so close. “You just need to hang on a little longer-”

“Daphne.” Ralph said gently. “There is no little longer. There’s nothing that can fix this. I need to know you’re okay, before I go.”

“You aren’t going.” Daphne insisted, getting choked up. “I-I don’t want to talk about this Ralph, it’s not going to happen. You have to believe me.”

Ralph was silent for a long time. He closed his eyes and leaned back in his chair. “Alright Daph.” He said agreeably. “I believe you.” He squeezed her hand again. “The doctor wants to schedule a biopsy. They think the cancer might be spreading to my brain, or spinal cord.”

Daphne swallowed around the lump growing in her throat, her cellphone’s ringing cutting off anything she could have said to her husband to try and make it okay. She hadn’t told him about the elixir. Not yet. She wouldn’t, not until she could get him his fair share. “I’m sorry, it’s the school, I’ll be right back.” She apologized as she stood and moved towards the door.

“I’m not going anywhere.” Ralph said softly, just before she slipped into the hallway.

“Yes, hello?” Daphne asked as she answered. It was Eric’s voice on the other end.

“Daphne, hello, I am so sorry to ask, but is there anyway you could return to school after the lunch hour?”

“What? Why?” Daphne sidestepped over to a bathroom and locked herself inside. “I’ve barely been gone a few hours.”

“Yes, I know, but there’s been a…incident.” Eric said delicately. “After lunch I need the substitute to take over Jason’s class, and I need you back to continue yours.”

“What’s happened with Jason?” Daphne said, voice laced with confusion. The young teacher was the newest addition to Victor’s group. Daphne assumed he’d found out too much, just like she had, and Victor had used whatever sick relative he had to keep his mouth shut. Probably an ailing parent, Daphne reasoned. He had, after all, only been hired to replace Mr. Fleming, who had suffered a heart attack a few months ago. It was no secret to Daphne now, that everyone employed by the school either had a sick relative, or were sick themselves. It was an insurance policy, one that Victor was proud to scheme up.

“He apparently woke up with a high fever, and collapsed during his morning class.” Eric said somberly. “The ambulance has only just arrived to take him to hospital. I’ve got students freaking out in the counselor’s office, I need you back here please.”

“Jason’s collapsed?” Daphne repeated. She’d never seen the young man look sickly at all, besides being slightly underweight. “Eric, what’s going on?”

“I’m afraid I can’t disclose private medical history.” Eric reminded. “Will you come back?”

“Fine.” Daphne said reluctantly. “Just…give me a little while to say goodbye to my husband.”

“Of course.” Eric said agreeably. “Tell Ralph I said hello. Ad vitam aeternam.”

“...Ad vitam aeternam.” Daphne copied before hanging up.

Damn Eric and his latin to hell.

She returned to Ralph’s room, apologizing madly as she explained she had to leave.

“Fate pulls you away from me once more.” Ralph smiled as she grabbed her purse. 

“I’m sorry Ralph, you know how the school is.” Daphne apologized again.

“Of course. Daphne?” Ralph looked at a random wall, his eyes wide but unseeing. “I would very much like you to give all your students my best. Your stories of them mean the world to me. I hope you spin just as fine a tale of me when you talk about me.”

“Of course I do.” Daphne promised. “And I will. Eric says hello.” She stopped at the door for a long, long time. Even though she made no noise, she could tell Ralph still knew she was there. “I love you Ralph. I’ll come see you again soon.”

“And I’ll see you again, never.” Ralph joked. “But I’ll count the seconds until I hear your voice again. Goodbye, Daph. I love you.”

[houseofbrat]

So what you want Kate to not get chemotherapy so that she gets even more worse and more unwell? Who even thinks like that and William doesn’t smoke

First off, it's well known that William smokes. Just because he hides it better than Harry doesn't mean he doesn't do it. He clearly has smoker skin. That's why his skin looks so terrible & dry. So dry that soon we might be able to grate cheese on it.

"You want Kate to not get chemotherapy so that she gets even more worse and more unwell?"

Your ignorance is clearly showing.

This is how people die from cancer:

Catabolism: the body breaks down on a cellular level; substances released by tumor cells are strong anorexics.

Secondary infection due to immune system suppression.

Blockage of vital structures: trachea/esophagus, superior vena cava (SVC) syndrome, impacts to the spinal cord, pericardial effusion, pleural effusion, etc.

Side effects of medication/treatment: immune suppression, pulmonary fibrosis, Graft-versus-Host-Disease (GvHD), etc.

You do not die from cancer just because you have "cancer."

I wrote a long post yesterday differentiating that different people have different physiology. Just because you have "cancer" does not mean that it poses a threat to your life or health. Plenty of people have "cancer" that does not progress at all or affect them in any way. Just because you have "cancer present" does not mean it will affect your life or health in any significant way.

The situation is really like the anon said:

"Catherine has a much more serious cancer than they are letting on, hence, the decision to have chemo is not even a discussion point,"

"she’s not having chemo and there’s another reason why she’s missing in action,"

"she and William are panicking and she’s receiving chemo regardless"

My bets are on numbers two or three.

Kensington Palace is clearly lying. Can't wait for it to be revealed! KP's strategy before Kate's cancer announcement was to release the news that her medical records had been breached and paint Kate as a victim. After the cancer announcement, it was those pesky conspiracy theorists and the axis of evil who was to blame for Kate's reputation being slagged around the world, not the utter incompetence of William and KP.

Let's not forget that William is an emotionally damaged, thin skinned, control freak with a privacy fetish.

Let's also not forget that next Monday, 01 April 2024, begins a new fiscal year for the BRF.

[vcr-wolfe]

birthday time + updates

eeeuuueei i am ever older. i was never one for birthday parties of any sort but we made it this far

i have an update on mas cancer situation, its pretty good. in her last pet scan they werent finding much in the way. theyd been giving chemo both by infusion and thru spinal fluid which has been working. theyre going to finish the current course of chemo and see where to go next

hmm thats all. i do not have any updates on My health situation. i am still treading water here. all i can do is wait while they monitor

[squirrellypoo]

I will be your blood loss consultant

Hey IWTV fic writers - want to ensure your character's blood loss feels realistic? Got a situation where a petit coup has gone too far, or a character got gravely injured? I've got a unique perspective to offer to the fandom - I've lived for extended periods of time with extremely low blood counts* and I'm happy for you to send me WIP snippets or to ask for advice on blood loss storylines.

To break it down a bit further, from my experience, how being low on the different types of blood feels/affects you:

Red blood cells - Red blood cells carry oxygen around the body, so if you're low on these, you're effectively low on oxygen in the blood. This is the most obvious, but you feel really sluggish, tired, and will be breathing heavily at the slightest physical exertion. Physically, it kinda feels like you're moving underwater, and your limbs feel heavy, and even short walks feel hard. (I went from running 10km 3x a week to getting out of breath just walking up stairs, for example). Cognition is fine, but frequent naps are a requirement.

Platelets - Platelets are what allow your blood to clot and heal cuts, so a lack of these means you bleed and bleed for a long time. But also you bruise super easily, and bruises last a really long time (weeks/months). You can also have spontaneous burst blood vessels in the whites of your eyes. Parts of your body that wouldn't normally bleed also do - like waking up to blood on the pillow because your gums bled overnight. The most unexpected part for me was having a constant background rushing sound in my ears - kinda like holding a seashell up, but all the time (until a transfusion).

White blood cells / neutrophils - A lack of these doesn't make you feel that different, tbh, but a lack of WBC means you can't fight off viruses so you pick up every single cough and cold, and have it for twice as long as normal people. A lack of neutrophils means you can't fight off bacteria, so your body's normal bacterial cohabitors cause problems that can really mess you up. So you've got to be insanely conscientious about what you eat (no runny eggs, unpasteurised cheeses, raw vegetables!), and brush your teeth and mouthwash after you ingest anything. You'll really only need to worry about these symptoms though if you've got low blood levels for an extended period of time (several weeks+).

Overall though, I've described the extreme examples. If your character is young and healthy, they will probably only experience the red blood loss symptoms (and possibly minor platelet symptoms) for a few days, depending on how much blood was lost. If they're in a situation where a hospital would give transfusions, be aware that you'll only ever be given enough to get you out of the dangerously low territory, never so much that you'd be "back to normal" counts after the transfusion(s). But transfusions do make you feel better almost instantly (better, but not good).

But again, feel free to message me with any specific questions (I can also tell you how chemo, meningitis, spinal taps, surgery w/o anaesthetic feels if that's of use!), I'm happy to talk about all this and I want to give back to this fandom and IWTV fanfic writers in particular to say thanks for the hundreds of hours of enjoyment you all have given me!

* I'm absolutely fine now! Over my lifetime, though, I've survived off the blood of literally hundreds of people. A bone marrow transplant saved my life 14 years ago and I run marathons now and am probably healthier than most 40-somethings, except I'm still Clinically Extremely Vulnerable to Covid and can't go into crowded places or unmask indoors. But my bloods have been fine for over a decade and this is in no way traumatic for me to talk about!

Please consider joining your country's bone marrow donor registry and/or donating blood regularly if you're able to! Both saved my life.

[nochiquinn]

Sam's numbers came back good! In fact they came back as zero! Her preliminary surface-level spinal fluid and bone marrow tests came back with NO leukemia cells! Exclamation points!

She's officially in the physical rehab place and will be there for two weeks getting her strength back. (She can wear real clothes again!) If she's able to get back to baseline she gets to come HOME and just do clinic visits for the rest of her chemo. (While her basic tests came back clean, there's always a chance of a sneaky cell hiding somewhere waiting to replicate, so additional chemo is just to nuke whatever might still be in there.) There's also a chance this means no stem cell treatment, so that's good too.

This all depends on us keeping her insurance active. The next $570 payment is due on the 18th of January, and we've got a couple of insulin/CGM sensor refills between now and then. Donations help, sharing the GFM helps, everything helps. Thank you all so much. 🧡

[mkgtweety]

UPDATE ON THIS VID: ON 01/28/2025 MY DAD HAD HIS HEART CATH THING!!!! HE DID WELL W/ FLYING COLORS!!!! PLUS THE DOCS SAID HE CAN GO AHEAD AND HAVE HIS SPINAL SURGERY ON: APR. 24, 2025!!!! YEA 4 MY DAD DIGITAL PEEPS!!!! {I'VE PLACED THIS IN THE INFO BOX OF THIS VID DIGITAL PEEPS!!!!}

SUP DIGITAL PEEPS OUT IN THE WEB💻WORLD!!!! IT'S YOUR FAV.🥰😘 DIGITAL PEEP IN THE WORLD: mkgtweety!!!! I MADE THIS VID ON MY WEBCAM💻FROM MY NEW PC!!!! IN THIS VID📹MADE ON: JAN. 22, 2025, I GIVE YOU UPDATES ON WHAT'S GOING ON W/ MY MOM, MY DAD, AND ME OVER THE LAST COUPLE OF MONTHS🗓️SINCE OUR LAST VID I MADE!!!! IN THE VID, I TALKED ABOUT HOW I WENT TO A WEDDING💒👰‍♀️🤵‍♂️ON DEC. 7, 2024!!!! WELL, I MADE AN INSTAGRAM VID📹TALKING ALL ABOUT IT!!!! HERE'S THE LINK TO IT: https://www.instagram.com/p/DDmAtGVMUD3/

P.S. YES, DIGITAL PEEPS, IN MY THUMBNAIL, MY 1 EYE IS HALF GREEN AND HALF BROWN!!!!

SUBSCRIBE IF YOU LIKE WHAT YOU SEE AND WHAT I DO!!!! AND IF YOU REALLY, REALLY LIKE IT HIT THE THUMBS-UP BUTTON!!!!

LINKS 2 MY 1st 2 VIDS I POSTED ON2 THIS CHANNEL: {HOW I GOT MY OTHER/MAIN ACCT: “mkgtweety” SUSPENDED OVER SOMETHING STUPID I DID HERE AT YOUTUBE!!!! PLEASE WATCH THESE VIDS!!!! PART 1 1st THEN PART 2 2nd IT WILL HELP EXPLAIN HOW I GOT MY OTHER OTHER/MAIN ACCT: “mkgtweety” SUSPENDED!!!!}

LINK 2 PART 1: https://www.youtube.com/watch?v=4sBINjtVgj0&feature=youtu.be

LINK 2 PART 2: https://www.youtube.com/watch?v=64XtKJoumRg&feature=youtu.be

I GOT A NEW DIGITAL CAMERA FROM AMAZON, AND I'M HAVING A PROBLEM W/ IT!!!! I'VE POSTED 'BOUT IT ON MY TUMBLR AND ALSO MADE A VID 'BOUT IT ON MY INSTAGRAM!!!! SO, IF U WOULD LIKE 2 HELP ME, HERE ARE THE LINKS WHERE I'VE POSTED THE PROBLEM I'M HAVING:

(YOU CAN LEAVE ME YOUR THOUGHTS IN THE COMMENTS SECTION OF EACH POST!!!! THANX DIGITAL PEEPS!!!!) THE INSTAGRAM VID I MADE 'BOUT IT: https://www.instagram.com/p/C6rNTJzMa8u/

THE TUMBLR POST I MADE 'BOUT IT: https://mkgtweety.tumblr.com/post/750135717707022336/i-have-a-problem-i-hope-u-can-help-me-digital

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[smalife1234]

It's our 6th weekly smiles!! I can't believe we've made it this far on Tumblr 🥹!!

What made me smile this week?

Monday, 9/2/24 - today, we had the day off because it was Labor Day! And it is my favorite month! It is Spinal Cord Injury Awareness Month! And also my third human year as a Quadriplegic! Which for me is baffling to me! Sadly, the day didn't end well. Luz, our friend, ended up feeling sick and not feeling well! She had bad back pain! But we chilled for the day and slightly slept in knowing I could enjoy those few minutes of sleep without being panicked by time! That made me smile!

Tuesday, 9/3/24 - today we went back to school! And this week is shorter! Yay, so that's fun. In the first period, I continued working on my online assignments, and then we got a bunch of papers, but I didn't do any of them (don't worry, they're not due this week). At 9:30 Am, I got called for senior pictures! I walk in there all nervous but come to find the people are pretty enlightening! So that made me smile! (Keep in mind Matthew only got these senior pictures) But first, Matthew Tucker and Sydney all got their indoor photos. Many poses and pictures were done! (And surprisingly I don't think y'all know Matthew wears glasses!) But there were some shots of him that needed his glasses removed and we cannot wait to see those images once they're ready! We then head outside and get their outdoor photos! They had a blast knowing Sydney struggled to figure out how to sit in the chair lol. All in all, it was hectic yet fun, and we enjoyed missing most of the second period! Lol, and also, I started my period today, which is fun! I mainly chart this because of endocrinology information since they ask me these types of questions and I've always been bad at remembering! So I'm smiling knowing I'm taking better care of my health! We soon went home and enjoyed our night.

Wednesday, 9/4/24 - this morning I woke up in a pretty good mood! And then I chilled on the bus for a while. In the first period, I had to work on a very confusing assignment, which basically talked to the teacher about it, and I decided I'd work on it tomorrow! In the second period, I chilled as we got some notes and assignments we had to work on. Sadly, this assignment was pretty difficult as well, and it was hard to work on, but soon I got it done, and it went well! Then in the third, I got all my work done and had a pretty ok-ish salad, and then in the fourth, we chilled and talked about a really weird subject. Lol, today made me smile!

Thursday, 9/5/24 - today I sadly woke up with symptoms of feeling sick! Like runny nose and coughing! So that scared me a bit. I continued working on my assignment and actually started labeling some of the sticky notes that were required to label the large mannequin. I soon got the hang of it! I started labeling the mannequin. Sadly, I only got two things labeled, lol, so that was fun. Then, in the second period, we had a sub and started working on a worksheet! That was very long lol! But I got some of it complete (don't worry, it wasn't due until Tomorrow!). Then, in the third, we chilled and just learned about our brains! And how it can lie to us again that was super cool! In fourth I was pretty tired because I was feeling semi ok! I was scared I was going to get sick, but by the end of the day, we chilled for a while! And slept most of that night

Friday, 9/6/24 - today I sadly woke up sick and super congested! I could barely talk without my throat hurting and it sucked! On the bus, I kept coughing. Thankfully, I had thought the congestion had gone away in the first period. I was all right, but I was still coughing and sniffing! But I actually got my mannequin fully labeled and got my labeling sheets fully filled out! And colored coded it made me proud that I got all that work done! I was only two hours into my chemo session so I was pretty impressed with how well I was doing! Lol. Then, for the rest of the class, I worked on skeleton labeling and drew some magnification of muscles and tissues! I think I did ok! Then, in the second period, we had a sub who will now be our permanent substitute because we found out that Mrs. Mauney was having a baby! And that Monday, we'll get information, or however many days pass, we will get more news as our substitute gets it! We enjoyed the class as it was pretty chill. Sadly, we had a quiz on Matter and density! I think I did ok then I finished the rest of that worksheet sadly my back was killing me and my throat was not feeling great :/ that didn't make me smile! At lunch, I kept coughing but enjoyed my salad 🥗. Then, in the third period, we chilled and did a sheet that required us to answer questions from different websites. It was super easy, and I got it done by the end of class! Then, in the fourth period, we were doing notes, but I felt so tired and drained and kept coughing my lungs out; my throat hurt, and my back hurt more than anything! It was really miserable! But I was grateful it was fourth period and Friday so I could deal with this sickness in peace. Later on at home, I basically sat and chilled most of the day and then headed to bed around 8:03 P.m., which is not normal for me, so I definitely knew that the cold wore me out! Today was exhausting but it also made me smile!

Saturday, 9/7/24 - today, I woke up at 8:00 Am not normal for me, considering I almost always wake up around six in the morning. I sat on Instagram most of the day and continued coughing my lungs out. My throat hurt less today than it did yesterday, and luckily, the back roller trick I did yesterday or last night had worked, and my back pain, for the most part, was mainly gone! So that was good! And then I ate ramen that day and two bags of Takis the whole day, so my appetite wasn't completely shot, but it also wasn't that great either. I mainly took a chill day, to be honest, considering I had just gotten sick and I just had chemotherapy! But during my chill day, which wasn't a lot of work, we brought in a Walmart order, and then Matthew had to dump a whole thing of moldy food! Not fun at all and then he had to dump old peppers out! Again, it was not fun. Then we did laundry, and then we went to bed around nine p.m. Today was very boring yet chill, and it was exactly what I needed! Today made me smile!

Sunday, 9/8/24 - today, I woke up around 8:00 Am again, so not normal, but I am happy to report I am feeling much better! I do have a runny/blogged nose, but my throat barely hurts, and my back is not even sore! I'm glad I did most of my recovery at home, and I believe I only need two more days, and hopefully, I'll be back up and moving! Only time will tell. In the morning, I mainly chilled on Instagram, where I've been finding myself recently. Then, around 10 or 11:00 Am, we did some laundry and chilled. We mainly watched shows and casually relaxed! We were laughing at how floppy my body was and how horrendous our friend Luz's burp was! It was so hilarious, and then we saw Donny's old self (outfit) and tried to fit it in his wheelchair (and no, sadly, we don't have a picture). It went horribly wrong and sent everyone into abrupt laughter! Then, later in the day, we got some yummy pizza with pepper flakes! And Parmesan cheese (don't hate until you try it!) was very good. Matthew and Emmie had 5 slices well, almost 5! I had a few bites since I cannot chew pizza very well! But my few bites were delicious! I got a new outfit and enjoyed the chill afternoon watching shows with my baba and my babe drinking beer 🍻! Lol, we had a nice night, and now I'm going to end the entry here! Thanks for reading this whole week, and I'll see y'all next week. This whole day and week made me smile!

What made you smile this week?

Img desc #1: shows the tall mannequin skeleton with some blue labelings.

Img desc #2: shows Emmie smiling on a cruise near a glass wall with a brown handrail Emmie is seen wearing a pair of black sunglasses 🕶️ and a green short-sleeved shirt and blue jeans she is smiling while sitting in her electric wheelchair

Img desc #3: Matthew and Tucker are seen facing back to back. Matthew, seen on the left of the image, is seen smiling while his head is tilted back towards Tucker's head. He has a dark green buttoned-up long-sleeved shirt, and his hands are cuffed around his bicep area. He is standing near Tucker, giving a big smile. On Matthew's face is a pair of bulkyish pair of transparent glasses. Tucker, seen right of the image, is seen with his arms crossed, his hands cuffing around his biceps. His head is tilted back. He is wearing a white long-sleeved buttoned shirt and a golden and black colored blazer with a golden and black bowtie. There is a wooden background behind them. They are smiling very brightly.

Img desc #4: the large mannequin is seen standing on a grey desk with a few blue labels taped to the mannequin.

Img desc #5: doc is seen smiling slightly with her face red from coughing and sneezing all day. She is wrapped comfortably in Emmie's hoodie, grey sweatpants, and white socks. On Doc's lap is a big puffy pillow. A big brown pillow is seen behind her weak floppy Head!. She is very comfy!

Img desc #6: doc and Emmie are seen smiling in the dark near a building Emmie seen right of the image is seen smiling in her electric wheelchair wearing a white short sleeved buttoned up shirt with beige colored squares designed on her shirt paired with her shirt is beige colored shorts. Emmie's hands are propped up by her electric wheelchair. Doc who is seen left of the image is seen in her electric wheelchair and smiling while wearing a brown colored short sleeved shirt and black skinny jeans and brown shoes she is smiling big!

Img desc #7: doc is seen looking shocked while wearing a grey short sleeved shirt and grey colored sweatpants! She is seen near a group of friends and a glass transparent door.

Img desc #8: doc and Emmie is seen smiling doc is seen beaming with excitement! And seen wearing a black short sleeved shirt and grey sweatpants Emmie her wife seen wearing a white short sleeved shirt and smiling in her manual wheelchair they are seen near trees and a beautiful sunset 🌇.

Img desc #9: doc is seen asleep in a car with her head strap (she barely needs this as of right now but she is getting close and we wanted her to be comfy) her back was sore and her throat hurt and she kept sneezing sadly not a fun day! She is seen wearing a pink Hawaiian themed Short sleeved shirt and beige colored shorts her eyes are closed and she's fully conked out!

[jennygamble]

Lepto outa left field!

After re-reading my last post, I can see that I was still grasping at what I didn’t understand at the time to be a serious event. My doctor said “it is a miracle from God” that I have recovered as I did. The truth is, yes, there was a narcotic effect that made me incoherent (not recognizing my family) and took me to the ER. However, Lepto Menengial disease also has this effect and can be catastrophic if not detected. So… ultimately this was a perfect storm and I am lucky I got through it!

The metastasized breast cancer has found two distinct homes in my body (my bones and my CSF cerebral spinal fluid). Neither are curable and each has their own concerns and treatments. I’m on a new oral chemo to treat my Bone Mets and an Intrathecal Chemo that delivers through my skull to treat the CSF. Yep, I have a port in my skull!!

Lepto Menengial disease is a very rare and statistically devastating diagnosis. So far, I have been very lucky to get it identified and treated (infusions twice a week). At the moment the treatment is working and soon I can enter the maintenance plan, which is infusions once a week.

And so as I write this “report” I can see how dramatic the changes in my life have been. I was delirious with hope on my initial Bone Mets diagnosis but the new lepto situation has forced me to face a less optimistic possibility. I know I am in superior care with my current medical team. I am benefiting from the best that western medicine can offer. I’m also working with an amazing oncology natural path doctor who is helping me support my body to be strong through this journey.

While these cancers are considered “incurable”; they are treatable and can add years to my life.

But the very best medicine is what I already have! Incredible love and support all around me! More thanks to come in future posts! My family and friends are the deep wells of love that fuel my will to stick around and to defy statistics! Jared, Cliff, Marina and Delilah are the ones keeping me going!

Life is so beautiful. There will never be enough of it to satisfy me so I continue my Carpe Diem and make the most of what I’ve got!

[marshmallowprotection]

MC waking up early from the gas is interesting to try to figure out but I also find it funny because I, personally, can potentially justify it for myself. Maybe I don't have Saeran's tolerance for the elixir but I was pumped full of so much shit during chemo, including being sedated every couple weeks for spinal taps (and not even with gas, they did a syringe right into my central line). I wouldn't be surprised if I've built up some kind of tolerance, even if I've been off it all for a while. Medical nonsense coming through for once ✌️

You know, it definitely is possible that you could have a tolerance to it. It definitely isn't unheard of for people to have a hard time with anesthesia after going under so many times but there hasn't been a lot of study into that. With your added experiences, I dare say you might have a reasonable explanation of why you wake up on time.

I wouldn't have that even though I've been under a few times myself in the past for health reasons. I just know I would be knocked unconscious for a lot longer than the rest of them and it would trigger a bad ending. I have insomnia, and I might actually thank Rika for the experience if I wake up refreshed for once in my life. She should have gone into medicine instead of making a cult.

[nursingwriter]

NURSING Nursing: Outpatient Infusion Question 1 Lung Cancer: It is considered one of the deadliest forms of cancer within the United States. It is caused by cell origination in the bronchi or lung. The term encompasses all four types of cells, naming adenocarcinoma, squamous cell (epidermoid) carcinoma, large cell (anaplastic) cancer, and small cell (oat cell) cancer. Osteoporosis is a disease in which loss of bone mass is observed throughout the skeleton, predisposing the patient to fractures. Multiple Sclerosis (MS): This illness targets the central nervous system (CNS), in which damage to myelin and numerous regions of the brain and spinal cord is witnessed. The results could be seen in the form of momentary, recurrent, or sustained disturbances in nerve impulse conduction, leading to symptoms like muscular feebleness, absence of coordination, numbness, visual impairment, lacking control of bowel, bladder and sexual functions. The extent of demyelination forms the foundation of the clinical picture of MS. Question 2 Lung Cancer: Gas exchange, acid-base balance, comfort, mental health, infection Osteoporosis: Safety, functional ability Multiple Sclerosis (MS): Cognition, communication, sensory perception Question 3 The responsibilities of the infusion nurse in the first given video link are knowing different diseases, having an awareness of different medications, and ensuring that infusions are made according to the doctors orders accompanied by another nurse. Three of the procedures performed in the infusion center are managing patients and making trust relationships with those who have a chronic condition as they have to be treated over a long period, working interdisciplinary teams involving advanced practitioners, doctors, and staff management, etc., and knowing about medications that might have side effects and informing patients about them. The responsibilities of the infusion nurse in the second given video link are taking blood samples; if the condition requires, the nurses will proceed with giving intravenous catheter and work as a patient coordinator. Three of the procedures performed in the infusion center are taking blood samples, sharing the reports with doctors, and making recommendations for medications for the day. The responsibilities of the infusion nurse in the third given video link are constant evaluations and interactions for medications, specifically for the chemotherapy patients who come to the infusion centers for chemo infusion, providing information to the patients for taking home, and taking care of their individual needs who suffer from distinct medical conditions. Three of the procedures performed in the infusion center are giving a comfortable environment to the patients who are there for long hours, treating the patients with a smile all day, and remaining in continuous touch with the doctors and the patients simultaneously. Question 4 The three new things after having watched the NCLEX review blood administration video are: i. Verifying about the patients cultural and religious beliefs about the transfusion of blood in terms of nay prohibition possibilities. ii. Taking the vital signs before the process and disseminating information to the patient is important, especially about adverse effects, mainly referred to as patient education. iii. No drugs should be given via IV line except normal saline solution. Question 5 Ferrlecit Patient diagnosis for which the medicine would be ordered: IDA, Osteoporosis Mechanism of action: It is an important mineral found in hemoglobin, myoglobin, and numerous enzymes (Nursing Central, n.a.). It penetrates the bloodstream and is carried to the organs like the liver, spleen, and bone marrow when it becomes part of iron stores. Side effects: Dizziness, headaches, vomiting, diarrhea, nausea, hypotension, hypertension, chest pain, flushing, urticarial, arthralgia, myalgia, and pain or erythema when injected (Nursing Central, n.a.). Important assessment data to consider and trend: The patients should be educated for its need and make dietary history assessments to determine the likely cause of anemia, bowel function for constipation or diarrhea, monitor blood pressure level and heart rate for IV until they are stable. Checking signs and symptoms of anaphylaxis for 30 minutes at least after the administration is done (Nursing Central, n.a.). Information to teach patient: Explaining the reason for iron therapy and instructing the patient to inform healthcare professionals about symptoms of hypersensitivity reaction instantaneously (Nursing Central, n.a.). Immune Globulin (IV) Patient diagnosis for which the medicine would be ordered: IDA, MS Mechanism of action: It is a human serum that contains gamma globulin antibodies (IgG). Its therapeutic effects include passive immunity against various infections, alleviation of magnitudes of idiopathic thrombotypenic purpura, reduction in damage to a coronary artery in Kawasaki syndrome, and improvement in indications of chronic inflammatory demyelinating polyneuropathy (Nursing Central, n.a.). Side effects: Wheezing, dyspnea, aseptic meningitis, headache, dizziness, urticarial, cyanosis, renal failure, arthralgia, backache, hip pain, fever, sweating, chills, local inflammation, and phlebitis (Nursing Central, n.a.). Important assessment data to consider and trend: The date of exposure should be noted for passive immunity. It is recommended that administration of immune globin should be done after two weeks of exposure to hepatitis A and within six days after measles exposure. Monitoring of vital signs constantly after the infusion of immune globin IV and assessing patients signs after one hour for anaphylaxis, monitoring the patient for signs of aseptic meningitis syndrome and any infection signs of leukemia during the therapy are included in assessment strategies (Nursing Central, n.a.). Information to teach patient: Patient should be taught about avoidance against infectious diseases, increment in platelets levels when idiopathic thrombocytopenic purpura is observed, prevention strategies for bacterial infection, and bringing improvement in muscle function during chronic inflammatory demyelinating polyneuropathy (Nursing Central, n.a.). Filgrastim Patient diagnosis for which the medicine would be ordered: Lung cancer and chronic lymphocytic leukemia Mechanism of action: A glycoprotein filgrastim supports binding and stimulating immature neutrophils for division and differentiation. There is a decrease of infection observed in neutropenic patients due to chemotherapy and other similar causes, improvement in the harvest of progenitor cells for transplantation of bone marrow, and better survival when exposed to myelosuppresive doses of radiation (Nursing Central, n.a.). Side effects: Pain at the injection site, acute respiratory syndrome, hypersensitive reactions, glomerulonephritism hemotysis, artists, vasculitis, and splenic rupture (Nursing Central, n.a.). Important assessment data to consider and trend: Monitoring heart rate, blood pressure levels, and status of respiration before and occasionally during therapy, making assessments of pain in bone throughout the therapy, monitoring for detection of allergic reactions, acute respiratory distress syndrome, splenic enlargement or rupture (Nursing Central, n.a.). Information to teach patient: The patient should be educated about the purpose of filgrastim and taught about the correct technique for injection, its care, and removal of equipment afterward. Teaching the patient to tell his healthcare expert about hypersensitivity signs immediately and any Rx or OTC medications he takes before is mandatory. Females should take special care for reproductive concerns or breastfeeding (Nursing Central, n.a.). Epoetin Patient diagnosis for which the medicine would be ordered: Lung cancer and chronic lymphocytic leukemia Mechanism of action: Creates stimulation in the production of red blood cells (erythropoiesis) and helps maintain RBCs and decrease transfusion needs (Nursing Central, n.a). Side effects: Headaches, thromboembolic events, stroke, Stevens-Johnson syndrome, passing rashes, reinstated fertility, the continuation of menses and capitals that are lethal (Nursing Central, n.a.). Important assessment data to consider and trend: Monitoring blood pressure before and throughout the therapy and informing healthcare experts of hypertension signs are experienced. Assessments are to be made for anemia and monitoring dialysis shunts (Nursing Central, n.a.). Information to teach patients: Patients should be taught to read the Medication Guide before initiating the therapy. After making satisfactory prior assessments about the patients condition regarding red blood cell production in iron therapy, the healthcare expert should acknowledge. Informing the patient about shortened overall survival rate and discussions about self-injury ways for patients at risk of seizures should be ensured (Nursing Central, n.a.). Influximab Patient diagnosis for which the medicine would be ordered: Rheumatoid arthritis, Crohns disease, plaque psoriasis, ulcerative colitis Mechanism of action: It helps neutralize tumor activity, specifically for necrosis factor-alpha (TNF-alpha), resulting in anti-inflammatory and antiproliferative activity (Nursing Central, n.a.). Side effects: The side effects include fatigue, depression, lightheadedness, insomnia, hypotension, hypertension, edema, pain in the chest, hot flashes, rash, sweating, urticarial, dry skin, eczema, loss of vision, urinary tract infection, backache, involuntary muscle contractions and other hypersensitive reactions along with respiratory problems (Nursing Central, n.a.). Important assessment data to consider and trend: Making assessments for infusion-related reactions during or after two hours after the infusion, monitoring the patients for any development of new infection or hypersensitivity signs, detecting for signs of weight loss, testing for skin irritabilities, and rheumatoid arthritis, Crohns disease, and Psoriasis (Nursing Central, n.a.). Information to teach patient: Explaining to the patient the purpose of infliximab, telling him about its adverse reactions, asking him to notify healthcare professional immediately if any such signs occur, constant examination of the skin for any side effects, not receiving live vaccines during therapy and instructing females for continually checking PAP smears for cervical cancer screening (Nursing Central, n.a.). Methylprednisolone Patient diagnosis for which the medicine would be ordered: Lung cancer, and Chronic lymphocytic leukemia Mechanism of action: Suppression of inflammation and normalizing the immune response, intense metabolic impacts, suppresses the adrenal functioning in chronic doses of 4mg per day, and insignificant mineralocorticoid activity (Nursing Central, n.a.). Side effects: Hypertension, acne, fragility, adrenal suppression, hyperglycemia, muscle wasting, weight gain or loss, osteoporosis, muscle pain, depression, fluid retention, cataracts, headaches, changes in personality, restlessness, and capitals that are life-threatening (Nursing Central, n.a.). Important assessment data to consider and trend: The assessment should include before and after therapy monitoring, signs of adrenal insufficiency before and after in periodic assessments, children should be evaluated for growth assessments periodically, and checking for intake and output ratios for daily weights (Nursing Central, n.a.). Information to teach patient: Correct technique of medication should be taught to the patient, review for side effects cautions for avoiding vaccinations without consultation, notifying healthcare professionals for any signs of symptoms for worsening the condition, females should specifically take care for reproductive potential, and periodic lab tests along with eye tests should be conducted (Nursing Central, n.a.). Ocrelizumab Patient diagnosis for which the medicine would be ordered: MS Mechanism of action: It helps tie CD20 antigen on pre-B and mature-B lymphocytes ensuing in antibody-dependent and complement-mediated cell lysis (Nursing Central, n.a.). Side effects: Depression, progressive multifocal leukoencephalopathy, reactivation of hepatitis B virus, diarrhea, peripheral edema, cough, backache, neutropenia, malignancy, and capitals that are lethal (Nursing Central, n.a.). Important assessment data to consider and trend: Assessments to be made for active infections, monitoring for signs of infusion reaction, checking for signs of progressive multifocal leukoencephalopathy, and determining for any current indications of HBV infection (Nursing Central, n.a.). Information to teach patient: Advising the patient for informing the healthcare professional immediately for any signs of reaction during 24 hours, identifying the importance of infusion and schedule maintenance, indicating the healthcare expert about Rx or TC medications, avoiding live vaccines during therapy, informing female patients about increased perils of malignancy and reproductive complications (Nursing Central, n.a.). Question 6 Three important actions that would have prevented the medication error are: i. Special vigilance should have been ensured in the transition of care when one pharmacist was to administer the IV treatment and the second pharmacist was to prepare it for another pharmacy. The first and second nurses should also have double-checked the information. ii. Presence of a standardized and transparent treatment plan for which review and approval by a multidisciplinary team should have been carried out. iii. The entire staffs simultaneous access to the standardized electronic health record (EHR) should have been guaranteed for the new and old users to re-check the treatment and chart documentation. Question 7 The three self-protection actions the nurses should take when discontinuing chemotherapy after watching the given video are: i. Putting on the face and eye mask to avoid any splash or vapors. ii. Putting on inner hand gloves that should be long enough to reach under the gown or sleeves to avoid skin contact with hazardous liquids. iii. Putting on an impermeable gown and then putting on the outer gloves over the cuffs of the gown. Question 8 Lung Cancer: Patients diagnosed with lung cancer should be referred to the emergency department (ED) if signs of stridor, massive hemoptysis, superior vena cava obstruction, and new neurologic symptoms suggest brain metastases or cord compression (Giudice et al., 2014). Moreover, they should be referred to a specialist if they have persistent signs of hemoptysis, chest X-ray indicating a nodule or mass, multiple pulmonary nodules, slowly evolving pneumonia, unexplained elevation in the diaphragm, etc. Osteoporosis: Patients diagnosed with osteoporosis should be referred to a specialist when they have conditions like resistance to oral treatment, poor renal functioning, young patients having intricate comorbidities, or eating difficulties (Royal United Hospitals, 2020). Multiple Sclerosis (MS): The patients showing signs of demyelination should be referred to the neuroinflammation clinic since some delays are often experienced due to differences between young and old patients showing onset signs of MS for months or years (Kelly et al., 2011). Hence, the delay should be avoided as it might relate to greater disability. Question 9 The online support group that would be helpful for patients with lung cancer is Cancer Care.org (https://www.cancercare.org/diagnosis/lung_cancer). The site is patient-friendly since it provides various links for searching online support such as caregiver support, patient support group, community programs, connection for education programs, etc. (Cancer Car.org, n.a.). I want to change and make it more supportive for lung cancer patients by adding a section catering to ethnic minorities in the online group support programs. Their cultural and linguistic barriers do not hinder them from searching for such support. Question 10 Three coping mechanisms that I think might be utilized by patients and families during treatment include: Diseases can pose a threat of stress and anxiety for the patient and his family; a coping mechanism for stress management is providing enough information about the illness to integrate problem-solving tactics into the coping method (Karabulutlu, 2014). Sticking with religious practices and praying would be another effective strategy for coping with stress during treatment as it helps in handling the psychological effects of the illness (Karabulutlu, 2014). Seeking external help from online peers could be great emotional support and sometimes useful in gaining information about the disease. They would meet the ones already going through a similar experience. Question 11 To support the cultural and spiritual needs of the infusion patients, the nurses and the medical staff should be familiar with the accommodations that should be provided to certain ethnicities as The Joint Commission (TJC) stresses upon this requirement for the medical professionals (Swihart, Yarrarapu & Martin, 2021). The healthcare system is reliable upon meeting the patients spiritual and physical needs, for which the staff ought to be empowered with the skills and knowledge in such stressful times. TJC accreditation must be maintained to demonstrate cultural and religious competence towards the patients as federal guidelines are to be carried out in the clinical practice for institutional responsiveness to diverse population segments. Eliminating healthcare disparity, specifically for infusion patients, should be the main aim of the medical staff for this very purpose. Question 12 The suggested patient/ family teaching for lung cancer patients could be psycho-educational intervention (Bakitas et al., 2009). It is for bringing improvement in quality of life (QOL), lifting mood al, and It includes patient self-management, empowerment, and encouragement of patient activation with communication, social support, problem-solving, management of the symptoms, and advanced care planning based on the educational manual of ENABLE 1. References Bakitas, M., Lyons, K. D., Hegel, M. T., Balan, S., Brokaw, F. C., Seville, J., Hull, J. G., Li, Z., Tosteson, T. D., Byock, I. R., & Ahles, T. A. (2009). Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: the Project ENABLE II randomized controlled trial.JAMA,302(7), 741749. https://doi.org/10.1001/jama.2009.1198 Cancer Care.org. (n.a.). Lung cancer. https://www.cancercare.org/diagnosis/lung_cancer Del Giudice, M. E., Young, S. M., Vella, E. T., Ash, M., Bansal, P., Robinson, A., Skrastins, R., Ung, Y., Zeldin, R., & Levitt, C. (2014). Guideline for referral of patients with suspected lung cancer by family physicians and other primary care providers.Canadian Family Physician Medecin de Famille Canadien,60(8), 711e382. Karabulutlu E. Y. (2014). Coping with stress of family caregivers of cancer patients in Turkey.Asia-Pacific Journal of Oncology Nursing,1(1), 5560. https://doi.org/10.4103/2347-5625.135822 Kelly, S.B., Chaila, E., Kinsella, K., Duggan, M., McGuigan, C., Tubridy, N. & Hutchinson, M. (2011). Multiple sclerosis, from referral to confirmed diagnosis: An audit of clinical practice. Multiple Sclerosis Journal, 17(8), 1017-1021. https://doi.org/10.1177/1352458511403643 Nursing Central. (n.a.). Sodium ferric gluconate complex. https://nursing.unboundmedicine.com/nursingcentral/view/Davis-Drug-Guide/109193/all/sodium_ferric_gluconate_complex#12 Royal United Hospitals. (2020, October). Osteoporosis and metabolic bone disease referrals. Read the full article

[stylishmisery]

…Marie’s got meningitis. It’s not contagious, I can come in. You won’t catch it. You can’t…it’s from the cancer. She was at the hospital Monday for chemo and then she had a bad fever and went back, and now they’re saying the leukaemia is in her spinal cord, too.

I can call you when they’re not home so you can come see her. She’s gonna wanna see you.