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November 18, 2002
anaphylaxis
Hi,
They gave your mom the chemo this morning and had hoped to give her 1100 ml but after 200 ml. she went into shock. Her blood pressure dropped from 120/2080 to 57/40. They immediately put her on a table head down and started a unit (1000 ml) of saline to increase her blood pressure and gave her benadryl. I don't know why the benadryl unless they thought she had an allergic reaction to it - but the benadryl made her extremely cold. They said it would and there was no way to warm up - no matter how many blankets you throw on. But they let her go home. She called me before she left and I said I would come get her but she was confident she could drive home. I had her call me as soon as she got home. She said it was pretty scary - but her doc was there and in charge the whole time. I know they would not have let her leave unless they thought she was fine!!!! Dr. Romer said it was probably a good sign that the chemo was doing what it was supposed to do - killing a lot of cells so he was not concerned too much about the reaction. But it sounds like it put her into anaphylactic shock because her pressure dropped so fast and she said she had a hard time breathing. He commented that of course she was Wendy and everything about her was always different. But, they certainly had everything under control and were fine letting her go home by herself. The plan now is to do Tues., Weds, and Thurs. what they had always planned to do those days and then to try Friday to see if she could handle more of the same medicine she had today. I am arranging to take Friday off to go with her. The doctor will be at Miami Valley Hospital that day - so he wants her to come there for it. He is hopeful it will go better then since he thinks the number of lymphocytes will be much lower by then and therefore, less problems or reactions will occur. Wendy seems fine - not disappointed - just a little frightened that this happened. She always thought she would come through this with flying colors and this was a shock to her. And, I know Amy has seen her with very very low blood pressure (as have I) and it is scary how bad Wendy feels when that happens. You know, your mom is not one to ever complain about how she feels, so when she says she feels that bad - it is scary. Just between you and me, I was surprised to see Amy in class this morning. I had thought she may have gone with Wendy. But I am sure your mom said "no". I had to teach this morning from 8-10, so I could not go - but I will definitely go Friday. That's all I know. It is a little disappointing that it did not go as planned - but she is fine and no one seems very upset or disappointed that this happened. It doesn't appear that the doctor thinks this will have a negative effect on the outcome, as far as I can tell. I'll try to keep you posted. KT P.S. Could not call you at 10:00 your time - I have a class from 1-2 which is that time for you. Sorry.
Posted by Maggie at November 18, 2002 6:18 PM
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