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Portacath Carnage

Monday this week was the day I got my portacath inserted for the second time. It was my 4th general anaesthetic in the last 12 months. The last one I had was put in in December last year, but thrombosed up the IJV by February, after my 2nd round of chemo. This rendered my alternating arms as chemo targets for the remaining of the rounds.

This time they inserted the portacath on the left side rather than the right side, as the right IJV was difficult to visualise on my most recent CT scan. Interestingly, when we dressed the wound this evening, the insertion in the IJV is much higher up the neck than the last one. It will be interesting to see if this becomes an issue, because I’m already noticing the fact that it is pulling on my neck much more than the last one.

Portacath

Portacath wounds - Note the scar on my right chest from the 1st portacath.

Anyway, the whole thing serves as reminder as to the path I’m about to walk down. It brings home the reality of the fact that I’m about to hit more chemo, and the next little while will at best, bearable, and at worst, miserable.

Heres hoping its the former rather than the latter.

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  1. rhys
    November 11, 2009 at 9:03 am

    hoping with you for the former bro. what is your drug (s) of choice?

    • Jared
      November 11, 2009 at 9:08 am

      In general? or just for now?
      I’m currently just using paracetamol and ibuprofen which is doing the job.

      … But nothing beats IV fentanyl… πŸ™‚

  2. rhys
    November 11, 2009 at 9:11 am

    nah, your chemo regime πŸ˜‰

    • Jared
      November 11, 2009 at 9:18 am

      ahh.. FOLFIRI, which somehow stands for Irinotecan, 5-flurorouracil, and Leucovorin. And I think i’m on folic acid tabs thru out as well. The 5FU is a 3 day infusion that i get to go home with and carry around with me!! I’m also participating in a trial for a drug called Aflibercept, its a VEGF Trap molecule which targets VEGF (previous drugs have targeted the VEGF recepter with reportedly less results). But its double blind, so 50/50 as to whether I actually get it or not.

  3. rhys
    November 11, 2009 at 1:41 pm

    hmm how did they get FOLFIRI out of that?! what is the placebo for aflibercept? is it the VEGF receptor blocker or something inert?

    • Jared
      November 11, 2009 at 1:42 pm

      i think its just placebo, so normal saline or something.

  4. catherine
    November 24, 2009 at 12:55 pm

    easy big brother:

    *FO – folic acid;
    *L – Leucovorin;
    *F – flurorouracil;
    *IRI – Irinotecan…

    On a different note, thinking about u Jared – can’t even begin to imagine how this must all feel especially second time round with the chemo. Take care xoxo

    Cat (Rhys’s little sis)

  5. rhys
    November 25, 2009 at 10:18 am

    nice wikipediaing sis πŸ˜›

    • catherine
      November 25, 2009 at 7:59 pm

      lol no bro, its not that hard to work out! wikipedia is lame!

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