ABSCT TREATMENT SCHEDULE 2006

Tom Baker Cancer Centre, Foothills Medical Centre, Calgary Alberta

 

 

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

 MAY, 2006

1

 

2

Abdominal ultrasound

 

3

Bone Marrow Aspirate and Biopsy

Bone Marrow Transplant Clinic

4

 

5

 

6

 

7

 

8

 

9

Interview with Dr Bahlis and Naree Ager (RN) - full description Autologous Blood Stem Cell Transplant Program and alternate treatment option

 

 

10

 

11

 

12

13

14

24 hour Holter Monitor EKG

 

15

return Holter monitor

 

Last red wine, beer

 

Samantha's 20th birthday

16

Pharmacist consult

RN review re: stem cell mobilization

Unit 57 Tour Bloodwork

 

Last white wine

 

17

Pulmonary Function  Test

Electrocardiogram (EKG)

Panoramic teeth, chest, sinus X-rays

Echocardiogram (ultrasound)

Dentist consult

18

Dietician consult 

History & Physical exam

19

Sam has some GREAT NEWS!

She is the co-star of the Festival Winner of Canada's first Mobile Film Festival Mobifest

20

 

21

22

Victoria Day

23

24 hour urine collection (home)

24

Bloodwork

Central Venous Catheter line insertion

25

Apheresis consult

G-CSF injection #1

CVC dressing change

G-CSF injection #2 (home)

26

G-CSF injection #3 CVC dressing change

G-CSF injection #4 (home)

 

27

G-CSF #5, #6

injections

28

G-CSF #7, #8 injections

29

Bloodwork (test blood count)

Possible stem cell collection (Apheresis)

30

Possible stem cell collection (Apheresis)

31

Possible stem cell collection (Apheresis)

Teeth scaling (Eastport Dental)

 

 

 

 

 

 

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

 JUNE, 2006

 

 

 

1

R & R until June 6

2

3

4

Calgary Children's Choir year-end Concert

5

 

6

Bloodwork

CVC line flushed

RN review ABSCT

 

7

Admission to Unit 57

Tom Baker Cancer Centre


Allopurinol administered, IV fluids started

8 Day -1

Chemotherapy

9 Day 0

Stem Cell Transplant

Rebirth Day!

10 Day +1

11 Day 2

12 Day 3

13 Day 4

14 Day 5

15 Day 6

16 Day 7

G-CSF injections daily until blood counts recover

17 Day 8

18 Day 9

19 Day 10

20 Day 11

21 Day 12

22 Day 13

23 Day 14

Start looking at discharge from hospital

24 Day 15

25 Day 16

26 Day 17

27 Day 18

28 Day 19

 

29

30

 

 

 

New Calendar

 

Alopurinol drug to prevent the build up of uric acid

 

Apheresis  a medical procedure used to obtain stem cells for transplantation. Blood is temporarily removed from the circulation so that stem cells may be separated out.

 

Autologous Blood Stem Cell Transplant (ABSCT) a transplant using the patient', own stem cells for transplantation, rather than stem cells from a donor.

 

Bone Marrow spongy tissue found in the cavities of bones, especially in the sternum and pelvis (hips). Bone marrow is the "factory" which produces stem cells. These cells mature to become white blood cells, red blood cells and platelets, before being released into the blood circulation.

 

Bone Marrow Aspirate a medical test which examines the cells in bone marrow. A sample of marrow is removed by suction with a needle and a syringe. Usually the back of a pelvic bone is used.

 

Central Venous Catheter (CVC) a small, flexible plastic tube inserted into a large vein near the heart. It can vary in size, and can have one, two or three channels (lumens). The catheter is used for giving fluid, medications, blood products or nutrition. It is also used for getting samples of your blood without a needle poke.

 

Chemotherapy medication(s) given to kill cancer cells Drugs can be given in several ways. Usually they are given orally or intravenously.

 

Conditioning treatment given to prepare the body for stem cell transplant by destroying the patients bone marrow. This treatment may be chemotherapy, radiotherapy or a combination of both.

 

G-CSF granulocyte colony stimulating factor (filgrastim). Also called a growth factor, it is a natural substance in the body, which helps control production os ftem cells in the marrow. G-CSF is injected to stimulate the bone marrow to increase stem cell production and move these cells into the blood.

 

Immune System a complex group of cells and substances which is present in the body. The immune system protects against foreign agents which may cause infection or disease.

 

Immunosuppression a decrease in the normal function of the immune system, caused by disease or drugs.

 

IV intravenous flow to maintain hydration and urine flow to protect the kidneys

 

Melphalan Chemotherapy drug

 

Platelets small blood cells that are important in the blood clotting process. They are produced in the bone marrow and travel through the circulation to prevent or control bleeding. Some symptoms of a low platelet count are the presence of tiny red spots on the skin (petechiae), easy bruising and bleeding from the gums.

 

Red Blood Cells (RBC) the cells that carry oxygen from the lungs. Hemoglobin (hgb) is the substance in this cell which transports the oxygen to all body tissues. Anemia can occur when there are not enough red blood cells in the body.

 

Remission a decrease or disappearance in the signs of disease. This may be partial or complete. Partial remission occurs when at least 50% of the disease has been destroyed with treatment. Complete remission occurs when no further signs exist after treatment. Remission does not mean cure.

 

Sepsis presence of infection in the blood.

 

Stem Cell the basic "mother" cell found in body tissues. In the bone marrow, it is the cell that evolves into white blood cells, red blood cells or platelets.

 

White Blood Cells (WBC) called leukocytes. There are many types of these cells. They are primarily responsible for controlling infection by destroying microorganisms such as bacteria. Some of the important types of white cells include:

 

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