Coumadin

#’s

Advanced Prostate Cancer, Coumadin, David Emerson, Lovenox, Wafarin -

What I forgot to include in yesterday’s post was an update on the continuing saga of “The Clot”.
For six weeks now we have been trying to get my INR number high enough and stable enough to discontinue self injections of Lovenox. (INR is a blood marker used to determine the level of Wafarin or Coumadin in your blood).
In order to deal with “The Clot” I was put on Lovenox (self injection) and Coumadin (generic is Wafarin). The optimistic early prognosis from the doctors assistant was I would have to continue the self injections for 3, maybe four weeks until my INR reached a level above 2.0. It has now been over six weeks.
Things were progressing quite nicely, but not fast enough, when I reached 1.6 over two weeks ago. Last week we had a set back when it dropped to 1.3, this week it’s up a little to 1.4. My Coumadin dosage was increased again on Tuesday and we are hoping when we see Dr. V on Monday it will be really close to or above 2.0.
The worse side effect of the self injections is bruising at the injection site. So, needless to say, my stomach looks like Mike Tyson used me as a punching bag!
…oh well, life goes on…..

Running from Fay

Advanced Prostate Cancer, Coumadin, David Emerson, hurricane Fay, wbc -

I have been trying to put off work travel as much as possible, but I had to go to Orlando on Monday and Tuesday. I was originally scheduled to return Tuesday night on a 7:20 flight. As it turns out, that was supposed to be nearly the exact time hurricane Fay was to cross over Orlando.
After meeting for most of the day, the folks I was traveling with and I scrambled Monday afternoon to move to a hotel closer to the airport and onto flights that departed Tuesday morning. Things seemed to be in order, I was scheduled to take a direct flight and be back in KC by 12:30pm.
As fate would have it, things turned out a little differently. First, Midwest Airlines decided not to send the planes for their 11:20 and 12:30 flights into Orlando. They were the only airline that pulled the trigger this early. In order to shorten the story I’ll just say my day was filled with many hours of standing in lines, employing patience and dealing with airport security. In the end, I was home by 7:00pm Tuesday night, about 12 hours after arriving at the Orlando airport. That sure beats the first response from the employee at the Midwest ticket counter….”The next flight we can get you on is Friday morning”.
And now a health update, the reason most of you are here…..
I was pretty fatigued over the weekend, but I was able to get in a round of disc golf.
Blood test results from Monday showed the following:
WBC: 1.6 (all time low)
INR: 1.5 (Needs to be 2.0 to 3.0 so they have increased my coumadin from 5mg to 7.5mg)
The first accounts for the fatigue and elevates my risk of infection, amongst other things. The latter is being tracked for the blood clot medication.

Hair today….gone tomorrow?

Advanced Prostate Cancer, blood thinners, Coumadin, David Emerson, DVT, Lovenox, PCa -

First, I’m going public with this a little early: my hair is at best ‘thinning’ at worst I’m losing it.
It started last week at some point. I noticed more than normal on my towel and then Tuesday morning Mary said my pillow was covered in hair. It has not started coming out in clumps (that will result in me immediately shaving my head) for now, we’re going with the description of ‘thinning’.
On another note, the Lovenox shots will only have to continue for another two weeks or so. I just talked to Dr. V’s assistant and I will start taking Coumadin (an oral or pill form of blood thinner) tonight. It might take a few weeks to get the dosage correct, so I will have to keep taking Lovenox at the same time.
I slept very little, three hours on Monday night however last night I was out for seven uninterrupted hours. That was a first in weeks, perhaps months!