November 18, 2010 In Houston

I had written down all the info I was going to share tonight, then my battery died and when I switched it back on... I'd lost what I wrote...
Now, I am too tired to re write everything - will do so tomorrow.

What I will share is - I just got off Skype with Adrian and he is doing ok. He had a bad reaction to one of the pain medications he had been given. It made him throw up. It is the same medication he got when he was so sick at Dr. H's office. The nurse in Houston is going to make a note of it, so he won't have it again.
He is also in pain from the central line they put in today ( it was planned for next week - but they changed it) - therefor the medication and then he started throwing up.
He was sitting up eating just now and about to watch some funny HBO show.

I will write more tomorrow about the plan and what he is doing.

Here is some info about Central line and mobilizing (he is doing chemo+mobilizing right now)

Central venous catheter (CVC) placement

A central venous catheter (CVC) is a flexible, hollow tube made of soft silicone. A surgeon or radiologist places the catheter through the skin and into a vein in the chest or neck. The tip of the catheter is threaded through the vein to a point just above the heart. There will be a catheter exit site on your chest, and several inches of the catheter will remain outside of the body. The external portion of the catheter will have two or three ports, or lumens, that have special connectors on the ends that can be used to draw blood for lab tests and to administer chemotherapy, medications, IV fluids and blood products. Mobilization therapy   Overview Mobilization is the process used to increase the number of stem cells in the peripheral blood. Two common methods of mobilization are chemotherapy and growth factors, or growth factors alone. Growth factors (such as Neupogen) are human proteins that the body normally produces to increase blood cell production. As the stem cells in the bone marrow begin producing more blood cells, increased numbers of stem cells are also produced and released into the blood stream. Growth factors are given daily for three to 14 or more days. You may receive it in the clinic or hospital.  The most common side effect of growth factor is mild-to-moderate bone pain or fever, which can often be controlled with Tylenol (acetaminophen). You may also experience a fever when taking growth factors. Always inform your doctor if you have a fever. If you receive chemotherapy as part of mobilization, you may receive it in the clinic where you received your other chemotherapy treatments or in the hospital. This chemotherapy may be the same as your other chemotherapy treatments or may be stronger. If it is stronger, you may experience different side effects and may have different instructions for taking care of yourself after the chemotherapy. Your doctor and nurse will explain the chemotherapy treatment and how you should care for yourself. After you have received a certain number of doses of the growth factor or when your white blood cell count reaches a certain level, it will be time to start collecting stem cells from your blood. Your blood counts may be checked every day or two to determine when to start stem cell collection. Your doctor or nurse will let you know when it is time to start the collection. If you do not already have a CVC, one may be inserted now.