Averted emergncy post!
Cycle 1 Day 8
The PICC line goes directly from your forearm, usually non dominant, to your heart, following large veins. This makes it a extremely dangerous potential route for infection to easily and directly reach your heart, with consequences as dire as you'd like to imagine.
I have two red lines that, if crossed, I'm told I must immediately go to the ER for emergency intervention. They are above 38 for an hour, or above 38.3 at any point. When I'm running any sort of fever (for me, I've set my cutoff at 37, because I rarely stray beyond 36.5), I'm to take no medications that lower a fever.
All my painkillers are Tylenol based. They all lower a fever. So I'm also in a lot of cancer pain, with a cold style headache on top of it.
Long preamble to say that this morning I had a fever that peaked at 37.8. I didn't panic, but I did have a very tense couple of hours. Yesterday, I got my 2nd Covid-19 booster (hurray bivalent vaccine), which was almost certainly the cause of this. But I also had my PICC dressing changed, and the nurse was extremely careful, but who's to say I didn't get an infection (well, I am, now, but at 5AM that was not clear).
The tldr of it is everything about cancer treatment, or any treatment, is a trade off of risks and benefits. The PICC is a tremendous risk, but also a fantastic benefit. I was not ready for the level of responsibility I have to take for my own body during this. But it's a wild and fascinating ride
From the comments
James Petrosky: To be clear, I'm in no danger. I never was actually in any danger. And if the situation had turned, I had everything ready to go to address the situation before it turned truly dangerous.
My partner and I have talked through all this stuff with the oncologist and nurses. We're not expects by any means, but we're informed and empowered and ready to act when needed. ❤️
Also, the side effects were much more minor for me this time. I got a proper fever all the other times, and were I healthy and working I'd probably have gone in today without even noticing it. So yeah, bivalent vaccine: 👍👍