Showing posts with label platelets. Show all posts
Showing posts with label platelets. Show all posts

12.01.2011

Platelets and Cream

First, a word about my newest sponsor: TruckerCo.
Chuck and Greg are on a mission to deliver quality bike parts and apparel. In fact, beginning in the Spring of 2012, they will have expanded to include a custom team cycling clothing line. Get your orders in now!
Oh, and they continue to race bikes and dominate. Visit TruckerCo for their goods. 

Today, kids, we’re going to learn about platelets.

Special Bonus: you’ll meet some of the valley’s best healthcare experts along the way.
Let's meet the first experts now.
The Lab crew at American Fork Hospital. They take your
blood without a pinch but make you joust first.
What are Platelets and why are they important?
 I’ll use my favorite analogy, which also ties in my newest sponsor, TruckerCo. The R&D team (cough-cough) at TruckerCo invented Cream, which is the best and lightest tubeless tire sealant on the planet (thanks, Greg, you can send the pallet straight to my house). You simply add a small serving of Cream to your tubeless tires, mount up, inflate (high psi), and you’re good to go. If your tire gets a tear or puncture, Cream finds the puncture, coagulates, and plugs it. Sometimes without you even knowing it. Brilliant. When your Cream gets low, which it does over time, its special sealing power diminishes and you flat. That could ruin a perfectly good ride. Take away: make sure you have plenty of Cream on hand.

What does this have to do with Platelets? 
Easy. Cream is to tubeless tires what platelets are to your body. You get cut and your platelets band together and rush into action. They converge on the cut and plug it up, thus preventing you from bleeding. Sometimes they do this without you even knowing it. When you have too few platelets, you bleed a lot when you get cut, scraped, or for no reason at all, internally and externally. This totally sets you up for rude comments from rude friends. More importantly, it poses a serious threat in that you can’t sustain too much blood loss and expect to be productive. You just can’t. A pop in the head could pose a big problem because blood has nowhere to flow up there. 





This is where my analogy stops.


With tubeless tires, TruckerCo has not yet invented a way for Cream to auto-replicate and maintain optimal levels. In most human bodies, there is something in place to auto-create platelets. It’s called bone marrow. Your bone marrow’s job, among other things, is to create the platelets you need to not bleed every time a tree branch waves at you. Brilliant! 
This week I got results back from last week's bone marrow biopsy. The news was positive - my bone marrow's doing its job. This ruled out, to a degree, other complications and certainly rules out the need for bone marrow transplants.


Dr. Freestone and his partner Chris - the bone marrow experts.
These guys know how to inflict exquisite pain!
At the end of October, I was feeling really weak. 
On November 3rd, my doctors discovered that my platelets “appeared to be nonexistent.” 
At that time I had 3,000 platelets. 
“Normal people” have 250,000 to 350,000.
My condition was/is diagnosed as ITP. Today, about four weeks later, my doctors are still trying to figure out why my body destroys my platelets.


Platelets: 43k
(down from 78k two days ago)
Meds: 70MG Prednisone (Steroid)

Because my platelets keep dropping, we’re changing directions tomorrow. 
I’ll tell you about that later.




11.18.2011

Keep Those Plates Spinning ... Please!


Recently there have been some changes in my life. Most notably, I’m dealing with the onset of what we believe to be Idiopathic Thrombocytopenic Purpura (ITP).  ITP is a blood disorder. For reasons we have not yet figured out, my antibodies have decided that they no longer like my platelets. To show their disdain for my precious platelets, my antibodies are killing them. 

To make my problem more complicated, my body decided to join in on the fun and stop producing platelets. I can’t get my body to talk to me about this so I don’t know why it’s acting this way. Over the next few days, weeks, and months the story will become clear.


This has been going on for several weeks and maybe months – I just didn’t know it until I was admitted to Utah Valley Hospital in Provo, Utah on November 3, 2011. But hey, I’m getting ahead of myself. Over the next weeks, I’ll describe what has transpired (backwards-looking) and provide progress updates.

The two most compelling items, which I track nearly daily, are my platelet count (as a reference, normal is 150k-300k – but for the sake of simplicity we'll leave off the k) and daily dose of meds to help keep my platelet count up. Why are platelets so important? I’ll tell you next time.

Today’s Numbers
Platelets: 58k (trending up)
Meds: 350ML Intravenous Immunoglobulin (IV IG) and 70MG Prednisone (Steroid)

Immunoglobulin and Prednisone increase my platelets.

Lime green today


Today we decided to crank up the intake a few notches to speed things up. Bad decision. By the end of the IV session I was jacked-up and shaky. For the next several hours I was edgy and cranky. Apologies to those who had to deal with me. Really, I'm sorry.


Getting juiced - Landis would be impressed!