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Being the Outlier

Dad’s battle against cutaneous T-cell lymphoma.

Day +22: The Herpes Family

Day +22, Sunday, April 24, 2016 WBC: 2.86 k/uL LOW  H: 9.7 g/dL LOW  P: 11 k/uL LOW  BUN:  83 HIGH  Cr: 4.7 CRITICAL  Na+: 143 NORMAL Mentation.  Dr. Ochoa-Bayon, inservice BMT, found Dad to be somnolent, but rousable.  At times, Dad mumbled and was able to follow...

Day +21: Dazed and Confused

Day +21, Saturday, April 23, 2016 WBC: 2.67 k/uL LOW  H: 7.6 g/dL LOW  P: 21 k/uL LOW  BUN:  85 HIGH  Cr: 4.9 CRITICAL  Na+: 145 Mentation.  Dad was sleepy and lethargic when Dr. Ochoa-Bayona, inservice BMT, visited.  Yet, Dr. Ochoa-Bayon was able to arouse him.  Dad...

Day +19 & Day +20: Dad’s Confusion Begins

Day +19, Thursday, April 21, 2016 WBC: 1.43 k/uL LOW  H: 8.5 g/dL LOW  P: 18 k/uL LOW  BUN:  83 HIGH  Cr: 4.3 CRITICAL  Na+: 150 HIGH Mentation.  Dad was alert when Dr. Ochoa-Bayona, inservice BMT, visited.  He oriented to person, place, and time, but he closed his...

Day +18: Engrafted and Out of ICU!

Day +18, Wednesday, April 20th.  Dad was transferred out of ICU back to the BMT (Blood & Marrow Transplant) floor. WBC: 1.04 k/uL LOW  H: 8.8 g/dL LOW  P: 16 k/uL LOW  BUN:  69 HIGH  Cr: 3.4 HIGH  Na+: 147 HIGH Mentation:  During the night, Dad was extremely...

Day +14 through Day +17: More Days in the ICU

Day +14, Saturday, April 16th. WBC:  0.06 k/uL CRITICAL  H:  7.7 g/dL LOW  P:  10 k/uL LOW  Cr:  5.1 CRITICAL  Na+:  152 CRITICAL Blood.   The atypical Gram-negative bacteria was finally identified as Achromobacter xylosoxidans.  Looks like an extremely difficult...

Day +13: 1st Day in the ICU

Dad was moved to the ICU on the second floor. Day +13, Friday, April 15th. WBC:  0.08 k/uL CRITICAL  H:  7.4 g/dL LOW  P:  18 k/uL LOW  Cr:  3.9 HIGH  Na+:  148 HIGH Blood.  All three lines (blue, red & white) in Dad’s central line catheter indicated...
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Who is Dad?

Presently, the risk of an American man developing cancer during his life is nearly 1 in 2.  In 2013, Dad was the 1 in 2 diagnosed with cancer (of any type) and 1 of 3,000 new cases  of cutaneous T-cell lymphoma (CTCL) in the U.S.  Dad was 1 in 450 CTCL cases which were diagnosed as Sézary syndrome.

Who is blogging?

The primary blogger journaling Dad’s roller coaster called “cancer” is his daughter, Jennifer.  Additional bloggers may include other family members.

Why this blog?

We are sharing Dad’s story so that we highlight the experiences of a real patient, a caregiver, and his family affected by cutaneous T-cell lymphoma (CTCL).  We want to raise awareness and share the results of the various treatments attempted for this uncommon disease.  Most importantly, we want to  give inspiration and hope to all families waging their personal wars against CTCL.

What is cutaneous T-cell lymphoma?

“Cutaneous T-cell lymphomas (CTCLs) constitute a group of non-Hodgkin lymphomas (NHLs) of the skin.  CTCLs are cancers of the T lymphocytes (a type of white blood cell) that mainly affect the skin but can also involve the blood, lymph nodes and/or internal organs in patients with advanced disease.  There are many types of CTCL. The two main subtypes are mycosis fungoides (MF) and Sézary syndrome (SS). Initial signs of MF include skin patches, plaques or tumor nodules. SS is a type of CTCL that affects both the skin and the blood.” — Leukemia & Lymphoma Society

What is Sézary syndrome?

“Sézary syndrome (SS) is a more aggressive, leukemic form of CTCL, with widespread skin effects, enlarged lymph nodes and the presence of significant numbers of malignant lymphocytes (called ‘Sézary cells’) in the blood. The disease is characterized by an extensive red rash, itchiness and sometimes loss (sloughing) of the exterior layers of the skin. These patients often have skin infections due to the extensively compromised skin.” — Cutaneous Lymphoma Foundation

Dad’s Cancer Team

Dr. Ernesto Ayala

Blood & Marrow Transplant

Dr. Frank Glass

Cutaneous Oncology

Dr. Michael Montejo

Radiation Oncology

Dr. Lubomir Sokol

Malignant Hematology

Be strong and courageous. Do not be afraid or terrified because of them, for the Lord your God goes with you; he will never leave you nor forsake you.

Deuteronomy 31:6