tisdag 27 februari 2018

Liver cancer, surgery

3 weeks ago on Monday morning 0705 I went under the knife to get the tumor removed together with 1/4 of my liver (parts V & VIII in the picture above).

Part of a series:
Another reminder of mortality
Day 4 - Tumor in my liver
First week - tumor in my liver
Second week - tumor in my liver
Third week with liver cancer
Liver cancer, surgery
6 weeks post-op, news time
Cancer update
Liver cancer, Post-op 2
June Update 2018

I received spinal anesthesia and went to sleep within minutes. At 1930 I was in post-op after a surrealistic bed-ride from the operations department and talked with my wife in the phone.
Really nice people at post-op. I was really dry in my mouth for the first 14 hours or so and tried to drink water but it did not help. During the night I woke up every 10 minutes with a dry mouth and begging for a swapped with cold water.
Next day I was to start moving, at first sitting at the bedside, but felt lightheaded and almost passed out. In the afternoon I needed to change bed so I was able to sit on the bedside, raise up and walk to a chair 2 meters away, wait  for the new bed and then walk to the new  bed before passing out. After the incident I received 2 units of blood and the dryness disappeared. Evidently I had lost 3 liters during the surgery!
I was moved to the liver ward in the evening. Feeling better. Able to walk on the spot with the help of 2 nurses. Progress!

Slept 3-4 hours at a time through the night. I hear my pulse in the right ear. Tired  and sweaty. Received medications and they did tests every x hours, have no clue how often.

Next day, able to walk to the chair. And breathe through the lung-expander worked well. Doctor said she was worried that I was still in bed most of the time. My parents visited in the afternoon. I got a CT scan to make sure that my pulmonary embolism wasn't back. It was not and surgery area looked fine as well. Sister visited in the evening, received 2 units of blood during the night.

Seated a lot during night but able to sleep.
Next day I was told to walk 160m every other hour that I am awake. So mission, lung-expander and walks, that is what I do. Parents visited again in the afternoon. Nice to have company. They redid the bandages on my stomach. Looked good.

A night from hell. Did not sleep well. Sweated all the time and nightmares, surrealistic. Not knowing if I was awake or dreaming. Thought it was the fever. Mentioned it to the nurses.

Friday, slow starter. All sweaty from eating a sandwich. Not supposed to drink more then 2 liters today. Another mission, no problems!  Had to sleep before noon.
Even more sweaty, unimaginably sweaty during lunch.
After lunch walked some loops, read magazine and watched Olympics start ceremony and after that I felt OK-ish again. Easy to sweat though. Sister gave me a Chromecast, did not work with the hospitals open network. Talked and walked the loops many times.

Surgery wounds after 8 days when I was sent home
During the weekend I received even more blood, total of 6 units all in all. And on Tuesday I was sent home as all the tests were moving in the right direction and I was not in any pain. Still, had a low fever but nothing to be alarmed over according the the doctors if it did not start to raise. Nothing unusual after a large liver surgery.

Home for some days, really uncomfortable. No place that was good to sit in, stairs in the house were really hard to climb and even the bed was too 'flat'. As I am not allowed to use my abdomen I have to use a special technique to get into and out of bed. Low fever continues. Also start to cry for no reason, I guess all energy reserves are used up by now. I.e. I watched hockey on the TV and all of a sudden I was crying.

Thursday, fever starts to peak in the afternoon... And in the evening I call the hospital. But no need for alarm, as long as you do not get fever chills it should be OK, but call your contact nurse in the morning.
In the morning I went to the local health center to change the bandages and the were nice to take a CRP test that I could tell my contact nurse. Evidently the CRP is usually elevated after a surgery and they were not able to tell if it was good or bad. But my contact nurse was able to, and she told me that the value had doubled since they sent me home. So pack the go-bag again and head for the hospital.

During the Friday evening I crashed, fever of 39C and CRP of 185 before the antibiotics kicked in. Another CT scan to see what was going on. Evidently there was some liquid where my gallbladder used to be (I was unaware that they had removed it as well, they had told me but it jut did not register I guess).
So, new plan. Tuesday morning they will puncture and analyse the liquid. Fun! Now I start to get nervous for the first time.

Watched a lot of Olympics at the hospital, the antibiotics kicked in fast and from Saturday lunch I was walking and talking again and able to spend more time in the TV room then in bed. 
On Tuesday morning when they did the ultrasound (as a guide for the needle) the doctor just stated that she was 99% sure that the liquid was just blood. Second doctor was called in and she said the same thing. So no needle through the liver to puncture it.
During the day I received no further information, when the night nurses arrived they told me that the had called off the whole procedure and would probably send me home in the morning.
They did, but with 2 different antibiotic this time.
Surgical wounds after 16 days, when I was sent home the second time.
And this time it was nice to get home, no fever, able to sit better, easier to get out of bed. Pretty much everything work so much better.

On Friday I was able to go to a comedy show with my wife, we bought tickets in May last year... So really nice to actually be able to go and see Johan Glans even though i was holding back my laughter as evidently it hurts to laugh. It also hurts to sneeze and cough. But oh well, I guess that will get better over time as well.

In 2 weeks I will get the verdict of the analysis of the tumor and the game plan forward. Until then I will just be at home and take walks outside and try to slowly push my body forward. 

Why I am writing this? Not to feel sorry for myself, but as a way to handle the situation and hopefully someone else out there in a similar situation can find this helpful as well. The human body is strong and hopefully I'll come out of this stronger as well. Plan for the worst and hope for the best!

fredag 2 februari 2018

Third week with liver cancer

The test results show that I am not an alcoholic.
Well that is good to know!
Day by day summary of the third week after I got to know that I have a cancer in my liver.

Part of a series:
Another reminder of mortality
Day 4 - Tumor in my liver
First week - tumor in my liver
Second week - tumor in my liver
Third week with liver cancer
Liver cancer, surgery
6 weeks post-op, news time
Cancer update
Liver cancer, Post-op 2
June Update 2018

Ordinary Saturday. Grocery shopping with wife... Installed new pet door that I also wrote an first impressions article about.
No training: Rest day

Another day at home. Nothing out of the ordinary.
Traning: 1 hour 30 minutes incrementing resistance on the trainer

Work work. Starting to feel like I want to know the actual date for the surgery now to be able to plan. Living with 'things will happen in the near future' for the third week is starting to become a bit hard on the psyche.
Training: 42 minutes threshold on trainer

Got the call, next Monday morning at 0600 I will enter the hospital in Gothenburg and go into surgery! Hotel from Sunday to Monday and a taxi in the morning is booked.
Training: 5K fast paced walk

Sneezed some times and got really tired so decided to go home at lunch to rest instead of getting sick now. Hopefully this is just a scare as I do not know if they will do the surgery on Monday if I got the cold. Have no idea.
Slept the afternoon and took it easy during the evening, totally beat.. Think my body is telling me to stop.
Training: No training

Home. Went for a walk. Nothing much else, just taking it easy and reading book on F#. Not that worried about the Monday surgery, more worried that I will catch something and it gets re-booked to a later date.
Training: 4K medium paced walk

The countdown has started. No more Xarelto until after the surgery. Instead I'll take Fragmin shots for 3 evenings.
So... 3 days to go... Trying to not think about it. Stayed home today as well. Don't want to risk catching anything at work as pretty much every other person is coughing...
Training: 4K walk and some strength training

Why I am writing this? Not to feel sorry for myself, but as a way to handle the situation and hopefully someone else out there in a similar situation can find this helpful as well. The human body is strong and hopefully I'll come out of this stronger as well. Plan for the worst and hope for the best!

My current plan, February 2018

So evidently I did not have a My current plan post for January, but I think I got it covered in all the other posts I made last month.

So, plan for February. Survive and get rid of the cancer in my liver.

Investment news are in. My favorite candy maker released their annual report.. They did not raise their ordinary dividend this year, it will be the same as last year but they double it with the same amount in extra dividend. So yay for us as we have bought even more shares during the year. The share also went up 8% on the report but that is not so important for me as I am not selling in the near future... Just means that I probably will not buy more of the shares before the dividend has been removed from the price.
The bank that I invest in raised their dividend with the expected 0.25 SEK. Still a strong report. No big surprises.

So the question is where should I put this months investment?
Candy maker is out as the market is after the extra dividends, I am not going to pay the extra 8 per cent for the 5 per cent dividend.
Bank is still a nice option. It did not gain the extra weight after the annual report, but knowing the market it will still drop the amount after the payout.
Other options? Going through my short list and nothing that is interesting... So I've read some reports from various companies and done some research, one of the clothing companies that were on my short list and the one that I've kept track of most did a blunder this year. They allowed in some uncertainty in their dividends program with the option to receive shares instead of dividends. This is an alarm if anything....
In the end: Will it be the bank or something new? Not the best month to buy into stuff as the market is wild after the overall pretty good report season but one thing popped out. Two companies with really RED numbers. One, I already dismissed above as they also made a dividend change that reeks of bankruptcy, but the other.. Well... Evidently one of the large owners did a big buy in directly after the report and knowing how his investments usually go, long term and real changes, I will do the same. So welcome to the third business in my portfolio: the telecom services provider.
(I am not counting the bonus shares received from my employer as I did not make an active choice and will not buy more on my own as long as I work there.). For the first investment I am throwing in some extra cash from our savings account to get it off the ground.
From now on each month I will have 3 choices for my money maker:
  • Candy maker
  • Bank
  • Telcom services provider
And as always I am not namedropping the companies as I think that you, the reader, should do your own research and not follow my lead. Read up on reports, find your own plan (I recommend index funds if you want minimum hassle) and follow it.

Until next time: Challenge yourself to do something new

Disclaimer. I am in no way an expert on capital management or investing. On this blog I only wish to share my findings, ideas and comments on current events and fields that interest me. I hope that my thoughts can entertain you. I expect that everyone reading take their time and do their own research before acting on anything read on this blog. Investing is not for everyone. E&OE.

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