Despite Becca's best efforts today, she has healthy stem cells settling into their new home in her body! Becca was trying to get a fever and "pick a fight" with us all morning (that's usually how we know she's getting ready to spike a fever... she gets really nasty and unreasonable). The marrow came right on time at high noon, and when we tried to get Becca to put a mask on so that the nurse could hook the bag of cells into her line, she started fighting - swinging fists, kicking legs, screaming at the top of her lungs... you get the picture. Ethan, two nurses, and I ended up pinning her down so that we could get her hooked up, and following that she continued the assault.
Vitals were needed every fifteen minutes, but Becca wouldn't allow the blood pressure cuff, she ripped the leads for her monitors out, and wouldn't keep on her pulse-ox sensor. She continually screamed, "GET OUT OF MY ROOM," as well as hurling other insults meant to hurt our feelings for about two and a half hours straight. She flung her head back, kicked her legs, threw objects, hit anyone within her reach. I was exhausted for her.
The cells didn't want to flow smoothly by gravity, so nurse Amanda risked life and limbs by getting close to Becca so that she could draw some marrow into the syringe periodically to get the cells to flow again. When she persisted in attempting an escape from the bed and wouldn't listen to reason, we had to restrain her again (BOY, is she strong for how little she is!), and she actually tried to bite me. Deja vu... back to the "roid rage" episode (see earlier post)... they gave her a larger dose of Atavan on top of the one she had before transplant this morning, which did nothing, then they gave her a shot of Zyprexa in her thigh muscle as we held her down. Finally, after a long twenty minutes, the Zyprexa "broke her," and Becca started crying and allowed me to hold her. She fell asleep shortly after with major chills and spiked a pretty good fever within an hour. Since then she's been drifting in and out of sleep, her heart rate is up, her blood oxygen level is down, and her respiration rate is high. We're hoping that the Tylenol can break her fever so that she can sleep comfortably tonight. I know I'm ready to crash, and it's not even 8:00! TK