Nuclear Stress Test

ACCORDING TO THE MAYO CLINIC...

A nuclear stress test uses a small amount of radioactive material (tracer) and an imaging machine to create pictures showing the blood flow to your heart. The test measures blood flow while you are at rest and during activity, showing areas with poor blood flow or damage in your heart.

A nuclear stress test is one of several types of stress tests. The radiotracer used during a nuclear stress test helps your doctor determine your risk of a heart attack or other cardiac event if you have coronary artery disease. A nuclear stress test may be done after a regular exercise stress test to get more information about your heart, or it may be the first stress test used.

The test is done using a positron emission technology (PET) scanner or single photo emission computed tomography (SPECT) scanner. A nuclear stress test may also be called a myocardial perfusion imaging (MPI) study, cardiac PET study or cardiac SPECT study.


Tomorrow I will be arriving at UT Medical Center, Heart and Lung Building for a nuclear stress test at 6:45 am and the test will last approximately 3 hours.  Today, I cannot have any caffeine and nothing to eat 4 hours before...  

Cancer Treatment Day

Despite the fact that I awoke early and cannot go back to sleep, I am usually up early on these days anyway...  so, it is only an hour early which is not that much of a lost sleep night...  and, for the last 4 days, I have had to get up early each and every one of those to go to some kind of doctor visit, treatment, or procedure.

This morning my routine is (arrivig driving the 45 minutes to the cancer center) to check in and have lab work done...  this is place where they access my port, so I make sure that I have put plenty of numbing cream on the skin covering the port...  it must stay on an hour or more.

The next step is to wait the see the Oncologist who is trypically seeing loads of patients each day and always seems to fall behind as the day progresses so I try to see him as early as possible.

Then I return to the lab waiting room to be called for my treatment after checking in again.  Within 15-20 minutes, I am taken to a chemo suite of 6 chairs.  

UT Medical Cancer Center has 10 suites on the 4th floor of the center.

For some reason, I always wait another 30 minutes or so for the OPDIVO to arrive and then my infusion lasts only 30 minutes and I am outta there.

I arrive at 7:00 am and typically leave at 10:30/11:00 and much of that time is due to waiting.

Today, I will be informed of the results of my CT scan that I had on Monday...  so, I am really interested to see if there has been any metabolic activity inside me.

IVIG Day

WHAT IS IVIG?

Intravenous immune globulin ("IVIG") is a product made up of antibodies that can be given intravenously (through a vein).

Antibodies are proteins that your body makes to help you fight infections. Each antibody made by your body is slightly different, because it fits like a lock and key to every foreign substance (such as a piece of a virus or bacterium) that gets into your body. Over the course of your life your body makes thousands of different antibodies as you are exposed to different infectious organisms that your body considers to be "foreign."

IVIG is prepared from the blood donated by thousands of people, to make a super-concentrated and very diverse collection of antibodies against many possible infectious organisms your body might encounter.

WHY DO I NEED IVIG?

IVIG is used primarily in two situations.

One reason you might need IVIG is if your body does not make enough antibodies. This is called "humoral immunodeficiency." The IVIG simply provides extra antibodies that your body cannot make on its own. The antibodies usually last for several weeks to months and help your body fight off a large variety of infections. If you are getting IVIG for this reason, you will need to get it on a regular schedule.

A second reason you might need IVIG is if your immune system has started attacking your own body by producing antibodies directed against your own cells. Conditions in which this happens include:

●Destruction of your own blood platelets (known as immune thrombocytopenia [ITP])

●Destruction of your own red blood cells (known as autoimmune hemolytic anemia [AIHA])

●Attack on your nervous system, such as nerves that control your breathing (in Guillain-Barré syndrome) or nerves that control sensation (for example, in chronic inflammatory demyelinating polyneuropathy [CIDP])  SOURCE:  UpToDate Patient Education


I receive monthly infusions of IVIG because my Oncologist fears that my low immunity and anemia from over a decade of cancer treatments that have included:  surgery, radiation, chemotherapy, and immunotherapy, puts me in a HIGH RISK CATEGORY of contracting other life threatening illnesses.

Today, is the day that I get my monthly infusion.  I will arrive at UT Medical Center around 7:00 am and finish around 10:30 am and like always will be receiving premeds to keep from my getting sick.  The nurses will access my port on the right side of my upper body.

Of the two and a half hour treatment, I will probably sleep for about 90 minutes due to the premeds...  it's weird at first as I feel lightheaded and weak and my legs feel restless...  then, my eyes get heavy and the next thing I know I am waking up and there's about 30 minutes left.