It's A Balance

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"What's that?" I ask.

Cindy is inserting a needle into one of my free Hickman ports. There is a clear liquid. She pushes it in slowly.

"Heparin," she says. "Kind of a blood thinner. It'll help make sure that your blood doesn't clot."

"I thought my blood was already too thin. Isn't that what the platelets are supposed to be doing? Making my blood thicker again?"

"Yes, but there's a balance. We don't want you to bleed so much, which is where the platelets come in, but blood clots are bad, too."

"So because of the Hickman, I'm bleeding a lot more than I'm supposed to. All the extra platelets will help stop the bleeding. But they might give me blood clots, too? So we put in something to make sure that doesn't happen?"

Yes," she says. The plunger is empty.

"But I'll still need more platelets if I keep bleeding? And more Heparin, too? Then maybe more platelets again?"

"Exactly," she says. "It's a balance."

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A Few Notes

robert (now and then)
(hover to see RKB in 1990)
After running two marathons in October 2010 with Team in Training, I've decided to "slack off" with just the one marathon in 2011.

This year will be in memory of Siona Shah, an amazing young girl who spent the final third of her too-short life battling leukemia with courage, grace, humility, and smiles.

It will also be in memory of my step-grandmother, Ruth, who passed away on June 15th after a recurrence of Non-Hodgkin's Lymphoma.

I'd originally started using this site to tell my story -- roughly eight months of treatment in 1990, as well as the impact leukemia had on me in the years that followed. Much of that story is still available through the "Table of Contents" below (starting with my initial diagnosis while I was studying in England).

 - Robert K. Brown
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