{"id":1236,"date":"2021-04-23T11:36:39","date_gmt":"2021-04-23T16:36:39","guid":{"rendered":"http:\/\/bigdadoo.com\/journey\/2021\/04\/23\/hotel-california\/"},"modified":"2021-09-13T18:03:30","modified_gmt":"2021-09-13T23:03:30","slug":"hotel-california","status":"publish","type":"post","link":"https:\/\/bigdadoo.com\/journey\/2021\/04\/23\/hotel-california\/","title":{"rendered":"Hotel California"},"content":{"rendered":"\n<p>\u201cYou can check-out any time you like,<br>But you can never leave! &#8221;  <a rel=\"noreferrer noopener\" href=\"https:\/\/youtu.be\/FVsbvFkhzY4\" target=\"_blank\">Eagles, Hotel California<\/a> <\/p>\n\n\n\n<p>That\u2019s sort of the way it feels today. For some reason I thought after the CAR-T process in Toronto that the Winnipeg \u201cfollow-up\u201d would be relatively \u201clight\u201d. Not so.<\/p>\n\n\n\n<p>For starters there will be twice a week blood work at St. Boniface Hospital. Then there is <a rel=\"noreferrer noopener\" href=\"https:\/\/www.drugs.com\/uk\/grastofil.html\" target=\"_blank\">Grastofil<\/a> injections, self-administered twice a week to help my <a rel=\"noreferrer noopener\" href=\"https:\/\/www.merckmanuals.com\/en-ca\/home\/blood-disorders\/white-blood-cell-disorders\/neutropenia\" target=\"_blank\">neutropenia<\/a>, which is low neutrophils, a type of <a href=\"https:\/\/www.merckmanuals.com\/en-ca\/home\/blood-disorders\/white-blood-cell-disorders\/overview-of-white-blood-cell-disorders\">white blood cell<\/a> which provide protection against various infections.  There will also be at least two more rounds of  <a rel=\"noreferrer noopener\" href=\"http:\/\/bigdadoo.com\/journey\/2021\/04\/16\/day-30-ok-really-the-last-day\/\" target=\"_blank\">pentamidine<\/a>.<\/p>\n\n\n\n<p>Then there is this note from my PMH discharge.<\/p>\n\n\n\n<pre class=\"wp-block-preformatted\">Possible <a rel=\"noreferrer noopener\" href=\"https:\/\/en.wikipedia.org\/wiki\/Hypogammaglobulinemia\" target=\"_blank\">hypogammaglobulinemia<\/a>:  Serum immunoglobulins are pending.  We will suggest to replace with IVIG if IgG less than 4. <\/pre>\n\n\n\n<p>&#8230; and sure enough, it\u2019s less than 4 &#8230;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"525\" height=\"216\" data-attachment-id=\"1231\" data-permalink=\"https:\/\/bigdadoo.com\/journey\/2021\/04\/23\/hotel-california\/img_0079\/\" data-orig-file=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0079.jpg?fit=1276%2C525&amp;ssl=1\" data-orig-size=\"1276,525\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"img_0079\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0079.jpg?fit=525%2C216&amp;ssl=1\" loading=\"lazy\" src=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0079-1024x421.jpg?resize=525%2C216\" alt=\"\" class=\"wp-image-1231\" srcset=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0079.jpg?resize=1024%2C421&amp;ssl=1 1024w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0079.jpg?resize=300%2C123&amp;ssl=1 300w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0079.jpg?resize=768%2C316&amp;ssl=1 768w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0079.jpg?w=1276&amp;ssl=1 1276w\" sizes=\"auto, (max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><\/figure>\n\n\n\n<p id=\"IVIG\">All this leads me to today\u2019s new adventure, getting IVIG, not to me confused with <a rel=\"noreferrer noopener\" href=\"https:\/\/www.mayoclinic.org\/tests-procedures\/in-vitro-fertilization\/about\/pac-20384716\" target=\"_blank\">IVF<\/a> \ud83d\ude1c<\/p>\n\n\n\n<p>This 2-3 hour procedure will load me up with 40g of immunoglobulin with flow rates increasing every 15 minutes complete with BP, O2 &amp; temperature each time.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"525\" height=\"700\" data-attachment-id=\"1232\" data-permalink=\"https:\/\/bigdadoo.com\/journey\/2021\/04\/23\/hotel-california\/img_0608\/\" data-orig-file=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0608-scaled.jpg?fit=1920%2C2560&amp;ssl=1\" data-orig-size=\"1920,2560\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;2.4&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;iPhone X&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1619171047&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;6&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.025&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"img_0608\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0608-scaled.jpg?fit=525%2C700&amp;ssl=1\" loading=\"lazy\" src=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0608-768x1024.jpg?resize=525%2C700\" alt=\"\" class=\"wp-image-1232\" srcset=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0608-scaled.jpg?resize=768%2C1024&amp;ssl=1 768w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0608-scaled.jpg?resize=225%2C300&amp;ssl=1 225w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0608-scaled.jpg?resize=1152%2C1536&amp;ssl=1 1152w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0608-scaled.jpg?resize=1536%2C2048&amp;ssl=1 1536w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0608-scaled.jpg?w=1920&amp;ssl=1 1920w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0608-scaled.jpg?w=1050&amp;ssl=1 1050w\" sizes=\"auto, (max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><\/figure>\n\n\n\n<p>Then there is the COVID thing! It gets exciting at a hospital when you go through screening and tell them you have been outside the province in the last 14 days. They issue a \u201chospital grade\u201d mask and call the area you are going to in order to get an escort to come and get you.  Everyone is very nice about it but I\u2019m treated as if I might have the <a rel=\"noreferrer noopener\" href=\"https:\/\/en.wikipedia.org\/wiki\/Black_Death\" target=\"_blank\">plague<\/a>.  Wait, COVID is a plague! Anyway, this results in full isolation. I have a private room, staff needs to gown every time they come in and I can\u2019t use the washrooms, which means peeing in a bottle. TMI?<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"525\" height=\"700\" data-attachment-id=\"1233\" data-permalink=\"https:\/\/bigdadoo.com\/journey\/2021\/04\/23\/hotel-california\/img_0607\/\" data-orig-file=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0607-scaled.jpg?fit=1920%2C2560&amp;ssl=1\" data-orig-size=\"1920,2560\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;1.8&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;iPhone X&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1619169720&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;4&quot;,&quot;iso&quot;:&quot;40&quot;,&quot;shutter_speed&quot;:&quot;0.033333333333333&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"img_0607\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0607-scaled.jpg?fit=525%2C700&amp;ssl=1\" loading=\"lazy\" src=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0607-768x1024.jpg?resize=525%2C700\" alt=\"\" class=\"wp-image-1233\" srcset=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0607-scaled.jpg?resize=768%2C1024&amp;ssl=1 768w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0607-scaled.jpg?resize=225%2C300&amp;ssl=1 225w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0607-scaled.jpg?resize=1152%2C1536&amp;ssl=1 1152w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0607-scaled.jpg?resize=1536%2C2048&amp;ssl=1 1536w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0607-scaled.jpg?w=1920&amp;ssl=1 1920w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0607-scaled.jpg?w=1050&amp;ssl=1 1050w\" sizes=\"auto, (max-width: 767px) 89vw, (max-width: 1000px) 54vw, (max-width: 1071px) 543px, 580px\" \/><figcaption>My hangout overlooking the parking lot <\/figcaption><\/figure>\n\n\n\n<p>Well, that\u2019s enough ranting for today. After all it can\u2019t be that bad, I rode my bike to get here. \ud83d\udeb4\ud83c\udffb\u200d\u2642\ufe0f First ride since March 2nd and first outside ride since February 3rd.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"525\" height=\"751\" data-attachment-id=\"1235\" data-permalink=\"https:\/\/bigdadoo.com\/journey\/2021\/04\/23\/hotel-california\/img_0610-1\/\" data-orig-file=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0610-1.jpg?fit=1125%2C1610&amp;ssl=1\" data-orig-size=\"1125,1610\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"img_0610-1\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0610-1.jpg?fit=525%2C751&amp;ssl=1\" loading=\"lazy\" src=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0610-1-716x1024.jpg?resize=525%2C751\" alt=\"\" class=\"wp-image-1235\" srcset=\"https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0610-1.jpg?resize=716%2C1024&amp;ssl=1 716w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0610-1.jpg?resize=210%2C300&amp;ssl=1 210w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0610-1.jpg?resize=768%2C1099&amp;ssl=1 768w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0610-1.jpg?resize=1073%2C1536&amp;ssl=1 1073w, https:\/\/i0.wp.com\/bigdadoo.com\/journey\/wp-content\/uploads\/2021\/04\/img_0610-1.jpg?w=1125&amp;ssl=1 1125w\" sizes=\"auto, (max-width: 525px) 100vw, 525px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>\u201cYou can check-out any time you like,But you can never leave! &#8221; Eagles, Hotel California That\u2019s sort of the way it feels today. For some reason I thought after the CAR-T process in Toronto that the Winnipeg \u201cfollow-up\u201d would be relatively \u201clight\u201d. Not so. For starters there will be twice a week blood work at &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/bigdadoo.com\/journey\/2021\/04\/23\/hotel-california\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Hotel California&#8221;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[3],"tags":[],"class_list":["post-1236","post","type-post","status-publish","format-standard","hentry","category-health"],"jetpack_featured_media_url":"","jetpack-related-posts":[],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/bigdadoo.com\/journey\/wp-json\/wp\/v2\/posts\/1236","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bigdadoo.com\/journey\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bigdadoo.com\/journey\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bigdadoo.com\/journey\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/bigdadoo.com\/journey\/wp-json\/wp\/v2\/comments?post=1236"}],"version-history":[{"count":2,"href":"https:\/\/bigdadoo.com\/journey\/wp-json\/wp\/v2\/posts\/1236\/revisions"}],"predecessor-version":[{"id":1347,"href":"https:\/\/bigdadoo.com\/journey\/wp-json\/wp\/v2\/posts\/1236\/revisions\/1347"}],"wp:attachment":[{"href":"https:\/\/bigdadoo.com\/journey\/wp-json\/wp\/v2\/media?parent=1236"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bigdadoo.com\/journey\/wp-json\/wp\/v2\/categories?post=1236"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bigdadoo.com\/journey\/wp-json\/wp\/v2\/tags?post=1236"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}