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The New Coffee Room

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  3. Reflections on being at Duke Hospital for the first time in 9 years

Reflections on being at Duke Hospital for the first time in 9 years

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  • J Online
    J Online
    jon-nyc
    wrote 13 days ago last edited by
    #9

    So I had no reaction to the six hour infusion yesterday other than a sore lower back because hospital beds kill me. I mean no systemic reaction like chills, fever, headache. And they say if people have a reaction it’s on the first and largest dose.

    So the next two doses, which are lower, shouldn’t be a problem unless my platelet count or T-cell count gets too low in which case they’ll do half doses.

    Only non-witches get due process.

    • Cotton Mather, Salem Massachusetts, 1692
    1 Reply Last reply
    • M Offline
      M Offline
      Mik
      wrote 13 days ago last edited by
      #10

      Good news. treatments are not always easy.

      “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

      1 Reply Last reply
      • 8 Offline
        8 Offline
        89th
        wrote 13 days ago last edited by
        #11

        Jon I was absent here for the years where the main transplant action happened. Remind me if you want, what are the treatment protocols, such as this one, now for you. Annual infusion? I am very ignorant to the whole process. My FIL had a kidney transplant a few years ago so I’m familiar with the meds he has to take and other lifestyle restrictions, such as being immunocompromised so he no longer can eat his steak “still moo’ing” the way he liked it before.

        1 Reply Last reply
        • T Offline
          T Offline
          Tom-K
          wrote 13 days ago last edited by
          #12

          Doctors don't usually like to see patients unless they can torture them at least a little. It's part of the price of feeling good. Glad to see things are going well for you so far and all the best for the rest of your stay there.

          1 Reply Last reply
          • J Online
            J Online
            jon-nyc
            wrote 13 days ago last edited by jon-nyc 5 Jul 2025, 12:47
            #13

            @89th

            ‘Regular’ treatment besides the meds are frequent visits, they started quarterly then went to every six months while I was more stable and are now roughly three times a year since my lung function has been sliding a bit (more in that in a minute).

            Typical visit is labs, chest xray, pulmonary function tests (PFTs), and a chat with the doctor. At home I do monthly labs at a local quest or Labcorp and quarterly infusions of Immunoglobulin g (IVIg). That’s standard.

            The monthly labs give them feedback about tacrolimus levels (the main immunosuppressant) which they use to manage my dosing; kidney function, (the meds destroy your kidneys over time, I’ve been stable on the edge between stage 2-3 chronic kidney disease [CKD] for years); and things like white blood cell count (we want that low but not too low). Also in my particular case we monitor liver enzymes since my underlying disease (Alpha-1 Antitrypsin Deficiency AATD) can damage the liver.

            When they wheeled me into OR 9 years ago I was at 14% lung function. I plateaued post transplant at 106% (it can be over 100 since it’s a comparison to median value for my age, height, and sex). It stayed over 100% until I got Covid the first time in 2023, after which it dropped and stabilized, as expected. Last fall I got Covid again and walking pneumonia at the same time. It dropped, never stabilized, and kept dropping. They decided that could be early chronic rejection and decided to give me this one-off treatment to shock the hell out of my immune system to hopefully stop it.

            The treatment is called RatG, which stands for Rabbit Anti-Thymocyte Globulin.

            They actually put human T-cells into rabbits, the rabbits immune system recognizes them as foreign, and make antibodies against them. They then harvest the antibodies and inject them into me. So I literally have rabbit-produced antibodies against human T-cells in my blood stream right now, actively killing my T-cells.

            The reason I’m in the hospital is there’s a tiny chance I could have a bad reaction but that seems not to be in the cards.

            Only non-witches get due process.

            • Cotton Mather, Salem Massachusetts, 1692
            1 Reply Last reply
            • 8 Offline
              8 Offline
              89th
              wrote 12 days ago last edited by
              #14

              Wow thanks for typing that out, hopefully others learned something too. Amazing science… whether it’s the stupid meds to fight off my shingles earlier this year or even a recent infection in which an antibiotic stopped it quickly… or the 1000x more complex scenario you’re dealing with, it shows how humans can live so much longer as compared to 100+ years ago when these modern marvels weren’t in place.

              Anyway, thanks for sharing.

              T 1 Reply Last reply 12 days ago
              • 8 89th
                12 days ago

                Wow thanks for typing that out, hopefully others learned something too. Amazing science… whether it’s the stupid meds to fight off my shingles earlier this year or even a recent infection in which an antibiotic stopped it quickly… or the 1000x more complex scenario you’re dealing with, it shows how humans can live so much longer as compared to 100+ years ago when these modern marvels weren’t in place.

                Anyway, thanks for sharing.

                T Offline
                T Offline
                taiwan_girl
                wrote 12 days ago last edited by
                #15

                @89th said in Reflections on being at Duke Hospital for the first time in 9 years:

                it shows how humans can live so much longer as compared to 100+ years ago when these modern marvels weren’t in place.

                Yup, and I am sure that people 100 years or so in the future will look back at medical in 2025 and laugh at how primitive it was.

                B 1 Reply Last reply 9 days ago
                • B Offline
                  B Offline
                  blondie
                  wrote 11 days ago last edited by
                  #16

                  Good luck with your treatment @jon-nyc .

                  1 Reply Last reply
                  • J Online
                    J Online
                    jon-nyc
                    wrote 11 days ago last edited by jon-nyc 5 Aug 2025, 22:29
                    #17

                    I tolerated it so well they let me out right after my infusion finished rather than keeping me overnight just in case.

                    I did have a last minute incident. They took out the PICC line and wrapped it per protocol and gave me my discharge papers. As I was getting my things together to leave my room it suddenly started gushing blood. I put a towel on it, raised it, and called for help. They sorted me out and rewrapoed it but the floor looked like a crime scene. Mostly because it was wrapped so well a whole lot of blood was behind the plastic and when it finally burst a ton came out.

                    But I’m good and sitting in my hotel thinking about where to go for dinner.

                    Only non-witches get due process.

                    • Cotton Mather, Salem Massachusetts, 1692
                    T 1 Reply Last reply 11 days ago
                    • M Offline
                      M Offline
                      Mik
                      wrote 11 days ago last edited by
                      #18

                      Pro tip: Don't look for Bolognese.

                      “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

                      1 Reply Last reply
                      • J Online
                        J Online
                        jon-nyc
                        wrote 11 days ago last edited by
                        #19

                        Ha

                        Only non-witches get due process.

                        • Cotton Mather, Salem Massachusetts, 1692
                        1 Reply Last reply
                        • M Offline
                          M Offline
                          Mik
                          wrote 11 days ago last edited by
                          #20

                          I really made a bunch of it. We've fed seven people, gave a quart to my neighbors and I froze two quarts of it today.

                          “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

                          1 Reply Last reply
                          • J jon-nyc
                            11 days ago

                            I tolerated it so well they let me out right after my infusion finished rather than keeping me overnight just in case.

                            I did have a last minute incident. They took out the PICC line and wrapped it per protocol and gave me my discharge papers. As I was getting my things together to leave my room it suddenly started gushing blood. I put a towel on it, raised it, and called for help. They sorted me out and rewrapoed it but the floor looked like a crime scene. Mostly because it was wrapped so well a whole lot of blood was behind the plastic and when it finally burst a ton came out.

                            But I’m good and sitting in my hotel thinking about where to go for dinner.

                            T Offline
                            T Offline
                            taiwan_girl
                            wrote 11 days ago last edited by
                            #21

                            @jon-nyc said in Reflections on being at Duke Hospital for the first time in 9 years:

                            I tolerated it so well they let me out right after my infusion finished rather than keeping me overnight just in case.

                            That is awesome!!!

                            1 Reply Last reply
                            • 8 Offline
                              8 Offline
                              89th
                              wrote 10 days ago last edited by
                              #22

                              Glad to hear, Jon

                              1 Reply Last reply
                              • J Online
                                J Online
                                jon-nyc
                                wrote 10 days ago last edited by jon-nyc 5 Sept 2025, 20:10
                                #23

                                Yeah, though relatively small victory. The real test will be what happens to my lung function in the coming months.

                                But thanks all the same. I appreciated having a night as a real human rather than a patient.

                                Only non-witches get due process.

                                • Cotton Mather, Salem Massachusetts, 1692
                                M 1 Reply Last reply 10 days ago
                                • A Away
                                  A Away
                                  Axtremus
                                  wrote 10 days ago last edited by
                                  #24

                                  Best of luck with staying healthy. 👍

                                  1 Reply Last reply
                                  • J jon-nyc
                                    10 days ago

                                    Yeah, though relatively small victory. The real test will be what happens to my lung function in the coming months.

                                    But thanks all the same. I appreciated having a night as a real human rather than a patient.

                                    M Offline
                                    M Offline
                                    Mik
                                    wrote 10 days ago last edited by
                                    #25

                                    @jon-nyc said in Reflections on being at Duke Hospital for the first time in 9 years:

                                    Yeah, though relatively small victory. The real test will be what happens to my lung function in the coming months.

                                    But thanks all the same. I appreciated having a night as a real human rather than a patient.

                                    I’ll bet. Even small issues like for me today are an interruption.

                                    “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

                                    1 Reply Last reply
                                    • S Offline
                                      S Offline
                                      SD Tav
                                      wrote 9 days ago last edited by
                                      #26

                                      Best wishes for a complete recovery of everyday function. Can't play piano without breathing!

                                      1 Reply Last reply
                                      👍
                                      • T taiwan_girl
                                        12 days ago

                                        @89th said in Reflections on being at Duke Hospital for the first time in 9 years:

                                        it shows how humans can live so much longer as compared to 100+ years ago when these modern marvels weren’t in place.

                                        Yup, and I am sure that people 100 years or so in the future will look back at medical in 2025 and laugh at how primitive it was.

                                        B Offline
                                        B Offline
                                        bachophile
                                        wrote 9 days ago last edited by
                                        #27

                                        @taiwan_girl said

                                        Yup, and I am sure that people 100 years or so in the future will look back at medical in 2025 and laugh at how primitive it was.

                                        Link to video

                                        1 Reply Last reply
                                        • M Offline
                                          M Offline
                                          Mik
                                          wrote 8 days ago last edited by
                                          #28

                                          Star Trek IV - here there be whales.

                                          “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

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                                          8 May 2025, 22:29


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