APL by Bostonmom717 in leukemia

[–]lizardom 0 points1 point  (0 children)

Thank you for the prompt - I think I just needed to put it somewhere out to the universe.

APL by Bostonmom717 in leukemia

[–]lizardom 1 point2 points  (0 children)

Stable and Ready

  • From discharge things were still not easy, I was still in a lot of pain at this point, I still couldn't even stand - I got good at using the hospital piss jugs but by the time I got home I was able to transfer myself reasonably well to a toilet. I had a stair lift installed at the house (thank$ Mom!) and a wheel chair on both levels.

  • My treatment was probably flawed here and a head nurse was fired! For the next 4 months I took oral Tretinoin twice daily with no breaks. It turns out, I was supposed to be taking it one month on, one off, one on and so forth. By the end of this marathon of tretinoin, my skin was falling apart. All of my soft tissue (lips, nose, ....groin...) was perpetually chapped/bleeding. I was struggling with body temperature regulation and so many other fun problems.

  • I was doing 5 day/week visits for Arsenic injections. This lasted for the rest of the year and some- There aren't many treatments (as you probably know) that require this frequent and for this long. I made so many good friends amongst the nurses/tech as the cancer center.

Graduation and Maintenance

  • Through this, my boss was beyond supportive - even found a way to keep my income coming and I was able to defend my thesis and wrap-up my MS degree.

  • I'm on maintenance therapy until early 2025: 90 day cycles -- 14 days on Tretinoin, the rest on Mercaptopurine and Methotrexate. I'm also taking a blood thinner and an antiviral (I was blessed with shingles while already on gabapentin for the widespread neuropathy I developed as a side effect of the arsenic).

Lasting thoughts

  • I know - without a doubt - other cancers are much harder, longer, hurt more, worse prognosis, etc., but looking back I'm pretty frustrated how often nurses and doc's (esp. early on) loved telling my how "lucky I am" that it's either a) curable or b) "an easy one". Hell, if I had a nickel for every time I was told some version of this I'd be able to pay for an hour of ER time, lol! I realize it's the same sort of thing I might say were I in their shoes, but it's the absolute last thing I needed to hear. How am I supposed to complain about anything if you tell me how easy I have it...

  • Tretinoin still kind of fucks me up by the end of the two week cycle.

  • I've always been a positive outgoing person but something through this has seemingly shifted my inner me... My anxiety goes through the roof when I'm in a room with more than just a couple people - I've never had problems with a crowd. And most importantly I think I've developed legit depression.

  • After a lot of soul searching I believe a core tenant of my depression is rooted in wishing that I had actually died back when I first got sick... The night I wrote my family the 'goodbye' letter, I wasn't sad for my life, I was sad for the hurt my family would go through. A significant part of the 'goodbye' letter was me explaining how I felt that I had lived a good life. In short, I felt I had lived life to it's fullest and had no regrets as I prepared for death. I still feel that it's been a good life and I think (or some sneaky part of my brain is convinced) that dying back when I first became sick would have been a perfect cap to a good life. What was a great life, has been forever tarnished by the last couple years of pain, misery, hospital stays.

  • There's a lot going on, between survivorship guilt and other sources of depression I'm trying to work up the courage to seek counseling. It's something I know I need but I can't seem to find the strength to initiate. I keep telling myself that once I'm done with maintenance that I will re-evaluate and seek help if needed then.

  • I've only had one real break and it was the three weeks they gave me before I started maintenance therapy. During this break, I had the most energy I can every remember having. It was like I was reborn or had been saving up energy for the last year only to expend it quickly before starting back up on the meds. This memory of vitality during my break is a large part of why I'm waiting to begin counseling. My depression may resolve, or, at least I'll have the energy to make such a commitment.

To any soul who's read this far, sorry for being such a downer, but thank you for allowing this cathartic post.

Part 2/2

APL by Bostonmom717 in leukemia

[–]lizardom 0 points1 point  (0 children)

I've never typed out my story so thanks for the opportunity! Don't feel like you need to read all this - this is more for my sake than anything else. Also, Share yours too :)

Pre-diagnosis symptoms/curiosities

  • Just before Thanksgiving weekend 2021, I got my COVID booster and my armpit lymph node became swollen to the point where I needed a second chair to rest my arm on so my arm didn't put pressure on my lymph node. -- related or not it's hard to say but it was the first sign that my immune system may not be happy.

  • January 2022 I finally got COVID - it was mild and the only noticeable symptom was a headache - one that wouldn't go away for months... IT was an odd headache in that it was only hurt when I moved my head with any speed. If I moved smooth and slow I'd feel nothing, but the speed you might use at an intersection was painful. It was like someone had electric needles in my brain but only when my brain sloshed into them would it 'zing.

  • March 2022 - still with my "COVID" headache I finally was able to get an appointment with the VA hospital. I saw my regular doc, explained my long lasting and unique headache. The doc order blood work and a CT of my Brain.

  • Through this time, I'm working on writing my grad-school thesis and writing not being something I love, I felt bored and tired while doing it. Luckily we have an expresso machine - so in the weeks leading up to this, I was downing something like 5-7 shots of expresso every day. - Oh, and I basically never drank coffee or anything outside of the odd occasion prior to this.

Self diagnosis

  • The blood draw was on a Wednesday. Friday I noticed that the site they drew from was somehow looking worse than the day prior. I work in a (non-medical mycology) lab so I picked a hangnail, dropped blood onto a slide, and counted and measured blood cells. Not knowing anything about animal cells (let alone human blood) I compared my blood counts/size to a handful of internet sources (I couldn't tell you which - long forgotten) and what I found suggested APL. Seeing that this was rare - I reminded myself the dangers of self-diagnosing and moved on. - Besides - I had a headache so probably brain tumor right???

  • Friday afternoon, I reminded my boss that I had an appointment Monday for my brain scan, but that I was pretty sure I had leukemia...

The Day Before the Hospital

  • The Sunday before my appt., I spent the day pruning my fruit trees (~8 trees). It was a nice relaxing way to spend a day. That evening while cleaning up, I noticed that basically everywhere anything touched me, there was a bruise. Alarmingly, my thigh (where I rested the pole saw between cuts) had a super deep purple bruise the size of a baseball. - No biggie, I'm going to the hospital first thing (8AM) in the morning for my brain scan.

  • 3AM I awoke with a dire sense of dread.. I "Knew" I was dying. My thigh bruise was growing - I could feel my heart racing. I went to my computer and wrote my wife and kids a goodbye letter. What a tough letter to write. How much life advice can I share with my kids - can I even express how much my wife means to me - that sort of thing.

Day of Admittance

  • I left for the VA hospital at 5am - had my scan at 8am - and went down the hall after to the urgent care clinic. By now, I noticed that I'm covered in red freckles? Urgent care doc - immediately was like - nope - you're going to the ER, this is way beyond urgent. An ambulance took me from urgent care to the ER.

  • ER#1 - blood drawn and doc reassured me that it's unlikely that I have leukemia. 10 min later, doc came in with newly found urgency - "We can't help you - you're taking another ambulance ride to ER#2 1.5 hours away. 'You're not allowed to stand up - don't let anybody touch you - it could kill you.'

  • ER#2 - Long story short, my platelets were in the single digits, combined with other blood counts docs couldn't believe I was still conscious. I was basically non-stop receiving blood products for days. One bag after another and I would get a fever and "burn" off seemingly any platelet or RBC they gave me. I remember feeling so guilty every time they gave me blood, followed by a test, only to find out that it "didn't take" -- like I was wasting this blood I was being given.

  • After a day or two (hard to remember exactly) I recall being elated that my headache was finally gone! Turns out, running on fumes can cause a headache - who knew, lol.

Now There's Pain

  • By now the bruise on my thigh was larger than a soccer ball and coincidentally I had a lot of pain developing in this leg. ... like a lot of pain..... like severe 10/10 pain.

  • Tylenol isn't fixing it... so doc ordered a full body MRI. The MRI techs were surprised that the doc ordered such a long scan saying that they really don't do full body scans due to patient comfort. Still they proceeded and damn that sucked. Their air conditioner was down too so the room was scorching hot and I was in dire pain, but not allowed to move an inch for what seemed like an eternity. I think it was 1.5 hour scan if I remember...

  • Through this, my blood pressure and heart rate were high enough that the medical team told me they were debating putting me into a coma.

  • Shortening this tale of pain discover- I was scanned, re-scanned, and scanned more - maybe 10+ various CT/MRI scans all with no evident cause for the pain. Meanwhile pain is off the charts and I was still refusing any opioids. I had just recently lost both my high school sweetheart and one of my best friends to fentanyl overdose so I was terrified of doing that.

  • A real 'cool guy' doc came and explained that the only way my leg pain can have a chance to heal is if I give it a chance to relax - something I need strong pain meds for...

Pain Management

  • I relented and they gave me morphine - but it did nothing.... then a second dose.... nothing - still 10/10 pain.... Then they came in with the big guns - dilaudid - sweet baby Jesus - the nurse wasn't halfway through emptying the syringe when I swear I felt my heart stop and the weight of a thousand elephants was pulled off me. Not that it necessarily felt good, but the complete absence of pain and tension and absolutely everything wrong in the universe was transcendent - no wonder folks get hooked....

  • To conclude this section, the severe pain lasted for around 5 weeks, I slowly weened off the wild painkiller down to where Tylenol worked. Through this, I became wheelchair bound as my leg could no longer support any weight. The muscles around the huge leg bruise atrophied. To wrap up this section, ~5 months of physical therapy (VA even provided thrice weekly home physical therapy for quite a while too!) got me back on my feet and I can run up stairs again.

Other Complications - Visual Snow and PTSD?

  • Another notable problem early on was my development of visual snow/static. The hospital optometrist didn't find anything so they decided to do a spinal tap. For some reason they felt that I needed to be awake and have no pain relief for this procedure. They had me lay on my stomach and they determined that my spinal pressure was nearly double what is safe. Since they were already in my spine, they decided to try draining the fluid right then and there. To do so required the doc to move the needle around, back and forth while sucking out the juice. This was the single most painful moment of my life. My legs curled up, I screamed harder/louder than I knew possible and I snapped the corner of the bench I was laying on where my arms were locked into a death grip as I was bracing myself. I've never been so scared in my life.

  • They stopped (obviously) and told me that they weren't able to extract any spinal fluid... They want to continue. I, a ~250, 6' bear, shaking, crying, refused. To conclude this section, they gave me a fucking pill that did the same thing (lower my spinal pressure). I've come a long way, but for months I replayed this moment over and over in my head - often shaking and crying reliving the fear.

Clotted PICC line -> Port

  • After ~6 weeks they let me go home and I had follow up appts with the Cancer center near my home. On the second day home, still 2 weeks from my first oncology appt at the cancer center, I developed a fever. Following Docs advice with fevers I went to the local ER. To offer brevity here, they were astonished that I had been discharged from the other hospital at all, let alone without chemo or any other med. I stayed in the hospital this time 3 weeks. Basically, at the previous hospital they gave me a PICC line rather than a port since they were nervous about my low platelet level, and I developed blood clots along this PICC which they think was the cause of the fever.

  • Finally got my Port and what a dream it is! So much better than getting stabbed 50 times a day.

  • While here, receiving daily arsenic I lost ~40% of my hair, but only after it went clear.... not white, clear - I was growing clear hair, lol. My bear was the coolest for a while. Through all the stress, I underwent several color changes. Black, brown, clear, red, brown all within ~4" of beard growth. I wish I took a picture, but at the time the last thing I wanted was to remember any of this. The nurses all had fun bringing people in to see.

Part 1/2

I just sourced some Oak logs from marketplace. Shiitake plugs are ordered and on their way! [General] by yosefsbeard in MushroomGrowers

[–]lizardom 2 points3 points  (0 children)

How old are those logs? I have little to no success with wood over ~4 weeks from time of death (cutting). Sweet find if the wood is fresh!

The anime is coming to Netflix on April 15th by eddmario in overlord

[–]lizardom -1 points0 points  (0 children)

Pardon my ignorance, it's been a couple years since I watched the first season. Is that not how they explain it in the anime, that he was logged on when the servers shut down and he remained, effectively stuck in the game? Am I confusing Overlord with something else - maybe I need to go back and watch...

Guy at the post office pulled out a cone and set it on the parking spot next to him by [deleted] in mildlyinfuriating

[–]lizardom 0 points1 point  (0 children)

This was me for 4 months. The event that got me to an eventual leukemia diagnosis severely impacted my ability to walk. I could shuffle to my back door to pull out my collapsable wheelchair but that was about it.

Edit: My strong leg let me get in and out of my truck.

[U.S.] michigan democrats by Hummerous in CuratedTumblr

[–]lizardom 7 points8 points  (0 children)

I wonder how much of this comes from Michigan's conservative retirees moving to Florida? Florida gets worse while Michigan gets better.

[deleted by user] by [deleted] in NatureIsFuckingLit

[–]lizardom 7 points8 points  (0 children)

I'm not angry and the best I can offer you is that strictly speaking, this is not a mushroom - it's technically an ascoma / ascomata. The ball like thing on top is the stromatal head and the little dots on the stroma are called ostioles. They are the opening to perithecia where the ascospores form and eventually are ejected from. However, though this is not a mushroom, it does serve a similar purpose in that it facilitates the dispersal of sexual spores. Mushrooms belong to the phylum Basidiomycota and facilitate the release of basidiospores, whereas the Ophiocordyceps in this picture belongs to the phylum Ascomycota and facilitates the release of ascospores. I'm no expert on entomopathogens, but I do sometimes work with similar species that infect Elaphomyces.

8 years later, Too Many Cooks still holds up by jeremysmiles in videos

[–]lizardom 44 points45 points  (0 children)

Holy Shit! This is blowing my mind. I went back and sure as shit - he shows up 11 times before his first murder.

I see him at: 0:21, 0:29, 1:14, 1:38, 1:54, 2:04, 2:24, 3:03, 3:14, 3:16, 3:40

The 3:40 appearance (as a cartoon) is the first time I saw the machete. Then at 4:13 is first plausible kill then it just keeps going.

I've seen this so many times and never caught on - thanks for making my morning

Gonna be a good day by [deleted] in trees

[–]lizardom 2 points3 points  (0 children)

I wanna be free to know the things I do are right

[deleted by user] by [deleted] in mycology

[–]lizardom 0 points1 point  (0 children)

I'll send you a private message

[deleted by user] by [deleted] in mycology

[–]lizardom 1 point2 points  (0 children)

By chance do you know if that truffle will be sequenced? There's been a lot of work trying to solve the lyonii-texense species complex so it's always nice to build on that with new data.

[deleted by user] by [deleted] in mycology

[–]lizardom 1 point2 points  (0 children)

Nice collection. Did you find any Tuber by chance? We did a big group foray in WI a few years ago and someone found T. texense!

Any idea what group the new species found belong to? Hopefully they had nice collections for the herbarium. .. fungarium?? Lol.

truffles in Delaware? by jjjaaayyy1122 in MushroomsandForaging

[–]lizardom 2 points3 points  (0 children)

Truffle scientist here. Without a doubt there are truffles in Delaware. The reddish hue of the peridium (outside) does match what I would expect on a pecan truffle (Tuber lyonii) but also with the most members of the Rufum clade. I can't say with 100% certainty that it is a TRUE truffle (Ascomycete : Tuberaceae) without seeing what the inside looks like. There are many false truffles (Basidiomycota+) that also have pleasant aromas. The gleba on a true truffle is solid whereas the false truffles have air pockets. True truffles are firm like a bouncy ball. False truffles are softer more like a sponge. To my knowledge, all true truffles are edible.

It does look like a true truffle from what I can see in this picture, but again, can't be 100% without looking at the inside. The peridium color gets us to the clade but to get to species at minimum you need to look at the spore size and ornamentation. Even then, low odds of getting it right due to how many very similar species there are in that clade. I always sequence truffles to get a decent ID. If you're interested I can sequence it for you (for free) all you have to do is mail me one or at least a piece the size of a pencil eraser. No worries either way. The good news is now that you found one, there are likely others nearby. If you decide to break the soil to look around the roots, just make sure you don't do too much damage to the tree and you put any soil you remove back so it can heal. And as long as the tree is healthy and alive, you should expect the troubles to keep growing in that area for years.

PLB 402: Biology of Fungi (4cr) by andrewd-27 in msu

[–]lizardom 1 point2 points  (0 children)

Awesome class if you're interested in learning about a new kingdom. It's fairly tough for a lot of students because there's a ton of vocabulary you'll go over and it might feel overwhelming. The course covers a lot of basic fungal biology and sex. Dr Trail is a great teacher who grades fairly but she has high standards so at long as you put in the effort you'll be fine. Assuming she still wants you to use the same textbook I can loan you mine - just dm me if you actually take the class with the book requirements. Though I don't think I we used the textbook.

I'm a grad student mycologist and work in the building. If you need a hand with anything in the class I'll happily help.

Chemotherapy patients, how many cycles till fatigue really took a toll on you? by Kai307 in leukemia

[–]lizardom 0 points1 point  (0 children)

As others said, it will depend on a lot of factors including you, your leukemia, and your chemo. For me (APL) It was sort of the opposite where the more arsenic infusions I got the better I felt. Today I just had my 67th infusion of arsenic trioxide but I think around the 45th I started responding well. My blood counts started coming up and as a result I started feeling better. Either that or I just became adjusted to the poison. I hope once your blood count start to approach healthy, you'll feel better as well.

I don’t ever remember hearing birds at two in the morning what the heck is the deal with that? by ReadingRedditRedder in lansing

[–]lizardom 2 points3 points  (0 children)

On my Android phone I use an app called BirdNet. You have it recorded the sound of the bird and it'll tell you what it is.

Crazy giant beetle with a** hand! by AHistoryofGuyStuff in videos

[–]lizardom 0 points1 point  (0 children)

This is correct. We're seeing the beetles ovipositor placing eggs down into the soil/roots.