Pam
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Forum Name: TNBC Talk
Forum Description: A place to chat
URL: http://forum.tnbcfoundation.org/forum_posts.asp?TID=4239
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Topic: Pam
Posted By: loveNpeace
Subject: Pam
Date Posted: Jul 20 2009 at 4:18pm
I wanted to let you know Pam is back in the hospital in ICU. She is having breathing problems. I just talked with her and she is getting settled in her room, having some tests done and was finally relaxing some. I will try to keep you updated and please add Pam to your prayers.
Hugs
Robin
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Replies:
Posted By: KatieMarie
Date Posted: Jul 20 2009 at 5:58pm
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Thanks for the info, Pam I hope you are resting okay tonight.
Blessings to you, Katie
------------- IDC dx 4/24/09, Age 40
Two surgeries, three tumors: 1.4cm,4mm,2mm; Ki67=75
Stage 1, no node involvement, clean margins
BRCA 1/2 negative,
Chemo: AC dose dense then Taxol dose dense, then rads
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Posted By: kirby
Date Posted: Jul 20 2009 at 6:09pm
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Pam,
I do hope this is a small bump in your road, although ICU doesn't sound good. Know my thoughts are with you for a speedy recovery.
------------- kirby
dx Feb. 2001. Age 44 Lumpectomy
2cm. no nodes stage 1 grade 3
4 rnds AC, 35 rads
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Posted By: dmayes
Date Posted: Jul 20 2009 at 6:18pm
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Pam,
Healing energy is heading your way. Rest and look fter yourself - you have helped many here and know all our prayers and well wishes will be with you (I am sure).
Love and hugs, Debs
------------- Debs | Laugh every day, Love every minute.
Dx Mar09 - LB IDC 4.5cm - 0 nodes. BRCA -
Cytoxin/Taxotere x4 end Jul09.
ReCon surgery March10.
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Posted By: Nancy
Date Posted: Jul 20 2009 at 6:23pm
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Dear Pam,
Well Watson...ICU is where you need to be so they can keep a close eye on you...love you dear friend and my prayers are already on the way, and many healing thoughts 
Love and hugs,
Nancy....aka...Sherlock 
------------- Nancy
DD Lori dx TNBC June 13,2007
Lumpectomy due to incorrect dx of a cyst
mastectomy July 6 2007
chemo ACT all 3 every 3 weeks 6 tx Aug-Nov
28 rads ended Jan 2008
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Posted By: krisa
Date Posted: Jul 20 2009 at 7:41pm
pam, so sorry to hear you are back in the hospital. sending prayers your way!

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Posted By: mainsailset
Date Posted: Jul 21 2009 at 6:03am
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My mom had congestive heart failure and I remember the doctor telling me that it felt like someone had a hand on your head and was pushing you down in the water so you couldn't breathe. He told me that it was imperative for her to have as little anxiety as possible (hahahaha) that it would make her struggle all the worse.
So Pam, I'm so glad you're where people can help you, where you can catch your breath and get your feet back under yourself. This summer weather with all its smog makes it even tougher, I know.
Thanks Robin for the updates, we worry.
------------- dx 7/08 TN 14x6.5x5.5 cm tumor
3 Lymph nodes involved, Taxol/Sunitab+AC, 5/09 dbl masectomy, path 2mm tumor removed, lymphs all clear, RAD 32 finished 9/11/09. 9/28 CT clear 10/18/10 CT clear
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Posted By: Beth Anne
Date Posted: Jul 21 2009 at 6:15am
Dearest Pam, I pray that you will be feeling better soon...
Sending tons of love your way! 
Love you, Beth Anne
------------- Dx 5/07 DCIS Stage3 gr9 A/C x 6, Abrax x 16 Bi-Mass 2/08
Navelbine x 12, finished radiation end of July 08. DX Brain Met's 2/09StageIV
CK3/09.Brain resection4/09 WBR
Dreaming of dancing with Ned!
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Posted By: becca
Date Posted: Jul 21 2009 at 9:09am
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Pam,
Hope you are feeling better and will be praying that you are well enough to go home very soon.
HUGS
Becca
------------- Age58 DX 12/07
Grand Junction, Colorado
Lumpectomy 1/08/08
Stage IIIA grade3
5/19 nodes
chemo 5/08 radiation 7/08
clear pet 9/08
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Posted By: Eileen
Date Posted: Jul 21 2009 at 10:08am
Pam: Thinking good thoughts your way. You are a tremendous inspiration and hope to hear from you soon. Eileen
------------- DX:2/08,3/08 lumpectomy with SNB, clear margins, no lymph node involvement, 4 cycles A/C (dose dense) every 2 weeks, 4 cycles Taxol (dose dense) every 2 weeks, 33 rads finished 9/08, BRCA 1 and 2 neg
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Posted By: dragonwing
Date Posted: Jul 21 2009 at 11:36am
Pam:
I certainly will be praying for you! I still have 2 inhalers since I finished chemo in March. I didn't understand breathing problems (my grandson is asthmatic) until my 5th chemo treatment!
They certainly are fun!   
Rest, relax, and recover soon!
------------- Joyce
http://dragonzwing14.wordpress.com/
Infiltrating ductal carincoma w/ focal papillary features
Stage IIa, 3 cm
S Node neg,
Taxotere/Cytoxan x 6
33 radiation
BRCA neg Praise God!
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Posted By: Bunnysmama
Date Posted: Jul 21 2009 at 11:46am
Pam, rest up so you can get home soon! xoxo
------------- Dx 11/06 @ age 37
IDC
Stage I, Grade 3
BRCA2+
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Posted By: Lisa L
Date Posted: Jul 21 2009 at 1:42pm
Thinking of you Pam. Hope you feel better soon.
------------- Dx 8/05 age 43
mast & lat flap 10/05
Triple neg
BRCA neg
IDC 4.5cm rt br
0/1 sen node
6 A/C 5 Taxol, 25 rads 11/05-6/06
Central Illinois
Currently NED
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Posted By: loveNpeace
Date Posted: Jul 21 2009 at 2:30pm
Thanks everyone for your good wishes, they are working! She is feeling and breathing better today. She may even get to go home tomorrow if she behaves. I just need to get used to her going in and out of the hospital with CHF, but it is hard. I also want to thank you for your support. Worrying about our loved ones with TNBC can be a rough road but I'm hanging on for the ride:)
Hugs
Robin
Hugs
Robin mailto:%20 -
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Posted By: Cebo
Date Posted: Jul 21 2009 at 3:43pm
Let me add to the chorus of prayers and good wishes for your speedy recovery, Pam--hope you are feeling better and get to go home soon!
------------- Sister DX'ed 11/08
Lumpectomy & SN biopsy 12/08
1.1 cm tumor, node neg (0/2)
Stage 1
DD A/C x 4, Taxol x 4, completed 4/17/09
33 rads (incl 8 boost), completed 6/22/09
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Posted By: LRM216
Date Posted: Jul 21 2009 at 5:23pm
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Pam - am sending my prayers and all good wishes to you. Come home soon.
Linda
------------- Linda - diagnosed at age 62
Diag 2/23/09 IDC 1.2 cent. IDC right breast,Stage 1, Grade 3,0/1 nodes - Triple Neg
4 DD AC every two weeks, 1 Dd Taxol, then 3 Taxotere every three weeks - rads x 33
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Posted By: SagePatientAdvocates
Date Posted: Jul 21 2009 at 6:06pm
Dear Pam,
we only 'know' each other a short period of time but especially in our PMs I have come to feel quite close to you..so I hope you don't mind that I am genuinely sending my love along with my prayers to you...
Robin, thank you for letting us know...
Pam, wishing you a speedy recovery...
in your corner,
Steve
------------- I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
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Posted By: CAR-LH
Date Posted: Jul 21 2009 at 9:07pm
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Dear Pam,
Sending thoughts, hugs, prayers and hope for a speedy recovery your way.
------------- Cynthia
===========
Ini Dia 6/06; Stage IIB/Neg Nodes; Chemo FAC 6X
Radiation; BRCA 1&2 Neg
Recurrence 9/08; Pos Nodes and Supraclavical (18 of 21; Stage IIIC
Chemo for 9X; Done Chemo 7/27/09
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Posted By: MsBliss
Date Posted: Jul 21 2009 at 10:11pm
Forgive me but is "Pam" the same person as "Trip2"? If so, I didn't know she had CHF.... Please know she is in my thoughts and prayers so she will feel well enough to go home.
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Posted By: dragonwing
Date Posted: Jul 22 2009 at 3:27am
Forgive my ignorance but was is CHF?
------------- Joyce
http://dragonzwing14.wordpress.com/
Infiltrating ductal carincoma w/ focal papillary features
Stage IIa, 3 cm
S Node neg,
Taxotere/Cytoxan x 6
33 radiation
BRCA neg Praise God!
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Posted By: MaryinSarasota
Date Posted: Jul 22 2009 at 4:05am
Pam,
Hoping you get home soon. Be well and know you are in our thoughts. Sending you positive energy.
Take care, Mary
------------- 53 @ Dx 5/08 Stage 1, grade 3, IDC 1.6 cm, 0 nodes, TNBC, lumpectomy, chemo TAC-6, radiation-34 12/18/08
NED-10/09, PBM w/TE recon. 7/10, removal of TE/infec 8/10. CT chest. Rec fat-graft & stem cells
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Posted By: dmayes
Date Posted: Jul 22 2009 at 4:23am
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HI Nancy,
I think it is Congestive heart failure. Did Pam get this from chemo?
Hugs and healing light still heading your way Pam. Rest and recovery
Love Debs
------------- Debs | Laugh every day, Love every minute.
Dx Mar09 - LB IDC 4.5cm - 0 nodes. BRCA -
Cytoxin/Taxotere x4 end Jul09.
ReCon surgery March10.
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Posted By: SagePatientAdvocates
Date Posted: Jul 22 2009 at 5:38am
Dear Ms. Bliss,
yes Pam=trip2
her 'handle' comes from having TNBC twice, once in 2002 and once in 2007
.............
for Pam....
D-decades have past since 'meeting' someone as committed as you
E- everyone is pulling for you
A- all of us are sending you our prayers for a speedy recovery
R- remember please you are surrounded by love
P- please, please...when you get home TRY to take it easy
A- another day on the recovery road
M- may you get better real soon
W-we love you
E- each and everyone here has felt your kindness and intelligence
L- love is very powerful and you have ours.
O-one day at a time
V-very important you feel the prayers and love
E- each day is a blessing
Y-yes I truly admire you
O-ohhhh...did I forget to say?...we love you...
U-u will soon be home and on the mend...
sending ++++++ vibrations your way from Los Angeles...
and yes, my love,
Steve
------------- I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
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Posted By: Shelly Rae
Date Posted: Jul 22 2009 at 8:18am
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Sending good thoughts and prayers your way.
Shelly
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Posted By: loveNpeace
Date Posted: Jul 22 2009 at 8:52am
I should have learned long ago not to celebrate too early. Pam has some mystery infection and is on antibiotics and is feeling a little worse today so she isn't leaving the hospital yet. Maybe in another 24 hrs she will be feeling better.
Robin
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Posted By: SagePatientAdvocates
Date Posted: Jul 22 2009 at 8:59am
Thank you Robin for the update...
please tell Pam I am sending her some VERY serious healing vibrations..
all the best,
Steve
------------- I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
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Posted By: Bunnysmama
Date Posted: Jul 22 2009 at 9:08am
Thank you for letting us know, Robin. Please keep us updated. Would it be possible for you to give us the address at the hospital so we could send her a note to let her know we're thinking of her?
------------- Dx 11/06 @ age 37
IDC
Stage I, Grade 3
BRCA2+
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Posted By: caro36
Date Posted: Jul 22 2009 at 10:03am
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Dear Pam,
Hope the antibiotics work and you'll be feeling better soon!!
Big hug, Caroline
------------- lumpectomy 9/2/08 6mm TN tumor
38 rads, 13 boost
6xTAC finished 04/10. BRCA1+ bill. mastectomy, imm. reconstruction using tissue exp 01/10
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Posted By: dragonwing
Date Posted: Jul 22 2009 at 10:34am
Robin:
Thank you so much for keeping us informed. Please tell Pam that we all love her and need her so please get better soon! We miss her.... I miss her!
------------- Joyce
http://dragonzwing14.wordpress.com/
Infiltrating ductal carincoma w/ focal papillary features
Stage IIa, 3 cm
S Node neg,
Taxotere/Cytoxan x 6
33 radiation
BRCA neg Praise God!
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Posted By: MaryinSarasota
Date Posted: Jul 22 2009 at 10:36am
Robin,
We are truly grateful for the updates. Can we email the hospital to give her our support and let her know we are thinking of her?
------------- 53 @ Dx 5/08 Stage 1, grade 3, IDC 1.6 cm, 0 nodes, TNBC, lumpectomy, chemo TAC-6, radiation-34 12/18/08
NED-10/09, PBM w/TE recon. 7/10, removal of TE/infec 8/10. CT chest. Rec fat-graft & stem cells
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Posted By: MsBliss
Date Posted: Jul 22 2009 at 10:45am
Thank you Steve.
Precious poem.
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Posted By: dragonwing
Date Posted: Jul 22 2009 at 11:01am
That's a wonderful idea MaryinSarasota! I know when my daughter was in Bronson Hospital for a month, they loaned her a laptop to check her e-mail. She was pregnant with our twins and was on complete bed rest!
------------- Joyce
http://dragonzwing14.wordpress.com/
Infiltrating ductal carincoma w/ focal papillary features
Stage IIa, 3 cm
S Node neg,
Taxotere/Cytoxan x 6
33 radiation
BRCA neg Praise God!
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Posted By: loveNpeace
Date Posted: Jul 22 2009 at 1:19pm
You have all warmed my heart with your well wishes and a poem! Pam does have her laptop with her but hasn't felt well enough to use it yet. I'm sure she will soon, this forum is never far from her thoughts:)
If you would like the name of the hospital please PM me.
Hugs
Robin
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Posted By: SagePatientAdvocates
Date Posted: Jul 22 2009 at 1:31pm
Thanks again, Robin....
I have been thinking about Pam a lot today and I finally found the word that in addition to intelligence, compassion best describes Pam as far as I am concerned...and that word is graciousness...
prayers continue, dear Pam,
Steve
------------- I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
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Posted By: HappyGoLucky
Date Posted: Jul 22 2009 at 4:24pm
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Pam:
Rest rest rest and get strong. Maybe shut off your computer for a month or so to get back your chi.
Peace and Love,
Karen
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Posted By: SagePatientAdvocates
Date Posted: Jul 23 2009 at 6:33am
Dear Pam,
thinking of you this morning...
sending prayers for a better day today than yesterday and an even better one tomorrow...
all the best,
Steve
------------- I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
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Posted By: dragonwing
Date Posted: Jul 23 2009 at 6:36am
Pam:
Just want you to know that my husband and I continue to pray for your recovering and hope that you are back home soon!
Rest, relax, and recover!
------------- Joyce
http://dragonzwing14.wordpress.com/
Infiltrating ductal carincoma w/ focal papillary features
Stage IIa, 3 cm
S Node neg,
Taxotere/Cytoxan x 6
33 radiation
BRCA neg Praise God!
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Posted By: Jessie
Date Posted: Jul 23 2009 at 9:53am
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Bless your heart, my wonderful friend.
I've had some experience with CHF myself, and I really hate to hear you're in its grip. I so hope these antibiotics kick the infection's butt and you're taking easy breathes very soon.
Please be as calm and patient as possible to reduce your stress. We miss you, but everyone wants the very best for you so we'll be patient too. You are sooooo loved.
Hugs to you Pam, and hugs also to you Robin -- take good care of my buddy.
Jessie
------------- IDC,Stage I,Grade 3,dx 4/06
dbl mast 5/06,
systemic MRSA post surgery
septic shock, heart attack
triple bypass 1/07
no chemo due to infections and heart issues
so far NED!
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Posted By: loveNpeace
Date Posted: Jul 23 2009 at 3:58pm
Thanks for the hugs and support:) Pam is doing somewhat better. She has two infections, one is rare and her Dr. has never seen it before, but that's my sister, she gets whatever is rare. Her Dr. is talking about possibly sending her home tomorrow. Right now Pam doesn't feel well enough to go home so she's a little worried about that. Hopefully, she will get to take some oxygen home with her. She lives so far away from her Dr. that she really needs some oxygen support at home. Please keep her in your thoughts and cross your fingers she gets some oxygen for home.
Hugs Robin
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Posted By: mainsailset
Date Posted: Jul 23 2009 at 5:24pm
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We've had a thunder and lightning storm here most of the day. Wind blowing like crazy, 85 degrees and pelting rain, all with the boom boom boom of the thunder.
I stood out on the porch and thought of Pam and the power of the storm crashing all round as it lit the sky with its majesty. I looked up and asked it to please go east, taking its beauty with it. Wind changed and off it went heading Pam's way.
I'm not comparing you to a storm dear Pam, well maybe I am, because your strength has always lit up my sky, but I'm letting you know there's alot of strength coming your way and it's not all in the form of lightning & thunder.
------------- dx 7/08 TN 14x6.5x5.5 cm tumor
3 Lymph nodes involved, Taxol/Sunitab+AC, 5/09 dbl masectomy, path 2mm tumor removed, lymphs all clear, RAD 32 finished 9/11/09. 9/28 CT clear 10/18/10 CT clear
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Posted By: Barb-42
Date Posted: Jul 23 2009 at 6:00pm
Pam,
I am sorry to hear that you have been in the hospital and not feeling well.
You are in my thought's and prayer's.
Take Care,
Barb
------------- dx-1/2/08 @ 42 yrs.old
lumpectomy w/close margins/ 1/14/08- no nodes/stage 1/gr.3
1.5 CM IDC
chemo-AC-3 Dose Dense
Taxol wkly 12- 2/21/08-7/17/08
Rads-33 w/8 boosts
8/6/08-9/22/08
BRCA 1/2 Neg.
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Posted By: NancyJane
Date Posted: Jul 23 2009 at 6:32pm
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Dearest Pam:
Know that I am sending you lots of love, peace and healing energy. You are such an inspiration to me and many of us on this site. Feel the strength and support from your friends here suround you. Rest up, my dear.
Much love,
Nancy Jane
------------- 41yr dx 7/25/08
Lumpectomy and ax node disection (38 nodes, all clean!) 8/12/08
T2 grd 3, N0, TN IDC
BRCA1+
ACx4,Tx12 10/08-3/09
prophylactic hyst, ooph,mast & one-step recon 3/30/09
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Posted By: Beth Anne
Date Posted: Jul 24 2009 at 5:31am
Dear Robin, Please give your sister a big hug from myself and my sister! We so enjoyed meeting her in April. I have to tell you it does worry me to think that she could be home if she is not feeling much better she is sooooo far away from any medical center. Make them keep her until she is ready to go home. Give Coy a hug from us as well!
Hugs and love, Beth Anne and Stephanie
------------- Dx 5/07 DCIS Stage3 gr9 A/C x 6, Abrax x 16 Bi-Mass 2/08
Navelbine x 12, finished radiation end of July 08. DX Brain Met's 2/09StageIV
CK3/09.Brain resection4/09 WBR
Dreaming of dancing with Ned!
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Posted By: Jessie
Date Posted: Jul 24 2009 at 5:57am
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Pam, good buddy........
They won't send you home without support. Robin, grab one of those oxygen tanks and don't let go !!
Love you so much. Will call over weekend.
Tight hugs,
Jessie
------------- IDC,Stage I,Grade 3,dx 4/06
dbl mast 5/06,
systemic MRSA post surgery
septic shock, heart attack
triple bypass 1/07
no chemo due to infections and heart issues
so far NED!
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Posted By: loveNpeace
Date Posted: Jul 24 2009 at 9:54am
Pam is still in the hospital, she has another infection and her blood counts aren't where they'd like them to be. Sooooo I wish I had an answer.
Robin
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Posted By: dmayes
Date Posted: Jul 24 2009 at 10:12am
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Dearest Pam,
Get better - right now!!! OK... we miss you and I am sending tough love to scare the infection off (did it work?). Healing energy is coming to you - seems abit slow though!
Love always - Debs
------------- Debs | Laugh every day, Love every minute.
Dx Mar09 - LB IDC 4.5cm - 0 nodes. BRCA -
Cytoxin/Taxotere x4 end Jul09.
ReCon surgery March10.
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Posted By: MaryinSarasota
Date Posted: Jul 24 2009 at 12:09pm
Oh Robin,
Thanks for the update. Good she is where the help is. Make em keep the germs away from her.
You are one wonderful sister.
------------- 53 @ Dx 5/08 Stage 1, grade 3, IDC 1.6 cm, 0 nodes, TNBC, lumpectomy, chemo TAC-6, radiation-34 12/18/08
NED-10/09, PBM w/TE recon. 7/10, removal of TE/infec 8/10. CT chest. Rec fat-graft & stem cells
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Posted By: loveNpeace
Date Posted: Jul 24 2009 at 4:10pm
Pam is wanting to go to another hospital in Oklahoma. She is wanting to be admitted to St. Johns in Tulsa (larger hospital, has 3 infectious disease specialists and her oncologist works out of there). The Dr. seeing her now says she can't do that unless it's an emergency. I don't think that's true. Of course, Pam can walk out but then she runs the risk of her health insurance not covering her charges. Does anyone know if that is true?
Robin
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Posted By: Cebo
Date Posted: Jul 24 2009 at 4:35pm
Robin, I agree it doesn't sound right--there should be a patient advocate's office --I suggest you contact it immediately and demand they explain why the are refusing her request for a transfer. (Medicare participating hospitals are required by law to have a process to hear patient complaints.) Also, is there a patient bill of rights posted in her room or on the floor? We have that in NJ under State law, but it may also be required under federal law.
------------- Sister DX'ed 11/08
Lumpectomy & SN biopsy 12/08
1.1 cm tumor, node neg (0/2)
Stage 1
DD A/C x 4, Taxol x 4, completed 4/17/09
33 rads (incl 8 boost), completed 6/22/09
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Posted By: Nancy
Date Posted: Jul 24 2009 at 4:44pm
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Cebo,
I just sent Robin a pm, and I agree with you 100%. If this hospital and the doctors there are not able to determine what type of infection Pam has, then it is their responsibility to refer Pam to another hospital/doctor who has the expertise to dignose her condition. Just another reason to lose what little faith I have in the medical profession. Must be their egos getting in the way of Pam's recovery.
Nancy
------------- Nancy
DD Lori dx TNBC June 13,2007
Lumpectomy due to incorrect dx of a cyst
mastectomy July 6 2007
chemo ACT all 3 every 3 weeks 6 tx Aug-Nov
28 rads ended Jan 2008
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Posted By: mefowler
Date Posted: Jul 24 2009 at 4:47pm
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Dear Robin,
I have been told that this is an option that insurance companies have, but do not always use. I would consider contacting Pam's oncologist and seeing if he will accept her in transfer. He can talk with her current attending and that may work since they "speak the same language". You can also check with the insurance company, they often would prefer that the patient is in a hospital with a higher level of care because it tends to decrease length of stay, which means they spend less money. Anyway, try and get them to okay the move before you do it, and get the name of whoever says yes or no. If it is no, ask to speak with a supervisor. Let them know that you consider that she is at risk if she remains where she is. How far is it to the other hospital? Will she need to be transferred by ambulance, or can she go in a privately owned vehicle. You do not want to get stuck in the middle of Nowhere, Oklahoma and have her unable to breathe. Very scary. I have even transported a patient to the Mayo Clinic by air ambulance, it was cheaper than a ground ambulance due to length of the trip and hourly cost of paramedics.
I hope this helps. If I think of anything else, I'll let you know. But I would contact her oncologist first, s/he would be the person who would probably help you the most with her current attending.
Maire
------------- 53 yo, dx'd 11/08 at 51, 2.9 cm IDC, node-neg, neoadj chemotx with Taxotere/carboplatin q3wks x 6, lumpectomy 4/09, path showed pCR, margin reexcision 5/09, rad'n 6-8/09, intermittent Tarceva, dc'd
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Posted By: Cebo
Date Posted: Jul 24 2009 at 5:09pm
Yes, Nancy, it is frustrating, especially when they don't bother to explain anything to you---Maire, I agree that getting the other institution to accept is the best way to go--I do not think they can refuse to transfer when a patient requests it for medical reasons AND there is another hospital willing to accept the transfer.
Robin, another thing--while of course it is preferred to try to work it out amicably, if they take a hard line you may also consider calling or threatening to call the State Dept. of Health--in my State and I assume most, if not all, the State DOH is the regulatory agency with oversight of hospitals and sometimes they will become involved when a patient lodges a complaint that they are not receving adequate care--here is the number: 405-271-6576. Good luck
------------- Sister DX'ed 11/08
Lumpectomy & SN biopsy 12/08
1.1 cm tumor, node neg (0/2)
Stage 1
DD A/C x 4, Taxol x 4, completed 4/17/09
33 rads (incl 8 boost), completed 6/22/09
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Posted By: SagePatientAdvocates
Date Posted: Jul 24 2009 at 5:33pm
Dear Robin and Pam,
I have a suggestion-
see if you can get an attorney who specializes in medical issues...hire that person.. and try to have her/him contact the hospital where Pam is now and explain that they will be sued if the transfer is not made...and also contact Pam's insurance company and put them on notice that s/he is representing Pam and want to enlist their help in getting this life-threatening transfer done.
I appreciate the advice expressed above with the patient advocate route/state and those certainly will not cost anything and the attorney will but I am VERY upset that Pam is not getting the professional advice she should be getting from a IDS and her own oncologist..
From my experience the threat of litigation (but it has to be real) can sometimes get things accomplished...
I realize this is probably not Pam's 'style' and perhaps not yours as well but I feel it is ESSENTIAL that you fight this on as many fronts as possible and with Pam ill and you in Indiana it makes it tough to mount an effective attack...and unfortunately, from my experience, attack you must!!! Pam should marshall her strength for the health battle on hand...you are doing a marvelous job giving her support...we here love and are praying for her but you need someone to really battle for her rights...and in my view a lawyer is the best person to do that and time is of the essence from the way you are describing things..
Robin, I am sending you another PM now with my email address and phone number...I don't know anyone in Tulsa but I want you to know that I am willing to help in anyway I can...
please tell Pam she continues to be in my prayers and I am sending her my love..
Steve
------------- I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
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Posted By: loveNpeace
Date Posted: Jul 24 2009 at 6:21pm
Thanks everyone for you input and wonderful suggestions. I was on the phone with the hospital where she would like to go and they told me her Dr. would have to call them and make the arrangements which her Dr. won't do. The hospital where she is now doesn't have a patient advocate so they transferred me to a case manager's voice mail which I left a lengthy msg. I've spoken with the nurses in her unit and they seem to care less. This all taking place on a Fri. evening doesn't help matters either. Luck did come our way though, a change of shift brought in a nurse that went out of her way to help Pam find a way to get to Tulsa. They are copying her records now for the Dr. who sees Pam in the a.m., he will write her a d/c. It so happens that her Dr. that refused to d/c her is out of town tomorrow and the covering Dr. is aware of what's going on so he will write her d/c for her. Family will take her to Tulsa ER. Pam is breathing better but her labs, infections and liver enzymes are the areas of concern now. Thanks again, you don't know how much I appreciate your words of wisdom.
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Posted By: SagePatientAdvocates
Date Posted: Jul 24 2009 at 6:29pm
thanks Robin,
I will sleep easier tonight knowing Pam will be in a better facility tomorrow..
all the best,
Steve
------------- I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
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Posted By: myrnainc123
Date Posted: Jul 24 2009 at 6:57pm
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Hello Robin,
Hey I live in Norman and I can and will go pick Pam up and drive her up there totally no problem at all. Pam should have my number but just in case 405-366-7341, this really ticks me off. I havent been on hear lately but have been visiting with Pam on facebook, I didnt know she was even in the hospital though ( mbey why no response from her). We were pretty close I think the 1st two years I was dx, but just haven been in touch latley. Please call me if you need any help at all REALLY.
Please tell Pam to get better and that "I have my pasport", she will get it.
Hugs, love, and prayers to Pam
Myrna
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Posted By: Cebo
Date Posted: Jul 25 2009 at 5:09am
That's good news--hopefully Pam is on her way to Tulsa this morning--it shouldn't be that hard, but thankfully she has you there to be her advocate.
------------- Sister DX'ed 11/08
Lumpectomy & SN biopsy 12/08
1.1 cm tumor, node neg (0/2)
Stage 1
DD A/C x 4, Taxol x 4, completed 4/17/09
33 rads (incl 8 boost), completed 6/22/09
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Posted By: dmayes
Date Posted: Jul 25 2009 at 6:40am
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Great to hear Pam is getting to a place to give her appropriate care - well done Steve for helping too!
Wishes and hugs heading to Pam - Cheers Debs
------------- Debs | Laugh every day, Love every minute.
Dx Mar09 - LB IDC 4.5cm - 0 nodes. BRCA -
Cytoxin/Taxotere x4 end Jul09.
ReCon surgery March10.
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Posted By: loveNpeace
Date Posted: Jul 25 2009 at 10:58am
Well to make a long story short, she's still in Durant and did not make it to Tulsa today. It's something she still may do in the next few days. She is in PCU now but still doesn't have any news. Nothing much seems to happen on the weekends.
Robin
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Posted By: mainsailset
Date Posted: Jul 25 2009 at 11:23am
Hang in there Robin, the waiting is the worst. Best now to watch her and her caregivers like a hawk. And it is a truism that the squeaky wheel gets fixed first, you must be exhausted and I know you have your own 'things' to take care of. You are such a good sister.
------------- dx 7/08 TN 14x6.5x5.5 cm tumor
3 Lymph nodes involved, Taxol/Sunitab+AC, 5/09 dbl masectomy, path 2mm tumor removed, lymphs all clear, RAD 32 finished 9/11/09. 9/28 CT clear 10/18/10 CT clear
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Posted By: HappyGoLucky
Date Posted: Jul 25 2009 at 1:42pm
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Steve I am very touched by the caring you provide on this board. God bless you. and Thanks.
Karen
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Posted By: Kazza
Date Posted: Jul 25 2009 at 3:50pm
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Just to say I concur with Karen - I am impressed at the amount of time and dedication that you put into supporting women with this horrible challenge. Thankyou!!!!
Kazza
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Posted By: billie
Date Posted: Jul 25 2009 at 6:01pm
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Oh Robin I am so sorry to hear that miss Pammie is in the hospital again as well as the feelings of our dear dear friend Pam.I am sure there are several other places she would rather be.
I had no idea that she had had to go,She must have had to go right after the last email she sent me.
In our discussion she actually said that she thought that she might have a bad gall bladder,and that her liver enzymes were going crazy.We talked about the fact that she has been taking something that has acetaminafine in it for her arthritis for several years.(I cannot remember right now what it she said it was)But she was wondering if it could be one of the issues with her liver after they finally were talking about the effects of tylenol and the actaminafine in it.She said that she was going to dicuss this with her Dr. the next time she went in.
Ladies ,any of you BC ladies that did not hear about what long term acetaminafine does to the liver and your dr. did not take the time to explain this to you when he suggested tylenol.Stop right now and find something else.The stress that your bodies have to get through is enough on the liver.
I also tried to stress to Miss Pammie that if she did indeed think that there is a possibilty that she thinks that she has gall bladder problems,that she should make them run every possible test that there is to determine this.When my youngest daughter was in her 30's and she complained about her stomach the dr.'s wanted to treat her with pills claiming she was a hypocondreat(bad spelling)Until a dr. fininally figured it out and it was removed.
My son in law was in the hospital for a week before they figured out that his stomach pain was the gall bladder and by the time that it was discover a week later after admitence ,he had the beginning of gangrene.And my friends daughter suffered for almost a year simply because she had no insurance .Her gall bladder had swolen to 3 times its size and was the beginning of gangrene.Her Mother had to threaten a law suit,on them.
So I was telling Miss Pammie to stay on them if that is what she thinks that her stomach pain is,but there is a possibility that she has not read that email because unbeknost to me she probably went to the hospital around that time.
So Robin,We all know that you will make sure that our Miss Pammie knows how much we think of her and oh how much we love her.But as our Miss Pammie would also say,Robin ,you make sure that you take care of yourself also.If anything shoul happen to you,I do believe that our little friend,our little buddy would never be able to get over that.
So sweet lady,keep us informed and tell her how we love her and miss her ,but make sure that you take care of yourself with your recent diagnosis.Lot and lots of hugggggssssss Billie
------------- Billie posting for sis Betty/67/caucasion female/diagnosed 2-27-08/gradeIII/7mm/invasive ductal carcinoma/T N /clear margins/node neg/4 X's taxotere-cytoxan/36 rads/7-08 PET/CT double image/no cancer
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Posted By: MsBliss
Date Posted: Jul 26 2009 at 10:31am
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Most people are unaware that the majority of liver transplants done for liver failure and the majority of liver failure or liver dysfunction in this country is from the use of Acetaminophen; just the use, chronic or not. There is a movement afoot to remove it from over the counter use. It's ironic that certain items like cannabis or hemp are still illegal, but have never caused an endemic health problem or condition, yet acetaminophen is legal and causes all this harm.
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Posted By: cg---
Date Posted: Jul 26 2009 at 11:02am
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http://www.marketwire.com/press-release/Sunnybrook-Health-Sciences-Centre-820839.html - http://www.marketwire.com/press-release/Sunnybrook-Health-Sciences-Centre-820839.html
http://www.ukcia.org/research/CognitiveFunctioning.html - http://www.ukcia.org/research/CognitiveFunctioning.html
http://www.ukcia.org/research/CognitiveFunctioning.html - http://www.ukcia.org/research/CognitiveFunctioning.html
http://www.marijuana-addiction.info/side-effects.htm - http://www.marijuana-addiction.info/side-effects.htm
Marijuana is called the #1 drug problem in the United States - smoking 5 joints a day equals smoking one package of cigarettes a day..
Of course - all natural must make it better than manufactured by drug companies - poppies are natural and a pretty flower... maybe we should legalize their byproducts....than we can let the drug cartels who move the world's opium out of jail and fill it with Tylenol users!
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Posted By: krisa
Date Posted: Jul 26 2009 at 11:59am
my mom, 93 years of age, has been taking tylenol for her arthritis everyday for years and years...no liver problems yet. i can't take tylenol or baby aspirin..
and the next thing you know, aerogrow will start selling marijuana starter sets-- i am growing lettuce and had a delicious salad yesterday.

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Posted By: Elaine
Date Posted: Jul 26 2009 at 4:47pm
cg--- wrote:
http://www.marketwire.com/press-release/Sunnybrook-Health-Sciences-Centre-820839.html - http://www.marketwire.com/press-release/Sunnybrook-Health-Sciences-Centre-820839.html
http://www.ukcia.org/research/CognitiveFunctioning.html - http://www.ukcia.org/research/CognitiveFunctioning.html
http://www.ukcia.org/research/CognitiveFunctioning.html - http://www.ukcia.org/research/CognitiveFunctioning.html
http://www.marijuana-addiction.info/side-effects.htm - http://www.marijuana-addiction.info/side-effects.htm
Marijuana is called the #1 drug problem in the United States - smoking 5 joints a day equals smoking one package of cigarettes a day..
Of course - all natural must make it better than manufactured by drug companies - poppies are natural and a pretty flower... maybe we should legalize their byproducts....than we can let the drug cartels who move the world's opium out of jail and fill it with Tylenol users! |
Good links! Anyone who has spent much time around habitual marijuana users would probably say their cognitive function was a little lacking when they made the decision to start using at that level, lol. But 5 joints a day of the type available on the street today would keep you in a serious daze 24 hours a day!
As a person from California, I can tell you that many medicial marijuana users prefer alternate methods to the old fashioned "smoking" of the herb. That's still for the stoners. There are many alternatives.
Not an endorsement by any means, just saying. :-)
Mary's Mom
Elaine
------------- Elaine, Mary's Mom
Mary - Diag, TNBC, bilateral, 3.5cm, stg 2-3, 1/08, ACx4, Tx4
Double Mast 8/1/08, Recon Complete
Mom - BRCA1+, Prophylactic MAST and salpingo-oophorectomy
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Posted By: billie
Date Posted: Jul 27 2009 at 5:25am
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Our sweet Miss Pam,
It was not my intention to side track these ladies in all the good wishes and cyber hugs for you when I posted about our email on acetiminifine and what it does to the liver.It was several years ago that I became aware of to much acetiminfine and what it could do.I used to go to a website called Tulsa Butterfly,and this lady was doing her best to notify everyone about what it would do.She had a weakened immune system to begin with,like lupus or one of the others and she was told by her dr. to take tylenol for the pain.So she did for several years and all of a sudden she was then diagnosed with liver problems also.
She was heartbroken that her dr. did not take the time to explain this to her and She was trying to shout it to everyone.
Can you imagine how many people take the tylenol for arthritis,tylenol for sinus ,and then tylenol for sleeping.Many other drugs have acetiminfine in them.Never once linking them together as to too much acetiminfine.And yes,people should have more sense not to do this,but when our dr.tells us to take this and yet he does not inform us as to what this can do to our liver we are in trouble.This is not uncommon and this happens to a lot of people.
Now my next question is this.If a persons liver ensymes are low and not to the point of total destruction and the person stops taking the daily acetiminfen.Can the liver repair its self?
So,my dear friend ,I am so in hopes that you are beginning to feel much better and will be home soon but if not Are they still considering taking you to Tulsa? We out here want to know because we want our cyber huggggggssss to go where ever you go.We miss you. Billie
------------- Billie posting for sis Betty/67/caucasion female/diagnosed 2-27-08/gradeIII/7mm/invasive ductal carcinoma/T N /clear margins/node neg/4 X's taxotere-cytoxan/36 rads/7-08 PET/CT double image/no cancer
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Posted By: MaryinSarasota
Date Posted: Jul 27 2009 at 5:39am
Sending more healing thoughts and energy. Not get well soon... Pam, get well now.
♥ Mary
------------- 53 @ Dx 5/08 Stage 1, grade 3, IDC 1.6 cm, 0 nodes, TNBC, lumpectomy, chemo TAC-6, radiation-34 12/18/08
NED-10/09, PBM w/TE recon. 7/10, removal of TE/infec 8/10. CT chest. Rec fat-graft & stem cells
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Posted By: Cheryl51
Date Posted: Jul 27 2009 at 6:31am
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Dearest Pam....I am sending love and hugs...as always.
Cheryl
------------- Diagnosed 3/07, Stage IIB, Grade 3, 2/10 nodes positive
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Posted By: loveNpeace
Date Posted: Jul 27 2009 at 8:39am
Pam is being d/c to home today, Pam wants out. She still has infections, she's taking antibiotics and they don't know what the infections are yet. They have sent her slides/cultures to Dallas and still have not got results back. She is to see her Dr. next Monday when the lab results should be in. Then her Dr. will refer her to anyone she wants to see, anywhere she wants to go. That is the plan as of right now. Her breathing is under control, she's not using oxygen at the hospital and she is not taking home oxygen. (sigh) I appreciate everyone's support and wisdom from everyone. I have been stressing and been a little "under the weather" myself and I have felt I have people in my corner with me and my sister. I have passed onto her your ideas and her nurses and Dr. have heard them. Sometimes when these things happen to others it's easy to come up with the ideas but when it's you or a loved one, you just go blank...I live in Muncie, IN and Pam calls me her "Muncie Manager" and it's hard to manage from here:) I have been at her bedside before but it just didn't work out this time. Thanks again from the bottom of my heart and I will probably be back posting again sometime, probably soon lol
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Posted By: loveNpeace
Date Posted: Jul 27 2009 at 8:48am
Myrna, thank you for the offer to pick Pam up. This forum has provided me with such great support not only with ideas but with offers like yours are above and beyond. You are all angels!
Hugs Robin
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Posted By: loveNpeace
Date Posted: Jul 27 2009 at 8:54am
Beth Anne, Pam enjoyed meeting you and your sister so much. That was such a treat for her. She showed me pictures of the flowers you brought her that were so pretty. I hope you were driving a four-wheel vehicle that day! I don't think people realize how "far out" she does live lol Take good care of yourself.
Hugs Robin
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Posted By: loveNpeace
Date Posted: Jul 27 2009 at 9:00am
Billie, They did check her gallbladder and it is good:)
Hugs Robin
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Posted By: Beth Anne
Date Posted: Jul 27 2009 at 9:03am
Robbin give her hugs from us....:-)
Beth Anne
------------- Dx 5/07 DCIS Stage3 gr9 A/C x 6, Abrax x 16 Bi-Mass 2/08
Navelbine x 12, finished radiation end of July 08. DX Brain Met's 2/09StageIV
CK3/09.Brain resection4/09 WBR
Dreaming of dancing with Ned!
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Posted By: loveNpeace
Date Posted: Jul 27 2009 at 9:08am
Billie, You mentioned Lupus which reminded me they are testing her for Lupus and other autoimmune diseases. Her liver enzymes have been too high and on the rise for a few mths., if not longer, that seems to be a puzzler. No one can figure out why.
Hugs, Robin
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Posted By: Jessie
Date Posted: Jul 27 2009 at 9:16am
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So, so, so glad my Miss Pam is leaving the hospital. In addition to feeling awful from the infections and breathing issues, she must have felt trapped !
Bless her heart --- and bless your heart too Robin. You're a wonderful sister ! I've always wanted one of those. 
Much love,
Jessie
------------- IDC,Stage I,Grade 3,dx 4/06
dbl mast 5/06,
systemic MRSA post surgery
septic shock, heart attack
triple bypass 1/07
no chemo due to infections and heart issues
so far NED!
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Posted By: loveNpeace
Date Posted: Jul 27 2009 at 9:44am
Jessie, Sisters can be a wonderful thing. Her and I are 11 yrs. apart and she used to torment me with, "you KNOW you had to have been an accident"! Who would plan kids 11 yrs. apart? That's ok, I got back at her many ways and I still hear about them. I was a tot when she was a teenager so I was in her lipstick, etc., and she always got blamed for what I was doing. hehe When I irritate her she wiggles her fingers at me and says, "POOF! You're an ashtray!" She likes to magically turn me into into "things" that can't bother her but then she turns me back. She actually did this to me a couple of wks. ago. Her and I have TONS of laughs and when you are sisters, you just "know" many things about each other, even what they are thinking when you just look at their face. I can't image my world without her, just wish I lived closer:(
Love you all, Robin
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Posted By: SagePatientAdvocates
Date Posted: Jul 27 2009 at 9:55am
Dear Robin,
you are an absolutely marvelous sister.....
please tell Pam that prayers and ++++++ vibrations continue from Los Angeles....
I hope she can get to an Infectious Disease Specialist sooner than later and that the lab work shows something definitive so they can deal with it..
hugs and love to you both,
Steve
p.s. you get better soon, too... please take care of yourself..
------------- I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
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Posted By: dragonwing
Date Posted: Jul 27 2009 at 10:01am
Robin:
You are a W O N D E R F U L sister! Don't forget, though, in the process to take care of yourself and give yourself time to rest, too! Let Pam know that she is on the prayer list at our church too!
------------- Joyce
http://dragonzwing14.wordpress.com/
Infiltrating ductal carincoma w/ focal papillary features
Stage IIa, 3 cm
S Node neg,
Taxotere/Cytoxan x 6
33 radiation
BRCA neg Praise God!
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Posted By: SagePatientAdvocates
Date Posted: Jul 27 2009 at 10:54am
Dear Robin and Pam,
don't know if Dallas will have a precise answer for you but in case not please consider-
Centers for Disease Control and Prevention 1600 Clifton Rd. Atlanta, GA 30333, USA
800-CDC-INFO (800-232-4636) TTY: (888) 232-6348, 24 Hours/Every Day - cdcinfo@cdc.gov
Pam. hope you are resting comfortably at home...
PLEASE take care of yourself and know that you are surrounded by love.
hugs and love,
Steve
p.s. I sent Robin my phone number....please feel free to call at anytime..
------------- I am a BRCA1+ grandson, son and father of women affected by breast/oc-my daughter inherited mutation from me, and at 36, was dx 2004 TNBC I am a volunteer patient advocate with SAGE Patient Advocates
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Posted By: loveNpeace
Date Posted: Jul 27 2009 at 1:10pm
Steve, I can't even think how to express my appreciation for your ideas and solid support. The women on this forum are lucky to have you as their friend. Blessings to you and your family.
Hug Robin
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Posted By: billie
Date Posted: Jul 27 2009 at 1:32pm
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Hi Robin
So our sweet lady is home now.Hopefully she will get better every day,but she does not need to stop there.She needs to know(we need to know)what is causing her infection.With you living far away from her ,I can only imagine how tough that is on both of you.My sister lived about 1hr and 15 min from me,but she has moved to Dallas now and that is almost 4 1/2 hrs.from me.There is 16 months difference between the 2 of us.That is so sweet of you to share some of ya'lls growing up years.My sister and I had many many dissagreements, most of them over my wanting to wear her clothes.I was the youngest ,but I was the biggest.
It is good that they are checking for everything that they can think of.I do not want them to find anything,but on the other hand something is causing this.And I do not understand why that hospital cannot send her home with some oxygen especially with her living so far away from a hospital.
So sorry to hear that you are not feeling just right and surely do hope that you get to feeling much better soon.Oh and tell that sister of yours to take it easy at home and for her to get plenty of rest just in case she has to get on the road to Tulsa.I will email her and perhaps visit with you both on Facebook.Lots of Hugggggsssss to you Robin and take care of yourself. Billie
------------- Billie posting for sis Betty/67/caucasion female/diagnosed 2-27-08/gradeIII/7mm/invasive ductal carcinoma/T N /clear margins/node neg/4 X's taxotere-cytoxan/36 rads/7-08 PET/CT double image/no cancer
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Posted By: outnumbered
Date Posted: Jul 27 2009 at 3:46pm
OMG I am so sorry I was unaware of all of this. Pam please know you are in my prayers and I hope they find an easy solution to all of this. I am happy you are feeling well enough to be released. As everyone else has said, Robin, please do not forget to take care of yourself.
Love and hugs!!!!
------------- ~Sara
DX @ age 40 6/24/08 Stage 1 Grade 3 BRCA1+ 187delAG
BMX (nipple-areola-sparing) 8/5/08
Redo BMX (remove nipple and areola) w/ Lat Flap 7/6/09
BSO 9/3/09
NED since 08/05/2008
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Posted By: MsBliss
Date Posted: Jul 27 2009 at 5:23pm
Actually, alcohol is the leading substance abuse problem in the country; cannabis is up there, but it isn't taxed and regulated. Once they figure out how to tax and regulate it, it will no doubt, be marketed by the distillers. But it doesn't cause heart disease, cirrhosis and liver failure like alcohol. Anyway, it's not an "either or" situation. Any drug has the potential for abuse.
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Posted By: MsBliss
Date Posted: Jul 27 2009 at 5:41pm
That is a big leap. This isn't about what is "natural" versus drug company synthetics. Almost all drugs begin as a natural molecule. Anyway, poppy by products are legal; without morphine, dying of a terminal illness would be excruciating.
My point wasn't to begin a tangent thread on the "evils of drugs, cannibis, and hemp", but to point out that acetaminophen is so easily over used and if you google liver failure statistics, you would see that acetaminophen is the leading cause. That is pretty serious for such an easily accessible drug.
The accidental overuse of acetaminophen caused the death of someone close to me. She was a brilliant law professor. She accidently took multiple remedies which overlapped the acetaminophen dose.
I can't imagine why you would post links to those spin machines who must justify their massive budgets to remain valid. If you understood the funding they get to keep pushing their agenda, you'd understand their motivation to keep people scared of the "doobie man".
Ultimately, anything abused is a problem--the rules apply to everything we ingest, smoke or rub on our bodies!
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Posted By: myrnainc123
Date Posted: Jul 27 2009 at 8:16pm
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Robin,
I'm glad she is getting out of there but hope she follows up ( if she has to) at a different hospital. For real, Im in Norman and if you feel there is anything I can do for her please let me know. She is a real sweetie and I do hope she can get this mees under her belt so she can get back to healing.
Myrna
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Posted By: musette green
Date Posted: Jul 27 2009 at 8:56pm
Billie & MsBliss, The hospital where I work we are not allowed to give more than 4000mg or 4 grams of Tylenol/acetaminophen in a 24 hour period. If the MD orders Tylenol extra strength (500mg per/tab) that means we can only give 8 tablets,or 4 doses if the order is for 2 every 4 hours. If the order is for regular strength Tylenol/acetaminophen 2 tabs every 4 hours for fever, that means the patient will reach the maximum allowed after 12 tablets or 6 doses in 24 hours. Compound this with the fact that 1 Vicodin tablet (regularly prescribed for oral pain control) has 500mg of acetaminophen. 2 Vicodin would yield 1000mg or 1 gram of the 4 gram maximum. If the MD has ordered Vicodin and tylenol we will often call the Md and ask for another drug for pain like Norco that has a lower acetaminophen dose (325mg/tab). to help keep the patient safe. Dosage reminders are written on the medication records as a prompt for the staff to help prevent overdoses. In regards to your query about the liver repairing itself if the enzymes were low but not depleted and the Tylenol stopped. This is the best my old brain can do, hope it helps. The ability of the liver to repair after a Tylenol overdose/insult is dependent upon the amount ingested, type (extended release, extra strength) and length of time since ingestion in the acute phase. In the chronic phase recovery is determined by the amount of liver tissue necrosis (death) present. Assuming the patient is given proper treatment, in the first 12-24 hours no damage. Over the next 24-48 hours gradual return to normal function. At 3-5 days ( if not treated) the person may experience kidney failure, bleeding and coma. A liver transplant is usually the only recourse. The metabolites of Tylenol (NAPQI) overwhelm the liver and deplete an enzyme called glutathione, resulting in liver tissue death (necrosis). If treated early ususally with Mucomyst, the glutathione enzymes can be replaced/ replenished. Hope this makes senes- it is way past my bedtime.
------------- DX 10/08. IIB,gr 3, 2.5cm. TNBC, BRAC1&2-, nodes+(left axillary, supraclavicular, ant. mediastinal & IM). Neoadjuv. chemo 4x C/T. Left mast.3/09,completed 40 rads 9/09. Reconstruction pending.
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Posted By: dmayes
Date Posted: Jul 28 2009 at 5:10am
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Hi Pam,
Hope you are home and feeling well. Although I dont want you rushing to the PC - I would love an update if anyone has one.
Rest well and get better. Healing hugs heading your way
Love Debs
------------- Debs | Laugh every day, Love every minute.
Dx Mar09 - LB IDC 4.5cm - 0 nodes. BRCA -
Cytoxin/Taxotere x4 end Jul09.
ReCon surgery March10.
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Posted By: billie
Date Posted: Jul 28 2009 at 8:54am
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Hi Robin, MsBliss,and Lisa,
MsBliss,I am so so sorry to hear of the loss of your friend from the accidental dose of actiminafine.Oh yes yes yes we need to all try to inform people as to what acetimifen can do to the human body,especially to the weakened immune system of our beloved sisters that have been diagnosed with BC,Actually everyone.I was having a touch of a little guilt about sharing with all what Miss Pam and I discuss in our emails,I got to thinking that perhaps she would prefer that I not do this.And then I was feeling guilty that while all of the ladies were trying to send her big possitive cyber hugs that my posting this would get them side tracked and they would forget to send her cyber huggggssss and welwishes.
To you Lisa,I am so glad that you have helped me to understand a little more about actiminfine.I had no idea that even vicodine has acetiminfine in it.I was under the understanding that there was one called loratab that did indeed have acteinmifine in it but I was not aware of vicodine.Actully I had a beautiful sister in law that died a few years back from the abuse of loratab.At the time ,I had never heard of the word loratab.Her little body at the end looked just like those dolls with the great big eyes and her legs were actually seeping fluid.I had never seen anything like that and hope that I never do again.So So sad and such a waste.I am not accusing the hospitals or the dr.s of directly causing the people to take to much acetiminifine,because quite frankly there are not a whole lot of people that actually tell dr.s all of the over the counter drugs that they take.But it would only take a few minutes for the dr. that tells you to take something with acetiminifine in it to go home and make sure that you read on the pkg,any other amount of acetiminfine that you might be taking and how deadly it is. . .And I am so glad to also know that if the liver has not depleted all of its ensymes that if the causes of this is immediatly stopped it has a way of repairing its self.Am I right in this understanding?
And this is for you Robin.I would email Pam to tell her this,but I am afraid that she is not able to read much on her computer.Robin,when you talk to Pam would you please explain to her that I am very concerned about her (and her liver)and if she gets the infection under control that the subject of the amount of acetiminifen that she has been taking could very well be the problem for her liver.Robin,Pam and I discuss many many different perscription meds,but very seldom do we discuss over the counter ones.When the info came out about the acetiminifine,she then told me about her liver enzymes gradually going down.And she said that she had actually taken darvocett for years for her arthridis and could that maybe be the cause of her liver enzymes doing this.and I of course said yes.Then this morning after I read the posting from Lisa telling that Vicoden also contained acetiminifien ,my dear friend had also commented to me that she still had some stonger pain pills (stronger than the ultram that we both take)Now I do not know if she maybe took some of these stronger ones because of the pain that she was in.I just do not know.But if this advice on tv had not come out like it did about acetiminfen(thank g-d) your sister and our dear dear friend would still be doing what she has always done.Never putting 2 and 2 together.So please ask Pam not to be upset with me discussing our emails.Everyone needs to know about taking acetiminifien.So if you don't mind Robin,would you have Coy look at everything that Our Miss Pam has in her medicine cabinet and if it does not tell the drugs that is in it for him to go to the computer and find out if it has acetiminifen in it.Like I said ,if she gets to feeling better,she again will continue on with the same way that she has been used to taking medicines,and not even knowing what she is doing to her body.
I know this is a long posting but this is about our beautiful friend and sister Pam(trip2)and we are just trying to find answers.Lots of Huggggggssssss to all of you beautiful ladies Billie
------------- Billie posting for sis Betty/67/caucasion female/diagnosed 2-27-08/gradeIII/7mm/invasive ductal carcinoma/T N /clear margins/node neg/4 X's taxotere-cytoxan/36 rads/7-08 PET/CT double image/no cancer
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Posted By: MsBliss
Date Posted: Jul 28 2009 at 11:41am
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Billie, I noticed that you are posting for your sister who has bc. Your liner notes state that she is stage 3---do you mean grade 3? As she had clear nodes, I was wondering if you meant to list the grade.
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Posted By: MsBliss
Date Posted: Jul 28 2009 at 11:44am
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I think that it is the chronic overuse of acetaminophen that is the problem. Occasional use is unlikely to cause problems.
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Posted By: billie
Date Posted: Jul 28 2009 at 2:08pm
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MsBliss,
You are so right.My sisters path report is Nottingham Histologic Score 9 and Grade III.I will need to fix that.
I totally agree.Occasional use of acetimifin is not a threat.
Thanks and lots of Hugggggssssss Billie
------------- Billie posting for sis Betty/67/caucasion female/diagnosed 2-27-08/gradeIII/7mm/invasive ductal carcinoma/T N /clear margins/node neg/4 X's taxotere-cytoxan/36 rads/7-08 PET/CT double image/no cancer
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Posted By: billie
Date Posted: Jul 29 2009 at 7:11am
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Hi Ladies,
So Happy to see that our dear dear friend Miss Pam(trip2)is back.I do not know if she is back to stay,but hopefully she can give us some good news.
Love ya Miss Pamm and lots and lots of Huggggssssss Billie
------------- Billie posting for sis Betty/67/caucasion female/diagnosed 2-27-08/gradeIII/7mm/invasive ductal carcinoma/T N /clear margins/node neg/4 X's taxotere-cytoxan/36 rads/7-08 PET/CT double image/no cancer
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Posted By: dragonwing
Date Posted: Jul 29 2009 at 7:18am
Pam:
I'm so glad that you are out of the hospital and back at home..... it's always better to be home! Hope you are resting and getting better.
We miss you, but don't hurry back because we don't want you relapsing!
------------- Joyce
http://dragonzwing14.wordpress.com/
Infiltrating ductal carincoma w/ focal papillary features
Stage IIa, 3 cm
S Node neg,
Taxotere/Cytoxan x 6
33 radiation
BRCA neg Praise God!
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Posted By: trip2
Date Posted: Jul 29 2009 at 8:02am
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Oh my gosh, hello everybody and boy thank you so much for your love, prayers, thoughtful help. Steve I loved your poem. Myrna good to see you posting, thanks for the ride offer, hope it wasn't on that bike w/no brakes! Congrats on the passport, off she goes!
Having the support from this forum means so much and gives me much comfort as I have always looked at all of you as family.
Yes I am home on antibiotics. Was told I had 3 infections, hope they have answers next Monday. Either way I plan on getting a referral to a Infectious Disease doc in Tulsa for peace of mind. My doc said she would be happy to do that for me. I'm a little nervous being home and not knowing what is going on in my body. Not really feeling very well.
They did drain fluid from me because of the CHF but had to stop because my bp was going too low, that was disappointing but it helped some.
My doc is also looking at possible immune diseases as mine is not right.
I don't know, the whole thing very confusing. Don't know if I need to see a doc who works with your immune system or not, I'm sort of lost right now.
I can't believe I sat in that place for a week on antibiotics accomplishing very little really. Monday a social service lady and patient advocate came to my room wanting to know why I wanted out. Ha, so then they explain their "rules", insurance company rules, finally I said "wait a minute, what about the patient here", think it went over their heads. Too bad the patient who is footing the bill doesn't seem to have much standing. My doc came back from being out of town, apologized and said she would release me as an outpatient.
My little sister, Robin is such a precious person in my life, she is a jewel. She just doesn't always listen to me.  It was so thoughtful of her to post here, she knows what all of you mean to me.
Please keep her in your prayers as she has Leukemia and is having a hard time right now.
Love you all, 
------------- Stage 2 2003
Stage 1 2007
BRCA 1+
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Posted By: dragonwing
Date Posted: Jul 29 2009 at 9:04am
Oh my your family just has their hands full! Not only will we keep praying for you, but we will be praying for Robin, too!
------------- Joyce
http://dragonzwing14.wordpress.com/
Infiltrating ductal carincoma w/ focal papillary features
Stage IIa, 3 cm
S Node neg,
Taxotere/Cytoxan x 6
33 radiation
BRCA neg Praise God!
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Posted By: Jessie
Date Posted: Jul 29 2009 at 11:09am
Well, Miss Pam, I am soooo glad to see you're back on the PC ! Sent you a card today --- reckon the postman can find Springtown ???? I'm sorry, so sorry, shouldn't tease a sick woman.
3 infections !!! Tell me more, are these lung infections? flu-type infections? Bless your heart. I would think the infectious disease doc would be a good place to start. Seems like identifying the infections would help determine the treatment and the cause(s) of your getting them. Maybe an immune doc is also needed.
Don't you just want to get your GP, an internal med guy, your onc, an infectious disease doc, and an immunologist in a room and say, "I've enjoyed this long enough, now put your heads together and FIGURE THIS OUT !"
I hate you're going thru this, sweet buddy.
Hugs and more hugs,
Jessie
------------- IDC,Stage I,Grade 3,dx 4/06
dbl mast 5/06,
systemic MRSA post surgery
septic shock, heart attack
triple bypass 1/07
no chemo due to infections and heart issues
so far NED!
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Posted By: MsBliss
Date Posted: Jul 29 2009 at 11:32am
So glad to hear you are home, sweet, home. With so many infections, my friend who is a onc nurse says: "you want to be home with your own germs!" You will heal better for sure now.
PS You were very missed here.
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Posted By: kirby
Date Posted: Jul 29 2009 at 2:57pm
Welcome home Pam. I can't believe you are busy posting away already. Although from the sounds of the "quiet" week you had, you are ready for some activity. I wish you the best.
------------- kirby
dx Feb. 2001. Age 44 Lumpectomy
2cm. no nodes stage 1 grade 3
4 rnds AC, 35 rads
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