Bron Hatton is one tough Aussie! Both she and her son have ITP but they are not letting it get the best of them....
I was diagnosed with ITP in early 1998. I
had been having heavy periods and felt really flat, so I thought I was anaemic so
went to Docs for some bloods at 10.00 am one morning and went home. By 12.00 pm, my mother and doctor both had started banging on the door of my flat telling me
I had to go to hospital as soon as possible. I had a platelet count less than 1000. Hmm, okay, freak me out folks. When I arrived, there had been a horrific accident on the
highway with 5 people killed and a couple of kids needing air lifting. So I was
put on a bed to the side, told they had to check but it could be leukemia and
left me for 6 hours. A very anxious night indeed thinking I was going to die.
Next
morning, after all the drama had settled and they got to examine me was when we
noticed all the patechiae (I get dry skin so had put the dots down to that), then of course inside the mouth and then my nose started to bleed. I had lived
the previous year in the UK and had a really bad dose of the flu that they
think may have triggered it. So they did a bone marrow biopsy from my chest
(the single most painful thing I have ever experienced), told me I had this
thing called ITP, put me on 150mg of prednisone per day and sent me home after 3
days. Let’s see how you get on they said and for the next months it was weekly
blood counts and bruises like I was in a fight with Mike Tyson.
Never send a patient home not telling them the
possible side effects of a drug ( bare in mind this was a while ago so Dr
Google was just emerging and I wasn’t so computer offey at the time), I put on
nearly 40 kilos, would go 72 hours without sleep, my skin was so thin nothing
would heal, I grew hair like a nanny goat, I got the shakes, heart
palpitations, joint aches like I was 100 years old and moods that could kill a
horse with a single look.
This went on for nearly 2 years, with each
taper of prednisone dropping the counts. At this point after finally being referred
to a hematologist in Sydney (I am 250 km’s away), I was given IVIG for the first of 13
times over 3 years. I had crappy veins, not helped by the pred, so each time a
cannula went in it was a nightmare. It got to the point that you got two goes
at my arm then the anaesthetist was called to do it, no matter how good they
thought they were, it was rarely successful.
I had 3 pic lines (a tube threaded up
through my chest) by this point in order that the infusions would get through.
I had a total of nearly 3 months in hospital over one year and ended up seeing
a counsellor suffering from deep depression associated with all that goes with
ITP.
My
heamo team at RPA decided to try dapsone and dexamethasone as well , it just
didn’t work so splenectomy was the next move. Again a far less educated me said
yes, wish I hadn’t. I had the dubious honour of being filmed for the TV show
RPA (medical documentary TV programme in Australia) whilst having my operation and all the pre- and post filming it involved. Picture me laying on the trolley in prep room, central line coming out of one side of my neck and a microphone on the other. They filmed my follow up visit 4 weeks
post-surgery with a count of 4000 to find it hadn’t work. Again, watch and wait and have more IVIG when
needed. NO WAY was I ever ever going back on prednisone again.
This was 2000, the same year I first met my
husband Nick on line. He was in the UK .The next few years included getting the
first of 3 port a caths inserted in my upper chest to make infusions easier and
more IVIG to hold me until I was given my first go round with rituximab
(rituxin, mabethera etc. many names it has)
My
first port broke so they had to go back in and cut out some tissue and stitch
it to my breast bone, fun. The first Rituximab infusion leaked and I had quite
the reaction, we soon learnt that I had to have a very slow rate of infusion
and pre-treat and mid-way treat with antihistamine and panadol. Yay, it gave me
3 years remission though, so I was thrilled.
During this time I would often get
infections and when having my counts checked regularly it appeared I had also
developed immune neutropenia (the white cells that attack bacteria), so started
to have GSCF Granulocyte colony-stimulating
factor
injections which I gave to myself daily. These shots gave me serious bone ache almost like shin
splints which was my bone marrow working hard.
I
had gone from 5 days a week to 3 days a week in the childcare centre where I
worked as the whole steroid thing and hospital stays just wore me out and I
wasn’t coping with full time work.
In
between this time and in remission, I travelled back and forth to the UK several
times to see my soon to be husband and places like Morocco, Spain and Portugal, all while spleen less, though healthy and happily in love.
In
2005, I had a 4 week top up of rituximab after my counts started to go downhill
fast and I also planned a wedding and we got married. I ended up spending some
time on my honey moon in a hospital with a low count, severe bruising, and
patechiae. We had finally worked out that stress was a big trigger for me and
planning a wedding with people from overseas will do that to you.
Things settled down for a while and we got
on with life. Then the next Christmas, I thought I had pulled a muscle in my
shoulder, unable to lift it at all, so went for an x-ray to find that a 10 cm
piece of my port tube had broken off between my rib and collar bone and
travelled down to within 3 cm of my heart. Rushed down to RPA with a count of
40,000, I had to have an angiogram and have it removed through my thigh under
twilight sedation. Then they had to go in under local to have the other part
removed because they could simply not
get a vein.:-( There went any easy access for the future.
We knew we had to wait 12 months before
trying for a baby after the rituximab so we did and fell pregnant only to
miscarry early on in 2006. I had more drops in my count and symptoms, but was
keen to have a baby and was told to go cautiously and in 2007, I saw a Chinese
herbalist to help me fall pregnant.
He was dismayed to hear I had had my spleen
removed and knew just by looking at me and feeling my pulse. In his words, "Some
think spleen idle organ till everything else has to do the work” My bone marrow
and liver were working overtime and he had a lot of work to do in supporting my
blood, but within 3 months of drinking
horrid herbal tea, I was feeling the best ever with great counts. I was pregnant. We
were elated.
At 28 weeks my count was 83,000 and they
started me on a low dose of prednisone much to my dismay but it didn’t help so
at 32 weeks, I was sent to RPA in Sydney to the high dependency unit to have IVIG with a count of 28,000. They wanted it boosted before delivery .The pred gave me
gestational diabetes so had to have that monitored introducing even more
needles as well as blood counts. Imagine how divine my black and blue body
looked. I felt like a junkie and people kept staring at my arms.
I
was induced at 37 weeks because they thought Will was going to be huge. It
didn’t work, so 4 days later with a huge team, I had an emergency ceaser (they
were in a bit of a panic over the ITP thing though the heamo team were ok with it
all.) It was uncomplicated and a waste of all the blood and IVIG they had on
hand. Will's count was fine, I was fine but later I developed a clot in my leg
and had 2 weeks in hospital. Happy girl with new beautiful baby, unhappy girl with ITP and clexane (blood thinners after surgery) injections.
Enjoying motherhood and married life, my counts
were steady until 2010 when I had my next round of rituxin with a new heamo
after my adored Professor had retired. I live in a country town where I had my
past treatments but my new Doctor didn’t have admitting rights to the local
hospital so it came to budget and politics. I did have to go to Sydney to have
it this time which didn’t impress me but RPA hospital was paying so that’s
where I went. One day a week over 4 weeks and it did the trick again. That was
December 2010 and I have been as low as 8,000 and as high as 282,000 during
this time.
I
manage my own ITP so to speak. My heamo and I have a good understanding.
(Although we did butt heads over n-plate as he wanted me to try this new
sparkling drug because of the costs of Rituximab but I refused due to clotting
issues).He has agreed in the future that because Rituximab is successful and
pretty much the only thing that works that I can have it again.
We treat reactively, not proactively. I have
a count every 3 months because I also have neutropenia so we watch the cycle.
If I get a few bruises or patechiae on my abdomen then I watch for a week. If I
get any wet patechiae (i.e. blisters in mouth) then I get a count done. I call
the lab direct or bless, Ian my pathologist will call and say, "Bron your numbers
aren’t great today. I can see a bit of a down turn you may want to check in." I
can bounce around from 8,000 to 240,000 in one week so we don’t jump on
treatment, and after all these years, I am kind of glad. I just don’t balk at
the numbers anymore and you soon learn that each machine reads a little
differently and what’s on the film might be different as well.
In May 2011, my husband and I decided to
start our own computer business. I was working part time at my job in a child
care centre and Will was growing fast. My hubby was feeling ill for a few weeks
in August and was tested for Celiac and Chrons disease. It wasn’t that. By the
end of September he had been diagnosed with Duodenal adenocarcinoma at age 38. He died in the January 2012, leaving me devastated and alone with Will, then 3.
In June 2012, Will was diagnosed with
Autism which we had inkling had been
coming and he had been attending early intervention but otherwise was a very
healthy little boy.
In late July, after a day at day care, I put
Will in the bath only to find his little legs covered with more than the usual
bruises and patechiae all over him. I put back on his clothes and took his
straight to emergency. My heart sank, I
knew what is was. Over the next 2 weeks he was admitted and monitored, his count
going back up to 53,000 then dropping again and being admitted again with a nose
bleed. He was given Tranexamic acid
(to stop the bleeding) He ended up throwing up blood so
we were transferred by ambulance to
Sydney Children’s hospital. Will had had a mild cold a few weeks before and I
had been struck down with the flu. It was such a torment, I was so ill, my mum had to go with Will in
the ambulance as riding in the back made me ever more ill. Finally arriving and
him still bleeding, I was a mess. Bless, he was just plain exhausted and had a
terrible colour. Imagine my torment thinking I had done this to him, I had
handed down this awful disease and made my baby so sick. We stayed for 4 days
and he had his first round of IVIG and more Tranexamic acid. We came home with
a count of 64,000 and all was fine for the next 12 months, phew. Maybe he was
going to be lucky and it was just an acute case.
Despite the stress and my counts down to
14,000 with some other symptoms, this year the rituximab has held its own.
Thank god really because in late September 2013, Wills counts dropped to 2000.
Again the same symptoms but this time his count stayed low for 2 weeks and he
bled on and off but they wanted to watch and wait. He ended up with a severe nose bleed of 12
hours so we were transferred back to Sydney, more Tranexamic acid and a week in
Westmead with 2 infusions of IVIG.
It
has been hard to try and back off on
Wills ITP because it is handled so differently in children, so much of what I
knew or would have expected treatment wise doesn’t fly with him. There was talk
of cauterizing vessels in his nose at one point and doing a bone marrow biopsy
whilst he was under ga. In the end they didn’t do bone marrow but they do feel
there may be a bigger immune picture in our family. They shrug their shoulders
and say it is a watch and wait and they trust me to do just that...watch and
bring him in if I am worried. He now has a medical alert arm band and all his
emergency plans are in place for preschool and day care and for primary school
next year.
My dear old haematologist was a Professor
at RPA (Royal Prince Alfred Hospital) and had been involved for a lot of years
with ITP research. He was always the calmest and easiest to talk to person I
had met, not to mention a gorgeous Scottish accent.
He always maintained that it was the
symptoms not the count that mattered and that the numbers could often cause far
more stress than was required, so that’s pretty much how we treated and how I
went about with life.
I
have learnt that each and every person I have met with ITP presents slightly
differently, reacts to meds differently and is handled differently. They call
it idiopathic. I call it idiotic myself.
We have a team for me and a team for
Will. I really trust them and know I can
challenge and ask questions of them and feel comfortable this way. They know I
read a lot (perhaps too much sometimes). They are always willing to listen to
what I do and don’t want and know that I am a very big advocate for my
son. I am blessed with an amazing
family and close friends and I have learnt to say yes please to offers of any
help which can sometimes be hard to do. So we just get on with living life the
best we can and deal with the ITP bumps along the way.
Advice I would give to folks new to this
thing called ITP is be informed. Ask questions and find a medical team that you
feel comfortable with. We are all different, there is not a single person who
will be dealt with in the same way. So don’t freak out if somebody else says
you should be doing this or that, or is horrified by your response, and don’t
be shocked by their treatment either. Try not to focus on all the negative
stuff that you read about what you can’t do, eat , drink, smell, etc etc. Focus
on life and get on with living it.
