Worked full-time for 3 months - well actually more than full-time because I have had more on-calls during weekends than normal (when you have one weekend on call per month - in addition to the 40-hour week) . But now I have had two on-calls during weekends during both October and November, to replace colleagues who
have become ill or injured . So concerning my working capacity there is really nothing to complain about!
The vaccination program is progressing intensively, I´m fully vaccinated against pneumococcus . In November I had a tough program : vaccination against influenza, hepatitis A and B , haemophilus , diphtheria, tetanus and polio. Vaccination against measles and chickenpox are live virus and can be carried out only two years after stem cell transplant. But as anesthesiologists you may encounter patients with chickenpox and measles, so I asked if they could check my titers. And it turnde out that I am fully protected against these infections.
The samplings have now been reduced to once a month. It turned out that my immune system is fully normalized in ALL measurable values . The lymphocytes is 1,0 (normal value >0,96) and T-lymfocyterna/CD4 is 440 ( normal value >370) . It´s the latter that are most interesting to follow as they protect against so-called opportunistic infections like herpes and pneumocystis (affecting HIV patients when CD4 drops below the "AIDS - level 0.2). In September, CD4 was 140 and now as I said 440 meaning that I could it stop with atovaquone (Wellvone) as prophylaxis against pneumocystis and in a few weeks I'll stop with Valaciclovir for herpes. After that I have no medication left .
I have not been susceptible to infections whether at work, where I in the past few weeks have been in ICU where patients have various unusual infections, or in my private life. I was for example in Istanbul for five days a month ago . There I was really in the crowds as in trams and at markets. I also ate everything, even green salad with no problems. (I had as a precaution taken a gammaglobuline vaccination against Hepatitis A).
I have since I started working in September gained the full muscle force, but I noticed after a while that I automatically begin to take all steps in the stairs with 2 steps at a time going up (even up to the 6th floor at work ) . But the last few weeks I have even automatically, at least in the stairs at home, started taking two steps at a time even down!
When I did my last jogging tour (about 7 km) it found it particularly pleasant and enjoyable all the time. I listened to good music and let my thoughts flow wildly. When I started running last summer, it was tedious and far from pleasant and I had to stop several times the first times. Eventually I did not have to stop but it was still not enjoyable. In September, I began to run at the St. Hans Hills , a tough running up and down a lot of times (one turn in the running competetion St. Hans Extreme http://she.lundsok.se/backarna/) . Although it was easier uphill than ever (even before I got sick !) it wasn´t really enjoyable because of the tuff slopes . But my last running was as I said this on a relatively smooth terrain and therefore for the first time really enjoyable.
Some interesting fact is that my neurologist wanted me to have a new neurography to obtain an objective measure of my improvement. It showed an improvement compared to the one I made in January but was not as good as the first one I did in June 2 years ago - when I was not at all well! So it seems that it doesn´t at all reflect reality, just like that I still miss tendon reflexes in the arms and legs!
I have not deliberately tried to raise the resistance at my gym (unless it started to feel it´s too easy), but strived to maintain what I have achieved . But a small upward adjustment has been achieved:
Quadriceps , (been sensitive to deterioration) . In April I was down to 25 kg 5 times, at the end of August 60 kg 13 times - and now 70 kg of 13 times .
Hamstrings , gluteus (back legs ) - 40 kg in April to 10 times , the end of August 65 kg of 10 times - and now 75 kg of 13 times .
Gluteus and hamstrings - 56 kg 17 times in April against 164 kg 17 times in late August - and now 188 kg 17 times ! (Those who have been most susceptible to deterioration)
Biceps - 45kg 6 times in April vs 64 kg 10 times in late August - and now 71 kg 13 times . (Also susceptible to deterioration – I could feel that the I ran out of power earlier).
Deltoids - 30 kg 2 times in April vs 46 kg 12 times in late August - and now 52 kg 13 times . (Most sensitive among arm exercises for deterioration)
Fri weight rerversed biceps - 2,5 kg in April against 6.5 kg of 13 times at the end of August - and 10 kg of 13 times now.
I am convinced that a large part of my quick recovery is all the time when I was sick I a have been so physically active, bycyckling my 2.5 kilometers (one way) to work each day , gone to the gym 2-3 times / week . And that during all the 20 days I was hospitalized I both took 1 hour of fast walking (I never ever took the lift for the 3 floors but took the stairs up and down ) and did 2 exercises on the exercise bike and some other gymnastics, every day! There's also science showing that physical exercise reduces side effects of chemotherapy .
So how has my body changed? Well aside from that I do not have any symptoms left of the neuropathy I'm probably in better physical shape than I've ever been (even before I got sick...), stronger than ever. No more mucle tenderness after a long running sessions. I have gotten more rich and stiff hair (better quality than before ) , more hair on chest o belly, hairy legs ...
Besides, I must say thanks to my neurologist Dr. My Bergkvist because she dared to suggest this amazing treatment at an early stage (where I still worked full time without and sick leave and could carry out hikes in the Australian outback ) where I have not gained any permanent damage (but neurography showing signs of incipient impact on the axons ) and I am so glad I chose the proposal of two possible options !
Then I had to, as usual, to finish with a flower image from the garden now, in December, where we have flowering species all year round in our garden. So here's the winter jasmine: