Medical Forum / Diseases and Disorders / Hepatitis / January 2005
First shot - messed up easy part already
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Wendela - 18 Dec 2004 02:22 GMT Well, he just took the first shot and we feel terrible because we goofed when giving the shot. He had to plunge twice, and we lost fluid. It felt like an ordeal.
The literature made a big deal out of pulling the plunger back slightly to ensure a blood vessel wasn't hit, and this worked out okay. But then, half way through, as he was shooting in the fluid, I opened my mouth and said you can let go of the skin now, and he did, and then the needle popped out and some of the fluid dripped out. He plunged again inserting the remaining fluid. How he's afraid he messed up so much :(. What is the right way to do this? Can you hang onto your skin? He was lucky to pinch an inch, so I guess we should have held onto the fat. I'll keep you posted about the sides. He didn't want to use the ice, so we skipped that part. I guess it'll be okay, but we're bummed. I'll write again. Wendy
elmoemerson@webtv.net - 18 Dec 2004 02:42 GMT First shot - messed up easy part already Group: alt.support.hepatitis-c Date: Fri, Dec 17, 2004, 6:22pm (CST-2) From: shoegirl1@verizon.net (Wendela) Well, he just took the first shot and we feel terrible because we goofed when giving the shot. He had to plunge twice, and we lost fluid. It felt like an ordeal. The literature made a big deal out of pulling the plunger back slightly to ensure a blood vessel wasn't hit, and this worked out okay. But then, half way through, as he was shooting in the fluid, I opened my mouth and said you can let go of the skin now, and he did, and then the needle popped out and some of the fluid dripped out. He plunged again inserting the remaining fluid. How he's afraid he messed up so much :(. What is the right way to do this? Can you hang onto your skin? He was lucky to pinch an inch, so I guess we should have held onto the fat. I'll keep you posted about the sides. He didn't want to use the ice, so we skipped that part. I guess it'll be okay, but we're bummed. I'll write again. Wendy ///////// It's ok, relax!!!! Maybe it didn't all go in this time, but next time you'll do just fine. Not the end of the world. Next time, grab the skin and shoot the whole thing. Try not to do muscle. If he's got a bit of belly fat, so much the better. Seriously, don't worry about aspirating the syringe (pulling the plunger back). Pinch the skin and shoot the sh.t. It's pretty freaky and a nerve wracking experience in the beginning but you'll get the hang of it. You did good no matter. You should let him give his own shots....a double stick that might hit you will give you the same virus he's got. I'm betting he got enough the first shot to let him know what tx is all about and give him a ride on the ferris wheel. When ya'll go to bed tonight, hold him close and let him know how much you love him. It'll be alot of comfort. Elmo
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Gordo Mondragon - 18 Dec 2004 05:50 GMT > > First shot - messed up easy part already [quoted text clipped - 19 lines] > you'll do just fine. Not the end of the world. Next time, grab the > skin and shoot the whole thing. Try not to do muscle. I did it in the muscle of my thigh for the first 6 weeks without knowing I was doing it wrong (I learned that from here.) My doctor said that it didn't really make a difference and based on my tests it clearly wasn't making a difference for me. Also the needle is small enough that even if hits the muscle it's not going to go in very far at all after going through the skin.
[...]
> When ya'll go to bed tonight, hold him close and > let him know how much you love him. It'll be alot of comfort. Towards the end I was sort of indifferent to physical contact but I remember very clearly that when I felt bad at the beginning I would feel a LOT better if I curled up next to my partner. So I repeat what Elmo says 100%.
Gordo Mondragon - 18 Dec 2004 05:39 GMT > Well, he just took the first shot and we feel terrible because we > goofed when giving the shot. He had to plunge twice, and we lost fluid. > It felt like an ordeal. > > The literature made a big deal out of pulling the plunger back slightly > to ensure a blood vessel wasn't hit, and this worked out okay. I never did that. Did/does anyone else?
> But > then, half way through, as he was shooting in the fluid, I opened my > mouth and said you can let go of the skin now, and he did, and then the > needle popped out and some of the fluid dripped out. He plunged again > inserting the remaining fluid. How he's afraid he messed up so much :(. It sounds, in retrospect, rather comedic. Given the number of weeks he has doing this I don't think losing some fluid on the first shot is too much to worry about.
> What is the right way to do this? Can you hang onto your skin? He was > lucky to pinch an inch, so I guess we should have held onto the fat. I am relatively lean and I never let go until I was done injecting the fluid. Never had a problem that way. It's a small needle and not that much fluid. I would inject it just above where the skin was taught from my pinching it.
> I'll keep you posted about the sides. He didn't want to use the ice, so > we skipped that part. I guess it'll be okay, but we're bummed. I'll > write again. I never used ice, never felt the need for it. Other people who had problems with pain from the injection say it helps.
Don't be bummed. This stuff, in my experience, can translate mood into physical feeling beyond what you would imagine. He did OK, it's not a problem, just concentrate on getting through whatever happens. He may not get much effect from the first shot but that doesn't mean that it's not working.
Thip - 18 Dec 2004 12:41 GMT > > The literature made a big deal out of pulling the plunger back slightly > > to ensure a blood vessel wasn't hit, and this worked out okay. > > I never did that. Did/does anyone else? I did the first few shots during my first round of tx. After that, I just stuck the needle in and went at it.
DrBenway - 18 Dec 2004 07:15 GMT >Well, he just took the first shot and we feel terrible because we >goofed when giving the shot. He had to plunge twice, and we lost fluid. [quoted text clipped - 12 lines] >write again. > Wendy Wendy
Just to add my 2 cents I Just did my shot 5 tonight. As Gordo stated and my RN advised I don't bother with the little retraction "boot" It's too unwieldy I just make sure I pinch/pull enough of a skin fold (about 3/4 inch in length which is more important than thickness)
I know how you are supposed to handle the used sharps but I have been drawing up some alcohol into the used syringe to clean them out and tonight the plunger rod actually came out of the piston!. (Pegesys syringes) I can imagine that happening while attempting to drawn back a little blood it would be very disconcerting indeed!. (and potentially messy)
So at least from my limited experience I would suggest you try to develop a technique and confidence that allows you to avoid drawing back (check with your doctor of course)
Oh and for my "second cent worth" <BG>
Don't "expect" too much in the way of sides While you may indeed get them, I personally really haven't had any worth mentioning yet!! (up to my 5th) Of course my blood counts are really starting to drop now so that may change soon.
My purpose here is not to brag, but since you are already worried that he may have missed some of his dose, if he doesn't "feel too much" in the way of sides don't assume its because he lost some of the TX. he just may not be one of those heavily effected (here's hoping) he'll know by the next few weeks and shots
And in any case all he'll need to do is request an additional shot at the end of TX. (1 more week will mean little after the whole 24 or 48 weeks) His intermediate VL tests will tell determine more that the first or last shot
Take it easy, if the "sides boggyman" is going to bite his a.s nastily just be confident you and he will handle it the best way you possibly can. But don't create a self fulfilling prophesy for yourself's either.
After reading some of the postings I was really expecting many horrors that pleasantly have not appeared.
Good luck and may you both have a moderate and successful TX!!
If it don't kill us, it can make us stronger ( if you let/make it!)
DB Thanks DrBenway (not a Dr nor did I play one on TV, but used to play DR as a kid a lot if that counts)
Wendela - 18 Dec 2004 13:25 GMT Oh Elmo, Gordo, Thip and DrBenway thank you so much.
I must learn to repond individually using this forum, but I just don't have the hang of it yet. I told Larry not to worry about pulling it back first, but the riba rage was there and he said he's afraid he'll hit a blood vessel. Why is it that his IQ is easily double mine, and he lacks the common sense? Just a rhetorical question. Thankfully, the sides are minimal so far. His Riba dosage is only 800 mgs, based a male with his height/weight. I was shocked he could even pinch an inch!! His major side effect was no sleep and clammy feeling, and he looks pale. I was thinking of the same quote about "making us stronger". I'll report back. Thanks again, Wendy
elmoemerson@webtv.net - 18 Dec 2004 14:27 GMT Re: First shot - messed up easy part already Group: alt.support.hepatitis-c Date: Sat, Dec 18, 2004, 5:25am (CST-2) From: shoegirl1@verizon.net (Wendela) Oh Elmo, Gordo, Thip and DrBenway thank you so much. I must learn to repond individually using this forum, but I just don't have the hang of it yet. I told Larry not to worry about pulling it back first, but the riba rage was there and he said he's afraid he'll hit a blood vessel. Why is it that his IQ is easily double mine, and he lacks the common sense? Just a rhetorical question. Thankfully, the sides are minimal so far. His Riba dosage is only 800 mgs, based a male with his height/weight. I was shocked he could even pinch an inch!! His major side effect was no sleep and clammy feeling, and he looks pale. I was thinking of the same quote about "making us stronger". I'll report back. Thanks again, Wendy //////////// Riba rage on the first night? ahahahahah You aint seen nuthin' yet! It takes a couple of weeks before the 'real' rage begins to kick in, about the same time his labs start falling in the toilet. The reason you're supposed to shoot the stuff in fatty tissue and not muscle, is that it gets absorbed more slowly if you do it 'subcu'. That's what you want. You don't want the blood level of PEG to run out before the end of the week, which would give the virus a chance to bounce back. Studies have shown that Scherring's PEG will do just that. I preferred Roche's Pegasys for that reason. Elmo
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Gordo Mondragon - 18 Dec 2004 16:13 GMT > Oh Elmo, Gordo, Thip and DrBenway thank you so much. > > I must learn to repond individually using this forum, but I just don't > have the hang of it yet. I told Larry not to worry about pulling it > back first, but the riba rage was there and he said he's afraid he'll > hit a blood vessel. He should do what he's comfortable with and what he believes his instructions are from his doctor. I bet he doesn't do it very many more times :)
G
zoe wright - 04 Jan 2005 05:56 GMT Hi! Don't let any pf that first time mess up[ worries you. you should have seen Lee and I. I'm on the phone trying to get info from the help line because we are both to blind to read the bottles and I'm passing the information on to him. Of course all the time the nurse is freaking out over his dosage. I guess they never heard of a Sesquach with hep c before. Lee no longer uses his belly as that gets to sore and itchy. He uses his thy. Some one said to stay away from muscle, talk to the dr. there is nothing but muscle in Lee's thy.
> Oh Elmo, Gordo, Thip and DrBenway thank you so much. > [quoted text clipped - 8 lines] > was thinking of the same quote about "making us stronger". I'll report > back. Thanks again, Wendy Wendela - 05 Jan 2005 02:02 GMT Zoe, I agree. Now Larry's is getting to be a pro at it from having to take an additional agent, Neupogen. I know the infection part of it makes nurses hesistant to want to experiment with saline, but a shot that has a price tag of $1000 or so should have some blanks just to start with. Good luck to Lee! Wendy
szozu - 18 Dec 2004 13:25 GMT > The literature made a big deal out of pulling the plunger back slightly > to ensure a blood vessel wasn't hit, There is NO chance of hitting a vein if you are pinching the skin to put the needle in. Bear in mind that if using the Redipen, its construction doesn't even allow for you to pull back, so this is not an important issue. Normally when you give an injection, you should be bracing against the skin with your other fingers, so that the needle remains in place. The skin should be released slowly and not with a violent movement. Inject at a 45 degree angle and not perpendicular. Don't worry about the loss of some liquid on the first shot. It is not important in the grand scheme of things.
Lana
Kozure Ookami - 18 Dec 2004 22:54 GMT >Well, he just took the first shot and we feel terrible because we >goofed when giving the shot. He had to plunge twice, and we lost fluid. [quoted text clipped - 12 lines] >write again. > Wendy It gets easier and the important thing is to relax. For the record I always pull back before plunging because it has become a habit. But I've never drawn blood. I wipe (with alcohol), pinch, stick, pull-back, plunge, withdraw. At about shot #5 it became easy. I'm lean also and there is not much to pinch but I stick to my abdomen. Be calm and be confident. It is really not that big a deal as you will soon find out.
Wendela - 19 Dec 2004 03:23 GMT Okay, But do you let go of the fat you pinched?
I guess I"m obsessing about the wrong thing. He actually is sicker now, unfortunately - either a delayed reaction, or the Riba kicking in.
:( He has a headache and flu like symptoms, so he just went to bed and I'll try to see if he wants to take more Tylenol, or instead Tylenol P.M. It's a bummer that it's 24 hours later now and he's really feeling sick. His BP went up too, because we have a machine at home and he was flirting with taking blood pressure medicine beforehand. His regular M.D. said he never prescribes the BP pills until he has the patients check for a few weeks at home to verify that it's not just doctor's office stress.
I guess we make a fine pair between my suffering from the chronic fatigue disease and now, he's not feeling great. I had the flue and fever probably more so than he did last night. He didn't complain, but I thought I didn't hear him breathe and I put my hand on his head and it was clammy and sweaty. He must have slept some.
I read Larry your posts and he listened, but he thinks he'll be influenced by hearing about sides if he reads the board. He's missing the point, because it's about support as well, not just medical information. I know you are helping him. Not to get mushy here, but it makes the difference to have the support. Why do we have to suffer though :(.
Enjoying the guilt free increased fat intake part even though I know this isn't a great idea to have oodles of fat. I'm going to post a recipe for homeade whole milk + yogurt (I use a machine, but it can be made other ways) and a recipe for hot chocolate for those, who unlike me who aren't allergic to the chocolate. I felt like I lost the love of my life when I had to stop eating it, or risk being unable to breathe. Well, off to bed for me. Just getting my contact lenses out is a struggle and it's not that late at night. What a pair we make. What's that movie, sick and sicker? I'm just being goofy to lighten the mood. -Wendy
Kozure Ookami - 19 Dec 2004 04:28 GMT >Okay, >But do you let go of the fat you pinched? Oh yeah, right after I stick the needle in I let go. And don't worry about the flu-like symptoms. They will pass.
Gordo Mondragon - 19 Dec 2004 06:38 GMT > >Okay, > >But do you let go of the fat you pinched? > > > Oh yeah, right after I stick the needle in I let go. And don't worry > about the flu-like symptoms. They will pass. You let go? I'm looking at where I injected the shots and if I had let go the needle would have come out.
elmoemerson@webtv.net - 19 Dec 2004 14:33 GMT Re: First shot - messed up easy part already Group: alt.support.hepatitis-c Date: Sat, Dec 18, 2004, 10:28pm From: swargler@yahoo.com (Kozure Ookami) Okay, But do you let go of the fat you pinched? Oh yeah, right after I stick the needle in I let go. And don't worry about the flu-like symptoms. They will pass. ///////// If you let go after you stick the needle in, there's a chance the needle will come out. Grab a bunch of skin, shove the needle in and ram the plunger home, THEN let go. Elmo
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Gordo Mondragon - 19 Dec 2004 06:37 GMT > Okay, > But do you let go of the fat you pinched? [quoted text clipped - 6 lines] > P.M. It's a bummer that it's 24 hours later now and he's really feeling > sick. I thought at first that the interferon effects would come soon after taking the shot. Then I found out that for me, there were different effects half days and full days later. So it's not weird to be the sickest 24 hours later. That usually gets better over time, or you stop worrying about it as much and then don't notice it.
[...]
> I read Larry your posts and he listened, but he thinks he'll be > influenced by hearing about sides if he reads the board. He's missing > the point, because it's about support as well, not just medical > information. I know you are helping him. Not to get mushy here, but it > makes the difference to have the support. There's a lot of silly junk that gets posted here and just wait for someone with a full Riba rage going disagreeing with what someone posted - or even better, two people in the same state going at it. It's so over the top.
Along with that is some amazing support and information. We're all going through similar stuff and I know I feel incredibly grateful to some of the people who post here for when I was in tx.
As far as being influenced by reading about sides, I think most people agree that they are what they are and not influenced by reading newsgroup postings. I can see him not wanting to worry about what might happen to him this early and that makes sense.
[...]
G
Waldron - 05 Jan 2005 02:32 GMT On 17 Dec 2004 18:22:36 -0800 in <1103336556.448410.43180@f14g2000cwb.googlegroups.com> "Wendela" <shoegirl1@verizon.net> said this:
>Well, he just took the first shot and we feel terrible because we >goofed when giving the shot. He had to plunge twice, and we lost fluid. >It felt like an ordeal. Well, it'll get easier. I wouldn't get too upset over that. Personally, I pretty well know if I'm anyplace close to blood, so I usually don't fool with the drawback. (Now, that's how *I* choose to live *my* life; you should make your own decisions, of course.)
But... 34 shots into the game and I'd call it more of a nuisance than anything else. Everyone reacts differently and attitude is *so* crucial... it's like... you know...
So, hang in there; don't get yer knickers in too big of a knot over that. When I have assistance, I take them in my butt. I've never hit any blood there, that's fer sure.
Happy new year, everbuddy! Anyone get drunk? I actually took half a glass of wine... uuugcchhh... acccck! < PLOP! >
Just kidding on the last part. I just calculated that I finish on April 15. I believe that this is the first time I can say I'll be happy to see *that* day roll around.
Waldron
Paul - 05 Jan 2005 16:56 GMT >Just kidding on the last part. I just calculated that I finish on >April 15. I believe that this is the first time I can say I'll be >happy to see *that* day roll around. > >Waldron Nice to "see" you Waldron. I wondered where you had got to.
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Waldron - 07 Jan 2005 04:20 GMT On Wed, 05 Jan 2005 16:56:20 +0000 in <e07ot056tfok800h2jv032ndnnln442m92@4ax.com> Paul <dontspamme@westgreen.freeserve.co.uk> said this:
>>Just kidding on the last part. I just calculated that I finish on >>April 15. I believe that this is the first time I can say I'll be [quoted text clipped - 3 lines] > >Nice to "see" you Waldron. I wondered where you had got to. Well, believe it or not, I haven't missed a day of work through tx. OTOH, I have had to pare back on some activities. I have a little break before the spring semester kicks in. I live in deep South Texas where the palm trees grow and it *never* snows... and we had 4" on the ground Christmas morning! One winter I was in Rochester, NY for Christmas; it was a rare "non-white" Christmas, so this is a first for me. I see someone is selling a can of our snow on eBay for $25K. Methinks he's asking too little; anyone who bids would pay *anything*!
Waldron
Paul - 07 Jan 2005 07:03 GMT On Thu, 06 Jan 2005 22:20:18 -0600, Waldron <b00@earthlink.com>, in message ID <d33st0pbpddpdivqgr7lhoufg275964blf@4ax.com>, in the newsgroup alt.support.hepatitis-c wrote:
>Well, believe it or not, I haven't missed a day of work through tx. >OTOH, I have had to pare back on some activities. I have a little [quoted text clipped - 4 lines] >me. I see someone is selling a can of our snow on eBay for $25K. >Methinks he's asking too little; anyone who bids would pay *anything*! I can well believe that you've missed no work through tx. I don't recall what you do though. I found fatigue made physical work difficult at times (I could have done more though) and mental confusion meant that I sometimes banned myself from driving (which meant not going to work). Amazing that you had snow that far south. We haven't even had any to speak of in the southern UK for a few years - though there was some a bit further north.
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Waldron - 08 Jan 2005 02:55 GMT On Fri, 07 Jan 2005 07:03:44 +0000 in <socst0p7huvsom29a4buk57pan7i6o15ev@4ax.com> Paul <dontspamme@westgreen.freeserve.co.uk> said this:
>On Thu, 06 Jan 2005 22:20:18 -0600, Waldron <b00@earthlink.com>, in >message ID <d33st0pbpddpdivqgr7lhoufg275964blf@4ax.com>, in the [quoted text clipped - 16 lines] >We haven't even had any to speak of in the southern UK for a few years >- though there was some a bit further north. I've not had the pleasure of visiting the UK; although, the wife wants to go. Her people are from Newfoundland not many years removed from Ireland. We get up to see the Newfie kin; however, we haven't hopped the pond yet.
Waldron
Paul - 08 Jan 2005 07:52 GMT On Fri, 07 Jan 2005 20:55:45 -0600, Waldron <b00@earthlink.com>, in message ID <foiut0t9qmv30qfck4pvvgqtbt6fo89iht@4ax.com>, in the newsgroup alt.support.hepatitis-c wrote:
>I've not had the pleasure of visiting the UK; although, the wife wants >to go. Her people are from Newfoundland not many years removed from >Ireland. We get up to see the Newfie kin; however, we haven't hopped >the pond yet. I'm told that Ireland is a beautiful place though I've never been there either. The only part of it that is regarded as part of the UK are the six counties in the north. The rest of it is Eire. Even the six counties is regarded as disputed territory by many though. I hope you make your trip and enjoy it Waldron. Being ill has certainly helped me to start enjoying life more now that I feel well again. Once I've sorted out my tx debts (should take a couple of years), I intend to travel more as well.
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Wendela - 07 Jan 2005 21:10 GMT Paul, See my other post I'm going to write about the complications. Started off okay (and only 3 weeks now) and problems with white and red cells. Still exercising (Larry, not me). He has a desk job. I don't want to reveal too much since I've given a lot of specific information already. It's more mental (a lot more) than physical. Good luck to you Paul. You're doing okay.. Wendy
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