Day - 2 Health Score 83 (despite the hiccups)
I kept waiting for some side effect from the Melphalan. None came. If anything, I feel a little better today (the upside of steroids) and the only side effects that I have noticed have been insomnia (easily corrected with Ativan) and hiccups. For some reason, I always get hiccups the day after taking high dose steroids. Even my sore throat and cough have gone away. (my nasal swab, yuck, was negative for any viruses.) I rode the exercise bike for 15 minutes and walked the hallways for 15 minutes. I have to get out while I can. In a few days I will be confined to my room. My labs are good today and my hematocrit went up to 29%, hence, no transfusion.
I am kind of a mini-celebrity here (very mini - like famous among 15) in that my unique case has generated discussion among multiple departments here at Stanford. I had the pleasure of a visit from both Dr Witteles, Cardiology and Dr Tang, who did my heart transplant. It was wonderful to see them. Also Dr Desai, whom I met as the fellow at Kaiser Santa Clara, stopped by. (As I was writing this the social worker and psychologist fro the Kaiser Transplant Clinic also stopped by for a visit.)
I also spent a good portion of the morning on the phone with my Assistant Chief, Dr Chabra, trying to hammer out departmental issues. The physical therapist comes by to make sure I am out of bed and exercising and the dietitian comes to reinforce the virtues of the low microbial diet, (salt, yes; pepper, no)
I also started writing my autobiography today. I've struggled for some time on the question of who is the audience and what style and structure I should employ. I am not a huge fan of the linear narrative, recording memories in a purely chronological litany. Rather, I see life and time not as completely linear. The decision I make right now is not often based on the experience I had 10 minutes ago or yesterday, but rather from something I learned 15 years ago, or a value I developed when I was nine. The structure, then, necessarily must reflect how I became who I am. The risk of failure in writing such a tome is high. But I will give it a try.