15
May
10

Rash Actions

A day or so after my last chemo treatment (May 4 or 5), I developed a rash on the back of both hands. This happened once before, I thought with the adriamyacin treatment, but since abraxane is essentially the same as the taxol, it probably was with the taxol.

Exactly the same as the previous time, it starts at the base of the thumb, and runs towards the wrist for up to an inch-and-a-half; follows the web of the thumb to the base of the ring finger, where it covers the knuckle; and spreads a little bit up the ring finger, a little towards the knuckle of the middle finger, and maybe even up the middle finger a little bit. It starts out bright red, with extremely shallow bumps that taper out as they get further away from the web towards the center of the back of the hand. It is not itchy, and only mildly painful topically; but it is extremely sensitive to water temperature, more than lukewarm being very painful.

This week it was clearing up after using Aveeno hand lotion regularly, and periodically soaking it in a paste made of Aveeno oatmeal bath soak.

Tuesday and Wednesday were beautiful days, sunny and warm, so I went out into the back yard and lay in my lounge chair in the spotty shade provided by the elm. It was a little cool in the shade, but you’re not supposed to have sustained sun exposure while on abraxane, so I snuggled under the quilt that Evelyn made for me (really, I’m going to post pictures, just having some minor logistic difficulties). I’m pretty sure that my hands were mostly under the quilt both days.

I noticed on Tuesday evening that my hands were swelling a little bit – I didn’t think too much of it, as minor fluid retention is one of the expected side-effects.

Wednesday morning, not only was my left hand quite swollen, but my ring finger was extremely swollen. Before going to my support group meeting, I showed Brian what was going on, and we decided the ring had to come off. We tried soap, lotion, oil, and icing to reduce the swelling, but that puppy was going nowhere. While I was at the meeting, he called our PCP to ask if they knew of any special techniques. When I returned home we tried her suggestion, which involves running a piece of string under the ring, then winding it around the finger. By pulling on the string as you try to pull the ring off, it should get the ring past the swollen spot. In my case, the finger was just too swollen, and although we could see some progress, it was incredibly painful.

At that point, I was getting seriously concerned about triggering lymphedema in the arm (swelling due to the lymph fluid not being able to get out of the arm – typically, when only the sentinel nodes for the breast have been removed (such as mine were), it’s not a high-risk concern, but the additional surgeries and the radiation increased my risk somewhat). I also started having a minor panic reaction at the feeling of claustrophobia of having something so tight on my finger.

So I made the painful decision that the ring needed to be cut off. We called a local jeweler who told us over the phone “Sure, we can do that”, but when we got there, fobbed us off with the excuse that their cutter was out for repair (actually, one person said it *needed* to be sent out for repair, another said it was, and we think they were both full of it). When I asked if they could help us find a jeweler who could cut it off they didn’t even bother to say “sorry” before they said “NO”. So we drove over to the mall and at the first store we found, they were very nice and concerned, and cut it off in less than a minute.

I asked to have it soldered together on a temporary basis, so that I can wear it on a chain – since the rash is a known side-effect of the abraxane, I don’t want to take any chances on having it re-sized and then discover that I have to have it cut off again.

The swelling is mostly gone now, although it took a couple days to show much result.

We pick up the ring tonight, and I’ll be very glad to have it back – until now, the only time I haven’t worn it since we were married was when I was having surgeries, and then it’s been on a chain around Brian’s neck.

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1 Response to “Rash Actions”


  1. 1 kevin
    May 18, 2010 at 8:40 am

    Rings are so important, I’m glad that you honor what it represents. I love mine too. I’ll admit I’ve had that same “panic” while trying to get my ring off when I was overly bloated (yes, it happens to men, too). I understand those feelings very well, I don’t like it when I don’t have mine on me or near by. Darren lost his on our cruise last year, he didn’t want to tell me but was really upset about it. I told him, “we’ll get a new one, right away”, but of course he wanted the original back. I figure it is somewhere between Cuba and Key West right about now. I hope it is not mistaken for pirate’s booty! But whomever finds it (if ever), I hope that they can feel the love that was pledged over it a few years back…

    Love you!


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