I took care of my first ever oncology pt the other day. I am a NICU and a peds Cardiac ICU nurse. This patient was in my cardiac ICU because pt was an "old" congenital heart (though I think pt would have been better off in PICU). Pt is in their twenties and is on third relapse of CML and s/p a bone marrow transplant. Pt wound up with severe GVHD. As someone who has never experienced this before I am just wondering what the outcomes are of this. It's been about 3 months since the transplant. Pt is in renal and liver failure, getting photopharesis and hemodialysis...and of course has multiple other issues going on. Is there a potential light at the end of the tunnel? Pt is so sick in a way I have not quite ever experienced and I have nothing to compare to. For some reason this situation just makes me sadder than the infants who hang out on ECMO with their chests open for weeks on end.
Would love to hear your stories.
Also kudos to you nurses who take care of these patients everyday. I used to think I wanted to do peds oncology...but really don't think I would be able to anymore.