port malfunction
Comments
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When I went in Monday for my CT scan and blood work my port acted up for the first time. They could get things to go into the port, but it would not draw blood. They injected heparin. She tried having me sit in different positions, eventually lying on a bed with my head tilted down and my feet way in the air....nothing worked.
They ended up injecting "port drain-o". I can't remember what it was really called, but it is the same drug they use to dissolve clots on stroke patients. After sitting for about an hour, the drug worked and they could draw blood.
Has anyone else had this problem? If I have it happen once, does that mean it may happen every time now? I have a power port and have taken it for granted since it has always worked like a charm. Now I am worried it will be a problem.
Deb C
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I have a port and it should come out when I am done end of august from my lips to his ears and when I went for my first ta ta juice the nurse who is nice as can be came at me with a can of stuff its cold like liquid nitrogen, I work at a nuclear reactor in the office so I recognize it but its scary now I am not a baby went through surgery like a pro, etc had a 10 pound baby 30 years ago but this I have had nightmares about is there anyone out there with a port and cant they put the stuff on a cotton swab?????Please help I have # 2 at 9:30 tomorrow Thursday the 5th ...my ex mother-laws birthday who would of thought at young 56 I have ta ta juice and she is 78 and going strong scoring points to the wrong place ....
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Deb,
My port is sometimes very slow to give up the blood. lol I have to lift my arm over my head and move around a bit, but she eventually gets enough. I think this last time, she had to add more flushing ? solution. I don't know if it'll continue to be a problem or not. I remember it did this once during chemo and was fine the next time, so maybe it's a random thing. I hope yours is fine now.
Cynthia
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Deb,
I had problems with my first port never giving blood return--it was quite a PITA because it takes at least 3 sticks in various places in my one good arm to even get a drop of blood.
My second port (now over a year old) seemed to be acting up several months ago. The first time, the doctor had the nurse use CATH-FLO (port dran-o). It took over an hour, but we finally got blood return.
Here's what I discovered, though: Every time a particular nurse accessed my port, there was a problem with blood return. EVERY TIME. I have since discovered that ports have to be accessed pretty much dead-center in order to work properly. Evidently, this particular nurse was not hitting the sweet spot. Fast forward to a couple of months ago: same nurse seems to have be re-trained (her approach was entirely different than in previous months)--I have not had a problem with blood return since then.
LuannH said something about short needles on her thread; if your port is very deep (or at least deeper than average), you will need a longer needle to ensure that they are hitting it in the right spot.
Ports acting up truly sucks. I hope your problem is as simple as them not hitting the bullseye!
(((HUGS)))
Diane -
Hello ladies,
I am done standard chemo but am still on a trial drug which means I still have my port in. The last 4 times of Taxol, they could not draw blood from it. They did try the clean all and that took an hour to set and try it every 15 min. So, my last 4 treatments before the final I ended up having blood drawn from my arm. The final treatment I told them to try the port. I had just gotten a puppy who had jumped up on me and hit my port which i think jump started it. When they went to draw the blood it came. It wasn't fast but i got all my labs done. I go back on Monday for my next treatment (every 3 wks) and we will see how it works. It has been in me since the first week in December. I will not be getting it out til the end of the year. BTW they have no problems w/getting the drugs into me. Good luck. I don't recommend the puppy method but they do have me hunch my shoulders (round my back) and that seems to help...not all the time though...
Carolyn
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when they installed my port they left the tubing to long and it enters my atrium which set off an unending stream of problems starting several e.r. visits with palpitations and a heart rate in the 230's and ending with a blood clot in my heart which has me on coumadin,,
p.s. they cant use the port and i have bad veins so i look like a pin cushion now...
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I had this same thing happen. My port acted up from the beginning. I ended up with several blood clots in my neck and shoulder from the port so I had to go on lovenox and coumidin. It was not fun. They couldn't use the port on the last chemo tx.
I am done with tx now and am so glad the port is out of me.
I hope you don't have the same problems. good luck
Penny
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Deb, I had problems with my port from day one. They could not draw blood and when I was getting treatment if I turned my head to the left the flow would stop. They sent me for a teat of the port and the hospital said everything was fine and they were able to draw blood. Went back to the chemo lab and they could not draw blood. Then I started to feel like I was leaking water in my chest. Call my dr he told me to call my onc my onc told me to go to ER. I called my surgeon she had me come in took an x-ray said my port was leaking and took the port out in her office. It felt sooo good to have that out of me I finished the rest of my herceptin in the arm which was hard because I have no veins left. Good luck but please get it checked.
Deb
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Hi, everyone, this is a very interesting topic, because my doctor keep insisting that I get a port put in, due the fact that I just finished 3 rounds of AC, and then on to 12 taxol/herceptin, and then herceptin alone for one year, and I only have one arm, so I am scared to have a port , and I don't know if my vains can hold on for such a long treatment, has anyone done this type of treatments with just there vains?.
Please advice
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Deb - after my infusions, my port is routinely flushed with Heparin (the blood-thinner solution you were talking about). Of course, they only used my port once (for the 2nd infusion) - this past Wednesday I had my fourth through the vein in my arm because my port incision is still not healed. It was red and infected looking so they put me on Levaquin for 10 days. But it was still red and open - so they wouldn't use it. Sigh......oh and then my PS cleaned out the port incision and pulled out a gross-looking dark-brown thread and said, "They LEFT something in there! No wonder you didn't heal!" Certainly doesn't give me confidence in the radiologist who inserted my port!
Angie - I'm on Herceptin and Navelbine - my oncologist wanted me to get the port because the Navelbine can burn your veins over time, but they never said there is any problem with Herceptin and veins. I don't know about Taxol though - I hope someone else here will be able to answer your question.
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Deb- I have had issues with my port from the beginning like some of these other gals. Which side is yours on? Mine is on the left and as I am told, the ones on the left have to go under a bone that they don't have to go under if the port is on the right. And those darn lefties have a tendancy to act up since they get a bit pinched. I get many alarms at every infusion.
I generally have to flex the area of my left clavicle to get the port to allow any flow. I have also found that somehimes leaning far forward helps when i am too bored for flexing. And yes... if i turn my head, the darn thing frequently stops too.
I had my port checked for placement and everything. It checked out OK. Mine is just fussy I guess. But since it was new for you to have this problem, maybe it just wasn't a good day, or you were in a bad position or something. But it does certainly happen and you are definitely not alone!
I look at it this way... after all I have gone thru this last year, any of these little bumps along the way are just that. Bumps.
I read someone's calendar today and it said "Any seed that ever flowered had to go thru a lot of dirt first." So this port business is just one more pile of dirt. I hope things go better next time.
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Angie, please remember that you are reading a thread that's dedicated to problems about ports, so you are going to read about women that have problems. But look at the numbers. There are less than a dozen posts here. Now compare that to the number of people who actively post that have ports but no problems (me for one). The people posting here are comparing their problems and suggesting possible work-arounds or solutions. But notice...they are still trying to use their ports.
Ports do save your veins if you will be getting infusions over a long period of time. Doesn't matter what the meds are...constantly pricking you in one arm vein will take it's toll.
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I just got a Bard Power Port and it's been fine up until last week; does the problem seem to be with the Power Ports more? I had a regular port in my upper inner arm before and only had trouble with it once when it had been a while between flushes.
Last week it was clogged and they tried heparin 2ce (hopefuly not from china) and finally that "cath flow" that worked after about 30 minutes. Mine is in the chest on the right side (non CA side) and I did do all those silly port exercises...turn head left, lift arms, turn to right, stand up sit down, fight, fight, fight! before all that. The port seems a little thicker and maybe deeper than my old one so maybe that's why they're having a little more trouble getting in there????
I know Cisplatin is hard on the veins....don't want that in there; and with mets I know scans are on their way, too. I'd like to save the veins for blood draws.....
dana
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I have a new port, and it will be used for the first time in 2 days. When I lay on my back the end of the tube fillls up with what must be blood, and it hurts! It also protrudes at that time. When I sit up or roll on my side, it flattens out again and feels fine. Has anyone else had a problem like that? -
I don't know if you got help before your treatment...but it really doesn't hurt to be stuck without the spray. Just ask them not to use it. I tried it both ways and without was better. Hope you did ok.
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Sally,
That sounds unusual. Please be sure to tell your doctor about it. When my port is functioning properly, I honestly cannot feel a thing. My first port--which was always a problem and finally ruptured--allowed me to feel the fluids going in. I thought that was NORMAL until I got my new port. It would seem that my first port was "leaky" from the start. I have never had the sensation of being able to feel the catheter (tube) filling up. Usually, a port is flushed and then "topped off" with heparin that should stay in the catheter, preventing back-flow.
Diane
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I have a power port that's been in for over 2 years now (because of my type and grade of cancer, they want me to keep it in for 3 years total, even though I've been done with chemo for over a year).
Once, only once, with my 2nd chemo, I had the exact same problem as Deb describes in her first post. It would not draw blood, they tried me in different positions and then I had the CATH-FLO. It took over an hour, but it was finally successful. Since then, the port has worked fine, maybe a little slow at times, but I never had to go through all that rigmarole again!
So my answer to Deb's question is, "Yes, I had the same thing, and NO, it doesn't happen all the time!"
And I think that, for most people, the benefits of a port outweigh the problems.
Hope that helps!
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I would always recommend a port if you're going through chemo. Some of these drugs are very caustic to the veins and even if you have good veins now, the chemo can really mess them up. At my infusion center I frequently witness how patients without ports have to be stuck several times to find access and are also complaining of discmfort from the drugs infusing.
I have not had problems with blood return but I still have to go to a external lab for my bloodwork (insurance reasons) and they are not licensed to access my port so I still get a stick in the arm .
I did have a problem w. bloodclots in that arm (swelling, tightness, discoloration). I was on Lovenox and am still on Coumadin. I'm told that some doctors put pts. on a low dose of Coumadin prophylacticly to prevent problems.
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I have used my port twice since my little malfunction, and it has worked fine both times....whew! At least it is not a trend, just a one-time problem.
Thanks everyone....
Deb C
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