OH dear! I have horrible veins. They just seem to blow so easily. Never had one blow DURING REmicade. But my last hospital stay resulted in 4 IVs in less then 24 hours. At that point, my nurse called the doc and basically told him "I've already called IV Therapy and she's getting a PICC" They only left my PICC in for the 8 days in the hospital, but we questioned leaving it in until my next Remicade, but they didn't think it was necessary. I have a 1yo (almost) and I actually wanted them to do the Port-a-Cath instead of the PICC because the Port-a-Cath is up on your chest and doesn't dangle like a PICC does on your arm. (I was thinking - toy for my daughter) But, it was Sunday, and they couldn't schedule a Port-a-Cath until the following morning at the earliest and they needed veins now, so a PICC it was.
I was told it'd have to be flushed monthly (the Port-a-Cath), but that didn't bother me. My aunt is a breast cancer survivor and JUST got her Cath removed. The nurses were all "It's surgery?" "It has to be flushed." Trying to scare me away, but honestly, I think I would of taken the Cath over the PICC because everytime I go to ER, the hospital for blood, or Remicade, well, it's at least 1-2 sticks. I have certain people that stick me now just because we know the issue. My veins are small, almost child-like and they a lot of times get the pediatric needles for me so they don't blow my veins out as quickly. I have some NASTY bruises from some failed IV lines.
I've been on Remicade for 2 1/2 years and gradually, the nurses are suggesting it more and more. I can't see that the flushing would be all that bad because I have done In-Vitro Fertilization and given my own intramuscular shots in my hip as well as sub-q injections in my belly area, as well as given myself 2x daily shots of Heparin to sustain pregnancy, and in addition, I've mixed a lot of vials of meds and Heparin doesn't require mixing, only pulling and measuring. Seen a lot of needles and syringes in my household in the past few years, so I think the doc/nurse would allow me to flush at home, but who knows.
I'm sorry that didn't seem like much help, but they are on the fence with what to do about me. I'd say if I have one more stint like I did this last time, they will get me a Port. At least with a Port, you don't have to get stuck for blood draws, no waiting on IVs, medicine is given easily and quickly, etc..etc...
KUP on how it goes. HOpe you are feeling better...
Kaycie - Age: 26
Crohn's - Dx Nov 05
Remicade - Next infusion - July 10th - new dose - 10mg/kg
IVF #1 (In-Vitro Fertilization) - Failed
IVF #2 - IVIg, Heparin, Baby Aspirin - TWIN GIRLS!!!
Reagan Dawn - 8/2/07 - Lived 1 hour 27 minutes due to Cloaca, NOT affiliated with my Crohn's
Addison Maria - 8/2/07 - 11 months old