Friday, October 30, 2009

My First Ever PICC Line

My first PICC line was somewhere around 1999 or 2000. I’m guessing around then because I don’t ever remember having them in high school which I graduated from in 1998. I started receiving PICC lines for the same reason most of you start getting PICC lines; my peripheral lines would start to blow anywhere between 1-3 days. With 2 week stays, that meant that there were times I went through MULTIPLE I.V.’s. As you can guess, that got old really fast. The other thing that was happening was because of my sensitive veins, they were having to pump the meds into me at an incredibly slow rate. Not that this was so much a problem medically, but mentally it was a little taxing being hooked up to my leash 24 hours a day. When I’m in the Hole, I NEED to be active. If I’m tethered to my I.V. pole that gets a little tough. So the decision was made for me to try a PICC line.

I can tell you exactly what I felt at that time: NERVOUS and slightly disappointed. Let me start with the disappointed feeling first (and I may be labeling the emotion wrongly). I’ve always tried to avoid the typical “CF road”. I think many of you understand that as I’ve talked to a lot of you on this exact subject. Whether it was PICC lines, oxygen at night or embolizations, I always felt like I was conceding to CF. Like I was giving in a little bit and letting CF win (I’ll do a full blog someday on why this is faulty thinking). Let me point out that I still feel the same about ports, but I’ve never felt that way about hospitalizations. Weird, I know.

Ok, back to the PICC line. When they wheeled me down to IR (Interventional Radiology) I think they could tell I was a little on edge. I generally don’t get nervous over anything like this (or ANYTHING for that matter) but this time was different for some reason. I was laying on the actual table for about 2 minutes when the nurse asked, “Is this your first PICC line?” “Yup” I answered. “Want some numbing medication for your arm and some medicine to make you relax?” “Yup”. About 1 minute later I fell into a sort of haze in which anything and everything was funny. It mattered not what they were doing to my arm, I was enjoying Planet Space Cadet way too much!

It was over before I knew it and I didn’t remember feeling a thing during the whole procedure. Sure I felt “tugging” or pressure here and there, but no pain to speak of. As the numbing medication wore off my arm was a little bit sore from the trauma, but a hot compress and some Tylenol nipped that in the bud pretty fast. Since that wonderful day in…well, in whenever it was, I’ve had over 30 PICC lines and am a proud owner of most PICC lines received at my hospital. I can no longer use my left arm due to a vain narrowing near my shoulder, but my right arm is still open, single and ready to mingle. I realize that at some point the PICC party will be over and I will be getting a port, but that time is not right now and I’m really not concerned about anything past today.

**If you click on some of today's links, they will actually take you to videos of both cleaning and discharging a PICC line**

Comments (21)

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I have never had a PICC line yet. So far I've never been hospitalized but when that does happen i want whatever happy drug they gave you lol. That Looks Painful!
I will never ever ever let a nurse put one in bedside. I have WAY too much scar tissue for that :)
Kristen Merlino's avatar

Kristen Merlino · 804 weeks ago

I seriously think you could and should write a book one day. You have lots to say and using some humor as you do is great. Would love to read it. I was actually bummed there wasn't more here...so that's when I realized a book would be good! ;)
1 reply · active 804 weeks ago
I wish I had something to write a book about! Any suggestions?
I'm in line with Sydna - I also insisted on having my PICC put in by Radiology, too. Just seemed like a more sterile environment, and the docs down there were awesome. The line about lidocaine being a "bee sting" was somewhat bull to me, but once it took effect, it was a very good thing. Only "slight pressure!" While my arm is still sensitive to being touched in a way that resembles the PICC insertion, I'm proud of my many scars!
1 reply · active 804 weeks ago
Heck yeah, show those scars with pride. I usually tell people I'm a heroine addict just to see the look on their face.
My son had his first PICC in first grade. I remember being terrified about it and feeling so overwhelmed leaving the hospital with all his IV meds and flushes. My son however couldn't wait to show it off at school. After just a couple days, it felt like old hat. The scariest thing was a few days later when he broke out in hives after his treatment. Apparently it took a few days of it before his allergy to the medication showed up! Since then, my son has had two PICCs put in, and so has my daughter. They really are a great way to get medication in, and my kids are always proud of them. We have only ever had them put in when they are under anesthesia. I don't think they would do well being awake as they were being put in. Who knows!
How ironic, I am reading your blog right now as Levaquin pumps into my PICC line, after being in and out of the hospital the past couple months, I am so happy to be home and I happily and with appreciation accept the Picc line, home iv's, home RT, and oxygen dependancy I am experiencing right now.....at least I am home with my familly, that is what keeps my CF spirits up for today :)
1 reply · active less than 1 minute ago
NOTHING beats being around family.
30 wow! I've had lots of IVs and midlines... only 3 PICC lines thus far... so far they have only got it in on the first try 1/3 times because I have "shy veins".
2 replies · active 804 weeks ago
That's crazy! Do you go down to IR to get them put in?
Yup! You know.. I've never had the 'relaxing drug' before though, at least that would make the multiple attempts easier! They usually have to put the PICC pretty much up near my armpit, rather than near the elbow. A nurse mentioned a PORT to me... but I pretty much growled at her. I don't get IVs consistently enough for that and I want to keep the PICC party going like you!
N.birchall's avatar

N.birchall · 804 weeks ago

They tried PICC LINES with me but unfortunatly my Veins would not take them. So i have a PORT in and have done over the last ten years and never looked back since they are great ... Im on too my 3rd port now...
Shoot, I'm glad that you've been able to put off all of that other stuff :)
Tabitha E.'s avatar

Tabitha E. · 804 weeks ago

I have had one nurse put one it bedside and it was a horrible horrible experience... luckily in my hometown hospital they ONLY do piccs in radiology (smart people!) so I would always get my piccs in before going to my hospital town (s.f.)... the first picc experience was good, no "happy" meds and it was the only one I've ever had that was sutured in, I also remember being very very sore (didnt have that with any of the one except the botched bedside one). The rest were all stat-locked, which I like because you can clean under the stat-lock so I feel like the entire area is clean... downfall is some nurses are so careless with the picc going in and out while the stat-lock is off haha... isn't it strange how you adapt?
2 replies · active 804 weeks ago
Tabitha E.'s avatar

Tabitha E. · 804 weeks ago

I have a port now btw... I got it on September 4th, the day of my birth... what a present eh?
Sorry I didn't get you something better :)
Tabitha E.'s avatar

Tabitha E. · 804 weeks ago

PS: Ronnie I think I remember you saying that you have always done picc lines in the hospital b/c you feel like it makes you rest... have you never done home ivs then? I hate how hospital nurses do dressing changes though, I feel so much more conifident in my home nurses abilities. I have had piccs in though for months at a time (like 5 at a time and during summer)... so I would die if I was in house the entire time... but I sure have adapted while having a picc or being accessed. I've gone fishing, camping w/ just a tent (!), played games (like soccer, ultimate frisbee), go out to eat, gone to friends, while being on a gravity drip iv once I've gone 4-wheeling (in a land cruiser), and road trips, done yard work, done housework, walked my dog, played with my dog, gone to my classes, done school labs etc....
piccs and ports really are pretty versatile-thank goodness! And Ive hardly ever had blood flow return when doing "strenuous" activities though... but I have had the actual insertion site hit a lot and so then the hole would bleed a lot :/ oops... oh and its almost been pulled out once that I can think of
1 reply · active less than 1 minute ago
I used to do home IVs but my PFTs NEVER went up. Plus, my doctors aren't huge fans of home health. I used to play in baseball ball games as a kid with my peripheral in though :)

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