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Portacath

a portacath

A portacath is a device that is placed under your skin. It is used to inject chemo drugs and obtain blood. With a portacath, your veins are no longer inserted with needles. This will eliminate an immense amount of strain on your veins. Testicular cancer chemo treatment requires a lot of chemo drug injections and blood withdrawals that is why a portacath is highly recommended. Normally, the portacath is the size of a fat quarter.

Portacath placement

Portacath placement

As seen on Bob, the Schmuck Boy, the portacath placement is under the skin on your right chest about three inches above your nipple. It will appear as a bump 1-3 inches high underneath your skin with a catheter going to your collarbone. The catheter flows from the portacath to a large vein near the collarbone. Rarely, the portacath placement is on the under arm. This placement is not common because the portacath rubs on your armpit which could irritate it.

Portacath insertion

When the portacath is used, the skin is carefully cleaned and sterilized to eliminate the chance of infection. A special needle is used to inject chemo drugs or withdrawal blood. Your nurse might apply a cream or spray to numb your skin above your portacath. This is applied an hour prior to the needle insertion.

After every use, the portacath must be flushed with saline and heparin. The saline and heparin keeps blood clots from forming. The flushing puts a very permanent marker/metallic taste in your mouth. Use these tips to cover up the nasty taste:

• Eat skittles
• Chew gum
• Suck a jolly rancher

Now, your parents have to buy you candy!

A portacath must be accessed and flushed every 30 days.

Portacath removal

After your testicular cancer chemo treatment, the portacath removal can be done quickly and easily with an operation that takes less then and hour. The only remaining proof is a fat scar the size of two M&M on your chest.

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