One of the things I was most worried about when diagnosed was getting fitted with a PICC line, it honestly freaked me out more than the thought of chemo. Having a tube put in my arm going to the biggest vein closest to me heart? Totally freaked me out. But honestly, it was a lifesaver and I actually ended up keeping it in a bit longer.
*I weirdly named mine. My first was Percy, then my second with two lumens was Paddy and Rex.

What is it?
A PICC line is a catheter used during long treatments to administer chemotherapy/ other drugs/ take blood. They are more temporary than a port, and (so I was told) should only be in for six months roughly. It is inserted in the arm just above the elbow, and threaded through to the biggest vein near the heart by a nurse or doctor under local anaesthetic and very sterile conditions. I was shitting myself they day of having it implanted, but the nurses put me at ease so much. We was chatting away, there was music playing, and they was patient with my anxiety fuelled questions. It was over before I knew it. In terms of pain, the worst was the sting from the anaesthetic injection then all that I felt after was a slight tugging sensation that was slightly uncomfortable. Then its all done and you are left with a dressed site and some dangly catheters from your arm!
Does it have to be looked after?
While PICC’s are so handy, they require very careful looking after as they can get infected easily which would need to be treated immediately (more on that below). When inserted they are cleaned and covered in a dressing – if you have sensitive skin make sure you say, as there are sensitive dressings – that is cleaned and changed 24hrs after, then every week thereafter. I am not going to lie, that first clean stings like a bitch. I wasn’t expecting it, so I let out a long list of swear words, and then an apology. For me this was worse than insertion. But each week as it healed it hurt less, and having the site cleaned was actually so nice – especially as my skin was super sensitive and irritated even by the sensitive dressing. In terms of pain, it was a cut site and had been tugged around a lot so for a few days it hurt and I didn’t lean on it and was careful using my arm while it was sore and I was getting used to it.
Be mindful of knocking the dangly ends! Especially with inquisitive children or pets. The nurses will give you a bandage to cover it up, but wearing every day it gets tatty and gross so don’t be afraid to ask for a few or a new one. If you want something a bit more aesthetically pleasing, you can get pretty lace ones online, but I personally found them a bit uncomfortable and itchy. I liked wearing sweaters a lot as it covered up the dressing/dangly bits without needing a bandage which was a nice break. Once the soreness went down, I forgot it was there! I slept on it (carefully) and used my arm as normal mostly.
The biggest thing you have to worry about is getting it wet, I was always super cautious about that. If you get it wet, the dressing will lift and expose the site. The nurses will give you a blue plastic shower cover up for you arm. Even with this, still don’t soak it and be mindful in the bath or shower. The elastic and plastic can get worn after frequent uses so make sure to ask for a replacement! Also, if the shower is too hot, the steam can affect the dressing and lift it even with the protective sleeve. If it does lift slightly or you get worried its a bit loose and there is only a day or so till the dressing is changed, pop some microporous tape over the edges. The annoying thing is, that area of your arm doesn’t get a clean which is gross, so I carefully used baby wipes.

How is it used?
Its just like being hooked up with a cannula – without the needle bit first! The nurse will flush the line to make sure its all okay, and then that’s it! Either blood can be drawn with a syringe type thing, or drugs can be administered. If you are having blood taken and its not coming so quick, that’s normal, Try turning your head away and giving a few coughs, straightening your arm, or standing up. Its super simple! The only thing is I love being warm and snuggly, especially when I was having treatment but nurses needed access to my arm so no sweater! However, I bought a cheap one and we cut an access flap, which was brilliant.
What are the issues?
So a small issue that is easily resolved is the port not getting blood or flushing properly. The nurses can then pop something down the line which works for an hour or so to unblock and then it’s alright again.
The bigger issue is the risk of infection, which despite me keeping my PICC in pristine condition, happened to me. However, I didn’t recognise it was infected, I just thought it needed a dressing change as my arm was a bit sore and the area a bit redder. So, if you see anything out of the ordinary make sure to call up your care team for advice as it can lead to Sepsis (which I subsequently got). When mine got infected, i also had a blood clot in the area. Because of both of these, the PICC got taken out straight away, which terrified me. I have a fear of needles and the line made it so much easier for me. The week without a PICC was the worst, most painful due to constant needles and no luck getting blood, giving me a literal phobia and now going into a panic attack each time I need bloods. Luckily, I got a new PICC fitted in the other arm (hello matching scars!) a week later the day of my chemo session, and this time I basically ran into the fitting room with happy tears, and happy to see the same nurse again for a catch up and laugh.

What about when it is no longer needed?
Due to my fear of needles and worry of not having been successful in treatment, I kept onto my line about a month longer than I should, it was like a comfort blanket – a complete turn around to how I felt before having it! Having it out was easy peasy though. The nurse told me to take a deep breath, and then it was out and I felt nothing. I weirdly kept mine, but from her reaction I don’t think that’s the norm! When its out I was expecting blood everywhere, but nothing and all it needed was a small plaster! I left it a day before getting it wet, but when it was time it was so so good to submerge it in the bath. The dressings tore my skin up, so I was moisturising it like mad. The best were Driprobase ointment and Body Shop Vitamin E lotion. They also helped a lot with scarring. Its a year since my first PICC removal, and I still have small scars, but they tiny, and I only notice them because they are there.

Honestly, as someone with a fear of needles and owner of crappy veins, this was a lifesaver for me and while there are some downsides (risk of infection, being careful, etc.) the pro’s outweighed the cons for me and I am so glad I got one right at the start of treatment. This is not the case for everyone, and everyone can have different experiences, so always go for what is recommended by your team and what is best for you.






























