Showing posts with label taxol. Show all posts
Showing posts with label taxol. Show all posts

Monday, May 14, 2012

Round 5 / A Long, Exhausting Day


Don't worry, I am not jaundiced! I just put on too much bronzer...

The following post may or may not make any sense since I wrote some of it at the hospital and some later at home. It also might not make sense because I am so tired after spending about 7 hours at the hospital that I almost feel sort of drunk.

8:45 AM : Arrived at the cancer center.

10:00 AM : I’m sitting in my “chemo booth” in the big chemo room at the cancer center, getting my IV pre-chemo drugs (steroids, nausea meds, Benadryl to prevent an allergic reaction). They do blood work before each treatment to make sure I am healthy enough to get the immune system killing chemo drugs and as always, I got the green light. I already talked to Dr. Gore (and gave him my painting!) before I came back to the chemo room. He decided after I get my chemo drugs, I’m going to get my abdomen tapped again. He noted that it is not as swollen as it was the last time it was tapped (after round 3) and that it took longer to swell up this time, which is good. However, because the fluids have returned, he is going to have them studied and I am coming back in next week for various scans to see how this treatment plan is going. After he looks at all the results he will make a decision about whether or not I will need more chemo than originally planned and if he needs to switch to different chemo meds. I really hope that I won’t need extra chemo, or if it is necessary to get more, he doesn’t switch to much harsher drugs. But yes, ultimately I care the most about killing all the cancer cells in me. 

11:15 AM : I’m currently being pumped full of taxol, the first chemo drug they give me each time. I took a half-asleep/ half-awake nap for a while. I take a lot of those kinds of naps lately because I can’t seem to fall all the way asleep most of time I’d like a nap. I couldn’t even fall half asleep at first because the woman getting chemo to my left had a very loud, talkative male visitor. I was extra annoyed because he wasn’t even talking about anything serious or urgent, it was just boring things like the board game “candy land.” Luckily, since I don’t really like confrontation, my sweet grandmother asked him very nicely to be a bit quieter. And thankfully he did quiet down and I was able to rest a bit. My dad brought me a chicken sandwich that smells really good so I’m going to eat that now.

1:15 PM : I just finished getting my second chemo drug, carboplatin. Now I just have to finish getting my regular fluids (0.9% Sodium Chloride) and then I’ll go over to radiology to get my abdomen drained. The woman that was to my left that had the noisy visitor finished a little while ago and an elderly woman with a temperature of 107 replaced her. This new woman obviously is too sick to get chemo today. Her doctor popped by to tell her he suspected her medical port was infected and now she is going to be admitted to the hospital at least overnight. I feel fortunate that I have not had an episode like that, even with the disadvantage of having diabetes. 

1:45 PM : Dr. Gore surprised me by coming by to talk to me again. I did not expect him to come back and I was eating a bit of a candy bar when he walked up because I was only hungry enough at lunch to eat a few bites of my chicken sandwich. I know I looked a bit guilty when he walked up because that isn’t exactly ideal diabetic food. However, he came to talk to me about something exciting and awesome! He had sent a picture of my painting in a text message to his wife, who is a retired gynecologist, and she loved it and said it should be submitted to a medical journal as a patient’s interpretation of her illness! Dr. Gore thought it might even be a good idea to also send the actual CT scan of my tumor as well for comparison. He said that he needed to ask my permission though and wanted to know if it would be ok to include my name and possibly my picture. I told him I thought it was great and I had no problem with any of that but for some reason he wanted me to wait and think about it some more. I just think it would be really exciting to be in a medical journal though I did tell Dr. Gore I would be a bit embarrassed that my painting wasn’t perfectly correct anatomically. He said that was part of what was good about it, because it was just my interpretation of what was going on in my body. I’m going to end up leaving out a lot of the details of what he said but I was so tired while he was talking to me, I had a hard time really focusing. 

By the time I was done talking to Dr. Gore, my IV fluid bag was finally empty so I could head over to radiology to get my abdomen drained (paracentesis). The two nurses that did the ultrasound to check out the best spot to slice me for draining did not think I looked swollen enough to be tapped. They said if the radiologist felt I didn’t have enough also, they could not do the procedure. I brought up the fact that Dr. Gore wanted some of the fluid to be tested (so they must have to get at least a little bit of it out of me somehow). Ultimately, the doctor came in and said he would go ahead with the procedure but did not feel that I had very much fluid to drain. I was anxious about the numbing shot since it hurt more than anything else last time so I sheepishly asked the nurse that seemed nicest if she would hold my hand. She was very sweet about it. Thankfully, the numbing shot didn’t hurt nearly as much as last time for some reason, but the stick-thing (I have no idea what it’s actually called) the radiologist had to insert into my abdomen to drain me hurt so much going in that I felt like I might throw up. I thought it was odd since last time that part was only mildly uncomfortable, but it could be because I had a lot less fluids in me. He was surprised that a lot more fluids came out than he expected though. I commented that the color of the fluid was different this time… last time it looked more like a dark beer (this time it was yellowish). He said, “You’re my kind of woman! This time it’s more like a Miller Lite!” He was an interesting character. When I was completely drained, I was so happy that it was finally time to leave the hospital. I set up the appointments to get my Neulasta shot tomorrow, my CT scan Monday, and an appointment to discuss all the test results with Dr. Gore on Wednesday. So next Wednesday is the day I will find out my fate as far as more chemo goes. I said goodbye to my dad and my grandmother, both of whom had stayed with me all that time and left the hospital with my mom at 3:40. I don’t think I have the words to describe how exhausted I felt (still feeling).

4:20 PM : Finally home! I’m so happy to be lying in my bed! Even though I can’t imagine being more exhausted than this, some good things happened today to help balance out the parts that were not so pleasant. I don’t know what I will do until bedtime but it will definitely be something that requires little to no energy. I’m sorry if this post is too long (I left a quite a few things out to make it shorter) and is a bit of a mess… I’m so tired that I can’t seem to think clearly or type things out correctly. Chemo brain is on in full force at the moment. 

I want to add one last thing before I go into rest mode. I felt kind of shitty that I didn’t have a painting to give to Dr. Barnes, the surgeon who actually removed the tumor I painted and who also put in my medical port. Maybe I can think of something to paint for him but I don’t have any new ideas at the moment. 

Oh, and one more thing that just randomly popped into my head. If you read this blog regularly, you might remember a post in which I talked about feeling guilty because I accidentally took a car air freshener without paying for it. Well, I am happy to report that I went back to that store this last Saturday to pay the $2 and some change I owed them for the air freshener! :-)

Monday, April 23, 2012

Round #4

I got too hot quickly and the wig came off!


Right now I am sitting here getting chemo, eating a peanut butter sandwich, and drinking some coffee. I don’t feel the need to explain the whole process because I think I’ve done it twice before in this blog. My favorite of the nurses here told me I’m doing a great job and I’m an inspiration to her. Yet another person who thinks I’m stronger than I do! The nurses also got a wig donated that they saved for me because it made them think of me. It’s a red bob. It makes me feel good that they thought of me!  :-)

Dr. Gore is on vacation in Spain (I’m jealous!) so I won’t see him today. I told his nurse practitioner about my allergies starting to act up and my on again/of again sleep troubles. I also told her about my balance being off and also falling over a lot. She told me to up my dose of the medicine I take for sleep and see if that works. I am sure not getting consistent good sleep and drinking too much coffee has hurt my mood overall. I decided to cut way back on coffee.

It’s almost 2:00 PM now so everything is definitely running behind today. I really hope I don’t feel too horrible this week. I am not looking forward to it. The nurses continue to emphasis that I will feel worse with each treatment because they kind of build on you, but I have figured that out from experience. I really, really don’t want to feel any worse but I’m trying to remind myself that this will eventually be over with… hopefully at the end of May. Then I will start the process of slowing regaining my strength and energy (and the process of regrowing my hair!)

*EDIT*

Finally home! I saved my last ounce of energy to smile for this picture of my new wig:

I think this is just Mary 2.0

And now it is time for a much needed nap!

Monday, April 2, 2012

Round 3... of 6??


Emma and her raccoon toy coming to visit me before I left for chemo :-)

7:00 - Today is chemo treatment #3. I think I will write this post the same way I wrote the last chemo day post, just writing bits throughout the process since I’ll just be sitting in a chair for half the day. 

9:30 - I’m sitting here in my chemo chair waiting for them to get started. They seem really busy and a bit behind today. I just overheard a nurse say they are short staffed today so I might be here a bit longer than I normally would. But I’ve gotten to listen to a nurse explain what to expect to a new chemo patient and she is being much more thorough than the nurse I had, so I’m learning a bit. Or just hearing things I had to figure out on my own… I’m really, really sleepy right now so I might just pass out in a minute. Definitely will when they give me the benadryl (to prevent react to the first chemo drug, taxol).  I’m not sure I want to log everything that happens today anyway because I did that last time and I’m just so tired this time. 

Me and my chemo supplies

11:00 - Dr. Gore just came by and I’m just finished getting the IV benadryl so now I’m really sleep.  I will probably attempt to nap in a minute even though it’s noisy here. Dr. Gore gave me some disappointing news. I asked him how he will know if the chemotherapy was successful since the next one will be my last. He corrected me and I said I was never meant to do 4 treatments; I was meant to do 6! I know I was told 6 at one point and 4 at another, but I was sure the last word was 4. Oh well… At least I finally got my answer about how they will know I’m better. He said they will do another CAT scan. He added that sometimes the surgeon will open the patient back up to look around but they won’t in my case, so I’m pretty happy I don’t have something like that AGAIN my near future. I told him that my abdomen has swollen a little bit since it was drained 3 weeks ago, but he said it’s a good sign that it’s only a little swollen and that it hasn’t swollen up as quickly. Well, I’m about to fall sleep and my writing is probably extra sloppy so I’m going to try to take a nap now. 

12:45 - Just “woke up” from being half asleep for a little while. My stomach started to growl so my mom went to get me some food. I don’t think I will be here too much longer. I think the nurse said about another hour. 

2:00 - I’m almost done! Just a few more minutes of the second chemo drug (carboplatin) left!

5:30 – I’ve been home for a while now, napping away. I feel a bit better now after some sleep but still too tired to write anything more. So if this post is really boring, sorry but I’m just so tired today, so here is a link to a much better blog than mine: http://www.positivityblog.com.

Monday, March 12, 2012

Adventures in Chemo: Part II

almost forgot to add this pic



Warning: this post was written throughout the day today, so it won’t read as if I wrote it all at the end of the day. I decided I would be too tired at the end of the day so thought this system would work better. Also, sorry it’s so long!

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9:00 AM (ish):

Right now I am settled into what I will call the “chemo room” at the Bruno Cancer Center. It’s the room where everyone gets their chemotherapy. Each person is divided up into little cubicles in somewhat comfy reclining chairs. I’ll just work on this blog post on and off while I’m here so I won’t have to try to remember everything that happened later.
We woke up in plenty of time to get to chemo on time this morning! I chugged two big cups of coffee right before we left so I might be feeling a bit hyper until they give me benadryl through my IV and knock me out. When I got here they had to do the usual blood work that they do for every chemo patient to make sure that I’m healthy enough for the chemotherapy. The nurse also asked me a lot of questions about any problems or side effects I’ve had that the doctor would need to know about. Everything looked good with my blood work and I got the go ahead for chemo. A nurse (I really want to remember their names but I feel embarrassed asking again and they don’t have name tags) gave me an antacid pill and a ton of anti-nausea meds through my IV. Luckily the nicest nurse is the one that usually comes over to check on me. Right now I’m getting a steroid drip before the chemo. The steroids are given for multiple reasons, including just making me feel better overall. They also will keep me hooked up to a saline drip to flush out my IV between all the different medicines.
Dr. Gore just stopped by and is concerned that my ascites (abdominal fluid buildup) has not dispersed and is considering getting it drained in the next couple of days. He needs to get in touch with my surgeon Dr. Barnes about it and then get back to me. If he decides to do it, he wants to get it done before my immune system crashes.
After all the anti-nausea meds finishing dripping in, it will be time for the benadryl (because the first chemo drug they give me can cause allergic reaction). Then it will be nap time!


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11:22 AM:

I half fell asleep because of the benadryl for a while. It’s too busy here to really sleep when I’m not totally exhausted, especially since I had so much coffee. Now I feel half awake. Awake enough to type sloppily and to notice that my first chemo drug, taxol, is getting close to being done. Dr. Gore swung by again to say that because the steroids make my blood sugar so high, he is going to get a nurse to start me on regular fluids as well, just like last time. This time though they are giving me the fluids at the same time as the chemo drugs, so the whole process won’t take as long! YAY!
I have to say that even though it’s still technically morning time, I have already walked on two ladies on the toilet! Jeez, use the damn lock! I don’t know if it’s chemo brain or what, but so far I have had no trouble whatsoever remembering to lock the bathroom door! Definitely more than I care to see!  :-/
I have to add really quickly that I signed up for pinterest yesterday since I see so many people posting about it and I have so much free time so it’s not that big of an issue if I get addicted, lol. I’m still not really sure that I understand the point of it but I’ve been messing around with it a little. I know some people will think I am lame for even signing up for it and some people will think I'm lame for being so far behind in signing up :-P

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Its 11:48 now and they just started the second chemo drug: carboplatin. It looks like I really will get out of here a lot faster this time! I think all that is left is getting the rest of the carboplatin and the regular fluids.  Dr. Gore came by just now to say he, along with Dr. Barnes, decided to try to have my fluids drained today or tomorrow. He wants to have the fluid sent off so they can find out more about it. He explained that first they will do an ultrasound to find the right spot to inject to drain the fluids because they don’t want to stab me in a major organ! I’m not sure what it will be like to get drained but I really hope it doesn’t hurt too much. 

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1:00 PM:

The carboplatin looks like it is minutes from being done but I still have a little ways to go on the regular fluids. My mom brought me some food from McDonald’s (no worries about it making me sick since I’m so pumped full of anti-nausea meds) and I’ve been listening to the nurses gossip about the patients, lol. They are whispering but because I’m literally stationed right in front of the nurses’ desk, I can still hear. Hopefully I will find out soon when I can get these abdominal fluids drained. I’m so tired of looking like I have a little beer belly!

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1:30 PM: 

Finished with carboplatin and fluids! I went straight to radiology when I was done (mom and my grandmother in tow) to have the abdominal fluid buildup (ascites) drained (a procedure called paracentesis). I was really nervous about it being painful but the super sweet nurse and very cool doctor explained everything well before they did every little thing they had to do. First I had to have an ultrasound so they could find the best place on my stomach to drain the fluids. The nurse was really nice and understanding about my nervousness and said she could step in as my hand holder since my mom couldn’t be in the room until they got to the point where the fluids were draining. I kind of feel like a child needing someone to hold my hand but it really does seem to help a lot. I was also pinching myself really hard at the same time when the doctor was doing his thing because I read that it helps take the focus away from the other pain. The doctor (radiologist) came in after the ultrasound and of course, me being the way I am, after he introduced himself, I said, “Can I ask you an embarrassing question?” He gave me the go ahead and I asked him how long I would have to wait to have sex after the procedure. He didn’t skip a beat. “You can have sex tonight if you want to!” Hahaha! Well, it’s not that urgent doc, but thanks! Then he got all his supplies together and did a local anesthetic to numb the area he would drain from. This numbing shot always hurts the most! When he sliced me to insert the draining tube, I barely noticed. Then when they starting draining the fluid into 1 liter containers, the nurse let my mom come in the room. I know this is going to sound super freaking gross and I shouldn’t even say it, but to me the fluid being drained into the containers looked like a big frothy dark beer! Yes, I’m disgusting but I’m not saying I wanted to drink the stuff…  I guess I’m saying I kind of felt like a keg. When the fluid drainage slowed down and they made sure there was no more left to drain, the total fluid that had been drained added up to 4.5 liters! So obviously my stomach is now much flatter and I am more comfortable (and I’m glad it no longer looks like I’m a little pregnant!). The doctor did send off some of the fluid to be tested to make sure they aren’t missing any information about the cancer and to make sure we are on the right track with the current treatments. 

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5:00 PM:

Finally home! The first thing I did was weigh myself to see how much of a difference having those fluids drained had made. 2 lbs lighter! I don’t feel too bad right now except for being tired after such a crazy day. If this round works out the way the last one did, I will feel ok tomorrow and then start feeling crappy on Wednesday. I have to go and get my Neulasta shot (white blood cell booster) tomorrow afternoon so I hope I feel fine. Now I’m going to rest for the remainder of the day and go to sleep early! I’m happy though that even with the extra procedure added on, I still got home earlier than I did for the first treatment!

If you made it to the end of this long post, I should send you a medal!