Tuesday, October 18, 2011

Day Two

Day Two is beginning without a hitch. I was up and down last night going "pee pee".  It feels good to be hydrated. I'm horrible at keeping myself hydrated and drinking enough water. I think its just pure laziness.

Dr. Kilgore and and Dr. Sorenson popped in about 6:30 this morning. Both were up-beat with displays of beautiful smiling faces and happy eyes. I meant to take their pictures as they sat on my bed, like two little angels but got caught in conversation and next thing I new they were down the hall. So, I decided to add the pick of Dr. Kilgore and mysself that he took with his phone several months ago at one of my office visits. I'll try to be on top of my game next visit. Dr. Kilgore reviewed "the plan" again. Continueous Adriamycin (Doxorubicin) for 4 days, Ifosfamide to be infused over 4 hours each day for 4 days, Mesna, Zofran and Decadron. Neuro checks, Vital signs monitoring, keep an eye out for any blood in my urine, Lovenox injections to keep my blood thin while on chemo and then I'll go to the office on my way home on Friday to get my Neulesta injection.

Neulesta also known as Pegfilgrastim is used to reduce the chance of infection in people who have certain types of cancer and are receiving chemotherapy medications that may decrease the number of neutrophils (a type of blood cell needed to fight infection). Pegfilgrastim is in a class of medications called colony stimulating factors. It works by helping the body make more neutrophils.

The main side effects to expect are:

redness, swelling, bruising, itching or a lump in the area where the medication was injected, bone, joint, or muscle pain (I remember my the first Neutrophil stimulating medication I got with my first round of chemo. It was horrible. I thought "this is what it feels like to die" all the while my husband re-assuring me that it was just the medications doing what they needed to do to eraticate the cancer.) As I researched my new chemo recipe I discovered several references stating that Loratidine (trade name - Claritin) if taken will reduce the side effects of Neulesta, it will be interesting to see how it works since it was so horrible the first time around. I stopped  by the pharmacy and picked up some so I have it on hand for my dose Friday morning.


Side effects continued: headache, weakness, constipation, vomiting  (Its really strange that since I went through Chemo the first time, there are times that I'll throw up for no reason. I'll suddenly start feeling queezy and crampy and throw up, when I'm finished, I feel fine. Weird. I never had the typical nausea and vomiting associated with the treatments though)

Side effects continued: swelling of the arms, hands, feet, ankles, or lower legs   (I remember this from my last 'bout with Chemo too, I think it may have partially been the fact too that I was having to take Prednisone for a lengthy time because of the pulmonary toxicity of Gemzar and Taxetere. I remember my huge ankles and puffy round face, not being able to wear my sassy heels and skirts but instead wore what I termed as "granny shoes" and "stretchy pants". I think that was worse than losing my hair! I'm hoping this time I won't experience such an extreme.)

Now a little bit about the medication Mesna. Mesna is given prior to, during or after each dose of chemotherapy. This medication is used to protect the bladder wall from the harmful effects chemo.

Side effects from mesna are common and include: bad taste in the mouth  (I'm already getting this yucky taste in my mouth, good though because it may make me grab for my water) diarrhea or soft stools, headache,
nausea, vomiting, fatigue, blood in the urine.

Ok, gotta go pee pee now....wierd again...pee pee'd 1000cc but didnt feel the sensation like I needed to go bad...maybe the Mesna has some anesthetic property's...?




My cutie patootie... Dr. Kilgore








 


No comments: