Tuesday, May 24, 2011

In the Beginning.

So yes, I still have cancer. No miracle occurred to take it away. Although I must be honest that was never part of my prayers and it really didn't dawn on me until now that I hadn't prayed for that. I just prayed for the strength to get through each procedure as they came up. And then of course, I spent the night before each not sleeping - just a bundle of nerves. The procedures were never bad enough to lose the sleep but that is how my nerves work - if only I couldn't eat instead of not being able to sleep, the benefit would be so much better.

Today was my first chemo infusion. They told me it would be about 3 hours - it was 5. Thank goodness it wasn't all chemo infusion. After I had the blood draws (extra ones too because I am being good and taking part in a BYU study and research on cancer) through the port (I LOVE THAT THING!) this cute older lady sat next to me. She had the same cancer I did and the same drugs but this was her last infusion of Herceptin, so she had been at this the full year. She gave me so much info about what it was like for her and showed me her stubbly hair that was growing in slowly but surely. It made me feel better. After she left a guy sat there and he too was on his last treatment but for a different cancer so his drugs and reactions were different. People there at the center are so kind and sharing - both patients, nurses, and attendants. I asked a lot of questions of my nurse and he had the patience to answer them all. After he left I wrote all the answers down so when I wondered again I could look them up.

So here was today's program:
1. I put numbing cream on the port at home so it would be good and numb before they put the needle in. (The port is under the skin so Alex said I looked like an alien. It is in a triangle and has 3 bumps you can feel and they insert the needle into it and then everything is done on the IV line that is attached.) But you would feel the needle if you didn't use the numbing cream.

2. They weigh you, take your temp and BP each time you go into the office to monitor you and not take anything for granted.

3. Once I am in my "lounging" chair they draw blood to check that my blood cells are ok for chemo. Plus today they drew the extra ones for the BYU study. (Chalk one up for me being a good blood sharer since I can never donate blood again) They check those before starting any infusion to make sure my red and white cell count is good. There is something else they are checking for but that won't be back until tomorrow and they call me with that info. I don't remember what that was for - my note taking missed that one. They were sure today I would be good since it was my first time, but you never know down the road so they will check again in 2 weeks and again at my next chemo appointment.

4. Then they flush the port out to prepare to start infusions.

5. They first infusion today was Dexamethasone. I also took it in pill form yesterday, today and tomorrow. That was for an hour and is for nausea. Plus I have extra nausea pills to use as needed (2 prescriptions- Think they think I might get nausea?)

6. Next is the infusion of Herceptin for an hour. That is because I have the HER2 receptor and I have to get this every 3 weeks for a year.

7. Then they hit the big guns: Taxotere and Carboplatin. Those are separate infusions but total about 1 1/2 hours one right after the other.

8. They flush the port again and I am off for home.

The nurse, Doug, said I have a few hours before the nausea will hit this first time, but that each time will be different as the drugs all build up in my body. That is why I am doing the post before I spend my time with my head in a bucket. Bonnie was cute, she said it was a hard way to diet but she lost 40 pounds. I could only wish - I will probable gain!

Tomorrow I have to go back and get a shot of something I didn't write down today but will tomorrow, that helps build the white cells up to prepare my for my next session in 3 weeks. Bonnie gently told me she thinks that shot is $8000.00 per time. I hope she is wrong and that my insurance is good!

Alex and Beth are so good about helping me when I need it. Alex went to work late to take me to the hospital today but Beth picked me up and is taking me again tomorrow. I can no longer lift heavy objects (like bags of dirt and ground cover) because the port can move and then I have bigger problems so they are helping me get that spread around so I can plant when I have the energy. I am so determined to eck out 30 to 60 minutes a day after the nausea goes away. But we'll see - I am pretty lazy when I have a good excuse or can make up a good excuse or can get away with a poor excuse. My friend, Susan, is taking over cleaning the church this coming week, so cancer is my excuse for that. Beth is bringing over chicken soup for dad and I tomorrow or the next day - depending on how sick I get.

All in all, considering what this is and that it still seems surreal. It was a good 2 days. Boy that even seems surreal to say that. But then I am not nauseous or tired yet. Then the reality will hit I bet.


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