Round 2 of chemo. I'm told today is an easy day. I'll just be getting a steroid (Decadron 12 mg) and gemcitabine (2380 mg). It will take an hour, once I get checked in and settled, which means that it actually will take 2.5 hours. Strangely, the real-time lab machine that tells blood counts and hematcrit levels was off-line, so I don't know how toxic my blood is. I'll go in tomorrow for a booster shot, and will find out more then.
I had some questions for my oncologist. She told me that because gemcitabine was a less nausea-inducing drug than cisplatin, my GI tract likely would not be feeling as bad this week. However, between this and the booster shot tomorrow, I may be feeling aches, pains, fevers, and exhaustion, but no nausea. Small steps, perhaps, but welcome nonetheless. This means that I likely can cut back on the anti-emetics, which she told me are one of the reasons I have been constipated. Makes sense, I guess -- the anti-emetics make it so the food sticks in the stomach. The effect is it doesn't like to come out either end.
My doc recommends I take Docuste Sodium and Senna, and hopes that, along with fewer anti-emetics, will better manage the constipation. As long as I can avoid the events of last Saturday, I'm all for it.
My doc also confirmed that I will not be getting an infusion next week, since in her experience few are able to tolerate it. She said next week should be "near normal", with just a lack of energy as the overriding factor. I'm supposed to be a keynote speaker at a professional conference in NYC on Feb. 17, and Jennifer and I had talked about going up for the weekend. Hopefully we can go, but we'll book refundable tickets.
Back at the office now. Feeling ok. Fingers crossed.
You are one tough jose, Ken! I really admire your determination to keep a regular work schedule and therefore you only have time for getting really sick on the weekend! Pretty amazing!
ReplyDeleteSo far you have really done well. I am so thankful for that! Keep it up!
I'm glad today was not as long as last week. I hope the "flu like" symptoms are not to bad tomorrow!
ReplyDeleteLove,
Ravonne