Monday, May 27, 2013

Round 11 – Chemotherapy Cycle 2 Day 4

Monday May 27th, 2013
 
I guess I’d like to share with you more about what this chemotherapy is. Some of you have gone through a form of it. Others know someone that has gone through it and the rest of you know little to nothing about it.

So what is it?

For me and my treatment plan they are giving me the following chemo drugs dosages:
Etoposide 101mg
Mixed in with 9% saline 500ml

You can read the links to learn more about them because my uneducated explanation won’t do anyone any good. 

My Dr. has told me that I’m on heavy dosages and they want to bump them up, but because some of my counts were low they couldn’t during this cycle.

The effects of these drugs can really help explain the fight within the fight, and not just for me, but for anyone that has to go through this.

One of the first side effects that I went through was losing my hair. One of the others is a slight numbing and tingling feeling in my fingers and I get it in my toes. That is cause by the Vincristine. What it is doing is causing nerve damage. The Dr.’s concern is when it becomes painful and I start to have some clumsiness with my hands or atrophy happening so they can adjust the dosage and plan for a treatment after chemo if it doesn’t resolve itself on its own. Some of these treatments for the side effects might take a few weeks, others months and some I may have to live with for the rest of my life. That’s just the cost of living.

Another side effect that I’m concerned about is heart damage caused by the Doxorubicin. I’ll be getting Echo CT’s that will determine the effects that the drug has had on my heart if any at all.

My Neutrophil question was about learning online that its level could be low because of a low B12. I stopped taking my B12 sups when my lymphnode wasn’t getting any better and didn’t know what the problem was. The Dr. told me that it’s the chemo drugs that are stripping me clean and I didn’t have to worry about taking a B12 sup cause it wouldn’t make a difference and no B deficiencies showed up in my bloods anyway. So for my next cycle I’m hoping that my levels are where they need to be so the Dr.’s can give me the dosages they want. My Neulasta shot will boost my counts back up. Me keeping myself healthy, viral and infection free will help a great deal.

Part of the Dr.s plan is damage control from the side effects of these drugs. I have to be just as mindful as they are because I’m the one that’s needs to provide them feedback as I go along. I’m also the one that has to deal with the side effects until they’re resolved or live with them for the rest of my life.

Another thing I wanted to share with you was the survival ratio. It’s 2-5 years in remission. What that means is my treatments will get rid of the cancer so it’s remised. I continue to see the doctor and have tests done. Over the course of 1 year, 2 years my survival ratio increases. After 3 years, 4 years and 5 years of remission they consider the cancer is gone. If the cancer comes back during the next 2-5 years I go back in for treatment again. In that event my overall health will dictate what treatment plans are available to me.

That’s not even the radiation! I haven’t gotten that far yet. That’s a whole nother world.

My doctors agree that I’m a tough kid, but not because I say or I talk a good game, but because of my body’s response to the treatment. I’m very strong and they are telling me that I can handle more. So I feel like the racecar driver that’s itchin’ to punch it around the track.

I’m not scared by any of this cause I’m so pissed off that this disease dared come into my life after I turned it around. Not that I would want this disease anyway. I could fill the world with guys that can beat the crap out of me. I could fill the world with people that are and will always be smarter than I will ever be. I can fill the world with people that have and will accomplish more in their lives that I ever will. But you won’t find another living breathing thing in this world that will break me down!!!

Sometimes I feel like this is penance for all the wrongs I’ve done in my life, the people that I’ve hurt, they know who they are. If it is I’m man enough to serve my penance. In a religious perspective I’d be correct. With any luck I’ll gain closure from those I’ve hurt. 

These things just happen. Some we have control over and others we don’t. I’m not going to focus on the whys or the why me’s. Sometimes I can't escape those thoughts. There isn’t anything I can do about it except wage war and fight to win, period! I’ll work with my team of doctors on damage control and make the very best out of the outcome.

So, how about a good laugh at my expense after all that, huh?

Today France and I were sitting down ready to eat lunch in my room and being most considerate I got up to blast some gas in the bathroom instead of blasting away at the table. So, I get up, go to the bathroom, but I was so gassy that I blasted a live round in my pants. While I struggled to get my jonnie off I blasted a couple of more live rounds on the floor while I fought to make it to the bowl. 

I look at it this way were all going to crap ourselves twice in our lives. Once because we don’t know any better and another because we can’t control ourselves anymore. So who cares about the in-betweens? There is no shame in this game.

Round 10 – Chemotherapy Cycle 2 Day 3


Sunday May 26th, 2013

Today has been a great day. My spirit is through the roof, I’ve still got pep in my step, I’ve had some clarity to study and I was even able to have the chemo ml increased to 24.9 ml per hour. That changes my run time from 24 hours to 22 hours per chemo bag.

France was with me most of the day which is awesome! She’s strong enough to trust that I can handle things on my end while she’s at work or running her business, which is by the way bostonhealthnuts.com.

I was told that because the ml per hour was increased that I may be able to go home on Tuesday evening, which of course depends on if an IV tech is available to remove the PICC line in my arm. If not, I wait until Wednesday morning, no big deal.

Team MGH is Awesome!!! The level of care here should be a role model for other cancer treatment centers!

I have some questions for my doctor and I should see him tomorrow and I can tell you the answers about the Neutrophil and some of the chemo drugs that they are using. So I guess you’ll learn as I do as we go along.

Well sorry that there isn’t much going on today so I’m going to do some more studying tonight and give you guys an update tomorrow.

Sunday, May 26, 2013

Round 9 - Chemotherapy Cycle 2 Day 2


Saturday May 25th, 2013

I’m feeling great, eating good, walking my miles and hanging tough.

The Dr. stopped in to say that they are going to increase the drip so it will go faster and they are confident that my body can handle it, so I said bring in on. I also found out that my phosphorus levels were low so I’m getting a medicine called neutra-phos for it. 

I’m going to do some studying today because I have the focus for it which is very important.

I’m winning the constipation battle this time around. I made a few simple adjustments that did the trick.

I’m starting to develop a cough (no phlegm) and a stuffy head with a runny nose. The Dr. will be getting back to me about what I can take for it.

My new Bluetooth came in and it has better microphone sensitivity and I don’t sound like I’m talking in a tube like on my old one.

Team MGH is taking great care of me as well as the other patients in the ward. It’s an honor to be under their care here, it really is.

I’m finding time to study for my exam during my stay, which is also helping me stay focused on my goals and bringing me back on track.

Going to see Dr. Ativan and call it a night.

Saturday, May 25, 2013

Round 8 - Chemotherapy Cycle 2 Day 1


Friday May 24th, 2013

Thank you for following me along this far in my fight with cancer. Thank you for all the wisdom that you’ve shared, thank you for all of your prayers and cards. Most of all Thank you Team Tarallo for all of your support!

Well this is it. I’m starting my second cycle of chemo today. Got the Dr. at 10:15 this morning, do some blood work and see what the results are. My Neutrophil levels were a bit low and my Platelets were also low which in turn I wasn’t able to fight off infection. I respect Team MGH’s decision not to up my chemo dosage because the results could have caused more harm than good. Maybe I’ll have better luck next cycle.

Everyone here raves about Dr. Hochberg and after being one of his patients I can understand why.

My second round with Rituximab went without a hitch. This time around I have the PICC in my left arm and for the next cycle I’ll have the PICC in my right arm again.

It is again a truly humbling experience sharing the same space with the other cancer patients here. Sometimes, just to witness the brute strength it takes to move a few feet at a time before a rest is needed brings a tear to my eye and puts strength in my heart.

I’ll be able to put my game plan to the test tomorrow. As for now I’m going to walk another mile and see Dr. Ativan and go to bed

Thursday, May 23, 2013

Days 18 – 21


Monday May 20th – Thursday May 23rd 2013

Sorry that I haven’t updated my blog as promised.

This is what has been going on over the past few days.

I went to work Monday and Tuesday. Everything was fine, couldn’t be better. I didn’t have any problems keeping up at work. I was able to keep moving, did a lot of walking during work and I was able to get a lot of my work done. I was on top of keeping my hands clean, I wore my face mask, wiped down most of the stuff in my office.

How I don’t know, but I got a sniffle and a cough going on. I think it might be from walking around without any hair on my head. Even though I was wearing my hat, it’s vented and my head was cold. I wasn’t going to take any chances and I worked from home on Wednesday, but the cough persisted and the sniffles started to turn in to a head cold so I worked from home on Thursday just to play it safe. 

I cleaned up around the house, sprayed Lysol around the entire house, wiped down everything that we touch, opened most of the windows to let the air flow through the house.

I go in for my 2nd cycle of Chemo tomorrow. My temperature is normal and I feel fine, just seems like I’m getting a cold or it’s the pollen. The doctor will decide if I can start my next Chemo regardless of how I feel about it.

My game plan for this cycle is to tackle the constipation issues. Everything that I’ve ate in the past two days has been soft. I’m on top of my stool softeners and laxatives and I’ve been drinking enough water. I plan to eat less and eat soft foods like pasta, hummus, veggie burgers so I don’t have to break down heavy solids like meats.

The sleep problem will be resolved by Dr. Ativan. The good Dr. will make sure that I go to sleep. I’ve got to walk a mile every couple of hours around the halls. 

I know that I’ll be strong through my 2nd cycle. I’ve come up with a good plan for this next round. Team MGH will be in my corner watching my back if anything should take a turn. I’ve learned a lot from my first round and I’m coming back wiser, stronger and ready to kick some ass.