Sunday, October 14, 2012

Peritoneal Cancer Journey Phase XIXI


Peritoneal Cancer Journey Phase XIXI
Wow, my 21st post…  Where does the time go, it certainly does not wait for anyone does it?
My next appointment is August 22nd, and I really feel the last month’s treatment…  It has been one thing after another.  Hopefully we will get some much welcome good news…  1st thing in the morning I had a comparison CAT scan without contrast.  That is very welcome as no Barium drink…  When I verified that I have an 8am appointment with the radiology company, they mistakenly said it was with contrast.  That participated a conversation that yeah, that’s not what I understood it to be, they went and checked, and phew my mind is not totally gone. <smile>  A comparison CAT Scan with NO Contrast…  yippee…  Oh the simple things in life make me happy <laughing>.  So bright and early we arrived for the CAT Scan without contrast...  Then pop over next door to see the Doctor and get an update to where I am… 
There is good news today, my CA-125 dropped to 3300…  Yeah…  My platelets are at 107,000, not as high as I would of liked, my Hemoglobin is 7.8 yes I could have guessed that.  Can feel when I am below 8 which is quite often on carbo…  The comparison CAT Scan shows the fluid in my abdomen resolving, BIG RELIEF, I’m thinking….  Overall VERY GOOD News…  My doctor is recommending we switch my regimen now, I agree...  He is recommending that I go to a weekly regimen on a Taxane drug given as a single agent.  He first said Taxol, which I quickly said; I don’t think so as I am allergic to that drug.  He looked at me and asked what was my reaction.  So I refreshed his memory my March, 2010 reaction with the Taxol being introduced 3 times.  With each introduction the reaction became more pronounced or severe, however you want to look at it.  He thought for a moment and said, we introduced the drug 3 times, I said yep, and then we went with Taxotere…  He said it would be Taxotere then.  The nurse asked about Abraxane.  The Doctor asked about if there were any studies of its use as a single agent.  Donna was not sure.  Lynn’s niece Jess mentioned Abraxane as it is similar to Taxol, except instead of being in a fat base solution it is in one that the body more readily accepts.  The cancer cells supposedly interprets what covers this agent as a sugar and the thought is, because the cancer cell thinks it’s a sugar it absorbs it easier and once absorb it kills the cell.  Interesting approach…  For me we do believe my reaction to Taxol is the liquid it is mixed with, which is the main reason for the reaction, not the drug itself.  I am able to take Taxotere fine…  So my one infusion nurse said they will be investigating Abraxane over the next week.  On Wednesday I will start the weekly chemo regimen on Taxotere.  My doctor seems to want to keep me on some type of combo with a platin drug.  We all talked about it.  I feel and said to my doctor that my body needs a break from the platin drugs.  They are taking their toll, especially the Carbo on my red cells…  My red cells need to come back, I am getting blood transfusions very regularly now and I would feel better if my morrow were generating enough by itself.  The downside to the Taxane family of drugs is I will lose my hair again.  It’s not terrible, it is hard seeing your hair fall out.  I am so attached to it <smile>.  This too shall pass…  Well I guess I will be back to the head wraps and I can get that Henna done on my bald head, that will be different and I think fun, since there is not choice here, I shall make the best of it…  A close friend sent an article about an artist in Toronto who does natural hennas on bald cancer patient’s heads.  It looks really cool and I thought what fun…  So the decision is reached that I will be on a single agent for now and we will monitor how it is going.  We can always change if things indicate it…  When we were talking with my sisters about the henna my one sister said you can get a henna done for the Christmas Holidays, well that resulted in quite the laughter in that I envisioned Santa and his slay with Reindeers flying around my bald head, now that is a vision…  <laughing>
Before my new regimen begins I need another blood transfusion as my numbers are still on the low side.  So I will go have that done on Friday.  I will stop at the hospital on my way home to be cross and typed…  I am very happy to be getting a break from Carboplatin.  My blood needs a break and opportunity to regenerate a bit by itself.  So Friday morning I arrive for my transfusion.  I had a hard time finding the clinic for my blood transfusion.  This is the first time I am at the new center at a different hospital.  The drive was not bad, all thruway.  But the directions to the center were confusion and it took me a bit to find it.  When I finally arrived I was a few minutes late, that wasn’t too bad.  I recognized quite a few faces today; many were there when I had my last transfusion.  The new space seems nice, though the reception area is cut off from where we sit so there is not much activity to watch.  I sleep after they give me a Benadryl anyway so the only thing I see are the inside of my eye lids...  The nurse commented we only give you a pill, you much be a light weight…  <laughing> I am when it comes to drugs…  Doesn’t take much to knock me out…  When I awoke it is lunchtime.  My transfusion is moving right along, just like they usually do so I will be done by 1:30ish that’s cool.  When one of the other patients was leaving they were commenting how when their hemoglobin drops into the 8’s they really need a transfusion and feel so much better after it.  I was chuckling to myself because if I am above 8, I generally don’t get transfused, I feel okay.   I’m thinking I’m hoping to be in the 8’s after this transfusion…  <smiling>
Well Wednesday is here and I am ready to begin my new regimen…  It will only take about 1 and ½ to 2 hours total for the transfusion, so I am thinking I will be able to go to work after this…  That will help pass the time…  The infusion of Taxotere is uneventful, as always there is chit chatting with other patients…  One woman asked if I would lose my hair, I smiled and said yes I will.  Second time around, she looked really sad for me, I smiled again and said this time I am going to get a henna tattoo on my bald head to have something different and fun to do…  That there is an artist in Toronto that will do this with a natural henna so when I am bald we will schedule a trip to Toronto to have it done, catch a show and what not…   That will be fun…  My blood counts are really good…  Hopefully they will stay good during this regimen and my CA-125 will drop regularly, that would be very welcomed…