Hello Dan,
Great to hear that you are on your last leg of your chemo.
I am starting round two tomorrow and also have the combo Gemz/Cispl.
I know for sure that your oncologist is keeping a good eye on your blood work which is taken before each chemo. If your levels are too low then your chemo will be delayed or rounded up.
A side effect of the Cispl is kidney damage in some patients that is why they flush us so much after this has been administered to minimize the damage.
Next time you speak to your oncologist or chemo nurse just mention your worries to them and they can check your kidney functions and reassure you.
The side effects I have presently are few but I do relate to the saw tongue
All the very best to you for your RC on the 13th!!
Take care.
Leigh