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  • Ready…..Set….

    Posted by mmc on March 12, 2013 at 1:03 pm

    Yesterday was a buy getting ready day. Since I am working on getting into the study, there were a number of baseline tests we needed to do.

    Started the morning off with getting the access set hooked up to my port. That was easy enough. Since I was getting a CT later in the day they hooked up one with bigger tubes on it. Folks have told me about the EMLA numbing cream but if they all feel like it did yesterday, then I’m ok without. Not trying to be he man, it just wasn’t bad for me. This was in the cancer center lab. They also drew a couple tubes of blood and had me do a urine sample.

    Then it was over to the research center where they did an EKG (normal) As the day was going on I kept getting alerts on my MyHealth iPhone app that this, that, or the other test was completed so I could look at the results. They did a bunch of different tests on the blood and urine.

    Then over to radiology for my CT with drinking contrast as well as the in your veins, make you feel all warm contrast. The tech from nuclear medicine came and got me and injected the radioactive stuff for my bone scan. That needs two hours to be ready for the scan.

    Then back for my CT scan. The tech’s love the port. Seems like we ought to get these suckers installed at birth.

    Once finished with the CT, I had an hour wait before I could get the bone scan so I went to lunch and had a nice roast turkey dinner, with dressing, brussels sprouts, and carrots. The bone scan tech told me I could have whatever I wanted and they have great food at UCH.

    Then back for the bone scan. Twenty-four minutes for a full body scan and then to get my port access removed and head home. 10 am to 3:30 pm all in all. Busy day and even though we were not actually treating anything yet, I felt like something was being accomplished. I understand the need for baselines. Now, all my info is off to the study folks who will shove my data into their system and, if accepted, I will then have my info put into the randomized to see if I get the actual drug or if I get placebo.

    Then, the study people send all my chemo drugs to UCH so there is absolute consistency in the lots/batch of each drug for everyone around the country.

    Nothing until Friday now. Then it is off to the research department to start chemo.

    Mike


    Age 54
    10/31/06 dx CIS (TisG3) non-invasive (at 47)
    9/19/08 TURB/TUIP dx Invasive T2G3
    10/8/08 RC neobladder(at 49)
    2/15/13 T4G3N3M1 distant metastases(at 53)
    9/2013 finished chemo -cancer free again
    1/2014 ct scan results….distant mets
    2/2014 ct result…spread to liver, kidneys, and lymph system

    My opinions are my own and do not reflect the opinion of ABLCS or anyone else. I am not a doctor nor do I play one on TV.
    jimswife replied 12 years ago 6 Members · 8 Replies
  • 8 Replies
  • jimswife's avatar

    jimswife

    Member
    March 15, 2013 at 1:52 am

    Darned auto spell…”Bly people here…not NOT people here”.

  • jimswife's avatar

    jimswife

    Member
    March 15, 2013 at 1:51 am

    Mike, sounds a lot like Jim’s regime, minus Avastin/ placebo. Fingers, toes, eyes etc crossed you have the good results Jim did! Not people here can understand being eager to start chemo, it’s doing something I take the beast, the b**tard cancer BC! Prayers coming o you.

  • mmc's avatar

    mmc

    Member
    March 14, 2013 at 6:02 pm

    See? Isn’t this just a great place?!?!

    Thanks for the tons of great info Cynthia! Practical advice is welcome and appreciated!

    You too Ann. I read the story you linked to. Makes sense. Good story. I will keep that in mind.

    According to my docs, some chemo is harder than others and bladder cancer chemo is in the middle.
    We shall see….

    Seems weird but I know you folks will understand what I mean. I’m really looking forward to starting chemo tomorrow! How sick in the head does THAT sound? I can’t finish if I don’t start so the sooner I start, the sooner I finish! :woohoo:

    Hoping for weight loss but not too extreme and certainly not hoping to feel terrible to get there. I don’t want much, do I? ;)

    My chemo regimen includes the chemo drugs Cisplatin and Gemcitabine and either the placebo or Avastin on day one. For nausea, Emend for the first three days including day 1. It also includes Dexamethasone, and Zofran (both twice a day on day 2 through day 4) even if there is no nausea. This is followed by Zofran for days 5 through 7 only if I have nausea. Day 8 I get another dose of Gemcitabine and nothing else. Then day 9 Through 21 I take Zofran as needed. Then I start all over again. I will be getting 6 cycles with a CT scan after 3 or 4.

    Mike


    Age 54
    10/31/06 dx CIS (TisG3) non-invasive (at 47)
    9/19/08 TURB/TUIP dx Invasive T2G3
    10/8/08 RC neobladder(at 49)
    2/15/13 T4G3N3M1 distant metastases(at 53)
    9/2013 finished chemo -cancer free again
    1/2014 ct scan results….distant mets
    2/2014 ct result…spread to liver, kidneys, and lymph system

    My opinions are my own and do not reflect the opinion of ABLCS or anyone else. I am not a doctor nor do I play one on TV.
  • pemquid's avatar

    pemquid

    Member
    March 14, 2013 at 5:22 pm

    Mike–

    I’ve not been through chemo, but have been following the blog postings of a young woman with leukemia that are posted in the NY Times (“Life Interrupted”). She had a very interesting piece a while back about food, and mentions that associating certain foods with chemo makes them very unappealing. later(similar to what Cynthia wrote here about chicken and spinach). She therefore says she tries “not to mix nausea and my favorite foods — because I have found that it confuses not only the taste buds, but also the emotion and memory of eating itself.” http://well.blogs.nytimes.com/2012/12/13/life-interrupted-my-mothers-cooking/

    Wishing you the very best in your onward journey, hopefully back to full recovery.

    Ann


    Small TA Grade 1, May-06; recur (2 tiny), same, June-08; TURBTs both times. BCG begun July-08, dosage to 1/3rd May-10, completed treatment December-11. All clear since 2008.
  • cynthia's avatar

    cynthia

    Administrator
    March 14, 2013 at 2:07 am

    When you had your port put in I thought about posting with advise but realized that the only thing I had to add was make sure to not let them place it where your bra strap rubbed on it……….didn’t seem to be relevant so I skipped it.

    Knowing you there is little I can tell you about chemo but here goes my best advise after 20 times to infusion I have few tips.

    1. Never let your stomach get empty, if you do you will get sick every time. Always keep a pack of saltines and a juice box with you.

    2. If your nausea meds are not working talk to them about taking them proactively. I found starting before the nausea was the only way for me.

    3. If you have any symptom a snivel a slight change in anything no matter how insignificant talk to your medical team about it! This is the most important thing we can ever tell anyone doing chemo. Your immune system is going to take a beating and a small thing can become a big thing very quickly if not addressed. Park stoic at the door this is not about complaining it is about giving possible critical information.

    4. At some point for most of us chemo does affect our memory. I was so bad at one point that a friend threatened to pin a if lost return to note on my back. It came back fortunately no better than before but for a while invest in post a note stock.

    5. Don’t forget your need for extra protein your killing off cells and they need the right building blocks to rebuild. I craved chicken breast and spinach the whole way though chemo. I was just recently I could eat either again, chemo was over I turned green for years when I saw either.

    6. If they tell you that you will lost your hair go ahead and shave it about the time they tell you it should happen. Waiting is like water torture and upsetting when it finally happens. I lost mine twice and tried waiting the first and the second I just did it and it was much easier and neater.

    7. Like BCG the side effect can be cumulative, rest when you are tired eat even if you don’t want to, exercise when you can. Cut yourself some slack it is hard sometimes but the reality is that this is one time in life you have to put yourself first and take really good care of you.

    I wish I could tell you that the first day I walked in ready to kick cancer in the butt. But I can’t the first day I was really afraid, the second day I was ready to kick butt though.

    I will be down in Boston for my regular check up Friday but I expect to see a post from you telling us how it is going.

    You will be in my thoughts.


    Cynthia Kinsella
    T2 g3 CIS 8/04
    Clinical Trial
    Chemotherapy & Radiation 10/04-12/04
    Chemotherapy 3/05-5/05
    BCG 9/05-1-06
    RC w/umbilical Indiana pouch 5/06
    Left Nephrectomy 1/09
    President American Bladder Cancer Society
  • jmema's avatar

    jmema

    Member
    March 13, 2013 at 10:20 am

    Mike…you are right about the port. It is just so painless and easy. I was in a room yesterday with 4 other warriors and 3 of us had ports and I felt so sorry for the one lady who did not but she had great veins…which I do not.
    We are so lucky to have our cancer center here in our little corner of Northwest CT.and it’ only 20 miles from my house. They were private up until a few months ago and now have been bought by Smilow Cancer Center at Yale in New Haven and they have retained the entire staff so we are more than lucky.
    Second chemo down for this round and 1 to go next week. Feel a little warm, a little headache but no biggie, can’t sleep but no biggie.
    Only a few more days. Make sure you keep well hydrated before your chemo. It really helps.
    Blessings…..Jean

  • jimswife's avatar

    jimswife

    Member
    March 12, 2013 at 5:12 pm

    Mike, as always off and running and filled with good information. You are doing it, my friend and that’s the start of this. KNow that only my very best thoughts are with you always. The port sounds like a great idea.

  • gkline's avatar

    gkline

    Member
    March 12, 2013 at 4:28 pm

    Thanks for the update Mike

    I agree with you ….. The “doing” is much easier than the “Waiting to do”
    All in all, a good start

    George


    Light a man a fire and he is warm for an evening.
    Light a man ON fire and he’s warm forever.

    08/08/08…RC neo bladder
    09/09/09…New Hip
    =
    New Man! [/size]

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