My mind is blasted. It started at the VA Hospital today, at my late afternoon appointment with the oncology department. I did not expect this to happen, and I wish now I’d taken notes because I just can’t seem to sort anything out of what I was told.
I’d like to go into what specific chemotherapy drugs I’ll likely receive. Didn’t write any of them down. I do know one is a steroid, though.
I’d like to write about how long I’ll be in chemotherapy. I can’t, though, because I didn’t write that down, either. I do know it’ll be anywhere from four months to at least eight.
I do know I’ll likely be going for chemo about once a month. It’s tentative, but that’s what the head oncologist plans for me. This, I must say, is a relief to hear, and I rather hope it comes true. I’d far rather make one monthly visit for several months rather than two or three visits a month for a shorter period of time. Especially after what I heard about some of the side effects of the chemo medications. He’s going to call someone at the Huntsman Cancer Institute to discuss his plans and see what they say, and I’m glad he’s getting a second opinion. General consensus from the people I spoke with today, including the head oncologist, is that since it looks like all the cancer was removed, they don’t need to do a major attack with the chemo stuff. From what I understand, this is simple follow-up to make sure nothing which may have been left behind survives. My prognosis for surviving this cancer is very good.
I do remember a little about the side effects of the chemo. I’m definitely going to lose all my hair. My eybrows. My eyelashes. I was so far behind on what they were telling me by the time the woman who spoke longest with us got to this part of the side effects that the only question I thought to ask was, “Will my eyelashes grow back?” This makes me laugh now, but I was very concerned about it at the time. As much as it annoys me that my eyelashes brush on my glasses lenses, which then require cleaning, I just could not imagine not having eyelashes.
Oddly, the woman we spoke with longest (who was neither of the two I met last time), told us (Mom was with me) her own mother had recently gone through breast cancer. She said each individual’s reaction to chemo is different, so while she could tell me what most people went through, she said things might not be on the same timeline as theirs, if it happened at all for me. For instance, her mother lost her hair early on, but not her eyelashes or brows until near the end. I might have one chemo treatment and have everything fall out before the next time I go in. She was also able to verify the differences Dr. Savarise told us about—that the energy-sapping effects of chemo may be different for different people—and that I should expect to be tired around ten days following treatments. She said this is because my white blood cell count will drop, and that I should stay at home if at all possible on the tenth day and on days preceding and following it, to ensure I don’t come down with a more mundane illness on top of everything else.
She was also able to tell me that I would most likely experience at least nausea. Vomiting is possible, but she said it’s not as common any more. They include three anti-nausea/vomiting drugs in the chemo treatment (one for short-term prevention of nausea/vomiting, the others for long-term prevention), and I’ll also receive prescriptions for more anti-nausea medications to take at home. She told me it was best that if I woke up the next day with a feeling of nausea I need to take the anti-nausea medication ASAP, to prevent the nausea getting worse, because it’s a matter of staying ahead of it. In addition to the nausea and possible vomiting, I may also experience a lack of taste or food may develop an odd or metallic taste for the day or so following the treatments, but those are temporary.
Basic advice was to try to keep my life as “normal” as possible while undergoing chemo treatments. This means I’m to continue rising at a regular time each day and performing my daily habits. I’m to go grocery shopping (though preferably not around the tenth day after treatments), and I should likely stay home on any square dance night which falls around the tenth day of treatments, to ensure I don’t get ill. However, every other Tuesday of the month, I’m to continue dancing as usual, because keeping spirits up is important.
I’m surprised I remember so much. Anyway, I’ll be getting all this again before treatment, in writing as well as in another discussion.
Next step toward chemo treatment is having a heart test done. Either EKG or the other test (which I’ve forgotten the name of) which was called by a different name. They need this as a baseline because the chemo can affect my heart. I’m to call the hospital tomorrow for my heart-test appointment, and, today, I also had a blood test done, for a baseline reading of everything, which passed.
I hope things go well.