Everything Fred – Part 147

31 October 2023

Happy Halloween! Tonight I cut off my porch lights and hide away in the house so as to not attract Trick or Treaters. It usually works. For years I would buy candy and since I didn’t decorate the yard, no one would stop by. One year after I started hiding away, people kept knocking on the door. When I don’t buy candy they come, when I do buy candy they don’t. I finally chose not to participate.

Halloween has always been my bane. For years, I came down with tonsillitis and couldn’t go trick or treating. Then when I did go, the costumes were ill fitting and uncomfortable and the eye holes in the mask never matched my face. Later when I learned to enjoy it, the churches in town decided collecting pennies or dimes for some charity was more important than candy. It’s a no win celebration for me.

Night sweats are new. Night before last I woke up with dampness on the fitted sheet and pillows. It wasn’t bad enough to do anything so I flipped the pillows and went back to sleep. Last night it got so bad I put a towel down on top of the fitted sheet. I’ll change them this morning. I sometimes get night sweats around the nape of my neck but this is a first for me – my back and nape and soaking the bed.

Of course, I was wide awake at 3 am this morning. I read a little and finally got out of bed close to 5 am. Nap time this afternoon!


So, what do you think? It’s my new kaftan. Recently, I was reading a story about a woman in a mumu. Later, I read another story about a man wearing a kaftan. Tomato, toemahtoe. I decided to see what the kaftan was all about. I ordered from Linenbee, run by a mother/daughter team in Latvia. The price was OK and the selection was pretty varied. They ask for measurements and make it custom for you in the chest, hips, and height. As you can tell by the name, it’s made of linen. The weave is pretty tight so it’s not as breathable as tropic weave linen but it’s perfect for watching television when the A/C feels too cold and when South Florida winter arrives. I looked for a more colorful pattern but didn’t see anything I liked so I went with dull gray.

Depending on how the day develops and how I feel, tomorrow night I’ll go to dinner with friends at the Secret Garden. Hopefully, weather will cooperate and we’ll sit outside by the intercostal. I’ll probably know by noon whether or not I’m up to it. I still stagger a good bit because of the numbness in toes and soles of my feet. I’m a little better on stamina. We’ll see.

Tomorrow is All Saints Day and I turn 75. This year I had my doubts. Unless something drastic happens tonight, I’ll have made it. I’ve always suspected I was born on Halloween (see above – trick or treating) and my parents bribed the hospital staff at St. Joseph’s in Meridian, MS to write the birth on the birth certificate as early morning, November 1. If that is the case, I’ve already reached the ripe old age of 75. Now about 76….

Stay tuned!

Everything Fred – Part 146

30 October 2023

I maybe overdid it yesterday by a tad. I got out of bed around 6 this morning and by the time I finished a bowl of cereal and a cup of coffee, I was reeling. My blood pressure was 81/56 and I was so dizzy, I had to go back to bed for a while. I slept until 8:45. I feel OK, just a little lightheaded. I retook my blood pressure first thing and it had climbed out of the abyss and was 112/75. However, I plan to take it easy today just in case.

If you are wondering, the Chile rellenos casserole was pretty good. I don’t think I’ll keep the recipe but it was good for a couple of meals. I’ll set aside some to freeze in case I get the taste for it again.

Fall is in the air. You can tell because when you step outside the house, you don’t melt. Our lows are in the low 70’s and the highs are in the mid 80’s with the humidity below 80%. Practically sweater weather. We’re entering that part of the calendar where South Florida has the highest temperatures in the nation. It’s also why wintering in South Florida is a booming enterprise. I suspect our population increases by 30% during winter months from snow birds moving down. It’s also that time of year to never get behind someone on the roadway that has a Quebec license plate on their vehicle.

As you might guess, I discovered another problem yesterday. I didn’t hear the generator test at the usual time. I got occupied with the laundry but when I did check the generator, a low battery light was flashing. The generator has more than paid for itself in convenience when lights go out during hurricane season and even the short term outages due to smaller storms, but it does take some upkeep.

I used one company for years and had problems with their servicing. I think they eventually went out of business. These days I use Don Hillman, Inc. to service the generator twice a year. I left a message over the weekend for someone to come service the battery. It is either low on fluid or I need a new battery. If I were 100%, I would take the top off the generator and check but I’m just not up to it. If it was low water levels, I could handle that but I don’t have the strength or energy to lift the top off the generator just yet and certainly not to change batteries.

As I wrote previously, we’re in the dry season. That means I need to add water to the pool. It got lower this week than I thought and I spent a good bit of the evening adding water. My water bill will spike over the next few months because of evaporation.

When I worked for the Bureau of Land Management in Miles City, Montana, part of the organization was heavily involved in approval/disapproval of ponds/lakes to be added to property. There was a complicated formula based on the proposed depth, area, location and evaporation rate. People would often spend a huge amount on a pond for their land and later learn to their regret the evaporation rate was so high, the pond would never fill up and would often dry up. Unscrupulous companies would say yes, it’ll work, take their money, build the pond and walk away. The Bureau was good at telling people what they didn’t want to know – their pond idea wasn’t going to work because of evaporation rates.

At certain times of the year, you can watch my pool loose up to 1/4 inch a day due to evaporation. In our case, it’s mostly wind that’s the big problem, not necessarily the heat and sun’s rays.

Just checked with the generator company. They’ll send someone out as soon as they can (no guess as to when). Apparently, either they didn’t send or I didn’t receive a renewal notice for my contract with them. That’s why they didn’t call me back. Looks like the week is starting out expensive.

Stay tuned!

Everything Fred – Part 145

29 October 2023

Yesterday was a good day. I washed clothes, cleaned at the house, got a surprise birthday gift from Jimmie and Stephen, a phone call from my cousin Jo, and a free meal from Holley and Jim. Oh yeah, I also felt pretty good.

Jimmie and Stephen sent two canisters of King Leo soft peppermint sticks (a childhood thing of ours) and I got Jo’s birthday card. It’s usually either early or late. She called to tell me I opened it too soon, but with today’s postal service, timing anything is pretty much impossible, mail wise.

Later, I got a text from Jim that he and Holley would be bringing me over chicken for dinner and what did I want for sides? The choice was collards or salad and I said either was OK. He then told me they were out of collards at Publix and he took the canned collards to his mother-in-law in Orlando. I wisely chose salad. When they arrived, I had a great tasting chicken breast, a Caesar salad, raspberry pastries, a banana and a new dish cloth. Talk about service! I thought they were going to bring me something from a restaurant but Jim cooked the chicken.

To make the day better, both FSU and Ole Miss won their games going away.

This morning I checked out the sprinklers. There are about five heads that need cleaning out. Chris is going to walk over later this morning and give me a hand. I’ve already done two (and it was exhausting) but by the time she gets here, I’ll be rested and ready to go again. Small, baby steps. Work a little and rest a little.

When doing laundry yesterday, I noticed that most of my tee shirts were either getting religious (holy) or stained. I also noticed my briefs were getting briefer. The briefs have lasted a lot longer than the tees. It was time to replace them. I ordered them yesterday on Amazon and at 5:45 am this morning, someone was delivering two packages to my door. They are now in the wash. I always wash new clothes because I can’t stand the sizing agent on my skin.

The next project was to remove a splinter from my left lower arm. It got lodged when I did the trim of the Heliconias. You can never escape the bougainvillea growing next to one patch and the thorn got lodged under the skin. I’m an old hand at splinter removal. Mother taught me well.

I wipe down the area with alcohol, sterilize the needle with a flame, then cool the needle in alcohol, pick away, re-sterilize where the splinter came out and then bandage it. With all the chemo, I didn’t want to chance it getting infected.

Chris came over a little after 9:30 and we worked on the sprinklers. Or she did and I sat down and rested. It’s amazing how little stamina I have. Working together, we got all the sprinkler heads sprinkling. Maybe I won’t have a brown yard after all.

While waiting for the briefs and tees to dry, I was watching reruns of Home Town. It’s based out of Laurel, Mississippi where the husband Ben is the carpenter/woodworker/construction guy and the wife Erin is the designer. Both are Ole Miss graduates. It’s one of the better home improvement shows and it has a Mississippi tie.

In the rerun, one of their parents had to make a trip to Jackson and they stopped in at Primo’s, one of the more famous and longest serving restaurants in the state. They brought back gingerbread men for Ben. His parents always brought him gingerbread men from Primo’s. My grandmother Ruby used to take me to the one on State Street and she would often buy me a gingerbread man after our meal so I could take it home for later. The State Street restaurant is no longer there but they still sell gingerbread men at the other venues!

I took a stab at the Chiles Relleno Casserole today. It was a lot of prep. I could not find the poblano peppers in the can and had to use fresh poblanos which meant roasting them in the oven, steaming them and peeling the skin, then deseeding. It was a process. Otherwise, it went smoothly. Here’s what the final version looks like.


If it is any good, I’ll freeze what I don’t eat tonight or tomorrow. Hopefully, I didn’t waste a lot of time on something that will not taste good to me. Lately, that’s been a fifty-fifty proposition.

From my earlier work with the sprinklers, to washing, drying and folding new underwear, to Chris and I working on the rest of the sprinklers to the effort of cooking, I’m beat. The great thing is I don’t feel terrible, actually, I feel pretty good. I just have to sit down and rest periodically. Not so terrible, I guess.

Stay tuned!

Everything Fred – Part 144

28 October 2023

I’ll admit to feeling moderately better than I did yesterday. I did get some sleep last night after taking a Temazepam. Usually that doesn’t help but it did last night.

Today is wash day and house clean day. House cleaning has taken on a whole new rhythm: strip bed, rest, blow nose; make bed, rest, blow nose; empty garbage, rest, blow nose; shake out rugs, rest, blow nose; vacuum, rest, blow nose; mop, rest, blow nose; clean toilet and basin, rest, blow nose; mop bathroom, rest, blow nose….

My energy level is pretty low. On Tuesday, when I met with Dr. Velez, I provided him a list of side effects I’ve been experiencing since the Taxol treatments. Here it is:

  • bloody nose (every morning)
  • runny nose all day long
  • petechiae
  • joint aches
  • vertigo
  • peripheral neuropathy
  • lack of energy
  • diarrhea/constipation
  • black stool
  • low white blood cell count
  • low libido
  • diziness
  • shortness of breath
  • bloating
  • taste bud damage

I asked which of these would abate after Taxol treatment. His reply was approximately 90%. I failed to ask the most important question: “Which will not abate.”

The more I read about peripheral neuropathy, the more I see that it may never abate. They don’t say it won’t, they just don’t say it will, either. That scares me. As it is, I have no balance because of the effect on my toes and I am constantly bumping into things in the house or almost falling.

I did get most of my house cleaning list done. Of course, when I went to turn on one of the bedside lamps, it didn’t come on. I figured the bulb was burned out or it was somehow unplugged. I hoped for the burnout. Not the case. I had to move the bed out from the wall, vacuum dust bunnies, and plug the lamp back in. Rest, blow nose, repeat.

I’m pouring liquids down as much as I can. Not sure that’s an effective way to combat dehydration in my particular case but I’m giving it the old college try.

Sometime this week I need to tackle the sprinkler system. It’s been off for about 4 months and I’m sure some of the sprinkler heads are clogged, although how, I don’t know. How can you clog something that is not used? We are in the dry season of South Florida so I need to get that back up and running or just accept a brown yard.

The Washington Post had an article on the 30 most loved recipes over the years. I printed out a few and thought I’d give them a try. The first that caught my eye was Mustard-Parmesan Chicken. Here are the other ones I’m going to attempt: Cheesy Chicken Enchiladas, Pillowy Pull-Apart Dinner Rolls, Simply Perfect Pot of Beans, and Chile Relleno Casserole.

Stay tuned!

Cancer Update – Part 81

27 October 2023

I seemed to have gotten plenty of sleep last night but for some reason my Apple Watch didn’t record anything. I do remember a few dreams but I also remember going to the bathroom a lot.

I figured since I felt good yesterday (I did trim the Heliconia) I would feel even better today but it was not to be. I was lethargic all day, woozy, and weak. Even so, I did managed to clean the pool filter and wash down the pool and patio deck. Then I went back to bed. I had little appetite but did snack on something before the hydration infusion.

Somewhere in all this, Michael texted me a photo of a plant requesting an identification. Everyone who knows me knows of my botanical background. What they don’t know is I have no idea about horticulture. In any case, I have a secret weapon. There are two plant apps out there that if you take a photo of the plant, they will attempt an identification. They are fairly accurate.

More accurate is the new iPhone camera and app. If you take a photo of a plant with the iPhone, the new iOS will attempt to identify the plant. I find it very accurate – probably not 70-80% correct on identifications. However, the photo Michael sent was taken from a distance. When I downloaded the image and enlarged it, what looked like flower buds eventually showed some of the flowers in full bloom.

I took a photo of the enlarged image showing the blooms and the iPhone properly identified it. Now the secret to my success is out – I cheat.

The trick is to know when the identification is wrong and find the correct one.

Joel arrived early to take me to the cancer institute so we made a trip to CVS to pick up a prescription first. Then it was on to the center and they took me back at exactly 2:15 – my scheduled time. I have Casey as my nurse again and I really like her. She’s very personable. I’ve already started the saline and magnesium infusions. It’ll be two or three hours before I’m finished. That means Joel will be taking me home during rush hour.

The CBC with Auto Differential came back as usual with normal white blood cells, low red blood cells, hematocrit and hemoglobin. The Complete Metabolic Panel came back normal except for high glucose (non-fasting). Apparently my liver enzymes have all returned to normal. No so, my magnesium, although it is better today than Wednesday. On Wednesday, it was 1.2 and today it was 1.6 – still low but better.

I assume it’ll be a sleepless night. I don’t sleep well the nights of infusions. Presently, I have hydration infusions scheduled every Friday until January and Herceptin infusions every three weeks until January (but that will continue probably until August of 2024).

Stay tuned!

Everything Fred – Part 143

26 October 2023

My friends keep a close check on me. The other day, Judith and Chris asked if they could stop by and deliver some flan to satisfy my sweet taste buds since I seem to have lost salt, sour, and bitter. I think I have the umami but not in a good way. When they arrived with the flan, Chris had put together a beautiful bouquet of flowers from his yard.


The beautiful red flowers are Caesalpinia pulcherrima, sometimes called peacock flower, red bird of paradise, or pride of Barbados. It’s a member of the bean family. The blue/purple flowers are Chromolaena odorata, sometimes called Jack-in-the-Box, Christmas bush, and devil weed. It’s a member of the aster family. Chris has a green thumb and can grow pretty much any native plant in his yard. The arrangement was spectacular!

I admit to feeling better today. That’s even with very little sleep. It seems not only does a saline infusion make me feel better but it keeps me wired all during the night.


That’s even after I took a souped up Xanax called Temazepan.

Even with the lack of sleep, I feel 100% better than yesterday. I may even try to do a little yard work sometime today – between naps. I need to trim the Heliconia again and it’s time to turn the sprinkler system back on since we’ve officially entered the dry period of the year. Of course, that means re-working the sprinkler heads to get rid of clogs.

As I got up this morning, I looked at my bedside table/chest of drawers and was overwhelmed by the number of medications on the top. I decided to group all the medications together and get a real idea of what I’ve been taking over this period of cancer. Understand that all these medications have nothing to do with the cancer treatment I receive. These are medications to relieve the side effects of the cancer treatments. Check it out below.

MedicationDosagePurpose
Jardiance10mg 1xLowers A1c, combats heart disease due to Herceptin infusion
Claritin10 mg 1xHoly Cross recommends to prevent bone and joint pain when receiving white blood cell booster injections
Allegra180 mg 1xOriginally to combat itching prior to surgery but I use it when Claritin doesn’t work
Tramadol 50 mg 1xNarcotic for pain
Cyclobenzaprine5 mg 1xSkeletal muscle relaxant – I have mini-muscle spasms all through the night
Temazepan15 mg 1xA stronger version of Xanax – used as a sleeping aid in my case
Prednisone5 mg 2xTo wean me off the steroid Dexamethasone
Dexamethasone4 mg 1xHelps counteract the effects of Taxol and Herceptin. I took a dose the night before an infusion and received a dose during the infusion
Alprozoam0.5 mg 1xBasically, Xanax to reduce anxiety – not that I have any
Ondansetron8 mg 1xTo prevent nausea from chemotherapy
Cephalexin500 mg 1xAntibiotic prescribed during all the surgeries
Prochorperazine10 mg 1xAnti-psychotic and anti-nausea drug
Budesonide3 mg 1xDecreases inflammation in digestion tract. This was for all the effects of diarrhea
Loperamide2 mg 4XPrescription Imodium-AD for diarrhea
alpha lipoic acid600 mg 1xTo treat numbness in toes and fingers
Gabapentin100 mg 1xAnti-convulsant to decrease seizures
Diphenoxylate Atropine2.5 mg 4xPrescription Lomotil for diarrhea

That’s 17 drugs and doesn’t include the Pepsid and Zofram and Benadryl they injected during the infusions. It also doesn’t include the urinary ketone test strips required when I take Jardiance. What sticks in my mind is the old scientific law “for every action, there’s an opposite and equal reaction.” How much of what I’m going through is the Taxol/Herceptin treatment and how much is affected by the medications to treat the side effects?

On the 23rd of October blog I put a time line of diagnosis, surgeries, treatments to help me keep things straight. Holy Cross has now provided me additional dates into January for treatments. Here’s the breakdown in case you are curious.

DateTreatment/Visit
October 27 2023Hydration infusion
November 3Hydration infusion
November 7Herceptin infusion
November 8Dr. Fingado for arthritis in hands
November 10Hydration infusion
November 17Hydration infusion
November 28Herceptin infusion
November 29Acupuncture with Dr. Sear/Dr. Dunhill Wellness check
December 1Hydration infusion
December 8Hydration infusion
December 15Hydration infusion
December 18Dr. Burgers post-op visit
December 19Herceptin infusion
December 22Hydration infusion
December 29Hydration infusion
January 5, 2024Hydration infusion
January 9Herceptin infusion
January 12Hydration infusion
January 29Dr. Tepper Cardiologist

Somewhere in here I’ll have another echocardiogram or MUGA scan – probably in January.

Forgive any typos. With the numbness in my fingers, I can’t feel the little bumps on the “F” and “J” keys to find the home keys and sometimes when I type, I’m on the wrong letter.

Stay tuned!

Cancer Update – Part 80

25 October 2023

Today started worse than yesterday. I was weaker, more tired, and simply felt worse. Fortunately, they scheduled me for a hydration today at 11 am. Joel was going to pick me up at 10:15 but he actually arrived before 10. He needed to be somewhere later so I suggested we go ahead. We made it to the cancer center by 10:15 am. I figured I would have a 45 minute wait but the Tootsie Rolls paid off – they took me in almost immediately.

Nancy is my first time nurse and technology confuses her. She couldn’t print the labels for the blood draw and had to have someone do it for her. Every time she has to regulate the pumping device, it baffles her. She started me on saline with phosphate (unbeknownst to me) and when the blood results came back, she realized the phosphate of my blood was normal so she unhooked me from the saline/phosphate drip and hooked me up to pure saline which means we wasted about 20 minutes of drip time. Also, unlike one nurse, she didn’t drag the IV tubing across the floor! As it is, it’ll take two hours from now which puts me out of here around 2 or 2:30 pm. At least Joel will have time to take care of his errands before he picks me up.

Mia, the dietician stopped by and in discussion with her, I brought up acupuncture which Dr. Velez recommended. She’s a big advocate and provided me a list of Acupuncture/Massages services provided by Holy Cross. I didn’t tell her that Dr. Velez recommended a person at Hollywood Memorial.

I’m not sure insurance will cover acupuncture but the prices Holy Cross quotes on their information sheet are reasonable. For staff evaluation and first treatment they charge $155. Additional treatments are $95 for 60 minutes and $65 for 30 minutes. That’s doable. I plan to contact the one at Hollywood first and check with her on her rates and see if Medicare covers any of it and then, if I don’t go with her, I’ll do the Holy Cross one.

Dr. Velez briefly stopped by and asked how I was doing. When I told him worse than yesterday, he said this would be the last week I would be this way. I asked about keeping the already scheduled hydration on Friday, he said yes, the more the better.

My blood tests came back as usual but my magnesium levels were 1.2, the lowest they’ve ever been so I’ll get the full 2 grams today, as usual.


Stay tuned!

Cancer Update – Part 79

24 October 2023

Joel picked me up around 8:40 am and we avoided I-95 and made it to the Cancer Center around 9:15. They called me back to Dr. Velez’ examination room around 9:35 which was a few minutes early for the appointment. After all the vitals were out of the way, Dr. Velez showed up around 10:00 am with his nurse Danielle. I introduced Joel and the questions began.

I told him upfront that if I knew then what I know now, I would never have started chemotherapy. The last week has been one of the worst I’ve ever experienced. He was a little taken aback by that and immediately looked to see if I was dehydrated. He pinched the skin on the outside part of my hand and indeed it did stay pinched for a while – a sure sign of dehydration. I was a little surprised at that since I’ve been pumping Gatorade, Enterade, and coconut water like crazy. Of course, I’ve also been peeing like a race horse.

They decided to not wait until Friday for the next hydration infusion but to schedule me for tomorrow. Someone from scheduling will call me about the time tomorrow and Joel has already volunteered to drop me off and pick me up.

One of the first questions I asked was about the Dana-Farber protocol that required 12 infusions of Taxol. He said he understood but that the first infusion I had on June 5 with four drugs was taken into account. I have 13 more sessions of Herceptin scheduled every three weeks apart.

As to the question of further cancer screening, he said there were two screenings he could do. The first screening is covered by my insurance and tests for circulating tumor DNA for the cancer that was removed. That will be done tomorrow after the hydration infusion – a simple blood test. The test is put out by a company called Natera and the test is called Signatera. That will be done every 5-6 weeks. They will be looking for a 0.00 reading for circulating tumor DNA for my HER2 high risk cancer.

After completing my 13 sessions of Herceptin, I’ll be checking in with Dr. Velez every 6 months – probably for life.

In about a year’s time, they can do what is called a Galleri test put out by the GRAIL company which is not covered by insurance and runs $800-900 per test. It assays for 42 different cancers. I plan to take advantage of that test as well.

MUGA/ecocardiogram scans will be every 3 months. He has no issue with Jardiance from the endocrinologist and I asked if Dr. Jellinger could consult with him. He said yes, I had his phone number and Dr. Jellinger could call him anytime.

As to my sleep problems, he said Xanax is good for a few hours of sleep but that Temazepam was a better choice. It comes in 5mg, 15mg, and 30mg capsules and he recommended the 15mg. It will last longer than Xanax as a sleeping aid.

He was a big advocate of my starting massages again. When I asked about what to do on the left arm where the lymph nodes were removed and they no longer will take blood pressure on that arm nor allow injections, he said to tell the therapist to massage upward from the wrist to the upper arm, not downward. Otherwise it would be fine.

He looked over my list of symptoms from the Taxol treatment and said he was confident that 90% of them would go away or be abated to a significant degree. The $64,000 question was about the peripheral neuropathy. He hedged and said some people fully recover, some have residual neuropathy forever. He did recommend the simplest medicinal treatment first – 600 mg of alpha lipoic acid, sold at any vitamin store. When Joel and I left, we stopped at The Vitamin Shoppe (on the way back home) and they had it on sale from $47 for 120 capsules to $20. Perfect timing!

He said there were various other medicines we could try if alpha lipoic acid didn’t work but to try that first. He also asked if I was opposed to acupuncture. I told him I’d try anything to get rid of the numbness and pain. He recommended an individual associated with Hollywood Memorial where I have access. I’ll give the medicine a try first and then maybe schedule the acupuncturist.

I also talked about Dr. Fingado and getting steroid injections in my hand. He agreed that was OK.

As it is, I’m waiting for someone from Holy Cross to call to schedule my hydration therapy for tomorrow.

Joel drove me to Walgreens and I picked up the Temazepam (the pharmacist filled it right there) and the urinary ketone strips. It seems that when taking Jardiance, you may build up ketone levels in your blood stream. I now have to pee on a strip and match it to a chart to see if I’m accumulating ketones. If so, I have to let the endocrinologist know.

Dr. Velez promised me I would start to feel much better within a week’s time. I told him I would hold him to that and if not I would come looking for him with friends from East St. Louis and pay him an unannounced visit. I’m not sure he thought I was joking.

I now need to call Dr. Fingado’s office and schedule injections into my hands to alleviate the arthritic pain that keeps me awake at night. I’m getting tired of wearing gloves to bed to give me some warmth and pressure on my hands.

Stay tuned!

Cancer Update – Part 78

23 October 2023

A ton of bricks. That’s what it feels like has fallen on me. I would never have thought I would feel this badly six days after the last Taxol treatment. Any sleep I got last night was interrupted by bathroom breaks and increasingly achy arthritis in my hands. I’ve had arthritis in my joints in the hand for a few years now but never where both hands completely ached. I found a tube of Diclofenac gel 3% which is the strongest prescription form you can get and it helps for a few hours after application but that wears off too soon.

I called Joel this morning and canceled the ophthalmologist appointment trip. He was up early any way and I got to him at 6:30 am. Later, I called the doctor’s office and explained. I fully expected them to charge me a minimal fee for canceling on the day of the appointment but they didn’t say a thing and simply rescheduled me for November.

Next up was to cancel my wellness assessment. I had managed to schedule it the same day as a hydration infusion within 30 minutes of each other. Again, that was easily accomplished and the wellness visit is now also in November.

Because of the arthritis in my hands, because of them weaning me off steroids from the infusions, and because I’m at a loss of what to do, I called the doctor I use for arthritis injections of steroids, Dr. Fingado. His office is supposed to call me back today. Hopefully he’ll have some solution to my arthritis problem. I just can’t get any good sleep at night with the arthritis.

Additionally, when Dr. Jellinger, the endocrinologist, prescribed Jardiance, neither he nor I discussed me coming off Metformin, the drug I use to control diabetes. I left a message with his nurse Farah to get back to me.

This is getting complicated. I can’t imagine scheduling all of these things without my cell phone which transfers all dates to my computer at home, my iPad and Apple Watch. It’s too confusing.

I’m totally unsteady on my feet. The vertigo is worse but I can handle that but I constantly grab onto things to keep from falling around the house. When I take a shower, I never let go of the grab bars – the best thing I ever did was getting those installed.

My feet and hands feel cold. I guess that’s the numbness. I can’t tell if the numbness has abated or not. Sometimes it seems like it is getting better and other times it seems the same. At least it’s not getting any worse.

Joel has agreed to pick me up tomorrow around 8:45 am for my 9:15 appearance at Dr. Velez’ office. As I’ve mentioned, I have a whole list of questions for him. Let me know if you think of any others!

  1. How will the Herceptin affect me. I’ve been told fatigue is the biggest problem. Does the fatigue last a few days or the entire 3 weeks?
  2. Since the mastectomy, I cannot have blood pressure taken on that arm, nor blood drawn. I want to start my monthly massages again. What do I tell the massage therapist?
  3. How often will I get echocardiograms/MUGA scans?
  4. When will he start screening me for other cancers? There’s a blood test for many cancers and Dr. Burgers told me that Dr. Velez was a big believer in that.
  5. I still have problems sleeping. Should I take Xanax for that or is there a better sleep aid product?
  6. How will the possibility of adrenal withdrawl symptoms mentioned by Dr. Jellinger affect what Dr. Velez does?
  7. How can I get Dr. Jellinger and Dr. Velez to communicate on my treatments since they work for different facilities?
  8. Does Jardiance have any interfering effects with Herceptin?
  9. Exactly how many Herceptin infusions will I have. It’s always stated “to fill out a year.” My first Herceptin was June 5th. Since then, I’ve had three additional ones. Divide 3 into 52 and you get 17. Subtract 4 and you get 13 additional infusions. Is that his calculation? Does my infusion stop in June or August when they restarted?
  10. Prior to Taxol infusion, they gave me a precocktail of Pepsid, Dexamethasone, Benadryl and Zofran. They will no longer give me Dexamethasone and Benadryl but will they give me Pepsid and Zofran?
  11. I have a list of symptoms since I began chemotherapy. Which of them does he predict will go away?
    • bloody nose (every morning)
    • runny nose all day long
    • petechiae
    • joint aches
    • vertigo
    • peripheral neuropathy
    • lack of energy
    • diarrhea/constipation
    • black stool
    • low white blood cell count
    • low libido
    • diziness
    • shortness of breath
    • bloating
    • taste bud damage

      More for my edification than yours, is a calendar of events since I started this process.
DATETREATMENT
14 April 2023Mammogram that shows cancer
21 AprilBiopsy with Dr. Burgers
24 May Echocardiogram to prepare for treatment with chemo
5 June Taxotere, Perjeta, Carboplatin, and Herceptin infusion
6 June Injection to boost white blood cells
13 June Hospitalization at Holy Cross with dehydration and kidney damage
3 JulyFirst meeting with Dr. Velez after dropping Dr. Anauldt
5 July Cleared for mastectomy with primary physician
13 JulyMastectomy with Dr. Burgers, overnight stay at Holy Cross Hospital
19 JulySecond surgery pre clearance with primary physician
28 JulyConsultation with Dr. Velez
31 JulyConsultation with Dr. Burgers
4 August Post-0p conference with Dr. Burgers with first surgery – scheduled second surgery
7 August Second surgery to relieve fluid and tissue build up
10 August Post-op with Dr. Burgers – second surgery
14 August Post-op with Dr. Burgers
17 AugustPost-op with Dr. Burgers – drain removed
21 AugustChemo Infusion with Taxol and Herceptin
23 AugustHydration Infusion
28 August Taxol Infusion
30 August Hydration Infusion
31 August Post-op with Dr. Burgers
5 SeptemberTaxol Infusion
6 SeptemberInjection to boost white blood cells
7 SeptemberInjection to boost white blood cells
8 SeptemberInjection to boost white blood cells
12 SeptemberTaxol and Herceptin infusion
15 SeptemberHydration infusion
19 SeptemberTaxol infusion
22 SeptemberHydration infusion
26 SeptemberTaxol infusion
29 SeptemberHydration infusion
3 October Taxol and Herceptin infusion
5 October MUGA Scan
6 October Hydration infusion
10 October Taxol infusion
13 October Hydration infusion
17 October Taxol infusion
20 October Hydration infusion
24 OctoberConsultation with Dr. Velez

Stay tuned!

Everything Fred – Part 142

22 October 2023

Today is much like yesterday which was like the day before…. – painful numbness in toes and fingers. My energy level is very low and I spend most of the time in bed. At least I’m getting some sleep in between pee breaks.

I made a scheduling mistake with a hydration infusion. I have it and my wellness visit scheduled within 30 minutes of each other next Friday. Monday, I’ll call to reschedule the wellness visit. I think the hydration infusion more important.

Since I have so much time on my hands, I decided to go a little crazy. I’ve always wanted a Dutch oven and Amazon was too tempting with a significant price reduction (over 50%). The result is I now have a Dutch oven with no place to store it and too little energy to use.


It’s made by Lodge is and is cast iron with an enamel finish. Hopefully one day I’ll be able to use it. It’s pretty enough you can leave it out to be seen, at least. That and it’s too heavy to move too frequently.

I wrote about the new gloves. I can report they actually work with electronic screens. The only problem I’ve found is the fiber is so soft, it’s hard to hold on to any electronic device even though you can scroll and tap and open any screen with the gloves.


After the gloves, I decided to replace the old gripper socks Tanis bought me years ago – they were wearing out. Jimmie recommended Bombas to me some time ago. They are an interesting company and when you buy a pair of socks, they donate a pair.


I like them for the gripper surface to wear around the house. Because of the numbness, my fingers and toes are always cold.

Then today I got a surprise. Jimmie sent me salt water taffy. This is a thing of our childhood and when I visit them in North Carolina, I try to bring them some from Gatlinburg. Today, I had a package of it at the front door.


The one taste bud that hasn’t been affected is sweet. Happy taste buds this week.

Walgreens let me know my Jardiance is ready to pick up for $118. When I went to my Medicare Part D site, I found that was the price after insurance paid over $1000 for it. In essence, it will run $353/90 days. When I checked on the other two drugs that were recommended by my endocrinologist, they were either equal to or more expensive even with insurance coverage so I’ll stick with Jardiance. It costs a lot to be sick these days.

Tomorrow is my eye appointment. Joel has volunteered to take me and unless I’m feeling much better tomorrow, I’ll take him up on it. Tuesday is my appointment with the oncologist and I have a bunch of questions to ask. Friday is hydration. My next “chemo” appointment is for Herceptin on November 9th and then every three weeks.

I didn’t watch the Ole Miss football game last night but I was pleasantly surprised when I got up this morning and found they won the game against Auburn!

Stay tuned!