Update to Cancer Update – Part 75

17 October 2023

It’s hard to believe but I walked out of the cancer center at 1 pm. It’s a new record for the time. It was still four hours but it seemed much quicker than normal. Pat also indicated it was a slow day and she had more time to pay attention to me. That she did. She brought me a third warm blanket (actually it was two blankets each time). She’s so funny. She walked up and asked “Are you ready to get out of here?”

As she was unhooking me, she asked if I wanted to ring the bell to signify the end of the Taxol treatment. She then said I probably wanted to wait until it was the end of all the treatments and I said yes, I’d wait until I totally through with the Herceptin treatments.

I quizzed her about the Herceptin. She confirmed that I would no longer be given Benadryl nor Dexamethasone. I still would be given Pepsid (to line my stomach) and Zofran (for nausea). I need to talk to Dr. Velez about adding weaning doses of prednisone because of the long term effects of Dexamethasone.

Joel picked me up a little after one and we went the back way to my house in order to avoid I-95. I was home by 1:30 and I climbed into bed and slept for 1 hour and 45 minutes. I was bone tired. I still am.

Speaking of bones, on Sunday’s phone call with Jimmie, she suggested an ointment/cream/gel to use for the aching joints in my hands. She couldn’t remember the name but later texted me Diclofenac Sodium Topical Gel. Duh! I’ve been using that for several years for (wait for it) arthritis in the hands. I actually had been using the 3% solution but I ran out of that and have the 1% at the house. I started using it last Sunday night. It takes a while for it to be effective but it certainly helped with joint pain – especially the 3%. I’ll probably call Dr. Fingado (hand doctor) and see if he’ll re-write the prescription for 3%. If Jimmie hadn’t mentioned it, I’d still be casting about for something to relieve the pain. And it is very painful.

Tonight is left over meatloaf. For some reason, the idea of meatloaf appealed to me and when I made my list for Whole Foods, I included items I would need to make it on Monday night. I hopped online to find a recipe (easier than thumbing through recipe books) and found one I could use and modified it. I always like to add bell pepper to any recipe for meatloaf. I didn’t add celery but Mom always did when she made hers. I had a serving yesterday and it was pretty tasty. The recipe called for sweet chili sauce (1/2 cup) and 1/2 cup ketchup and 2 tbsp of brown sugar for the sauce that goes on top after 45 minutes of cooking the meat loaf. You add the sauce to the top and then cook for 15 more minutes. Mama Mia! That’s some spicy sweet chili sauce! Tonight I’ll cut a bigger slice for dinner.

I feel like I’ve turned a page with my last Taxol treatment. Never say botanists don’t do anything for you. It was the discovery of the drug in the bark of Taxus brevifolia in Washington state that led to effective breast cancer treatments. It’s a nasty drug but it does the job.

Photo I took of Taxus brevifolia in Glacier National Park in October of 2016. The red structure is a fleshy ovule and is poisonous. It’s the bark of the tree that is useful to derive the drug Taxol.

Stay tuned!

Cancer Update – Part 75

17 October 2023

I got out of bed around 4:30 am for an 8:45 am appointment at the cancer center.  I felt pretty good and thought about calling Joel around 6 am to tell him I was in good enough shape to drive myself but around 5:30 I started to feel worse.  I’m glad I didn’t cancel Joel. 

As it was, he had a hard time getting to the house because of a wreck on Davie Blvd. and we had a devil of a time finding a route out of the neighborhood because of all the diverted traffic.  We finally made it to the cancer center with minutes to spar.

The good news is it was a crisp 58°F this morning with virtually no humidity.  Of course, I’ll be stuck inside all day and will only get to enjoy it later in the afternoon.

Pat is my nurse again.  She’s stuck with me.  We actually have a good bit of fun bantering back forth.  She quickly drew blood for analysis and has already hooked me up to saline and magnesium and it’s only 9:21 am.  I might actually get out of here by 1 pm today! She also brought me an extra blanket to cover my chest area. I had meant to bring my new pair of gloves for my cold fingers but left them at home. The heated blanket helped and I just keep my hands in my jeans pocket.

9:37 am
CBC with Auto Differential arrived and my white blood cell count was back to normal.  The red blood cell, hemoglobin and hematocrit were, was usual, all low. The neutrophils relative was high but everything else was normal which is definitely unusual considering how I’ve felt over the last week.  Maybe it’s all in my mind.

10:25 am
The Complete Metabolic Panel came back with low sodium, high glucose and low protein.  Magnesium was low also so I’ll get the full 50 ml again.

Today is the last Taxol treatment. Next Tuesday I meet with Dr. Velez and on November 7th, I have a Herceptin treatment and then every three weeks after that to make up either 12 or 13 sessions, depending on how Dr. Velez counts it.

In talking with Pat, everything should be much faster on November 7th. I will not be getting any more Dexamethasone or Benadryl – just straight Hercptin (and probably saline. That’s a relief even though I’ll miss the effect Benadryl has on me. I start floating every time it’s injected.

11:15 am
Started the Taxol drip. It’ll be at least an hour and then I need to finish the saline and magnesium drips. I’ll probably be let go sometime after 1 pm.


Stay tuned!