Saturday, June 21, 2014

Chemotherapy for Dummies

This post is for other patients who read this blog for advise. I went through my emails to a friend entering Chemotherapy when I was first exiting it, and thought I would share these tidbits.

1) Statistics are misleading 92% of the time. You are not a statistic.

2) Schedule
Chemotherapy effects your whole life. Temodar was prescribed to me as 1 week on/3weeks off.
My schedule basically goes like this:
Week 1:
Start first dose on Sunday Night
Go to work Mon/Tue/Wed.
Take Thurs/Fri off as sick days. I can usually get a couple hours in each of these days from home. Mainly I need to be close to a bathroom and a bed.
Sat/Sun I still feel like crap-ola, but can do things around the house.
Monday go back to work.
Week 2,3:
Work/Eat/Sleep/Repeat
Week 4, Have blood work done, see oncologist for the next cycle.

I mark on a calendar chemo week every 4 weeks, and a doctors appointment in the week before each cycle. I set up a recurring 'meeting' on my calendar at work to help keep track of this. This does take a lot of your life, especially having to work.
3) Constipation
I had problems with constipation while on Temodar, here is what I did to minimize it:
  • I start eating very healthy (vegetarian) small meals 2 days before the cycle to make sure there is a minimum of food in the system.
  • I start taking Miralax (Polyethelene Glycol 3350) the day before Chemo starts, and continue it every day till the end of the cycle. I have tried prescription stool softeners (ducolax) and more powerful OTC drugs, but prevention is a better cure. Although this stuff looks nasty, you can put it in water, coffee or tea and you cannot taste it.
  • During the cycle, you can often find me drinking hot tea while swaying on my wife's exercise ball. Please do not try to visualize this. 
 4) Headaches
If you follow this blog you are aware that since treatment I have had major problems with headaches. The headaches were worse during chemo therapy. Talk to a regular doctor, or even a local neurologist if you experience the same. I found decadron, tramadol, and depakote to help. 

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