Starting *Final* Round of Chemo

Today started off kinda bad, but ended a bit better because I wasn't going to let anything bother me during this final round of chemotherapy.

First of all, it started snowing here last Friday and didn't stop until last night and then a quick freeze settled in. With the gusty wind, it brought in windchills in the -10 to -3F range by this morning. So we got up early this morning to get a head start on a busy day.

My wife and I both got stuck from where the plow had dumped in front of our cars, so we were out there for quite awhile until we finally got both cars free from the snow. She left for work and called me when she got there to say that she made it okay and the highways were in much better shape. I then left for my chemo appt at 6:55am, even though I didn't have to be there until 8:00am. I was there by 7:30am and was able to get into the facility and wait until the staff showed up.

My white blood cell count was pretty low, but my oncologist said that it was within range and after discussing it with me, opted to continue without any delays. He also said that I've been a model patient (maybe he says that to all the patients?) and asked me if I'd be willing to talk with new patients that had some fear and/or concerns regarding the folfox treatments that I've been having. He said that a re-assuring veteran of the program could really calm a newer patient. Of course I told him that I'd be more than glad to speak with anyone that he wanted me to and I told him how my friend, Rob, is the main person that I, myself, had communicated a lot with when I was first diagnosed, and Rob has been a true friend throughout my whole journey and we still keep in touch via email, although we've never met due to the distance in where we both live.

Rob is now "cancer-free" and although I think I've posted his blog a few months back, here is another link to it :

http://rocamata.com/default.aspx

When I went into the treatment rooms, all of the other doctors and oncology nurses were coming by to wish me Merry Christmas and congratulations on finishing up this week. They are truly a great, professional and fun group and have really made it somewhat enjoyable (if that makes any sense?) to go through chemotherapy with.

Before leaving today, my oncologist spoke with me about the follow-up again and said it would about early summer (if all goes well) when I'd be having the mediport implant removed. I'll have to be monitored closely for a short period, then every 6-8weeks I'll go in to have both mediports flushed (it's a dual catheter port). After that some PET/CT scans and my follow up scope check. My bloodcounts are expected to recover slowly, but my immune system is low and I'm still at risk for catching infections from others while in the early follow-up stages.

So, day 2 tomorrow (Tuesday)of the treatments, they'll disconnect the pump then start the IVs before re-connecting the pump for the last time and on Wednesday (in 2 days) it will be out for good!

Now it's siesta time and I hope to wake up for the season finale of 'Prison Break' tonight.

Round 11 Finished - One more to go !!!

Today's treatments went well and the doc's report was very positive sounding. I had the mediport flushed, talked about some of the follow-up procedures and then was disconnected from "the pump" for the second to last time!

I have a dual mediport implanted and when I go for follow-up they will flush BOTH ports with the 4" needle at the same time. I'm glad this is only every 6-8 weeks or as needed depending on a variety of factors. At least I have piece of mind that I won't be leaving attached to the pump.

So, it looks really good for December 22nd, 23rd and the grand finale on December 24th (Christmas Eve). I'll have to take a cake, cookies and stuff for the oncology nurses and doctors. I feel very fortunate to have had a very compassionate and professional team of physicians and nurses during this whole journey.

No sleep last night !

I'm not sure what they mixed in that anti-nausea IV that they gave me yesterday, but I slept for a few hours in the late afternoon, then was up until midnight, then I tried to go to sleep, but kept tossin' & turnin', so eventually got up and started playing piano with headphones on.

When I went for today's chemo, I asked my oncologist during my exam and he said it was just the usual anti-nausea meds IV. Then I asked the same question to the oncology nurse that I had and she said it might have been a little stronger with yesterday's dose but it ususally lasts about 3 days.

I took a "baby card" today to give to one of the Physician's assistants, who has been a great source of information and help since my starting chemo back in July, but she wasn't in and my oncologist said she called in with contractions. Her due date is December 25th, so we discussed it as maybe being new and first baby and possibly a false alarm? I guess I'll find out more tomorrow, but I left the card with my oncologist to give to her. I'll be back tomorrow, but she might not be? She had planned on starting her maternity leave at the end of this week anyway.

Today's treatment was the shorter one with just the port flush, unhook the IV lines from the portable infusion pump and connect me to the IVs on the stand. I took some very quiet Christmas music to listen to and felt myself sleeping and starting to snore once or twice, only to wake and open my eyes and see others staring at me. I apologized and told the group that I didn't get much sleep and to just kick my chair if it happens again. One gentleman said that it didn't bother him at all and snore away!

Anyway, finished up the leucovorin and saline, then my infusion pump was filled with 5-FU while they flushed the port and re-connected me to the pump and I was good to go. It really poured today, but it was warmer out. There were some vivid lightning strikes that we could see clearly overlooking Wellesley Hills along with a wind-driven rain.

3/4 Finished with Chemotherapy :)

Today I went and had my portable infusion pump of 5-FU disconnected which ends my 9th cycle !

I'm now 3/4 through my treatments!!!

I asked my doctor what the next steps would be when I finished my treatments at the end of this year and when could I have the surgery to remove the implanted mediport with catheter.

He said that upon completing treatments that I would need to come in to have the port flushed every 6-8 weeks, have some blood tests and that he would be ordering scans and we'd take it from there.

I asked if the mediport could come out if the scans looked okay and he said he likes to keep them in until after the followup colonoscopy which would be in May of 2009 for me.