We arrived at the Oncology clinic at 1:30pm where I had my own personal room, recliner, TV, and a private rest room, along with a sofa for Fernando to chill nearby. He’s quite lovely by the way, and immediately took on the task of tracking down some food for me since I hadn’t anything since 9:30am.
I guess while explaining that my veins suck to the nurse which section of which vein was the ONLY good area, I inadvertently freaked the poor lady big time. She was so stressed at potentially missing the ‘spot’ for the IV catheter (stays in for 2 days) that she showed me her trembling hands afterwards. She got it in first try though, what a champ! I felt so terrible about scaring her so I did my best to make light, and gave her some candy to help ‘sweeten’ the situation. Everything was smooth going forward and we were pals (or maybe lol?).
Drug treatment for the day, for those who are interested this is the list of meds (aside from my standard pharma cabinet) that I was given:
1 hour before treatment oral Aprepitant 125mg (or Emend an antiemetic used for acute and delayed nausea and vomiting)
Ondansetron 8mg (anti-nausea)
Dexamethasone 4mg (steroid)
Aprepitant 40mg (2nd dose, as mentioned above, used as anti-nausea/prevent vomiting)
Pantoprazole 40mg (PPI, similar class of Omaprozole)
Cyclophosphamide 2200mg (chemotherapy dosage based on 50mg/kg body weight)
MESNA 2000mg (used to prevent hemorrhagic cystitis/bleeding in the bladder from chemo)
Ondansetron 8mg (as above)
Sometime around 3:30pm my salmon, kale and quinoa bowl arrived and (dang) was I happy to eat. I should mention that we need to drink 2L of water with electrolytes in it during the infusions as it’s key to flush out the toxic by-products of the chemo.
I had zero interest in food when we returned to the condo at 6pm. However, I was feeling well enough to complete a thorough stretching session while trying to find some Olympic coverage. I brought my ROKU 4K stick with me hoping it would cover the Games, but it’s smarter than me, and picked up I was in another country (like duh, of course of it would). Basically my access to viewing the Olympics was going to be via the TV schedule only. Better than nothing, right?
Took my standard pain/sleep meds, along with more oral Ondansetron (8mg) @ 8:30pm.
I was in bed 9pm and all of a sudden my brain felt like a freight train slammed into it, and ploughed right through it. It’s a super weird feeling, perhaps like a cross between being somewhat drunk and having a nasty migraine brewing. I took some Tylenol to mitigate the symptoms.
I had been warned that I’d be potentially up every 30 minutes through the night to go pee (due to the chemo/MESNA), and if I was going to barf, it would then. Prepared with all the necessary items (commode, barf bucket, etc.) beside my bed I closed my eyes.
As it turned out I had zero issues through the night, woke up early feeling fairly normal for me. I have to be ready for 9am pick up today (February 5th).