Chemotherapy Day 1

18th April, 2012

The heavens opened up on the morning of Chris’s 1st chemo appointment. We decided to ourselves that it was like a cleansing & a new beginning as it really bucketed down the entire day.
Anyway, Chris, Susie Magda & I all made our way to the Crown Princess Mary Cancer Clinic. We were all super anxious and just trying to keep ourselves together (on the outside) especially for Chris.
Once we arrived, it just happened to be one of the busiest days ever at the clinic. We waited from 9.30am till around 12.00pm just to be seen. 
In the waiting room there was a basket full of the most gorgeous little knitted teddy bears & it’s like they were placed there as Chris’s guardians.. It was really auspicious.
The nurses were whipping around like wildfire, from patient to patient, administering their chemo.
Eventually, after much sitting around & anxiously waiting, Chris’s name was called. This was it! 
I went in with Chris & a lovely Irish nurse began by measuring Chris’s weight & taking her vitals. A blood test was taken yesterday & the Dr had previously looked at the results to decide whether she could take the chemo today. They do this to look at the percentage of Neutrophils (white blood cells) among other things. We were told that with this treatment they expect her white blood count to eventually drop to 0, which means that Chris will have a poor immune system, so, 0 chance of fighting off any type sickness or infection. 
We were seated in the chemo ward where there were lazy boy recliners with a guest chair on one side & an IV pole on the other. I guess they want to make patients as comfortable as possible, even though Chris’s chair was broken and quite uncomfortable (for the length of time she had to sit on it + faux leather gets kind of sticky when you’re feeling hot from the chemo).
Chemo obviously causes nausea and vomiting, so before we knew it Chris was provided with her pre meds. This included anti nausea, steroid tablets +an acid reflux liquid to drink. 
The nurse started a saline solution drip for Chris, prior to introducing the Chemo.
Chris was introduced to the Pharmacist, who came over to talk to Chris about the Chemo side effects + the side effects of the pre + post meds that she also needed to take. She then left Chris with a bunch of discharge meds to take home to take over the next couple of days.





Adriamycin


Chris & I sat together as the nurse explained the procedure. She started with the Adriamycin. We both watched as she started to push (that means slowly inject it into her PICC line) in what looked like a large turkey baster.. Yes, it was freaky... OMG, just watching cytotoxic chemicals twirl around the line, making its way closer & closer into Chris’s body was scary but then it entered & she didn’t spontaneously combust, she was Ok.. So far so good. I mean, this stuff even looks evil, its bright red & has the nickname of ‘The red devil’. However, the great news is that this particular drug is the one that actually hits the cancer the hardest.. Woot!

The Adriamycin is known to cause mouth sores. To help prevent this you can suck on ice or iceblocks. Chris loved the idea and opted for the paddle pop lemonade ice blocks. I think she had one in her mouth the whole time it was being administered, which was great, I mean who wants mouth sores. 
Warning it really is RED and it turns your urine RED too. Chris’s nurse did let her know this so she didn’t freak out. Chris also had to go to the toilet a lot as they were pumping so much saline into her. Yup, that means dragging along your IV pole & lines too.. It was like a funny waltz..a dance of madness between Chris, the IV pole, her lines and the toilet.

Another good point that we had read was — do NOT eat your favourite foods on or around chemo day because you can start associating them with chemo.



What’s up next Bleomycin –let’s hear it for Bleomycin!  

This one also comes out in a turkey baster type syringe but is much smaller than the Adriamycin. Bleo is pushed in slowly, the same way as the Adriamycin. The Bleo is a clear, looks utterly harmless but this is the drug that’s known for causing damage to the lungs.


Next cab off the rank was Vinblastine 



It also comes out in the turkey baster type syringe. The Vinblastine is pushed in slowly, the same way as the other two. Vinblastine is clear in colour & its main side effect is nerve damage.


And finally the Dastardly Dacarbazine



The Dastardly D drug came out in a black bag. This is to protect it from exposure to light. This is the one that was most likely to make you sick to your stomach.  Dacarbazine causes nausea and vomiting in about 90%+ of people treated with it who don’t receive it with anti-nausea tablets. 
At around 15 minutes into the Dacarbazine, Chris started to feel itchy, scratching at her chest & neck. She also started feeling hot & began to sweat. She told the nurse & straight away the nurse stopped the Dacarbazine & just ran the saline. The nurse called over the Dr who advised her to just run the saline for a ½ hour & then to slowly reintroduce the Dacarbazine. They also gave her an antihistamine tablet to assist with the itching.
We all felt pretty grateful..Thinking if this was the worst she’d feel during the treatment, then that wasn’t too bad.
During the treatment, Chris was pretty hyper which probably had something to do with the steroids they give her to assist her to get through the treatment.
Chris was sucking back ice blocks like no tomorrow & she even had a small meal whilst the treatment was going.. Yaye!
The nurses were amazing. Only one visitor per patient was allowed but they let two of us in because it was Chris’s first time. We all swapped around throughout the day, Magda, Rob, Susie & I, that way we could all spend some time with Chris throughout her treatment. 
So the last of the Dacarbazine went in Ok & finally we were ready to roll out of there. After a good 9 hours, such a long day indeed but that’s round 1 out the way!
It’s funny, because I kept looking at Chris waiting for something to suddenly happen but she was mostly Ok, phew what a RELIEF.
Once we got home we all just chilled. I gave Chris her sleeping tablet around 9.30pm to try to help her sleep. Chris finally slept until around 4.00am, when she woke up with a bit of a sore tummy. I made her a cup of tea and she also drank a cup of prune juice. We later popped back up to bed and she eventually slept soundly until about 9.00am.
 

A strong person is not the one who doesn't cry. A strong person is one who is quiet and sheds tears for a moment, and then picks up her sword and fights again..

Anonymous

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