040
Maybe More Than You Wanted To Know
Thursday, November 9, 2000 -- 7:43pm
Posted by Bar
All is well here. Forrest is fast asleep after a hard day of playing
at school. Peter is at the tax assesors.....oh, I forgot to tell
you......the people who bought the land in front of us backed-out!!
Hallelujah again!! Apparently the land is crappy (we already knew
that), and would have cost them a fortune to build on. YAY!!
SO........Peter is looking into the possibility of our buying it. The
question is: how cheap will the owners sell it for? And how much
will our taxes go up if they'll sell it to us cheap? I'll know more
soon.....
I spent the morning getting a massage, thank you very much, and it was
great! Nothing like a massage to rejuvenate this woman. If you don't
get massages yourself, start today. It will change your life. Find
someone that you trust and that others recommend and you will be
amazed at the improvement you will feel. I actually feel good right
now. Fancy that!
What else? Hmmmmm......I've been listening to my instincts more and
more through this whole ordeal. Trying to trust my self more and more
in that way. We have come to learn that doctors, God bless 'em, are
not, in fact, gods. They are learning and experimenting and making
their decisions based on what we tell them...especially in the field
of oncology. Last night I realized out-loud to Peter that I really
don't want Forrest to undergo more surgery once chemo is over. I
figure that there are probably some serious oncologists out there in
the world that are questioning the need for surgery too. So we made
some calls and have be gun to connect with a group of big-time
oncologists in New York City who are studying the compatablity of
western style medicine (chemo/radiation/etc) with "alternative"
methodologies including diet/nutrition, aromatherapy,
accupuncture/pressure etc etc.
I feel intuitively that our culture is on the threshold of
understanding the need to combine ancient healing arts with the modern
stuff we've gotten together over the last 100 years. I am very
excited about the western medical establishment beginning to see the
benefits of hundreds and maybe even thousands of years of healing arts
know-how. To that end, I have been rubbing lavendar oil on Forrest's
feet. So many people have sent us lavendar, and so many people have
said, "oh, just rub a little on his feet ", that I have done a little
homework and decided that using a little lavendar not only makes his
feet smell better than they usually do, but that it might actually do
him some good. It certainly won't hurt him, and in the meantime, I
feel like I'm actually doing something to improve his health.
A little control goes a long way......It occurred to me that one of
the things you might be interested in is what chemo actually is. If
you are like I was, you have no clue. When this all started, I think
I thought chemotherapy was some enormous machine that inflicted
torture in some way on its unlucky recipient. In fact, chemotherapy
is a liquid, or series of liquids, affectionately called "cocktails"
that cancer patients are given in various ways. In Forrest's case, it
is given intravenously through his Hickman catheter which is
semi-permanently installed in his chest. The catheter delivers these
nasty but very effective liquids directly into Forrest's blood stream
and he sleeps through most of it.
Here's what his chemotherapy looks like: Each round of chemo begins
with pre-hydration. The doctors have learned to offset some of the
side-effects of the chemo drugs by flooding the system with fluids.
These fluids include extra salt and minerals which they know the chemo
drugs will deplete. The fluids also protect the organs by diluting
the chemo drugs and flushing them through the system.
Next he is given an anti-nausea drug called Kytril to prepare his
stomach for the nasty stuff that follows. Kytril works a charm and
Forrest seems to be very happy and comfortable for the duration of the
therapy.
The next step changes depending on which round of chemo he is on.
With odd numbered chemos which last 2-3 days, he is then given
Cisplatin (related to Platinum) and Vincristen (which is the one that
makes his legs wabbly). Our comments on Forrest's legs being wabbly
caused the oncologist to cut that dose in half this last round and he
seems much better for it.
After those drugs drip into his body, which happens over 6 to 10 hours
depending on the drug, he is given Mannitol, also IV, which is a
diuretic. They want to make sure he pees all those extra fluids and
toxicity out, and believe me, he does!
Throughout the therapy, he
continues to be hydrated, and then right before he's disconnected he
gets a quick and final shot of Cisplatin to go home with. All of this
happens through his catheter, thank God, so he feels nothing.
Anti-nausea drugs are given before each chemo drug to continue to
protect his stomach.
On the even numbered rounds which last 3-4, much is the same, but
instead of Vincristen, he gets Adriamycin, a very ugly red drug that
is probably the scariest for me. It looks like the color of
strawberry jello before it goes into the fridge and it somehow just
doesn't look like God had anything to do with it. In fact, it IS a
scary drug and they monitor its use, I would say, more carefully than
the other drugs. They have to do what they call a blood return at the
beginning and end of each Adriamycin administration to make sure it is
not leeching into his skin which would be deadly. Doesn't that make a
mommy feel good?! If they can't draw blood back through his catheter,
they administer another drug to thin any blood clots that might be
obstructing the catheter. That's happened twice to Forrest. We've
learned that if we dangle a $20 bill above his head, he'll reach for
it and blood will come spirting out of his catheter into the nurse's
syringe. (This proves that getting a good blood return from Forrest
is positional. It also proves Forrest's love of money, especially big
bills!!)
Finally, they give him a drug called 5-FU as sort of a chaser. He's
given Cisplatin in the even rounds, too, which is his main chemo drug.
Some of these drugs kill cancer (and other cells), some cause cells to
discontinue their duplication. Together, they are mighty powerful,
and as I have said before, I am thankful for them all.
And since you're getting an education in cancer treatment, I'll tell
you that at home we do very little nursing now. Each day, Forrest and
Peter flush the catheter to keep it clean and his blood flowing.
There's a large and small (or, as Forrest says, "fwom") catheter and
each has to be flushed with saline and heparin. Forrest reminds Peter
about flushing every after noon and actually helps push the fluids and
swab the catheter ends. The only other thing we do is change his
dressing on the catheter site. This is not fun, and we have to do it
every 5 days. It requires Peter to hold Forrest down while he screams
in terror. I then make the environment sterile by washing my hands a
million times, wearing sterile gloves and a mask, pulling off the
bandaid/patch (ouch!) cleaning the site with alcohol and betadine and
then replacing the patch. Everytime we finish that exercise, I say to
Forrest, "Well, sweetpea, that's one less time you have to do THAT!"
By the way, he's fine the instant we're done with the dressing
change. Meanwhile, Peter and I are left exhausted. The idea, though,
is to keep that site very clean so that it does not become infected.
So far, there have been no infections. So, that's more than you ever
wanted to know, perhaps, but maybe you have a better sense of what our
life is like.
It's not too bad, really. We do what we have to do, and in the
meantime, Forrest continues to inspire us. He's begun running which
he does with tremendous glee particularly when he's wearing his La-La
slippers...that would be La-La the yellow Teletubbie for those of you
without little children.
We're off to Albany on Sunday for round #6.
Hoping to be home by Wednesday night. Best wishes as we all prepare
for Thanksgiving.
Bar
PS How 'bout this election stuff?? I think it's great! It's good,
clean drama and I'd love to see the whole thing stir up so much
attention that we all see t he value of every vote cast.......We'll
see........
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