Posts Tagged ‘chemo side effects’

07
Aug
2015

Drug Therapy vs Chemotherapy

It’s been six months since I received my very last dose of chemotherapy. My hair is nearly to the length it was prior to diagnosis. My nausea has completely been alleviated. I’m no longer on steroids that caused terrible bloating and weight gain. And although I’m not experiencing side effects from chemo, some still remain. I look healthy and for the most part feel healthy, yet I continue to battle side effects. I’ve traded chemo for the alternative and less intrusive, drug therapy.

While a quick Google search will answer your questions regarding the meaning of drug therapy, I’ll try to put it in easy terms. Chemotherapy is the use of chemicals to treat malignancies. Drug therapy is the use of medicine to treat disease. Because I have reached one year cancer free, my doctors have prescribed that I maintain my health by receiving intravenous medicine once every three weeks due to my history with recurrences. The type of drug that I’m on is an angiogenesis inhibitor and works to inhibit the growth of new blood vessels. The goal is that if any malignant cells were to form, they would have no blood supply to grow. Medicine amazes me. To every doctor, nurse, technician, and researcher, thank you. You’re the ones that stand beside us and fight with and for us.

The administration of drug therapy is no different than chemotherapy. At least not for me. I receive treatment at my usual infusion center in the hospital. I sit in my preferred chair with my lovely nurses in attendance. My port is accessed identically as in treatments prior. Unlike chemo, however, drug therapy requires less time. Some chemo treatments lasted up to eight hours for me, while this therapy only lasts about two hours. It’s a fairly quick process, and doesn’t eat up most of my day.

As with any treatment, there are possible side effects. In fact, before I was cleared to receive this drug, I signed a form that lists in detail what could potentially happen. Every side effect form that I sign off on reminds me of pharmaceutical commercials. You know the ones. “Taking [generic drug] will greatly improve your [generic ailment].” These productions are set in rolling fields full of beautiful flowers in which the paid actors are frolicking through, holding hands and smiling without a care in the world. At the very end of the commercial, an auctioneer voice quickly rattles off every possible side effect. “Heart attack, stomach ulcers, and certain types of cancers have been linked to this product.” Oh, and your arms could probably fall off from it, too. Similar to these hilarious pharmaceutical commercials, the side effects of the prescription drug I’m receiving now can be alarming. Heart attack, bowel perforation, and stroke are on the top of the list.

Many have asked how I’m feeling. The truth is, I feel great. I do suffer side effects from this angiogenesis inhibitor, but I’ll gladly take them. They pale in comparison to what I experienced while on chemotherapy, but still have an impact on my daily life. Thankfully, my blood pressure and blood counts remain at normal levels. Because of my age and health, my doctors assure me that heart attack, bowel perforation, and stroke would be rare. As long as I keep a close eye on symptoms and listen to my body, I should be in the clear.

I’ve had eight cycles of drug therapy, and the side effects have joined the party. Who knew that we all have a layer of protection on our tongues? I didn’t until it was gone. Anything too hot or textured and the slightest amount of spice feels like acid and knives in my mouth. It’s unfortunate that I love spicy food. Things that didn’t affect me before really do now. Take watermelon for example. In the summer, I obsess over watermelon. I don’t let my sensitive tongue get in the way, but now I have to eat it gingerly. Typical toothpaste feels like fire, so I use Biotene (which is sent from the Heavens, I’m convinced). In addition to my tongue troubles, my hands and feet are increasingly more sensitive. Remember when I had Hand and Foot Syndrome? This time around my skin hasn’t entirely fallen off, but my palms and soles consistently hurt. My feet more so than my hands, and that probably has to do with me being on them most of the time.

The fact is, I’m lucky to be alive. I’ve survived cancer four times. I’m alive and healthy. I’m able to participate in my life more than I have in the last few years. My troubles now are spilt milk. These side effects ain’t nothin’.

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1 Thessalonians 5:18 (ESV)

“Give thanks in all circumstances.”

 

15
Jul
2015

Chemo Tips: 15 Ways To Make Treatment More Comfortable

When receiving the news that you or someone you love has cancer, life seems to slow down and speed up all at once. Doctor’s appointments are made, surgeries are scheduled, and treatment plans are discussed. It’s easy to become overwhelmed and anxious with the amount of information being catapulted your way. Navigating the road ahead can feel next to impossible.

Upon my diagnosis, I felt utterly lost. Life was changing rapidly before my eyes and I felt unprepared for what was to come. My doctors and nurses assured me that if I had any questions I could ask them, however, I didn’t even know where to begin. What’s a port? Will chemotherapy hurt? Will I throw up and lose my hair? What happens next? The questions flooded my mind. When one was answered, another presented itself. A diagnosis is exhausting.

I’ve battled cancer for nearly four years, and have fought four separate battles against the disease. My treatment plans have all been different, and I have tried a multitude of chemotherapy drugs over the years. I’ll never forget the thoughts and feelings that cluttered my mind before my very first chemo. I didn’t know what to pack or what to expect. My resolution was to bring everything. I packed like I do for vacation, a lot of too much. In these past four fights against cancer, I’ve had nearly 55 chemotherapy treatments, 28 radiation sessions, and four major surgeries (not including port placement). I’ve become an expert at chemo cocktails and everything cancer. I’ve learned what to bring and what to keep at home. I’ve mastered the chemo bag, and am sharing my tips with you today. Below you’ll find tried and true tips and tricks to make your treatment more comfortable. This list, like every treatment plan itself, is customizable. Feel free to add or remove items from your own chemo bag as you see fit.

1. Wear comfortable clothes:  Chemotherapy takes time. Treatment ranges from one hour to eight and may involve overnight stays in the hospital. Wearing clothes that breathe and move with your body can make the difference during your wait. When you’re at home, do you prefer to wear business attire, or do you like to lounge in sweatpants? If the latter is true, wear your sweatpants to chemo. Be sure to keep your port accessible and wear clothing accordingly. V-neck shirts are a staple in infusion centers.

2. Wear socks and/or close-toed shoes:  Hospitals and treatment centers are notoriously cold. Though it may be summer and sandals may seem appropriate, the inside temperature will be much cooler. Wear comfortable, close-toed shoes and or slippers with a hard sole. If your feet prefer freedom, bring socks to change into just in case. The softer and more fuzzy the socks are, the better. Keep your toes happy, bundle them up.

3. Bring a warm blanket: For some reason, one of the most common gifts patients receive from loved ones after diagnosis are blankets. People must assume that having no hair means that we’re cold all of the time. Touché. They may be right. There’s something about cuddling up with a nice blanket that brings instant comfort. Bring your favorite blanket from your newly acquired collection and invite it to treatment. You’ll both be thankful. Call it your blanket buddy, and you’ll have its heart forever.

4. Stow your favorite snacks: You may find yourself getting the munchies during treatment. You may want to eat out of sheer boredom. Regardless of your reasoning, bring snacks. You may develop an aversion to hospital food and not want anything they have to offer. Customize your own menu according to what chemo cravings you have that day and bring your favorite items. Get creative and fun with your food. Take whatever your heart desires. Most infusion centers won’t have restrictions on what you bring for yourself. If you have something that could appeal to the masses, consider sharing. You’ll make more friends that way. Whatever you do, avoid tuna. Your new friends will thank you.

5. Pack water: Like a camel, quite literally pack loads of water. You’ll want to stay as hydrated as possible during chemo. Headaches are common occurrences during treatment, and many can be linked to a lack of hydration. You’re ingesting your chemo cocktails, but in order to avoid to a hardcore chemo hangover, fill your body with H2O. Water will help flush those nasty toxins through your body. And just when you think you’ve had enough, drink more.

6. Bring music: Make sure your headphones and iPod are tucked neatly in your carry-on. While some patients find the soft hum of the infusion machines relaxing, others find the incessant growling quite aggravating. You’ll never know which side you’re on until you’re face to face with the pole.

7. Bring a laptop: …Or iPad if you’re fancy. Browsing the interwebs from your phone will drain its battery quicker than you can say “chemotherapy.” If you have work to do, having your laptop is a great way to kill two birds with one stone. Though you may wake up the next day to discover you sent humorous emails to your boss, having your laptop during treatment can make the time go by faster. Most hospitals offer free wi-fi, so use it… you’re paying for it after all. Download Netflix to your iPad and catch up on the latest episodes of your favorite show. Make sure to pack a charger; The worst place to be is in treatment without one.

8. Bundle books or magazines: You can no longer use the excuse that you don’t have time. You now have plenty. Get busy reading! That stack of books sitting on the shelf that you’ve always wanted to read is crying out for attention. Crack open some pages and sink into the stories that will transport you away from the recliner in the infusion center. Not a book worm? Bring magazines and catch up on the latest celebrity drama, who’s dating who, and who wore it best.

9. Pack a journal: Cancer causes grief, and grief causes emotion. Instead of bottling up your feelings, pour them onto the pages of a journal. Let out your fears, anger, hopes, dreams, and prayers. Document your journey so one day you can look back and see how far you’ve come. If you can’t muster up words, resort to doodling. Everyone can use more practice in the doodle department.

10. Invite a friend: Pick your most favorite and have them tag along. Let them know you only choose the best friends to watch a thick needle stab your chest. Tell them that only the special ones get to see your alter ego, Chemo Queen. Let them know the requirements of sitting with you and that they must be a Positive Polly throughout the duration. Make sure they aren’t queasy and that they like to talk and listen. Conversations with friends can often ease the realities of chemotherapy.

11. Bring board games: …Or mind games like Sudoku if you’re up for the challenge. Some find that keeping their mind sharp during treatment helps alleviate chemo brain. And, who said chemo can’t be fun? Pass the time by playing games like Scrabble and Yahtzee. I’m sure your fellow cancer fighters would love to join in. Keep in mind that Candyland isn’t just for kids.

12. Stash the sweets: Having sugar-free hard candy at chemo can put a smile on anyones face. Dry mouth can be a side effect from treatment and having candy may alleviate your woes. Ginger candies are the two-in-one go to for many. While they fulfill the sweet tooth, they combat nausea as well. Lemon drops are also a fan favorite. Though the cocktail is quite refreshing, in this case, the candy is the healthier option. Mixing alcohol and chemo has never been a good idea.

13. Carry some chapstick: Your lips will feel like they’ve trekked through the Sahara desert in the middle of summer. You thought the inside of your mouth was dry? Just look at the outside of your mouth now. Certain chemotherapy drugs can cause not only mouth sores, but also chapped lips. Having chapstick at the ready like a sword in battle will help defeat the most cracked smile.

14. Bring your inspiration: #MotivationalMonday is popular because it works. Keeping your mind focused on positivity will help harness your mental strength during treatment. Write motivational sayings on index cards or in the journal you have stowed away. Note encouraging bible verses or quotes to reference when you need a little pep in your step. Everyone has bad days, it’s normal. Avoid the traps of despair by reminding yourself of the hope you have for your future. Sometimes reading, “You can do this,” is enough to fuel your mind for the moment.

15. Pack a designated driver: While this item will not likely fit in your bag unless you’ve chosen to bring a suitcase, bring someone who can take you to and from chemotherapy. After treatment, you’ll be exhausted. You’ll want to doze off into a cancer-free dream. More than likely you’ll be chock-full of medications that may make driving more than interesting. Two words: Intravenous Benadryl. Drugging and driving, just like chemo and cars never play well together. Be smart, get a chauffeur.

Psalm 16:8 (ESV)

“I have set the Lord always before me; because He is at my right hand, I shall not be shaken.”

 

20
Feb
2013

New Skin and a New Day

Some side effects of chemotherapy aren’t textbook. It’s well-known that I have a rare diagnosis with a rare recurrence, so why shouldn’t I have rare side effects? Bring ’em on.

HFS Steph

The beginning signs of Hand and Foot Syndrome on my palm. (January 2013)

As I am beginning to experience a handful of side effects in this season of treatment, I am reminded of the initial meeting we had with my General Oncologist. We learned that patients can go through a gamut of side effects (duh), but that there are only a handful of rare ones that could plague me during treatment. One of these mentioned was drippy eyes. My doctor shared that because of the drugs being administered, sometimes patients will look as though they are crying, and will consistently dab at their eyes with tissue. I find it weird to remember such a small detail in the midst of such a large conversation, but clearly God was preparing me for what was to come. Like other patients, the specific chemo drug that I am now receiving is tricking my tear ducts into over producing tears. Therefore, it appears that I am an emotional wreck at all times of the day. Yes, I may be tipping the levels into menopause because of my surgeries and radiation, but I assure you, I am emotionally stable…or so I think.

This particular side effect is quite the annoyance. My eyes leak. They drip. They pour out tears. And if I don’t catch them before they take the plunge onto my cheeks, putting on makeup in the morning is quite the joke. “Crying” all day does offer humor, though. For instance, being the procrastinator that I sometimes can be, I waited until the day before Valentines to get Matt a few cards. Tissues in hand, I walked into Hallmark. It became abundantly obvious that I was not the only procrastinator for this holiday as swarms of people flooded the aisles. Great. I could only imagine what was to come. As I politely shoved my way through to the section I needed to peruse, my anxieties began to creep up. After all, there I was, sniffling from allergies and dabbing away at the tears that continued to pour from my eyes. While I can admit, Hallmark does have some touching cards, I am not one to publicly weep over them. Needless to say, I was embarrassed. The girl who was crying over Hallmark cards; I’m sure I was the topic of many dinner conversations. And sadly, that’s not the end of it. As I was taking multitasking to another level by wiping my tears, sniffling, and reading sentimental words, the anxieties sent me into a full-blown hot flash. Oh yes, friends. Crying, sniffling, and sweating. I began to curse my fellow procrastinators in my head. I was flustered, embarrassed, and wanted to leave immediately. By a supernatural miracle, I found cards I liked, and soon was able to depart from the Hallmark Hell. Looking back, this is quite hilarious. Go ahead, picture it in your head. I invite you to laugh.

As if having to dry my eyes at every waking moment isn’t enough, my skin has turned on me, as well. For whatever reason, it would rather fall off. Apparently, I am no longer fun to be attached to. Welcome, Hand and Foot Syndrome. It’s a real thing, folks. And, according to my nurses and doctors, the fact that I am plagued with it is……Rare. Apparently, they have never seen a patient undergoing my treatment regimen experience this syndrome as a side effect. There’s a first for everything, I suppose! I get to be lucky number one. Oh joy. So that I don’t have to go into the scientific depths of explanation, feel free to read the details about Hand and Foot Syndrome HERE. Essentially, the chemo drugs are leaking out of my capillaries and burning the surrounding tissues. The surrounding tissues happen to be my hands and feet. It is the most painful side effect I have ever experienced. Prescription pain medicine doesn’t put a dent in the misery.

HFS 2 Steph

Hand and Foot Syndrome on the top of my hands. (February 2013)

A couple of days after each chemotherapy session, the cycle begins again. My hands (tops, palms, and fingers) and soles of my feet become swollen, tight, and dramatically red (sometimes even purple). It feels as though I placed these limbs over a scorching hot fire and waited. Walking becomes difficult and painful. Gripping anything is a task. And for as long as they are affected, daily routines are put on hold. My heels brushing the sheets in our bed even causes discomfort. Bending my knuckles, picking up anything, wearing shoes, and even washing my face is a painful chore. I must keep my hands and feet moisturized with a heavy cream and topical steroid 24/7. About two weeks later, the swelling, tightness, and redness eases and then blisters form. Which, in turn, leads to the skin coming off. Therefore, as gross as it is, I have been peeling skin off my hands for a while now. The other day, I made the mistake of removing a giant blister off my heel. With chemo brain fogging my thought process, I didn’t think about how it would feel to walk on raw skin. Needless to say, I soon found out. And I still walk with a slight limp in my step trying to avoid pressure on my sensitive and raw left heel.

Usually I can feel when the chemo has made its full course through my body and is near the end of its damaging rampage. Chemotherapy takes months to fully be out of your body, but the “hard part” wears off a little by the third week. Just in time to get another dose! Of course. So, today my tears aren’t as overwhelming, and my HFS has eased. The peeling continues, but the skin has already died, so it’s not painful to remove it from my hands. My nauseous feeling has dissipated and I can lead a fairly “normal” life four to seven days before my next treatment.

HFS 3 Steph

And the peeling begins! (February 2013)

The sloughing off of my old skin is similar to the birth of a new day and a new future. My old skin cells are being wiped away, and my new cells are forming. My old body is being pushed aside, and my future is being born. No more cancer. No more pain. Only a healthy new day. A healthy new life. Sometimes God won’t bring new into your life, until you remove the old crap. He won’t place new on top of old either, and therefore the old must be wiped away completely. My skin was the old crap. And through this journey, I am becoming more and more ready for what God wants to bless me with in the future. I commit to believing in favor. I believe that I will be healed. As it says in Colossians, I am removing my old garment and awaiting my new wardrobe. I am throwing away my sick body, in preparations for my healthy one. Yet, I must be in this storm to fully be refined. Believe me, I wish we didn’t have to suffer trials and tribulations to get to the good stuff. But through these trials, I am thankful for the refining work He is doing in me and through me. Today is a new day. I choose to move forward in power. So, be gone old skin… I’ve got better things coming!

Isaiah 61:1-7 (The Message)

“The Spirit of God, The Master, is on me because God anointed me. He sent me to preach good news to the poor, heal the heartbroken, announce freedom to all captives, pardon all prisoners. God sent me to announce the year of his grace—a celebration of God’s destruction of our enemies—and to comfort all who mourn, to care for the needs of all who mourn in Zion, give them bouquets of roses instead of ashes, messages of joy instead of news of doom, a praising heart instead of a languid spirit. Rename them “Oaks of Righteousness” planted by God to display his glory. They’ll rebuild the old ruins, raise a new city out of the wreckage. They’ll start over on the ruined cities, take the rubble left behind and make it new. You’ll hire outsiders to herd your flocks and foreigners to work your fields. But you’ll have the title “Priests of God,” honored as ministers of our God. You’ll feast on the bounty of nations, you’ll bask in their glory. Because you got a double dose of trouble and more than your share of contempt, your inheritance in the land will be doubled and your joy go on forever.”