So the important thing is that I'm much less nauseous today. I don't have a huge appetite, but I am eating, and I'm still on the anti-nausea meds just in case but spreading them out. I have felt a little out of sorts, but not terrible. Spending a lot of time in bed. Went back to the infusion center to get the neulasta, which will boost my white blood cell count. The shot was no big deal, but some time in the next 24-48 hours I may have horrible, gut-wrenching bone pain. Or it might not affect me at all. Time will tell.
Generally, I'm in good spirits and my fatigue/energy level is not bad. Things are going well at home; we're setting some routines for meals and things, setting up some help with housework, the kids (college age) are helping out more with cooking and what not (with instructions on keeping the food safe for me to eat), which is great. There are a lot of things to do every day, and the routines are helping. I started a journal for symptoms, when I take drugs, my temperature, etc.
I got some not-so-great, but not horrible news from the surgeon yesterday when she called with the MRI results. I guess it shows more than the PET scan...there are four lymph nodes involved, not one, and the tumor has reached into the pectoral muscle and is pulling on it a bit. This is really just informational because it won't change my treatment plan. However, it does mean that I will almost certainly lose the right breast. I'd pretty well made peace with that anyway, but there was some hope the chemo would shrink the tumor enough to just do a lumpectomy. That possibility is really pretty small now. That's OK, I'll get a tummy tuck out of the deal.
Some of you were interested in which drugs I'm on:
My chemo regimen is four cycles of Adriamycin and Cytoxan, then four cycles of Taxol.
If I recall correctly and am reading the binder correctly, the pre-meds I get (IV injections before I get the chemo drugs) are Dexamethasone for anti-inflammatory, prevent allergic reactions, prevent nausea and stimulate appetite. Lorazepam for relaxation and anti-nausea. Diphenhydramine for allergic reactions.
Then, at home I have Zofran and Compazine for nausea.
So, we'll see how I feel over the next couple days with the neurolast. Then hopefully I'll feel pretty good for a week until the next cycle starts. Maybe I can get in a visit or two with friends.