Chemo Blues

Hello all,
I hope this Thursday is treating you well! I reported awhile ago that my Dad handled his most recent chemo session (now two weeks ago) quite well. He was symptom free for a week and then all the side effects started coming around: Completely exhausted, sleeping for days, feeling weak, nauseated. My mom brought him in over the weekend just to check and make sure he was okay as far as levels and hydration goes. They said his wbc count was very low and he wasnt dehyrated but gave him an iv anyway and sent him on his way with instructions to come back Monday for his doc to check him out again. He did. They gave him another iv and some meds for Thrush. They said to keep him away from crowds and watch his temperature..but that he should start feeling better soon since its been 14 days. Yesterday, he was freezing all day, and nauseated. And out of nowhere his temp jumped from normal to 102. Hes in the hospital now.

Pretty bummed that it always lasts soo long.

Comments

  • hawk711
    hawk711 Member Posts: 566
    Toni
    I too had severe side effects to the Chemo (cisplatin). Made me so tired and weak. I got hydrated every day with IV's during treatment and it helped. The chemo can be stopped for a few rounds for him to get healthy before starting again. The hospital is the right place for him right now to get straight. Have faith in the Dr's, they do good work...
    Patience is a virtue during this process and it is hard....keep pluggin
    Steve
  • jim and i
    jim and i Member Posts: 1,788 Member
    hawk711 said:

    Toni
    I too had severe side effects to the Chemo (cisplatin). Made me so tired and weak. I got hydrated every day with IV's during treatment and it helped. The chemo can be stopped for a few rounds for him to get healthy before starting again. The hospital is the right place for him right now to get straight. Have faith in the Dr's, they do good work...
    Patience is a virtue during this process and it is hard....keep pluggin
    Steve

    I understand the
    I understand the frustration, my husband has been in the hospital twice. The first was after the second cisplatin treatment for dehydration and kidney problems. It took seven days to get him able to go home, even though he was still weak. Oncologist said no more chemo. The following week he slept 24 hours a day and could not walk more than 3 feet. Mid week his jaw started to swell, techs said normal occurance. The following Monday the size Now they are trying a non chemo drug called erbatox. This is rough and hard on the patient but there is a light at the end of the tunnel. Keep your spirits up, if nothing else, do it for him.

    Big hug for you and prayers for patience and comfort for dad and you.

    Debbie
  • ian1511
    ian1511 Member Posts: 42
    I will pray for your Dad
    Hi Toni,

    Sorry to hear about your dad. It can take a while for his bone marrow to kick in to start manufacturing new blood cells. I hope he recovers fast. The first round of Cisplatin didn't affect me as much as the last two. The third round was pretty rough. I think the combo of chemo and rads just wears the body down so much. Again, I hope your dad can use some of my energy from afar. And I know that loved ones (like my mother) feel helpless as they watch the suffering. Hang in there.

    Darren
  • DrMary
    DrMary Member Posts: 531 Member
    The second was the worst
    and I got tired of hearing the word "should" - as in "he should be getting better soon" or "this antinausea drug should work." He got a neulasta shot for the low WBC, and we not only kept him out of crowds but stepped up protocol at home for the kids: wash hands whenever coming home from school/work; keep track of drinking glasses and water bottles (nothing left around to be mistakenly sipped from); no guests (we made an exception for our daughter's birthday party - in the basement with the fans sweeping the air down and out the back door and Doug stayed on the second floor in the bedroom).

    We kept trying different antinausea drugs to find the combination that worked - every doctor has a favorite, but it might not work for everyone. Doug's nausea also seemed to be increased by the radiation, which explained why it went on so long after the chemo.

    The good news is that they decided to skip the third chemo, his WBC improved, the right combo of drugs worked after a few days and he got better. I hope your Dad has similar results soon.
  • Toni08
    Toni08 Member Posts: 39
    DrMary said:

    The second was the worst
    and I got tired of hearing the word "should" - as in "he should be getting better soon" or "this antinausea drug should work." He got a neulasta shot for the low WBC, and we not only kept him out of crowds but stepped up protocol at home for the kids: wash hands whenever coming home from school/work; keep track of drinking glasses and water bottles (nothing left around to be mistakenly sipped from); no guests (we made an exception for our daughter's birthday party - in the basement with the fans sweeping the air down and out the back door and Doug stayed on the second floor in the bedroom).

    We kept trying different antinausea drugs to find the combination that worked - every doctor has a favorite, but it might not work for everyone. Doug's nausea also seemed to be increased by the radiation, which explained why it went on so long after the chemo.

    The good news is that they decided to skip the third chemo, his WBC improved, the right combo of drugs worked after a few days and he got better. I hope your Dad has similar results soon.

    Thank you all! (edited)
    DrMary your posts are always so informative! They suspect possible infection and have him on antibiotics although, they are not positive. During the two hour drive to the hospital his fever went down quite a bit on its own and my mom is wondering if it was just that he was bundled up and wanted the room warm because he felt so cold?

    However, he has been complaining constantly about his feeding tube. The skin keeps trying to heal itself, is puffing up around the exit sight, and is very irritated and painful for my dad. They have burned the skin around it in the past but on Monday when he complained about it, they said with his wbc count so low, they would wait and deal with it later. Perhaps this has led to germs getting under the growing skin/infection?

    **They said the skin around the peg was becoming infected, yanked the tube out (which he said hurt like hell, and put in a new one**
    Now I am very worried about this infection
  • DrMary
    DrMary Member Posts: 531 Member
    Toni08 said:

    Thank you all! (edited)
    DrMary your posts are always so informative! They suspect possible infection and have him on antibiotics although, they are not positive. During the two hour drive to the hospital his fever went down quite a bit on its own and my mom is wondering if it was just that he was bundled up and wanted the room warm because he felt so cold?

    However, he has been complaining constantly about his feeding tube. The skin keeps trying to heal itself, is puffing up around the exit sight, and is very irritated and painful for my dad. They have burned the skin around it in the past but on Monday when he complained about it, they said with his wbc count so low, they would wait and deal with it later. Perhaps this has led to germs getting under the growing skin/infection?

    **They said the skin around the peg was becoming infected, yanked the tube out (which he said hurt like hell, and put in a new one**
    Now I am very worried about this infection

    So cold
    We got Doug one of those blankets with arms and he wore that over sweats and such. The weight loss will make him feel cold, even if he is not sick.

    I have no experience with PEGs but a bit with wounds. If he is getting an infection around the tube, I'd expect to pick up a bad smell from the skin (however, PEGs can smell bad, from what I hear, even with no infection). A sure clue is if the redness starts to spread, especially if it seems to do so in lines (as if along a vein) or if the skin underneath the redness is hot and firm. Your assessment is correct - the skin is trying to heal up and has to reach an accommodation with the obstruction. From what I've seen on the list, this does happen after a few days.

    At the moment, he is in the hospital and getting IV fluids, yes? So he has the safety net there and can start to heal - I have to admit that I stayed with Doug in the hospital most nights, and that might have helped make sure he got prompt attention. However, not everyone can do this (I expected a lot of our 17-year-old daughter, who made sure the house ran, her brother got to school and she even applied to various universities on her own during this time) - a very close second is to get to know the nursing staff very well. One thing they all worry about is infection, so I'm sure they will speak up if they think he is showing signs of one.

    These are tough times, and I hope they are the low point, and that your father will start showing improvement soon.
  • Skiffin16
    Skiffin16 Member Posts: 8,305 Member
    Normal
    Some of what you say is normal under the conditions, and usually you do start feeling better...(just intome to start the routine again.

    The infection and fever or course is not normal and something to stay up on and always watch for signs such as temperature...

    If in doubt of any reaction, change or symptom, talk to your MD's. Even if that's in the middle of the night, someone is always on call...if you don't have the emergeny numbers, get them.

    Like DM said, second is worse...that held true for me as well, but mainly due to lack of hydration. I strated feeling nauseaous, just wanted to sleep, wasn't hydrating enough. The less I drank, the worse I felt, the more I wanted to sleep.

    Stay ahead of the hydration....drink fluids often. My wife was turned on to tenting by the nurses...Tenting is where you gentle pinch or lift the skin on the backs of his hands. If it "tents" up, returning to the original position slowly, more than likly he needs to take in more fluids...use your hand as a comparison.

    Sounds like you are handling it well, staying up on it and taking action when needed.

    Best,
    John
  • Hondo
    Hondo Member Posts: 6,636 Member
    jim and i said:

    I understand the
    I understand the frustration, my husband has been in the hospital twice. The first was after the second cisplatin treatment for dehydration and kidney problems. It took seven days to get him able to go home, even though he was still weak. Oncologist said no more chemo. The following week he slept 24 hours a day and could not walk more than 3 feet. Mid week his jaw started to swell, techs said normal occurance. The following Monday the size Now they are trying a non chemo drug called erbatox. This is rough and hard on the patient but there is a light at the end of the tunnel. Keep your spirits up, if nothing else, do it for him.

    Big hug for you and prayers for patience and comfort for dad and you.

    Debbie

    Hi Toni

    Sorry to hear that your Dad is having so many problems like this but as John said a lot of it is normal for what he is going through with his treatment. On infections yes keep him away from everyone who might be sick as his immune system is very weak right now. I still live with the being cold thing, in my office at work I have to close off all the AC Vents and at home I sleep with two or three blankest sometime to keep warm. Just a part of my new normal I tell the wife.

    All the best to you & Dad
    Hondo