Bad Day at Infusion......

Lilmiss82
Lilmiss82 Member Posts: 257 Member
So here is how it went down. Arrived at the infusion center about 5 mins late for my appointment (Appoint at 11:15 am arrived around 11:20). It's no big deal they are usually running late. 15 minutes later taken to my chemo chair. Get premeds -Zofran, and dex. Port accessed start saline drip while we wait for pharmacy to make chemo. 30 mins pass no chemo. Nurse called to see why it's taking so long, and parmacy stated that my oncologist never signed the order and they cannot do anything unil he signs off. Guess what?? Doctor is out for lunch and won't be back until 1:30. So I sit, feeling like this is a sign that this is not going to end well. Finally at 1:45 order signed. Now I think GAMETIME. Infusion starts at 2pm. 10-15 minutes later STOP!!! I can't see it's blurry, my head is spinning, my hands are sweating and I feel like I'm gonna faint. Nurses rush over stop the infussion and try to figure out what is going on. They call my doctor, he has no idea, but the nurse think atropine should do the trick. Get a shot of that -10 sec later page the nurse My heart is racing!!! Found out that atrophine causes such a reation. Wonderful I think to myself, am I gonna make it out alive!!:) 20 mins pass and we start chemo again. OH no here I go again!! NUUUUUUUUUUURSE!! Head spinning, hands sweating, heart racing. This isn't right. Infusioned stopped. Oncologist called to come see me but he is with a patient and we need to wait 30 min. Again saline given until I feel normal. That only take about 15 minutes. Anyways, Doctor comeS and honestly states that this isn't very common and recommends 25 mgs of benadrly and to start the infusion slower and wait until I'm asleep to start infusion. So benadrly knockS me out and 3rd try of chemo is started. Smooth sailing until about an hour later - nurse comes in and tries to increase the flow of infusion to 300mg( the original flow time) from 200mg. Guess what happens- I awake from my deep sleep and the nurse goes what's wrong. I mumble I'm not feeling right. She says I know your face is now Bright RED. She needs to lower the speed of the infusion back to 200mg. OK all is fine again, but now it's 5 pm and she has to go home-shift over. New nurse takes over and is convinced that I've had a rough start because I ate before chemo. I listen to her, but I know she's wrong. Around 6:15 I feel like the benadryl has worn off, I'm wide wake and you guessed it- not feeling right. It starts again head spinning, sweaty palms, and now full blown nausea. I 'm done- tell the nurse I want to go home I can't take it anymore. She agrees and just gives me 15 min of saline to help push the irnotecan through. She also stated that she will write a note to my doctor. So I feel hopeless, and upset at this point. Irnotecan may not be an option, and this is my last option. I'm at a lost of words and it's hitting me that my end may be sooner than I think. Has anyone had this happened? or is this just my luck? I don't want to give up but I just don't know what else to do. -Melissa

Comments

  • Sundanceh
    Sundanceh Member Posts: 4,392 Member
    Melissa
    That's an attention getter, especially for your first time with this chemo. Sounds like you are allergic to the Irinotecan. I never came close to that experience. My worst experience came from doing an Oxy infusion before I had my port in years ago, but nothing comparable to what you went through. I'm sorry and no wonder you were thinking all sorts of bad things.

    One thing got my attention though - it looked like things went better when they adjusted the infusion rate downward. When they upped it again, you had the same reaction you did when you started.

    If that is the case, your onc could adjust the appointments to reflect the additional time you would need to get infused at a lower rate. This might do the trick. It just take you longer than another person to get the same thing. Infusion rates are lowered all the time and would allow you to be able to at least try this one more time.

    I would urge you to discuss this option with your onc and I would like you to at least consider the possibility of trying one more time with your dose lowered. It might make all the difference and allow you to be able to receive it vs not.

    I understand your fear. When I first did the Oxy as I was saying. I marched into my doctor's office and told him "I'm done" and I'm ready to "go home" and I don't mean back to the house...we're not doing this anymore. We put my port in and it went better from there. They adjusted my infusions and they took up to 6-hours but at least I got through them.

    I'm not going to let you give up just yet - you owe it to yourself to try one more time with the Rx lowered and have your spouse monitor while you sleep. I can't tell you the number of times I've had a nurse bungle something that could have harmed me.

    One of the reasons I pay big attention to any machines and their settings - I memorize them so I will know if there is a change. It literally saved my life one night in the hospital but that's another story.

    They messed up your appt and left you with a bad taste in your mouth and scared the literal daylights out of you. Hearing your cries, I immediately remembered how I felt during my ordeal, which was nowhere like yours as I said. But what I'm trying to say is I 'get' your fear about what happened - and about trying it again.

    It will take guts, courage and fortitude to step and try it again. If you still had a bad reaction, then perhaps this particular chemo is not good for you. But, I want to see you try again and see if it goes any better. Will you at least think about it?

    Since Atropine did not work for you either and gave you a bad reaction, perhaps there would be something else they could give you to relax or sleep during the infusion. I tried Atropine a few times, but it just made me groggy and I would 'nap' for a little while, but would be awake alot of the time. Alot of times I just closed my eyes and just thought.

    If no other drugs are working, you can see if they can enroll you into a clinical trial. Also, are you a KRAS mutant? Have you been tested for this? If you are 'wild', you would be eligible for either Erbitux or Vecitibx, which could be used.

    I think I remember you saying you had progression with 5fu. I wish I could remember if you took Folfox too?

    I'm currently writing my chapter on "when is enough" and your post just screamed to me, because it speaks to me about what the feelings are when you feel like you have fired the last bullet in your gun. Your experience is poignant and is at the heart of the matter of some of the things I'm trying to say. So much so, that it hurts, because now, I'm not talking about myself or someone abstract - I'm talking about someone who I care about - and that's you, darlin.'

    The Rock is full of $hit as you know and there are times like this when I feel my words just don't mean a thing. With all my heart it saddens me deeply to hear you crying out in pain.

    Just please consider trying one more time with the lowered infusion rate and if that goes badly and you have to stop it, well you can't take what's making you sick.

    Maybe the Erbitux or Vectibix? That could be the next step. Check into come trials to see if you would qualify for those.

    I know you said GAMETIME, but I've always been of the opinion that this is not a game - it's for real and we're playing for keeps here.

    Don't give in just yet - there will still be time for that at a later date, ok?

    I'd send you over some courage, but you've already got plenty of that:)

    Craig:(
  • maglets
    maglets Member Posts: 2,576 Member
    Sundanceh said:

    Melissa
    That's an attention getter, especially for your first time with this chemo. Sounds like you are allergic to the Irinotecan. I never came close to that experience. My worst experience came from doing an Oxy infusion before I had my port in years ago, but nothing comparable to what you went through. I'm sorry and no wonder you were thinking all sorts of bad things.

    One thing got my attention though - it looked like things went better when they adjusted the infusion rate downward. When they upped it again, you had the same reaction you did when you started.

    If that is the case, your onc could adjust the appointments to reflect the additional time you would need to get infused at a lower rate. This might do the trick. It just take you longer than another person to get the same thing. Infusion rates are lowered all the time and would allow you to be able to at least try this one more time.

    I would urge you to discuss this option with your onc and I would like you to at least consider the possibility of trying one more time with your dose lowered. It might make all the difference and allow you to be able to receive it vs not.

    I understand your fear. When I first did the Oxy as I was saying. I marched into my doctor's office and told him "I'm done" and I'm ready to "go home" and I don't mean back to the house...we're not doing this anymore. We put my port in and it went better from there. They adjusted my infusions and they took up to 6-hours but at least I got through them.

    I'm not going to let you give up just yet - you owe it to yourself to try one more time with the Rx lowered and have your spouse monitor while you sleep. I can't tell you the number of times I've had a nurse bungle something that could have harmed me.

    One of the reasons I pay big attention to any machines and their settings - I memorize them so I will know if there is a change. It literally saved my life one night in the hospital but that's another story.

    They messed up your appt and left you with a bad taste in your mouth and scared the literal daylights out of you. Hearing your cries, I immediately remembered how I felt during my ordeal, which was nowhere like yours as I said. But what I'm trying to say is I 'get' your fear about what happened - and about trying it again.

    It will take guts, courage and fortitude to step and try it again. If you still had a bad reaction, then perhaps this particular chemo is not good for you. But, I want to see you try again and see if it goes any better. Will you at least think about it?

    Since Atropine did not work for you either and gave you a bad reaction, perhaps there would be something else they could give you to relax or sleep during the infusion. I tried Atropine a few times, but it just made me groggy and I would 'nap' for a little while, but would be awake alot of the time. Alot of times I just closed my eyes and just thought.

    If no other drugs are working, you can see if they can enroll you into a clinical trial. Also, are you a KRAS mutant? Have you been tested for this? If you are 'wild', you would be eligible for either Erbitux or Vecitibx, which could be used.

    I think I remember you saying you had progression with 5fu. I wish I could remember if you took Folfox too?

    I'm currently writing my chapter on "when is enough" and your post just screamed to me, because it speaks to me about what the feelings are when you feel like you have fired the last bullet in your gun. Your experience is poignant and is at the heart of the matter of some of the things I'm trying to say. So much so, that it hurts, because now, I'm not talking about myself or someone abstract - I'm talking about someone who I care about - and that's you, darlin.'

    The Rock is full of $hit as you know and there are times like this when I feel my words just don't mean a thing. With all my heart it saddens me deeply to hear you crying out in pain.

    Just please consider trying one more time with the lowered infusion rate and if that goes badly and you have to stop it, well you can't take what's making you sick.

    Maybe the Erbitux or Vectibix? That could be the next step. Check into come trials to see if you would qualify for those.

    I know you said GAMETIME, but I've always been of the opinion that this is not a game - it's for real and we're playing for keeps here.

    Don't give in just yet - there will still be time for that at a later date, ok?

    I'd send you over some courage, but you've already got plenty of that:)

    Craig:(

    oh Melissa
    that just sounds like one crappy day....I am so sorry and sorry no advice.....I only had to have my oxy stopped once....it sounds like you are having such a hard time

    give it a bit of time hon...

    sending love and a hug but no advice

    maggie
  • pepebcn
    pepebcn Member Posts: 6,331 Member
    maglets said:

    oh Melissa
    that just sounds like one crappy day....I am so sorry and sorry no advice.....I only had to have my oxy stopped once....it sounds like you are having such a hard time

    give it a bit of time hon...

    sending love and a hug but no advice

    maggie

    Hope the first and no more unforeseen have a litle patience
    I'm sure next timo no problems on your infusion!
    Hugs!
  • tommycat
    tommycat Member Posts: 790 Member
    Can someone go with you next
    Can someone go with you next time to monitor things closely? Might give you some peace of mind.
  • steveandnat
    steveandnat Member Posts: 886
    Rushing you way to fast!
    They were really in a hurry to get that stuff into you...tell to slow it down even if you have to be there at 8am and leave at 5pm. Hang in there...sounds like you will be okay next time. Hope all goes well.
    Jeff
  • plh4gail
    plh4gail Member Posts: 1,238 Member
    No Melissa....you will not
    No Melissa....you will not give up. You're right this was a rough day and I'm soo sorry this happened to you. I don't know what else to say just yet except that I know you are very strong and have a will to fight. Something will be brought to the front of attention for you and there will be an option! Hang in there and stay tough. And as Christine told me more than once..."you're badass"....hugs and hugs to you my dear!

    gail
  • lisa42
    lisa42 Member Posts: 3,625 Member
    Oh Melissa
    Hi Melissa,

    Wow- rough day is right. So sorry you had to go through that. It does sound like you're allergic to irinotecan. I had a bad allergic reaction to oxaliplatin & I thought I wouldn't be able to take it. I was actually able to get 9 more successful treatments by having them give me the oxy over 6 hours and filling me with benadryl and steroids before getting any oxy infusion. Time # 10 gave me another reaction even with the slow 6 hr drip and benadryl/steroids beforehand. But, I got a total of 10 treatments of it & I responded well at the time to it (tumor shrinkage).

    I will pray that your oncologist will come up with a plan that will work for you so you can still get treatment.

    Hang in there...

    Hugs,
    Lisa
  • marqimark
    marqimark Member Posts: 242 Member
    melissa
    I hope it was a bad day and you are back on schedule next time around.

    I am happy that you are able to get this out in the open (Read Vent), so the people here can help and also pray for you.

    Hugs

    Mark
  • crazylady
    crazylady Member Posts: 543 Member
    chemo reaction
    Hi Melissa,
    I'm sorry you are having such a difficult time on this drug. The first time I was on it I ended up so sick I was hospitalized for a few days. That was a few years ago. I ran out of chemo options and had moved to a new state. My new oncologist decided to retry the drug at a 50% reduced dosage. I have been on it for several months now. I have side effects, but nothing like the full dosage caused and it's actually shrinking things slightly so you might try a reduced dosage. Also turning red is a side effect.
    Take care and I hope things go better.
    Jamie
  • herdizziness
    herdizziness Member Posts: 3,624 Member
    Melissa
    You just had a Sh@t day if anyone did today.
    I don't have any great words advice, except some that have already been said, that perhaps slower infusion would work a lot better for you. They can always lengthen the time and reduce the amount. Ask you onc to try that.
    And don't be thinking things like the end might be sooner then you think. Hogwash! It was just a bad freaking day. The sun will rise tomorrow. You'll get into your onc's office and sit and go over everything with him and work out a plan. You're just feeling hopeless and frustrated at the moment, we've all been there.
    Anyone that has such a wonderfully perfect avatar as you do, well, you show a lot of heart and hope. It's just a down day today, it'll get better, honest.
    Thinking of you and sending nothing but good vibes and best wishes your way.
    Winter Marie