I am still preoccupied with what constitutes a “big cannon” and thought that I would compare 2 stage 4s, Lu’s early treatment with my brother Peter’s. (hope you don't mind Lu!) These are shown in summary below ( I hope I got Lu’s right) and show the very different approaches adopted. Lu had 28 days radiation at start of treatment wheras Peter had 10 days at end of his. Lu’s treatment cycle was much shorter and consultants opted for a different choice of drugs Perhaps minds greater than mine could help me understand the logic behind the different approaches. Did that extra radiation at start of treatment make a great difference? Is Cisplatin and Xeloda better than Epirubicin and Oxaliplatin? Was Lu's treatment altogether more aggressive than Peter's?
A point to note is that Peter’s Epirubicin was reduced after the third cycle as an alternative to giving him an injection to keep white blood cell count up (to save money we found out later) I would welcome any input here as it might help those considering stage 4 treatment plans understand key treatment issues.
APRIL 1ST TO JUNE 2ND
RADIATION 28 DAYS TREATMENT AT START
CISPLATIN HI DOSE 4 X 5FU 96 HR INFUSIONS
XELODA 3000MG X14DAYS X 3 ROUNDS
7TH JUNE TO 25TH JANUARY
3 X 100MG EPIRUBICIN 2X 80MG EPIRUBICIN 1 X 50MG EPIRUBICIN (INTRAVENOUS)
6X 260MG OXALIPLATIN (INTRAVENOUS)
1X CISPLATIN ADMINISTERED OVERNIGHT
21 X 2400MG CAPECATIBANE (ORAL)
RADIATION 10 DAYS AT END
I Also appreciate that this might be too dry for many of you and understand if you give this a miss