Skip to main content

Chemotherapy Cycle 3


Cycle 3

Chemo round 3 should have started at the beginning of February 2017 but it had to be delayed as Ryan's kidneys were struggling a little bit due to him being too dehydrated.

The doctors sorted that problem and re-hydrated him, but the following day when they took blood to check his levels, his neutrophils had dropped to 0.6. They have to be above 1 to be able to have chemotherapy. So treatment was delayed a second day. On day three his blood neutrophils had dropped further to 0.5 so we were discharged from the hospital and advised to go home and wait for them to improve.

Before we went home though, the doctor and dietitian came to chat about Ryan's nausea and lack of gastrostomy feeding. They had a few ideas, but they wanted to make only one change at a time so they know what worked or what did not.

A different anti-sickness medication, a different type of feed, they also wanted to start a diuretic and a laxative as his gut is not working as well as it should.

We had a relaxing weekend at home and the community nurse came out the following Monday morning to check Ryan's blood again. The levels had raised to 1.1 so we headed straight back to Cardiff to commence cycle 3 exactly one week later than planned. That is one of the first things you learn about the old Cancer game. NOTHING goes to plan or the way you expect it to.

Finally, chemotherapy cycle 3 commenced and Ryan has done well again, with only a very small Ifosfamide reaction this time that only lasted for a few seconds. Then at discharge, his neutrophils were 3.2, and we haven't even started the GCSF injections yet, so explain that one to me, please.

However, his haemoglobin level had dropped to 86 and he was feeling rather rough with sickness and chest pains. The doctors are not sure if that is due to the low Hb or if he is coming down with a bug. If it was a bug it never took hold and he improved as the Hb went up.

We are halfway through treatment now with 3 more cycles to go. Cycle 4 starts Tuesday 7 March 2017.



Comments

  1. Is Ry continuing schooling through all this? What a trooper he is. Love him to bits!

    ReplyDelete
    Replies
    1. Unfortunately not, no. Ry hasn't been in school since July 2016, although he missed most of year 9 also pre diagnosis. We have been able to secure a home tutor, provided by the school which will start in the next 2 weeks. Ryan will only be doing Maths and English GCSE in 2018. Thank you for your question. I may write a blog post the subject of missing education.

      Delete

Post a Comment

Thanks for your comment. We appreciate having you along for the ride.

Popular Posts

Missing Education due to Illness

The Importance of Attendance If you read any news articles on education, correspondence from your child’s school, or are simply clued up on parenting then you will know the importance of school attendance. Schools place a great deal of focus on targets and will often offer incentives and competitions to encourage and increase attendance figures, but what if your child has a serious illness. What happens if they really are not well enough to attend school. What happens then? Attendance targets at Ryan's school are currently set at 95% attendance for the school year. Therefore realistically your child can only miss 10 school days due to illness. Medical appointments such as GP or Dentist do not count, but you are encouraged to make these appointments outside of the school day where feasibly possible. If your child consistently misses school, even if it is only one day a week, that equates to 39 days over the school year. Even missing one day in a week results in pressure on the ...

Questions to ask after Cancer diagnosis

Cancer Sucks I have shared with you Ryan's lymphoma journey where we have talked about the ups, the downs, the protocols for drugs, the side effects, but I realised recently I have never shared the questions. This post is all about what to ask when you receive a diagnosis of cancer. Receiving a cancer diagnosis is never ever going to be seen as good news. It can never be dressed up or made pretty. It is devastating, it is gut-wrenching, it is life-changing. There is so much information to process you will not think of the questions you need to ask or you will have hundreds of questions you want to ask all at once. These are just some of the questions you can ask once you have processed the news, in order to gain a better understanding of your fight ahead. General Information What type of cancer do I have? Where is it located? What are the risk factors for this disease? Is this type of cancer caused by genetic factors? Are other members of my family at risk? What lifestyle c...

Chemotherapy Cycle 5

What is Normal? With this being our penultimate cycle of chemotherapy I have had several family and friends comment to me “oh I bet you can't wait to get back to normal”. This has really thrown and upset me because it seems to come across that they have failed to comprehend the fact that we have 2-3 years of maintenance ahead and at least two more general anaesthetic surgeries. Not to mention physiotherapy as it is expected Ryan will take 12+ months to heal from the effects of being poisoned from the inside out. Normal is long way off yet. While everyone else appears to all be getting excited that Ryan is coming to an end of his chemotherapy protocol treatment, Ryan himself is becoming more and more tired with the cumulative effect of the onslaught of the chemotherapy drugs and is spending long periods of time in hospital after each cycle with infections due to his impaired immune system now as a result. Ryan is far from excited. Ryan is exhausted. We still have one more cycle t...

Peritonitis

Emergency Surgery On the morning of 25 October 2016 Ryan was complaining that his PEG feeding tube was unbearably painful. He was due for a review anyway that day at Velindre Cancer Centre and a PEG specialist nurse came for to look at Ryan. She said the site was a bit weepy and raw, she thinks he possibly caught or pulled it in the night. She is confident that it is fine and she also gave it another good clean.  A week on and we are back to square one. The district nurse came out on Monday 31 October 2016 to advance (turn) the PEG tube as is needed each week after the first month. The nurse was unable to move the disc and caused Ryan an incredible amount of pain. We ended up having to go to the Teenage Cancer Trust ward in Cardiff, where two gastro nurses met us and spent the best part of an hour, torturing Ryan while they 'forced' the PEG to move, which they eventually did. Or so they thought.  The following week, 7 November 2016, the district Nurse came again to the ...

Cancer Survivor Story

Cancer Doesn’t End When Chemo Does Ryan finished his chemotherapy treatment on his brother's 18th birthday in May 2017. The last two years and eight months were a blur of stress. Yet coming to the end of treatment coincided perfectly with Cancer Survivors Day on the first Sunday in June, each year, so what better way to mark this day than with our own survivor story. Ryan's weight at diagnosis was a staggeringly poor 42kg. He had lost so much weight not being physically able to eat due to the tumour in his throat, but with thanks to his own determination and the feeding tube that he had. Ryan's weight as we start his final chemo cycle....drum roll....prepare yourselves.... was an amazing 57kg. A year on in 2018 and despite going through treatment for the second time after relapse. Ryan weighs an impressive 65kg. Chemotherapy Cycle six Started on Monday, 1 May 2017 for hydration and the week went well without any drama. His final chemo took place on Friday, 5 May wh...