It's been awhile since my last update. It has been a challenging two-month and still is as of now. The side effects are not quite the same in intensity as my previous ones. So far, I have lost more than 2kg, and is back to my pre-diagnosis weight of 41.3kg. I look so ghastly.
When I went to see Dr Wong early this month, I highlighted to her the side effects I was having in cycle one. I was feeling better (end of cycle 1) but alas, before I could recharge and rebuild, cycle 2 began. I was specific in describing my problems and Dr Wong was able to prescribe medications to relief the side effects. Though the medications did help, I still had to suffer at least two days on the weeks I was on my chemo oral drug.
After consulting Zhang yishi, I drank special-need milk powder with ginger juice. At least the milk supplies 50% (1 packet) of the daily nutrients required and is a good source of protein. Perhaps that helps in maintaining my weight inspite of same side effects. I think I'm getting to know the medications (and the accompanying effects) I'm on better now.
Dr Wong mentioned that perhaps we needed to think about marginal benefits vs bad side effects and quality of life of this regime. When I went to see Dr See last Saturday, she suggested continuing as long as the marker is below 200, but with adjusted dosage of
sorafenib. In case you are wondering what side effects I had, well, on the day I took
Navelbine (which is already low dose), I vomitted for at least 2 hours. The oden tablet so far only worked once. I think I'm the puking kind -- puke to get better. Concurrently, I had diarrhea. Sometimes I had low-grade fever on the same day. The food-poisoning type of symptons lasted two days. The vomitting would stop but not the diarrhea. That explained my inability to be out of my room, because I needed to sprint to the toilet. My appetite was greatly affected too, or should I say I had no appetite to eat or drink. Just lying on the bed, fighting it out with the side effects, which I'm getting better at.
Off topic, I laughed when I read the article in the newspapers about brown fats and researchers are thinking of using it to help people lose weight. I even saw it on the news. Ha!
For reference:
side effects: vomitting, diarrhea, thinning hairline, stomach and abdominal wind (lots!), dry skin, pain at middle joint of thumbs, abdominal cramps, always wanting to burp (too much air in stomach), stomach and intestines always making "symphony sound"
medications: oden (anti-vomitting), aromag (antacid --- this is really effective) and one more for diarrhea
diet: stay off vegetables that cause wind, liquid diet like porridge and special-needs milk with ginger juice, vitagen on no-diarrhea days to replenish (?) good bacteria, black dates with black sugar and ginger water to boost platelet count, lotus root soup with peanuts (those with skin on) to boost platelet count, no spicy food as it burns my tongue
others: frame of mind is unlike previous regime, i.e. no forgetfulness, no memory loss, and is able to think logically and analyse (on no side-effects days), less mood swings except on those 2 days (really feel like dying!)
Sorry I'm not up to having visitors. I appreciate your thoughts and concern. Till the next update, take care!
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