Friday, August 30, 2013

Time flies, but is standing still...

How quickly, or slowly time seems to go by....It seems like I just had my second treatment, yet this week I found myself back at Huntsman for Infusion #3 and while I am happy to be moving forward, checking one more treatment off, I honestly dread the few days post-treatment and how it makes me feel.  Time seems to come to a grinding halt over these days.  I have found that doing something that makes me happy the morning of my treatment sets me up for a much more positive day. For me, the easiest thing to do to make me happy is to ride my bike.  So, for the seventh time (yes, I have now had seven chemo treatments over the past two years) I rode my bike to chemo.  I arrived with a smile on my face, ready to conquer the day.



Shannon was at Huntsman with car, non-bike clothes, and food to greet me.



I had another uneventful infusion day.  My veins are holding up beautifully and it looks like I will get through my entire treatment without requiring the surgical implantation of a port.  My lab results indicate that my Red Blood Cells, Hematocrit, and Hemoglobin are holding steady which doesn't surprise me as my energy levels have overall been pretty good.  My White Blood Cells and Neutrophils have dropped.  They are not in the dangerously low range...yet...but low enough that we are going to postpone my next and final treatment by at least three days.  My oncologist feels that over the long run, this little bit of extra recovery, will be best for my body.  As she pointed out, my body has had a s##t ton of chemo, my current regimen is hardcore, and thus far my body is holding up remarkably well.  (Well, I may have paraphrased a bit, but that is essentially what she said).  It does seem as though my bone marrow may be a little bit "sleepy" and slow to replenish white blood cells, not surprising at this point.  In addition to the few extra days of "rest" I am hitting the nutrition, supplementation, and visualization hard!  From a nutritional standpoint, I will be focusing on lots of Vitamin C which helps protect White Blood Cells from oxidative stress.  That means lots of peppers, strawberries, kale, etc.  I will also be trying, despite the warm temperatures, to consume bone broth, which helps protect the bone marrow.  From a supplement standpoint, I will increase my intake of Astralagus and from a visualization standpoint, Shannon and I will visualize my body making loads and loads of White Blood Cells.  And of course I will continue with acupuncture.

Here are my labs from before my third infusion:



Blood Counts
Target Ranges
Chemo#1
Chemo#2
Chemo#3
Chemo#4
WBC
4-8
4.18
3.43
3.17

Lymphocytes
>1 in treatment
2.5
1.6
1.3

Neutrophils
>1 in treatment
2.5
1.6
1.4

Monocytes
<.56
.3
.4
.4

Eosinophils
<.24
0
0
0

RBC count
3.9-4.5
3.94
4.18
4.14

Mean Corpuscle Volume
<98 in treatment
94.6
92.2
93.6

Platelets
150-300
168
276
262

Protein Status





Hemoglobin
13-14
12.9
13.6
13

Albumin
4-5
4.0
4.3
4.4

Total Protein
>6.6 in treatment
6.6
7.1
7.2

Electrolyte Balance





Sodium
140-144
140
138
141

Potassium
4-4.5
3.5
3.4
3.6

Chloride
100-106
108
104
106

Kidney Health





BUN
13-18
15
9
11

Creatinine
.7-1.1
.63
.72
.65

Calcium
9.2-10.1
8.8
9.1
9.5

Oxidation





RBC Distribution Width
<13
13
13.2
13.8


On a positive note, although I have had some significant fatigue the past few days, I have had less nausea and acid reflux than after my last treatment.  Perhaps this is due to the ear acupressure treatment?



Regardless, it is nice and a lot more comfortable to be a bit less burpy.  Additionally, my cravings have been a bit different this time around.  Instead of craving that delicious NadaMoo ice cream, I have been craving sweet potatoes.  Although this journey is difficult, I am thankful for all of the good, and even GREAT days I had after my second treatment.   Many days were spent on the mountain bike, running with Dizzy, working a job I enjoy, and spending time with friends.   I am hopeful that round 3 goes similarly well.

Feel free to join me and Shannon in visualizing my bone marrow producing LOTS of healthy White Blood Cells (Lymphocytes, Neutrophils, NK Cells-your choice)!

If you need help visualizing my bone marrow producing white blood cells, here's an image:



Weekly photos can be seen here and workouts here!


6 comments:

  1. One more down! I get the time flies but is standing still. One day at a time, but suddenly so many of those days are behind you! Glad you had some great days. Great days are awesome!

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  2. Jen I found your blog and am on the same cruise! I was diagnosed Feb 2011 and then a local recurrence April 2013. I just finished chemo and I think you'll find it a great relief and alleviate some of that time blur. My whole summer was a haze.

    I am enjoying your nutrition and cycling discussion. I have changed my diet a lot but next want to focus on taking up my fitness a couple of notches. I am curious what your nutritionist thinks of the coconut milk as it was the only thing I could find a small negative study about (cooking in coconut milk). I stopped drinking it but I miss it a lot.

    JM

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    Replies
    1. JM, Hmm. That is interesting about the coconut milk. I reviewed my packet notes from the nutritionist and unsweetened almond milk and unsweetened coconut milk with both listed as satisfactory dairy alternatives. The best alternative is to probably make your own nut milk though. I haven't ventured there yet, but I am working on it:) Congrats on being done with chemo and good luck with your fitness!

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  3. ON ON white blood cells!

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  4. I love that you gave us the bone marrow and white cells chart! I am totally visualizing those strong little buggers! You are my inspiration. I can only hope that I can be half as strong in mind and body as you are.

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