Posted by Stephanie 10pm CST from The Rawleys’ Pearland, TX
Well, we’re back in Houston. Just arrived a few hours ago after a long two days of driving. The past week and a half has been completely chaotic–fly home from Houston, head to school for one day to tie up loose ends before the long-term sub takes over, then turn right around and leave for Las Vegas to attend a conference, come home from that Friday only to leave again Sunday morning and head here! I think I was home for about 72 hours in that week and a half. Oof!
Let’s get to the most important stuff right away (and I’m sorry it took a week and half to get this up)–the results of my appointment on 1/13 with Dr. Benjamin. As I posted that day after we saw him, the lymph node biopsy came back positive for osteosarcoma, which means chemo for sure. When we met with Dr. B, he shared that was debating between two different chemo regiments, and the one he chose would depend largely on the information my thoracic surgeon, Dr. Swisher, gave him in the days following that meeting. If Dr. Swisher said that the size of the lymph node was not a problem to remove, and that it just needed to not get any larger, then Dr. Benjamin said he would consider putting me on Gemcitabine. That is a chemo agent I have had in the past (my most recent time through chemo, actually), but at the time it was combined with a drug called Taxotere. This time, Dr. Benny said, he would up the dosage of Gemcitabine and maybe leave out the Taxotere all together. However, if Dr. Swisher indicated that he would need the lymph node to be shrunk as much as possible, then I would be put back on Ifosfamide. Now, for those of you long-time blog followers, you might recall that Ifosfamide (also known as Ifex) is my ‘wonder drug’. It works better for me that anything else……but, it also does severe damage to my kidneys. Years ago, they had to stop my Ifex treatments and search for something else that might work in order to keep my kidneys from being completely tanked. At one point Dr. Benjamin even told me that should I ever have to go back on it again, I might wind up on dialysis for the rest of my life. Oh joy.
After hearing that we might do Ifex again (and subsequently having my stomach drop down into my feet), he then went on to say he would give it to me in a different way to try to prevent damage. Instead of doing it high dose inpatient, we would try it in a lower dose over a longer period of time (several days). I’d get to have a chemo ‘backpack’ to lug around 24 hours a day during the infusion. On a side note, this is the point at which Sammy made some horrible (but funny) joke about getting a backpack as a free gift for your fifth bout with cancer. :) Ah, a good sense of humor. Never would’ve survived this long without one!
ANYWAY, both treatment options would be done outpatient (hooray!), and while he wants me to start in Houston for monitoring purposes, there is a chance one or both of them could be done at home, depending on dosage level and how I respond. We’ll know which treatment plan he’s decided on when we meet with him tomorrow. It’s been frustrating to have some info, but at the same time not really have all the info. It has made it very difficult to map out any sort of plan for how long I’ll be on chemo, when surgery would be, who will stay with me, etc. Once we meet with him and learn all the nitty-gritty details about whatever option he goes with, then we can start to map things out. I’m supposed to be meeting with the surgeon soon as well, to chat preliminarily about the logistics of surgery, but that’s not on my schedule yet. However, labs and an appointment for a CVC line insertion are, so that plus the appointment with Dr. Benjamin will keep us busy the next couple of days. I expect that whatever chemo regiment he decides on, I’ll get started with it before the end of the week.
Alright, lots to share on other fronts about my Arbonne conference and things at home, but I’m headed to bed for the night. Now that the whirlwind of travel is over for awhile, I should have plenty of time to post. Nighty night.
-Steph
Recent Comments