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We are at the Karmanos Cancer Institute in Detroit for our 3rd Chemotherapy Treatment as part 3 of 4 of the Induction process.  This week they are introducing Rituxin to the normal two she has been receiving.  It appears Rutuxin has less side effects as the new drug they used last week so that is good.  Especially since I'm on-call starting Tuesday to Tuesday so I will be concentrating more on my job.  If we take last week as any indication on how busy On-Call has been, I'll be busy every night but very lucky to have such a great company to work for as they have been understanding and working with me through this tough time in my life.

7:15am In waiting in the waiting room to be called back

7:45am Took us to Room #6 where they took her weight, blood pressure and took 5 test tubes of blood (green, pink, yellow, purple)

9:00am Received the results from bloodwork they took at 7:45am.  Most numbers are good (except White Blood Cell count)

  • Potassium: 3.9
  • White Blood Cell (WBC): 0.4
  • Hemoglobin: 8.8
  • Platelets: 79

9:15am Got our visit from Dr. Yang. He said all was good. He wants to keep an eye on liver numbers which are high but expected after the pegaspargase Kate received last week.  He also mentioned he would send a prescription for Ambien to help Kate sleep a full night since she isn't currently which they believe is the result of the steroids which she just needs to take for these last two weeks of the Induction phase.  He mentioned that the Tuesday with no chemo she has to get another bone marrow biopsy to see how the treatment is progressing.  He also said that the corona virus that is spreading like widfire could really cause some significant issues so be very cautious about being around anyone sick, especially with the white blood cell count so low.  Kate should still be excercising/moving around but not around people mainly as much as she can, stay home and away from anyone sick.

9:35am Nurse begins the process of the pre-drugs

  1. Two Regular Tylenol via pills
  2. Benaryl via Syringe
  3. Hydrocortisone steroid via a Syringe

10:00 am Nurse is starting the Zofran IV drip (avg 30minutes) and yes, Kate is getting very sleepy.  This time we got a room with a hospital bed versus a chair.  I see ZZzzz's in kate's near future.

next will be the 2 normal chemo drugs and the rituxan. First two take about 5min each and the Rituxan takes 4 hours minimum.

10:30am Kate received the daunorubicin via Syring (avg 5min infusion)

10:40am Kate began receiving the vincristine via IV drip (avg 5min infusion)

10:55am Kate began receiving the Rituxan via IV drip (avg 4hour infusion) - NEW

11:15am Nurse woke Kate up from a pretty deep sleep to check her vitals. You could see how unpleasant Kate was with that sleep interruption.

12:30pm Kate is awake, I got her some apples and caramel and she is watching her shows and just ordered some chicken and dumpling soup.  Everything is moving right along.  It doesn't even look like the Rituxan IV bag is even going down but I'm sure it is.

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Fighting fevers all night so far. Hitting high temps of 102 bit not for an hour which is what needs to happen before ER. Gonna be a long night 

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Got through the night without having to go to ER. The fevers, body aches, chills are part of the side effects of Kate taking Rutxan.  Hoping for a better day

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Kate is feeling better today (fever is gone) but gets dizzy very easy when standing up.  Hopefully we can get her back to normal before next round of chemo on Monday

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So yesterday was a rough day for Kate as her hair loss is becoming very obvious as her hair is coming out in clumps.  Probably the hardest part for Kate is loosing her hair. Beauty has always been what’s inside so hair doesn’t matter. Bald is beautiful 

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