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	<title>I Have Cancer &#187; Neulasta</title>
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	<link>https://www.ihavecancer.ca</link>
	<description>Why is there a lump in my chest?</description>
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		<title>Chemo Session &#8211; Number 17</title>
		<link>https://www.ihavecancer.ca/chemo-session-number-17/#utm_source=Source&amp;utm_medium=Medium&amp;utm_campaign=Campaign</link>
		<comments>https://www.ihavecancer.ca/chemo-session-number-17/#comments</comments>
		<pubDate>Sun, 11 Jul 2010 15:48:04 +0000</pubDate>
		<dc:creator>Farokh</dc:creator>
				<category><![CDATA[Neulasta]]></category>
		<category><![CDATA[chemo]]></category>
		<category><![CDATA[fatigue]]></category>
		<category><![CDATA[Chemo Week]]></category>
		<category><![CDATA[side effects]]></category>

		<guid isPermaLink="false">http://www.ihavecancer.ca/?p=1026</guid>
		<description><![CDATA[Another Chemo session under the belt, as it were. The routine of these session is a bit disquieting and yet welcome at the same time.]]></description>
			<content:encoded><![CDATA[<p>Now what?</p>
<p>Nothing new to report as far as the session itself is concerned. They were a couple of hours late. I am not sure how this process works. They were late because the drugs were late in coming up from the pharmacy.</p>
<p>They knew I was coming. We had an appointment and everything. I have not missed one yet. Always on time. Predictable. And yet, here I was waiting a couple of hours for the drugs to come up. My blood count stood at 6.6. I was hoping for it to be higher given I had just come off a Neulasta week. Beggars can&#8217;t be choosers. Just go with the flow.</p>
<p>All is not lost. We are ushered in to the daycare chairs. I was offered a bed or a chair. Much prefer the patter. New nurse, again. They connect you to the saline solution to flush the system and make sure you have enough liquids in you. This is a blessing on hot days when you dehydrate quicker than you can possibly imagine. </p>
<p>Janet drove me in. She has the week off and was going to see her father after dropping me off. The Shriners are in town, and have blocked road access tot he hospital. I had to walk a couple of blocks to get to the hospital, through the Shriners who were almost ready for the parade. They do a lot of good work, but look to me like a bunch of overweight white men well past their prime. I wonder what their future is, and who will take over their good deeds.</p>
<p>The saline solution was good for me given the couple of blocks walking through our extreme heat. Really hot, over C30degrees. Did not cool at nights either staying well in the upper twenties all week. The house is still cool, but I dehydrate very quickly. No amount of water seems to do the job.</p>
<p>Janet came to pick me up around 5PM. A number of patients kept asking for the score in the FIFA game. The atmosphere in the daycare was light. I noticed more young patients than before. Does not bode well for the future. There appeared to be fewer patients as well. Not sure why. As I said way up above, not sure how their system is set up, even after being in it for almost a year.</p>
<p>The Chemo week itself has been more interesting than usual. My reactions have been the same. Fatigue mostly, though less than usual in its intensity. What has caught me by surprise this week is the nature of the fatigue. I wonder if it has to do with the heat. I seem to be able to go on for while, than suddenly collapse. A couple of hours of sleep and I am back on my feet, only to repeat the process. There appears to be no rhyme or reason to the fatigue. I am not extending myself any more than I have in the past. The sudden downturn is what is confusing me. We will see if this repeat in the next Chemo session due in 10 days.</p>
<p>I am now waiting for Judith and Arlin to come over for coffee at the Rooster. Janet has gone to a friends farm for the weekend. I insisted she go. Will do her good to be out of town and away from me, even if it is for a couple of nights. She should come back well rested.</p>
<p>Thanks for being there.</p>
<div id="crp_related"><h3>Related Posts:</h3><ul><li><a href="https://www.ihavecancer.ca/routines/" rel="bookmark" class="crp_title">Routines</a></li><li><a href="https://www.ihavecancer.ca/chemo-session-15/" rel="bookmark" class="crp_title">Chemo &#8211; Session 15</a></li><li><a href="https://www.ihavecancer.ca/cancelled-chemo/" rel="bookmark" class="crp_title">Cancelled Chemo</a></li><li><a href="https://www.ihavecancer.ca/chemo-a-virgins-view/" rel="bookmark" class="crp_title">Chemo, a virgin&#8217;s view</a></li><li><a href="https://www.ihavecancer.ca/week-ended-february-6-2010/" rel="bookmark" class="crp_title">The Week that Was &#8211; Ended February 6, 2010</a></li></ul></div>]]></content:encoded>
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		<slash:comments>1</slash:comments>
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		<item>
		<title>Bummed Out</title>
		<link>https://www.ihavecancer.ca/bummed_out/#utm_source=Source&amp;utm_medium=Medium&amp;utm_campaign=Campaign</link>
		<comments>https://www.ihavecancer.ca/bummed_out/#comments</comments>
		<pubDate>Sat, 26 Jun 2010 16:06:16 +0000</pubDate>
		<dc:creator>Farokh</dc:creator>
				<category><![CDATA[Neulasta]]></category>
		<category><![CDATA[cancer]]></category>
		<category><![CDATA[chemo]]></category>
		<category><![CDATA[doctor visits]]></category>
		<category><![CDATA[fatigue]]></category>
		<category><![CDATA[palliative]]></category>
		<category><![CDATA[friends]]></category>
		<category><![CDATA[sleep]]></category>

		<guid isPermaLink="false">http://www.ihavecancer.ca/?p=1013</guid>
		<description><![CDATA[That is a strange expression if ever there was one. Janet and I went through a brief phase where we attempted to determine the origin of our expressions. It was taking too much time and effort. We gave up. I might have to start that exercise again. I am bummed out. This has been an <a href='https://www.ihavecancer.ca/bummed_out/'>[...]</a>]]></description>
			<content:encoded><![CDATA[<p>That is a strange expression if ever there was one. Janet and I went through a brief phase where we attempted to determine the origin of our expressions. It was taking too much time and effort. We gave up. I might have to start that exercise again.</p>
<p>I am bummed out. This has been an up and down week. My reaction to Neulasta went as expected. Tired, achy bones and so on. I only tool three Tylenol 1 pills to drive away the pain. Not bad considering my first experience with the drug. I got a lot done, which may be part of the problem. </p>
<p>I am not sure what it is that drives us constantly to the point of exhaustion. I discussed this briefly with a couple of other cancer patients and we all came up empty. It seems to be  desire to feel useful again, after feeling like you are a parasite. </p>
<p>Did the laundry, OK, only half the laundry. Got the clothes in the washer, but no energy to transfer them to the dryer.</p>
<p>Visited my friend Sherry Ivankovic in Kitchener who has melanoma. She was supposed to be dead two and half years ago, but is still going strong. She also had a stroke to complicate matters which makes for interesting conversations. She loses track of what she is saying half way through a conversation. She repeats herself telling me a story on the phone, repeating the story in an eMail and again in person. Every iteration is as energetic as the first, as if is is the first time she is telling it. To all accounts, every time is the first time as far as she is concerned. We compared cancer notes. The similarities are endless. It helps to talk., Almost a sigh of relief when you notice the identical reactions to the drugs and our situation.</p>
<p>I visited another cancer patient, this one with pancreatic cancer who was admitted to the palliative care centre at the Princess Margaret Hospital. She should not be there right now. She was very strong when I went to see her. She was being released to go home for the weekend. She was admitted to allow the doctors to determine what pain medication would work best. Her pancreas and spleen were removed about eighteen months ago. She is still gracing us with her presence. I cannot imagine the amount of pain she is in. Stoic as ever, she still suffers. Morphine doesn&#8217;t cut it any more. New pain medication is being tested. I stayed with her for a while. Watched some soccer with her father. We talked quite a bit. </p>
<p>The conversations between cancer patients are very different when we are alone A lot more intimate. Small bits of information come out that are usually kept in the dark shadows of our existence. We allow ourselves the luxury of divulging and talking about stuff we would not normally discuss, even with our most intimate friends. A lot of stuff takes a while to digest, internalize, and finally verbalize in some fashion. The last part does not always happen. We prefer to keep some things very private. Don&#8217;t ask me for examples. Surely that would defeat the whole reasoning behind keeping some thoughts private.</p>
<p>I have been experiencing some pains for the past few days. I had to tell Janet about it. Notice the use of the word had. Did not want her to be concerned. I tend to think these things are normal and to be expected when we are subjected to our drug regimen. I had to tell her because I kept groaning and wincing every time I changed positions. The groans were totally involuntary and gave the game away. She is as always concerned and does not anything a being normal. Hard to know where the lines are.</p>
<p>I went to see an acupuncturist. My sister, quite rightly, thought it might help with increasing my energy levels, and might even affect my white blood cells in a positive way. I have tried acupuncture before quite successfully. That was years ago and I have lost track of my acupuncturist&#8217;s whereabouts. Hard to call her my acupuncturist when I saw her so many years ago. Went to a new person. A man named Tak. An experience not to be forgotten.</p>
<p>I arrived on time. Took off my shoes and went into his office which occupies the basement of what, I assume, is his house. I was asked to fill out the usual forms outlining the family history of diseases and conditions. Name, address, date of birth and so on. Illnesses during childhood: none. Illnesses during adolescence: none. Recent conditions and operations: colon cancer metastasized. Parental conditions: mother died of lung cancer, epileptic. There was last sheet that I presumed outlined side effects and conditions of taking the acupuncture. It was written in paragraph format while the rest of the document had questions and spaces for answers. I ignored the past page. This upset Tak enormously. I was chastised for not reading the page and providing answers. He was quite brusque about the whole thing. A man in my condition has other things wrong with him, and those are outlined in the last page.</p>
<p>I read the page and found nothing that pertained to me. I was fine except for the cancer part, and the fatigue, and low white blood cells. No gastro-intestinal issues, or whatever else he had on the list. You cannot imagine how upset he was by this. Impossible. This has never happened before. A man in my condition must have other things wrong with him. Whatever. I do not seem to fit into his mold. He seemed quite exasperated and finally asked: So why do you have cancer? The why question, as if we are to blame for getting cancer. There I was at the mall, there was a sale on and I thought I would give it a try and see how it fits. I replied that I would be more that happy to hear his reasons for people getting cancer. The answer to this riddle, should he know it, would make him a multi-billionaire. He did not appear to be amused by my response. I cannot help you, he says, since all you have is cancer.</p>
<p>We decided to give it a try anyways. I found the experience very relaxing. He left me on the table with the needles inserted in various parts of my legs, and a couple in my neck. The couple he inserted in the soles of my feet hurt a bit, but the rest were easy to get along with. He left me for a bit and I relaxed on the bed. Practiced my deep breathing exercises, and said some prayers. Almost fell asleep. He came back, removed the needles, made me lie on my side and applied some heat to various parts of the back and neck. Over. Done. Good bye. Paid him his $75. What a rough man. What a horrible way to treat a patient, let alone a cancer patient. I will have to write him expressing my dissatisfaction.</p>
<p>My nurse, Barb came by for her visit. She recommended another acupuncturist with whom I will get in touch shortly. What a flame out that experience was.</p>
<p>I have a lousy sense of direction. I am one of those people who would get lost coming out of a paper bag. I ask for directions all the time and fail to follow them, or misunderstand them or something. Such was the case when I went to Kitchener to see Sherry. A trip that should take a maximum of 90 minutes tool over three hours. I was quite out of sorts when I got home and went to bed at 6:30.</p>
<p>I have been totally exhausted ever since. I have been resting and sleeping a lot. Which is why I am bummed out. The Neulasta was supposed to have kicked in by now, boosting my energy. I will rest for the remainder of the day.</p>
<p>Tomorrow is a whole new adventure.</p>
<div id="crp_related"><h3>Related Posts:</h3><ul><li><a href="https://www.ihavecancer.ca/white-blood-cells/" rel="bookmark" class="crp_title">White Blood Cells</a></li><li><a href="https://www.ihavecancer.ca/ronak-shah-response-2/" rel="bookmark" class="crp_title">Ronak Shah &#8211; a Response</a></li><li><a href="https://www.ihavecancer.ca/abandonment/" rel="bookmark" class="crp_title">Abandonment</a></li><li><a href="https://www.ihavecancer.ca/chemo-session-15/" rel="bookmark" class="crp_title">Chemo &#8211; Session 15</a></li><li><a href="https://www.ihavecancer.ca/actions-side-effects/" rel="bookmark" class="crp_title">Actions and their Side Effects</a></li></ul></div>]]></content:encoded>
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		<title>Chemo Session: Number 16</title>
		<link>https://www.ihavecancer.ca/chemo-session-number-16/#utm_source=Source&amp;utm_medium=Medium&amp;utm_campaign=Campaign</link>
		<comments>https://www.ihavecancer.ca/chemo-session-number-16/#comments</comments>
		<pubDate>Sun, 20 Jun 2010 13:15:23 +0000</pubDate>
		<dc:creator>Farokh</dc:creator>
				<category><![CDATA[Neulasta]]></category>
		<category><![CDATA[cancer]]></category>
		<category><![CDATA[chemo]]></category>
		<category><![CDATA[doctor visits]]></category>
		<category><![CDATA[fatigue]]></category>
		<category><![CDATA[life]]></category>
		<category><![CDATA[positive thinking]]></category>
		<category><![CDATA[Blood tests]]></category>
		<category><![CDATA[expectations]]></category>
		<category><![CDATA[oncologist]]></category>
		<category><![CDATA[trips]]></category>

		<guid isPermaLink="false">http://www.ihavecancer.ca/?p=993</guid>
		<description><![CDATA[I took public transit to the hospital. Janet and Devin are both working. This is really a non-issue. The streetcar is almost at our door. Very convenient. Arrived a bit early, taken in on time and released right on schedule. Another new nurse. Again, very official. Name, number and date of birth, over and over <a href='https://www.ihavecancer.ca/chemo-session-number-16/'>[...]</a>]]></description>
			<content:encoded><![CDATA[<p>I took public transit to the hospital. Janet and Devin are both working. This is really a non-issue. The streetcar is almost at our door. Very convenient. Arrived a bit early, taken in on time and released right on schedule. Another new nurse. Again, very official. Name, number and date of birth, over and over again.</p>
<p>The process is very normal and pain free by now. Even the side effects are taken in stride. Took a look at the blood results. My white blood cell count is down to 2.3 which is OK for Chemo. The cutoff occurs when the count goes below 1.5. My liver enzymes are not doing anything special. Some are up, others down. These are used as a guide more than anything else. Numbers going down would indicate stabilization, up would be a bit of a disaster. This has me a bit concerned. It is not a good sign and I am getting apprehensive about visiting the oncologist the next day. I will have the Neulasta shot on Thursday once disconnected from the baby bottle.</p>
<p>We went to see the oncologist on Wednesday, June 16th. It was a very short visit. Not much to say really. I am not showing any of the side effects they are looking for. No throwing up, lack of appetite, weight loss, upset anything. Just fatigue, discoloured skin, and cracking nails. Normal. I have stopped reacting to the treatments. The body has adjusted to all the drugs. This is as good as it gets. We are now in control mode. Five more sessions of Chemo, then maybe a rest for three months before moving on to the new cocktail.</p>
<p>We are planning to go to Montreal for the July long weekend. My brother Fo&#8217;ad will be joining us, some sort of small family get together. We did this about three years ago. We rent a restaurant called Quartier Perse for an afternoon. The owner, Mahin, loves us. Her food is amazing. Highly recommended. Tell her I sent you. We rent her place for an afternoon and invite all our friends to join us. Everyone gets to see everyone with very little fuss. No dishes to wash, house to clean, people to serve. I am looking forward to it.</p>
<p>We asked for another week off Chemo in order to enjoy Montreal with full strength of mind and body. Keep in mind that at the beginning of this adventure, a week off was not even a consideration. No fuss now. Too many chemicals in the body. Live your life. Go and enjoy.</p>
<p>Janet and I went home in a bit of a stupor. Not sure how to react to any of this. What do you mean this is as good as it gets, and live your life? My numbered days just appear to have become a lot smaller. The amazing Doctor Hedley does not give out numbers. So useless and build false expectations, or negativity depending on the numbers issued. Nor do we talk about Stage of Cancer. You are alive between stages 1 through 4, dead when you reach stage 5. Again, these are so arbitrary. They amount to nothing except making you fell either defeated or buoyant. Both false feelings.</p>
<p>The hidden message is unmistakable. I woke up from my stupor through the next couple of days. Spoke with Fetneh and Fo&#8217;ad. Kali and I had lunch and touched on the subject ever so briefly. No need to ruin a good lunch. Enjoy your life. Diana, Nancy, Judith all had words of comfort. None of us either know what any of this means, or are willing to broach the subject just yet.</p>
<p>I keep saying this, and I will say it again. I am feeling far too well for things to go awry now. I am strong and vital and am living a full life. I am in the process of designing a couple of web sites for a couple of friends. Both are computer businesses, but very different from one another. I am quite excited by the projects. I am living my life, and am not prepared for any interruptions.</p>
<p>We hired a gardener to look after our downtown hacienda. I no longer have the energy for it. He is very good and has made the garden look amazing. Very organized. Not my style. I like things to be more organic. Most people hate that. This is a good change, specially if we decide to sell the house at some point. I love to sit in either the back or front yards and just look at the garden, enjoy the trees and brush, and the very few flowers that manage to grow. We have far too many very mature trees in the backyard. The shady garden overshadows everything. Moss instead of grass. A pond in the back that gurgles in such a satisfying way. Calm and serene.</p>
<p>Janet and I sit on the front porch once in a while. Drink coffee and watch the passers by. Some one will occasionally look up and nod or murmur a very quiet and subdues &#8220;hi&#8221; as they walk by. No one feels comfortable opening the conversation, invading your space. I guess it does not help that we have a fence around our property, the better to protect the cats in a dog endowed neighbourhood. The dogs insist on chasing the cats who find refuge behind the iron fence. It is not a high fence allowing for easy conversation over it, but people are shy.</p>
<p>We have noticed that the bigger the house, the more likely people are to stay inside and not venture into the outdoors. A couple of our neighbours know about what is going on. Most just say hi and walk by. We had dinner last night at Marianne&#8217;s. She lives two doors to the east of us. John Brown who lives three doors to the west also joined us. I made rice. Marianne made steak. A glorious combination. I had a wonderful time. They are very supportive people full of love and comfort.</p>
<p>We are spending today at Philip&#8217;s, Janet&#8217;s brother, celebrating Fathers day. Devin is trying to take the day off, though I have no idea if he was successful. Philip has a swimming pool in his backyard. I might just go in for a swim and see how it goes. I have to cover my bag with one of those pregnancy skirts. All I need is for the bag to come off while in the pool. Yikes.</p>
<p>Live your life. New motto. Stay positive. Not that we weren&#8217;t. Just seems that a new sense of urgency is suddenly overshadowing everything else.</p>
<p>Janet and I will spend just a bit more time together, specially in the summer when there is so much to do and enjoy in this city.</p>
<p>Live your life. Good motto for all, methinks.</p>
<p>Thanks for listening.</p>
<div id="crp_related"><h3>Related Posts:</h3><ul><li><a href="https://www.ihavecancer.ca/oncologist-visit-wed-july21/" rel="bookmark" class="crp_title">Oncologist Visit &#8211; Wednesday July 21</a></li><li><a href="https://www.ihavecancer.ca/montreal-july-1-2010/" rel="bookmark" class="crp_title">Montreal &#8211; July 1, 2010</a></li><li><a href="https://www.ihavecancer.ca/13-days-neulasta/" rel="bookmark" class="crp_title">13 days of Neulasta</a></li><li><a href="https://www.ihavecancer.ca/chemo-week-4/" rel="bookmark" class="crp_title">Chemo week #4</a></li><li><a href="https://www.ihavecancer.ca/circle-life/" rel="bookmark" class="crp_title">The Circle of Life</a></li></ul></div>]]></content:encoded>
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		<title>Cancelled Chemo</title>
		<link>https://www.ihavecancer.ca/cancelled-chemo/#utm_source=Source&amp;utm_medium=Medium&amp;utm_campaign=Campaign</link>
		<comments>https://www.ihavecancer.ca/cancelled-chemo/#comments</comments>
		<pubDate>Sun, 09 May 2010 13:41:29 +0000</pubDate>
		<dc:creator>Farokh</dc:creator>
				<category><![CDATA[Neulasta]]></category>
		<category><![CDATA[blood count]]></category>
		<category><![CDATA[chemo]]></category>
		<category><![CDATA[fatigue]]></category>
		<category><![CDATA[blood cell count]]></category>
		<category><![CDATA[chemo daycare]]></category>
		<category><![CDATA[crying]]></category>
		<category><![CDATA[energy]]></category>
		<category><![CDATA[energy level]]></category>

		<guid isPermaLink="false">http://www.ihavecancer.ca/?p=933</guid>
		<description><![CDATA[Chemo on May 4th was postponed by about a week. My white blood cell count was very low at 0.8. Janet was right on the weekend. Dr. Hedley recommended I do another blood test on Tuesday morning. These things are pretty fluid. The counts go up and down with great regularity. I went back in <a href='https://www.ihavecancer.ca/cancelled-chemo/'>[...]</a>]]></description>
			<content:encoded><![CDATA[<p>Chemo on May 4th was postponed by about a week. My white blood cell count was very low at 0.8. Janet was right on the weekend. Dr. Hedley recommended I do another blood test on Tuesday morning. These things are pretty fluid. The counts go up and down with great regularity.</p>
<p>I went back in on Tuesday morning are 8:30. The earlier the better. Takes an hour for the blood work results to make their way to the Chemo Daycare. Once approved, it takes about two hours to get the drugs ready. It pays to go in early. I went home after the blood work. No sense in hanging out there. We live about ten minutes away.</p>
<p>Got back to the daycare at precisely ten for my appointment. I explained to the admin person that my white blood cell count had been low and so on. Ahh, she said, right. There is a red tag on your folder which means Chemo is a go. They cannot look at my results, nor can I. Only a nurse can. And? No, cannot see a nurse until I go in since there is a red tag on my binder.</p>
<p>I waited an hour before deciding to go get a bite. They give you a pager. You have to stay in the building. No issues there. There is a Druxy&#8217;s in the building. I go down and get a bite. A lovely balanced diet. Fruit bowl with yogurt, and a chocolate bar. Go back up around 11:01. I know that because the admin person asked me where I had been. They paged me at 10:55 for God&#8217;s sake. What took so long. I ignored her. The nurse wanted to see me.</p>
<p>They made a mistake. My white blood cell count was down to 0.7. No Chemo was possible. I complained about the admin staff. The nurse suggested I complain to the hospital. She cannot do anything about it.</p>
<p>I was very upset at the waste of time. I could have gone home at 10:05.</p>
<p>I came home and wrote a letter to the customer relations person at the hospital. That conversation coming up in a separate entry.</p>
<p>I came home and rested. My energy came back with a vengeance on Wednesday. I am not sure how to explain my feeling when my energy returns. You feel like the walking dead while the energy is depleted. Very emotional. Cry at anything. You then wake up one morning and your energy has returned. You feel like a new person, almost jumping out of bed. New day, new person. You run around getting things done. Race against time. No rest allowed, too much to do, too little time. There is a poem in there somewhere.</p>
<p>You pay the price at some point when the energy is depleted. You crash and sleep hoping to recharge the batteries so you can start getting things done again. My energy level has lasted so far. Chemo is scheduled for Tuesday again. Neulasta on Thursday. See what happens. I am resting for the next couple of days.</p>
<p>Playing on the computer is resting for me. Hence the blog entries.</p>
<p>Thank you for being there.</p>
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		<title>13 days of Neulasta</title>
		<link>https://www.ihavecancer.ca/13-days-neulasta/#utm_source=Source&amp;utm_medium=Medium&amp;utm_campaign=Campaign</link>
		<comments>https://www.ihavecancer.ca/13-days-neulasta/#comments</comments>
		<pubDate>Sat, 20 Feb 2010 16:43:26 +0000</pubDate>
		<dc:creator>Farokh</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[chemo]]></category>
		<category><![CDATA[cold]]></category>
		<category><![CDATA[fatigue]]></category>
		<category><![CDATA[Neulasta]]></category>

		<guid isPermaLink="false">http://www.ihavecancer.ca/?p=811</guid>
		<description><![CDATA[Not really, just seemed that way. I got my Neulasta shot as directed on Monday February 8th. As you may know by now, Neulasta kicks the living daylights out of me. Far worse than the chemo. The week is plagued with a constant temperature, low but constant. Extreme fatigue accentuated by bone aches that seem <a href='https://www.ihavecancer.ca/13-days-neulasta/'>[...]</a>]]></description>
			<content:encoded><![CDATA[<p>Not really, just seemed that way. I got my Neulasta shot as directed on Monday February 8th. As you may know by now, Neulasta kicks the living daylights out of me. Far worse than the chemo. The week is plagued with a constant temperature, low but constant. Extreme fatigue accentuated by bone aches that seem to travel through the body before settling somewhere, like the lower back. The process is over within a week, usually resulting in boundless energy.</p>
<p>Then came the cold. Started on Thursday last, came into full force on Friday relaying me to the bed on a continual basis. Temperatures fluctuating wildly between normal at C36.5 right up to C38.2 (F100.7 at its zenith). This went on for days until Janet insisted we go to emergency. Fo&#8217;ad was here for the week, I had all kinds of plans for us, all for naught. He and Barbara kept themselves busy while I lay on the couch pretending to be alive.</p>
<p>The emergency staff put us in isolation. They wore the yellow gowns and gloves and masks. I felt pretty safe from whatever disease they might have been carrying. Blood was taken, vitals signs taken twice, once in triage which showed my temperature to be normal, the second one showing some level of temperature. A chest X Ray was also de rigueur, just to make sure there was nothing in there, since they seemed to hear some sort of stuff lurking in the interior.</p>
<p>The blood came back clean with a high white blood cell count. Thank you Neulasta. The chest X Rays came back clean as a whistle.  I have never quite figured out why we consider whistles to be so clean after spending time collecting the spit of the blower. But there you go, lungs were clean. 3.5 hours later we are headed home. Viral infection. Drink lots of liquids. Call your oncologist tomorrow.</p>
<p>Did I forget to mention that their computers were down? All night. Everything had to be done the old fashioned way, paper, phones, conversations. Hence the 3.5 hours.</p>
<p>I felt very bad for my brother who had driven all the way here only to find me in a state of total bed riddeness. He fellt bad that I felt bad, and the circle continues.</p>
<p>Fetneh also came by and stayed overnight. Had a wonderful time with her, as always.</p>
<p>I left a message for Dr. Hedley who called to get a picture of the situation. Chemo was a go as far as he was concerned. The major part of the cold should be over by Thursday.</p>
<p>Fo&#8217;ad and Barbara left on Wednesday. No sense in sticking around with the sicko. They had planned to return on Wednesday all along. Fo&#8217;ad had mentioned the possibility of stayin an extra day, if it would make a difference. Did not seem to make any sense. Off they go.</p>
<p>I woke up Thursday morning as if the previous few days had never happened. No temperature, slight cough, full of energy. Bring on the chemo.</p>
<p>As you might guess, chemo has become very routine. Walked in all alone. Janet came to pick me up at the end. I watched the nurses going to and fro at a brisk pace smiling and cheering the patients along. Have I mentioned how wonderful these nurses are? Truly amazing.</p>
<p>We went out for dinner last night, for no other reason than to get me out of the house. I went to the market in the morning. Came home and went straight to bed. The night out was welcome.</p>
<p>C&#8217;est tout pour cette semaine. A bientot.</p>
<div id="crp_related"><h3>Related Posts:</h3><ul><li><a href="https://www.ihavecancer.ca/week-ended-december-18-2009/" rel="bookmark" class="crp_title">The Week That Was &#8211; Ended December 18, 2009</a></li><li><a href="https://www.ihavecancer.ca/catching-up/" rel="bookmark" class="crp_title">Catching up:</a></li><li><a href="https://www.ihavecancer.ca/week-ended-january-9-2010/" rel="bookmark" class="crp_title">The week that was &#8211; ended January 9, 2010</a></li><li><a href="https://www.ihavecancer.ca/words/" rel="bookmark" class="crp_title">Not enough words</a></li><li><a href="https://www.ihavecancer.ca/cancelled-chemo/" rel="bookmark" class="crp_title">Cancelled Chemo</a></li></ul></div>]]></content:encoded>
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		<title>The week that was &#8211; ended January 9, 2010</title>
		<link>https://www.ihavecancer.ca/week-ended-january-9-2010/#utm_source=Source&amp;utm_medium=Medium&amp;utm_campaign=Campaign</link>
		<comments>https://www.ihavecancer.ca/week-ended-january-9-2010/#comments</comments>
		<pubDate>Sun, 10 Jan 2010 20:56:42 +0000</pubDate>
		<dc:creator>Farokh</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[crying]]></category>
		<category><![CDATA[emotion]]></category>
		<category><![CDATA[Neulasta]]></category>
		<category><![CDATA[pain]]></category>
		<category><![CDATA[week]]></category>

		<guid isPermaLink="false">http://www.ihavecancer.ca/?p=748</guid>
		<description><![CDATA[This turned out to be a very hard week. I will have to write about it a bit later when all my thoughts have been worked out. Sorry, but I have to think things out. The emotional affects the physical and vice-versa. The first part of the week was hard emotionally. The rest was hard <a href='https://www.ihavecancer.ca/week-ended-january-9-2010/'>[...]</a>]]></description>
			<content:encoded><![CDATA[<p>This turned out to be a very hard week. I will have to write about it a bit later when all my thoughts have been worked out. Sorry, but I have to think things out. The emotional affects the physical and vice-versa. The first part of the week was hard emotionally. The rest was hard physically.</p>
<p>I went in for my Neulasta shot on Monday, about which I have already written copiously. Neulasta appears to have a debilitating effect before its benefits kick in. I spent most of the week in bed, often in tears for no apparent reason. Slept through a lot of it. Had a moderate temperature all week, hovering between normal (36.5C) and 37.4C. Nothing major. The chemo instructions are to NOT take anything for a temperature. Since we cannot tell for sure that the temperature is due to Neulasta, I spent the week with the temperature and no relief.</p>
<p>The first time I took this drug, I spent 30 hours suffering from lower back spasms. I waited for them all week. There were small signs of them almost every day, but they passed quickly. As in one spasm then it was over. Things changed on Saturday night. Judy and Arlin brought some pizza over from the Magic Oven, one of the best and most expensive pizza houses in town. I spent most of Saturday in bed trying to regain my strength. I was not too successful. Around 9PM, my ribs around my liver started to hurt much as my lower back the previous month.</p>
<p>I went back to bed, took two Tylenol1s (T1s), rolled over on my left side and assumed the fetus position. This was the only position that provided some relief. I tried them all. I cried and cried. Devin came up to console me, and still I cried. It was very hard. I started to feel a bit better when the drugs finally decided to perform their designated task.  I barely slept the whole night. Woke up on the hour, took T1s every four or five hours. I have been pain free, since about 11AM when I took my last dose. This could be a good sign.</p>
<p>I shoveled the meager amount of snow we have had on Friday morning. More of a swept the snow away than actual shoveling. Cleaned the snow off the car, so Janet would not have to. She went to work, I went back to bed. Could not believe how exhausting shoveling a couple of inches of fluffy snow was. Slept trough to 12:30, and woke up only because I was very hungry. Warmed up some rice, then the phone started ringing. It was very bizarre. It had not rung the entire morning, but started doing so once I was awake.</p>
<p>Sharon Singer came over for a chat and a look see. I was in great shape. We had a wonderful time to be repeated soon, I hope. One of those rambling discussion I tend to have with a few of my friends.</p>
<p>Back to bed by 8PM. What a life.</p>
<p>The coming week has a few activities in it. I am seeing Dr. Kennedy, my surgeon on Monday, followed by Brain Fog on Tuesday, and Q-Gong on Wednesday.</p>
<p>That should keep me out of trouble.</p>
<div id="crp_related"><h3>Related Posts:</h3><ul><li><a href="https://www.ihavecancer.ca/week-ended-december-18-2009/" rel="bookmark" class="crp_title">The Week That Was &#8211; Ended December 18, 2009</a></li><li><a href="https://www.ihavecancer.ca/13-days-neulasta/" rel="bookmark" class="crp_title">13 days of Neulasta</a></li><li><a href="https://www.ihavecancer.ca/visits/" rel="bookmark" class="crp_title">Visits</a></li><li><a href="https://www.ihavecancer.ca/lost-month/" rel="bookmark" class="crp_title">Lost a month</a></li><li><a href="https://www.ihavecancer.ca/catching-up/" rel="bookmark" class="crp_title">Catching up:</a></li></ul></div>]]></content:encoded>
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		<title>White Blood Cells</title>
		<link>https://www.ihavecancer.ca/white-blood-cells/#utm_source=Source&amp;utm_medium=Medium&amp;utm_campaign=Campaign</link>
		<comments>https://www.ihavecancer.ca/white-blood-cells/#comments</comments>
		<pubDate>Mon, 04 Jan 2010 22:51:09 +0000</pubDate>
		<dc:creator>Farokh</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[chronic]]></category>
		<category><![CDATA[energy draining]]></category>
		<category><![CDATA[food]]></category>
		<category><![CDATA[Neulasta]]></category>

		<guid isPermaLink="false">http://www.ihavecancer.ca/?p=717</guid>
		<description><![CDATA[Who knew these bastards have such an effect on a person. Today is Neulasta day. You can almost feel the energy draining from your body. Have I been compensating? Trying harder to make a go of things? Or do I really get this weak? It is truly a maddening set of circumstances. My prescription was <a href='https://www.ihavecancer.ca/white-blood-cells/'>[...]</a>]]></description>
			<content:encoded><![CDATA[<p>Who knew these bastards have such an effect on a person.</p>
<p>Today is Neulasta day. You can almost feel the energy draining from your body. Have I been compensating? Trying harder to make a go of things? Or do I really get this weak? It is truly a maddening set of circumstances.</p>
<p>My prescription was not ready. Waited an hour but no one appeared to be around. Sent eMails to all. Finally went home to rest, only to receive an eMail asking me where I am because the prescription is being prepared. Went back, waited a bit, got my shot. It is really hard for me to stay mad at my Doctors and Nurses. They are all so wonderful to me. Caring and all that wonderful stuff. One does wish things would go just a tad more smoothly at times. This sort of stuff is very exhausting. It takes a lot of concentration to move around at times.</p>
<p>It occurred to me this morning, that life appears to be a lot like buying a new television. You buy a new TV but the crappy programs remain the same. I wake up in the morning, and my crappy program has not changed either. Same old bag, same old chronic condition.</p>
<p>I had a bite to eat at Druxy&#8217;s which appears to be the only place to eat at the Princess Margaret Hospital. At the very least, it is conveniently located on the first floor by the doors, just in case you need to make a quick exit. All their tables are for four or more people, which is a bit strange, but who am I to quarrel. There I was enjoying some sort of pasta, looking forward to the bowl of fruit that was waiting next in line, when this lady comes up and asks me if two people could sit at my table.</p>
<p>I love the way we talk. How to answer? I suppose they could. Depends on their weight, disposition, and God knows what else. I smiled and said of course they could. She promptly sat her friend down in front of me while she went to get some food.</p>
<p>Her friend was the patient. She, in turns out, is the neighbour and long time friend. They live in Barry, which is an hours drive North of Toronto. They come in every day for radiation therapy. Lets get real. No one is here for entertainment. We all have some sort of cancer or another. This very charming woman has cancer of the nose and throat. Her nose has been removed. There is a big bandage in its place. Soon to be a new nose.</p>
<p>We had a very long conversation. Specially since I have this wonderful way of asking questions, as in: &#8220;So, what happened to you?&#8221;. So friendly and delicate of me. I hastened to explain that I too had a chronic condition. Interesting watching the two of us talk about our conditions. Both of us are still totally baffled by our circumstances, wondering what the future holds, and what we can do about things. How to stay positive, busy, active. The same stuff keeps making the rounds.</p>
<p>There I am with a bag, and she without a nose. Damn.</p>
<p>Her husband died three years ago of cancer. Her neighbours husband also died of cancer. I got their address, just in case you want to know what area of the city to avoid. We talked about death, which seems like another recurring theme amongst cancer patients. Nothing heavy or teary making, just a normal everyday conversation about the end of our personal times. Can you spell surreal? They asked me to look up their husbands if I get there first. They are the ones drinking beer, and fishing. Easy to spot.</p>
<p>The conversations amongst cancer patients all seem to revolve around the same topics. I am hardly surprised by this. We talk, come to terms with, and accept a situation, only to go through the same path when we meet someone new. Do you cry? Feel down once in a while? Put on a brave face? Wonder, and keep wondering? Tired? Exhausted? From the situation? From thinking too much? Are you reading? Can you concentrate?</p>
<p>In spite of everything, it was a great conversation. I have to end this with a a story I told the ladies. We were wondering why we find it so hard to sit at  table with a stranger, specially in a place like Druxy&#8217;s where there is an obvious shortage of tables.  I had a training contract with the Federal Government. We were located at the Sheppard Centre. The mall had a food court, as they all do. Their tables were huge and round accommodating about ten people. The chairs were those really silly mushroom stools.  You had no choice but to sit with strangers. One of the employees I used to have lunch with was excessively shy. He hated sitting with strangers. Lunch must have been a very tense experience for him. It turns out it was, specially when he went with me, since I will sit and talk with anyone.</p>
<p>There we are finding a place to sit when I locate two seats beside these cute young girls.  No fool I, we sit beside them and I strike up a conversation. So , how are you. The first girl tells me that she is having a terrible time with her period. Cannot believe how hard it has been. You could hear my friend hitting the floor in a dead faint. He didn&#8217;t, thank God, but he did mention to this to everyone back in the office. Felt really bad for him.</p>
<div id="crp_related"><h3>Related Posts:</h3><ul><li><a href="https://www.ihavecancer.ca/why/" rel="bookmark" class="crp_title">Why?</a></li><li><a href="https://www.ihavecancer.ca/chemo_session_number-18/" rel="bookmark" class="crp_title">Chemo Session &#8211; Number 18</a></li><li><a href="https://www.ihavecancer.ca/princess-margaret-complain/" rel="bookmark" class="crp_title">Princess Margaret, I have to complain</a></li><li><a href="https://www.ihavecancer.ca/doctors-spoken/" rel="bookmark" class="crp_title">The Doctors have spoken</a></li><li><a href="https://www.ihavecancer.ca/abandonment/" rel="bookmark" class="crp_title">Abandonment</a></li></ul></div>]]></content:encoded>
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		<title>Chemo week #4</title>
		<link>https://www.ihavecancer.ca/chemo-week-4/#utm_source=Source&amp;utm_medium=Medium&amp;utm_campaign=Campaign</link>
		<comments>https://www.ihavecancer.ca/chemo-week-4/#comments</comments>
		<pubDate>Sat, 05 Dec 2009 13:31:05 +0000</pubDate>
		<dc:creator>Farokh</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[art therapy]]></category>
		<category><![CDATA[breast cancer]]></category>
		<category><![CDATA[chemo]]></category>
		<category><![CDATA[Neulasta]]></category>
		<category><![CDATA[oncologist]]></category>
		<category><![CDATA[voice]]></category>

		<guid isPermaLink="false">http://www.ihavecancer.ca/?p=626</guid>
		<description><![CDATA[The Oncologist We received an eMail from  our Oncologist&#8221;s assistant, Shahnaz, that we should come in ad see Dr. Hedley on Wednesday, the day before our chemo. He needs to see the blood results and discuss us taking Neulasta, a drug designed to boost the white blood cell count. It appears to be standard release <a href='https://www.ihavecancer.ca/chemo-week-4/'>[...]</a>]]></description>
			<content:encoded><![CDATA[<h2>The Oncologist</h2>
<p>We received an eMail from  our Oncologist&#8221;s assistant, Shahnaz, that we should come in ad see Dr. Hedley on Wednesday, the day before our chemo. He needs to see the blood results and discuss us taking <a href="http://www.neulasta.com/index.jsp" target="_blank">Neulasta</a>, a drug designed to boost the white blood cell count. It appears to be standard release in the breast cancer clinics. That is as long as you can afford the $2,800 per month price tag. This drug is not covered by our delightful universal health care system. The cost is covered by Janet&#8217;s rivate health care plan courtesy of Ogilvy &amp; Mather.</p>
<p>I did the required blood work on Wednesday morning. Went to the Art Therapy session, home for a bite, the to see the ever delightful Dr. Hedley. Have I mentioned how incredibly kind and gentle this man is? Well, that has not changed from our last visit. We discussed the benefits of Neulasta, and the inevitable side effects. My chemo starts on Thursday, I get disconnected from the baby bottle on Saturday. Neulasta is set for Monday. Would I care to self-administer? Think not! I will let Shahnaz do the honours.</p>
<p>The CEA blood results were positive in that the numbers are declining. Dr. Hedley did not make a fuss about them. I think we need a couple more counts to determine the trend. Two counts create an indicator. Four will start creating a trend of sorts.</p>
<p>My white blood cell count is low. We went from 0.8, to 3.9, back to 0.8, up to 6.7, down to 0.8. The last count from Wednesday morning showed a dramatic nothingness. Up to 0.9. Neulasta it is then. The good doctor says we cannot afford to iss these weeks.</p>
<p>I cannot pretend I understand what these number represent. All I know is that my chart has little asterisks whenever a number is too high or too low. I cannot understand why a number would  drop from 6.7 to 0.8 in one week. and no one appears to have an explanation. There appears o be lot of, this is just the way it is. I am as accepting as the next guy, but it would be nice to know.</p>
<p>I have been told to rest a lot. But that has not helped. I wrote an entry a while ago about the voice as a barometer. That has not changed My voice fluctuates with the state of my health. It is almost a whisper at the moment and has been for over a week. It made a comeback after the visit with Dr. Hedley which shows that the voice is affected by physical and psychological impulses. It went back to a whisper on Thursday in honour of chemo day.</p>
<h2>Chemo Day</h2>
<p>I was delighted that my appointment was for 8:30 in the morning. A couple of hours on the chair, home, hopefully before noon, great way to start the day. Better home around noon that at 7PM.</p>
<p>What a disaster. we got there at 8:30 and had to wait for them to get in touch with Dr. Hedley to make sure we could go ahead with he treatments. His office had not updated the files. They are all so over worked, it is not funny. We had waited an hour when Janet went to investigate. She located Shahnaz who works in the breast clinic on Thursdays. The clinic is located right next door to the Chemo Daycare. This was a no brainer. Shahnaz call it in.</p>
<p>My drugs had not been prepared, since they were not expecting me to get treated. We waited another half hour and I went in to investigate. They explained that they are waiting for the pharmacy but do not have a set time. I was pretty wasted by 10:30 and went to investigate again. The people at the front desk gave me a very hard time. Interrupting me. asking me why I was asking so often. They decided to have the nurses all me in to get rid of me. I refused to go and sit in the chair inside. What is the difference between waiting outside or inside if they do not know how long the wait is?</p>
<p>They gave me a pager and Janet and I decided to get get a bite. I had a chicken salad sandwich on brown with all the trimmings. That and a bottle of water, and I was back in shape. The pager went off almost as soon as I had finished my scrumptious meal.</p>
<p>We wnet in as instructed and made our way to our station. A very young nurse, as it turn out 23 years old would look after us. She said later that she thought I would be trouble. The best thing that happened is that one of the nurses with whom I get along particularly well came by and we joked around for a while. That helped ease any notions that I would be trouble.</p>
<p>This is a great department. Once you go through the doors to the clinic itself. The staff at the front desk have issues. They are in the wrong job. We appear to be in their way, and they are rarely prepared to help out.</p>
<p>We were finally out of there by 1:30. Ridiculous I say. Had a bite to eat, and straight to bed for a couple of hours of sleep.</p>
<p>The nurses in the Daycare do a lot of cross checking before giving you drugs. They check your tag, cross referencing your hospital number, last and first names, and finally ask your date of birth. The do this every time they connect you to a drug. They had misplaced my 5FU drug. This is the one in the baby bottle that I get to take home with me. They found it, but all the cross referencing prevents them from giving it to the wrong person.</p>
<p>Not much more to say about this. Looking forward to the Neulasta. Could use the energy boost.</p>
<p>Thank you for reading.</p>
<div id="crp_related"><h3>Related Posts:</h3><ul><li><a href="https://www.ihavecancer.ca/cancelled-chemo/" rel="bookmark" class="crp_title">Cancelled Chemo</a></li><li><a href="https://www.ihavecancer.ca/princess-margaret-complain/" rel="bookmark" class="crp_title">Princess Margaret, I have to complain</a></li><li><a href="https://www.ihavecancer.ca/no-chemo/" rel="bookmark" class="crp_title">No Chemo</a></li><li><a href="https://www.ihavecancer.ca/chemo_session_number-18/" rel="bookmark" class="crp_title">Chemo Session &#8211; Number 18</a></li><li><a href="https://www.ihavecancer.ca/week-ended-february-6-2010/" rel="bookmark" class="crp_title">The Week that Was &#8211; Ended February 6, 2010</a></li></ul></div>]]></content:encoded>
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