Sunday, September 25, 2011

the chemo cycle

The chemo cycle varies from one person to the next. The chemo that is administered for different types of cancer is as different as the cancer itself. Some types are administered over a number of days and repeated a few weeks later. For some it is a simple 30 minute process repeated weekly.

My own case is a three week cycle with chemo administered weekly. Then there is a break, and a week later the next cycle begins. In addition, I have another type of chemo administered daily in the form of a tablet.

Much has been rumoured about the side effects, which leads to the most terrible anticipation in prospective patient. Some types of chemo cause hair loss. Other types don't. Nausea and vomitting are common but by no means universal.

The fact of the matter is that most chemotherapy is not nearly as toxic as it was a few years ago. However, most types still target fast moving cells. That means that they affect the skin and any other part where cells grow quickly. Some of the newer varieties are able to target cancer cells more specifically. Most types of chemo will affect the blood counts from time to time. There are three counts - red cell, white cells and platelets. A low white cell count can cause a lowering of the body's autoimmune system. A low red count may lead to anemia and a general loss of energy. When the platelet count is low, there is a risk of bleeding. A low count may result in postponing chemo.

I have not lost my hair. There has been very little nausea. A few days after chemo, I experience an extreme fatigue. I can do very little for the next 24 hours or so but rest. Perhaps read. My other treatment - the tablet - cases a rash that spreads all over the body. It looks just like acne. The rash may come and go. My last rash became infected and had to be treated with penicillin. It is clearing now.

Last week was my "holiday" week. No chemo. The break really helps!

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