Today, we started chemotherapy. We have been ennundated with information regarding NeuroBlastoma in the week that we’ve been here.
While we’ve been reading the technical aspect of chemotherapy, connecting what’s been presented and what we can expect from Chemo is not so obvious. For one, cancer as well as the effect of chemo is highly idiocyncratic. What works in one patient may not work in another patient. The effect of Chemo on one tumor in the body may not work if the cancer has spread (metastasis).
We were nervous about starting this process. First two steps was to give Maya blood. Since chemo will reduce the blood count, they topped up the blood before chemo was administered. Second, they also started with anti-nausia drug.
When finally chemo started, it was a little anti climactic. Clear fluid in a small pouch was all there was. It dripped into Maya’s CVL and that’s all there was to it. Mind you, the nurses were more dramatic. Anytime they came to handle the bag, they dawned up a special gown to ensure that they do not get exposure to it.
Once the chemo starts, we need to keep Maya peeing regularly. Maya needs to flush out the chemo in her bladder or otherwise, it will damage the lining of the bladder. In future when higher doses of Cyclophosphamide is administered, an additional drug is given to coat the bladder lining so that the chemo will not damage her bladder.
Day one was uneventful.