Each cycle is 3 weeks long. The first week is the most grueling with 5 straight days that are 7 hours each. The second and third week have only one short treatment each week.
Andy did surprisingly well during the first cycle. He has not experienced much sickness. The first week left him completely wiped out with little to no energy and a desire to lie in a dark room with minimal lights and sound for a couple days. He has felt much better during the last 2 weeks of the cycle. He's had an increase in energy and has been able to get out and about some.
His appetite tanked during the first week of treatment. He managed to stay hydrated and eat small meals and snacks but didn't want to eat much. His appetite has increased significantly in the past week and a half though and has been able to eat a very healthy balanced diet.
Andy had an appointment with his oncologist yesterday. So far everything seems to be right on track. He had lost a good amount of weight and at yesterday's appointment his weight was up a little again which is good. They don't want too much weight loss too quickly.
The oncologist said that most patients react similarly to each cycle of chemo so we are hopeful for another fairly smooth cycle. Andy had extreme pain during the first night of chemo which they call "tumor flare". This is when the chemo drugs find those areas that are or were affected by the cancer. The cancerous cells get very "angry" causing extreme pain. Fortunately, this pain completely disappeared within 24 hours and hasn't been back. The chemo nurses said that it could come and go but the oncologist believes it is unlikely to return this time around. We do have a plan in place to deal with the pain should it happen again but it was very scary and quite horrible to see him in such intense pain.
Our concern right now is that his white blood cell count will continue to rise so as not to delay chemo. On Tuesday, the white blood cell count was lower than they like--not dangerously low--but low enough to delay some of the chemo treatment is it continues to drop. They drew blood again yesterday and his white cell count had increased some. Not quite enough but definitely headed in the right direction! The doctor feels that between Friday and starting treatment on Monday, there is enough time for it to get to normal levels. We pray for this to happen! In the meantime, we are following the precautions that the chemo nurse gave us. I also did some quick research for some foods that can help provide needed nutrients to help elevate white blood cell counts. We've added some of these foods in to every meal since Tuesday. Lower white blood cell count in cancer patients is quite common and can be caused by chemotherapy.
Meanwhile, we continue to pray in hope. We are so thankful for the peace of God that has been present in our hearts since the beginning of this ordeal. We have felt the prayers of God's people around the world and I know they have helped!
