{"id":106,"date":"2009-06-30T07:43:24","date_gmt":"2009-06-30T12:43:24","guid":{"rendered":"http:\/\/blog.larrygauthier.com\/?p=106"},"modified":"2009-06-30T09:47:08","modified_gmt":"2009-06-30T14:47:08","slug":"chemo-maintenance-end-of-cycle-23-2","status":"publish","type":"post","link":"http:\/\/blog.larrygauthier.com\/?p=106","title":{"rendered":"Chemo maintenance &#8211; end of cycle 27"},"content":{"rendered":"<p><span style=\"font-family: Arial;\">Chemo maintenance \u2013 end of cycle 27<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-family: Arial;\">June 23<sup>rd<\/sup> marked the end of my 27<sup>th<\/sup> cycle of post-transplant chemotherapy.<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-family: Arial;\">Had blood work and visited the UofM Cancer Clinic to meet with Dr. Jakubowiak\u2019s staff (he was on vacation) and assess my progress. Things continue to go well, with all indications that the cancer remains in \u201ccomplete remission\u201d.<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-family: Arial;\">The biggest event since my last blog posting was our trip to South Korea to visit son Larry. We had a great trip &#8211; my health issues only posed a small problem: some discomfort with heat and direct sunlight on a couple of hot days, and shoulder pain again &#8211; no lifting luggage, difficulty opening\/closing car doors, other stuff {pain has subsided since I started PT}. Despite 30 hours in airplanes neither Irene nor I suffered from any of the common \u201ctravel bugs\u201d that regularly affect frequent flyers.<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-family: Arial;\">NEWS FROM MY CLINIC VISIT<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-family: Arial;\">This was a relatively boring clinical visit \u2013 no changes and the only follow-up was the status of the shoulder pain that I reported in my last update.<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-family: Arial;\">I had a slew of shoulder x-rays and a pair of MRI\u2019s, followed by a referral visit to an orthopedic doc at UofM. Dr. Graziano suspects either arthritic joints or tendonitis, and prescribed Physical Therapy as the first response. After PT we\u2019ll assess my progress and determine the next course of action. I\u2019ve been in PT twice-a-week since then. The condition has improved, but has not gone away completely. I have a follow-up ortho appointment scheduled in July. Stay tuned for more in my next update.<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-family: Arial;\">MEDICATION CHANGES<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-family: Arial;\">I\u2019ve now finished four cycles with the reduced dose (10 mg) of my Revlimid chemotherapy drug.<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-family: Arial;\">SIDE EFFECTS<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-family: Arial;\">Neuropathy \u2013 The reduction in Revlimid dosage has made my feet feel a little better. Hardly noticeable these days.<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-family: Arial;\">Neutropenia \u2013 No news here. My WBC and ANC counts continue to vary from blood-test to blood-test, low \u2013 but not dangerously so; however my immune system numbers never manage to climb into the \u201cnormal\u201d range. The clinic staff advised me to simply accept this condition as the \u201cnew me\u201d, and to continue taking precautions related to infectious diseases and germs.<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-family: Arial;\">NEXT STEPS<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-family: Arial;\">A few more weeks of Physical Therapy, then a follow-up orthopedic visit. Other than than, it\u2019s just \u201cChemo Light\u201d &#8211; daily pills and a monthly blood test.<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-family: Arial;\">We don\u2019t meet with Cancer Clinic staff again until September, so my next blog posting won\u2019t be until then.<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-family: Arial;\">That\u2019s the latest news from Hamburg.<\/span><\/p>\n<p class=\"MsoNormal\"><span style=\"font-family: Arial;\">-larry<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Chemo maintenance \u2013 end of cycle 27 June 23rd marked the end of my 27th cycle of post-transplant chemotherapy. Had blood work and visited the UofM Cancer Clinic to meet with Dr. Jakubowiak\u2019s staff (he was on vacation) and assess my progress. Things continue to go well, with all indications that the cancer remains in [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[10],"tags":[],"_links":{"self":[{"href":"http:\/\/blog.larrygauthier.com\/index.php?rest_route=\/wp\/v2\/posts\/106"}],"collection":[{"href":"http:\/\/blog.larrygauthier.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/blog.larrygauthier.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/blog.larrygauthier.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/blog.larrygauthier.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=106"}],"version-history":[{"count":7,"href":"http:\/\/blog.larrygauthier.com\/index.php?rest_route=\/wp\/v2\/posts\/106\/revisions"}],"predecessor-version":[{"id":109,"href":"http:\/\/blog.larrygauthier.com\/index.php?rest_route=\/wp\/v2\/posts\/106\/revisions\/109"}],"wp:attachment":[{"href":"http:\/\/blog.larrygauthier.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=106"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/blog.larrygauthier.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=106"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/blog.larrygauthier.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=106"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}