HELP! no instructions of what to do or not do

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Anonymous
Anonymous Member Posts: 1,376
HELP! no instructions of what to do or not do

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  • Amelia01
    Amelia01 Member Posts: 266
    edited January 2018

    I thought I must have received an email, or maybe my husband would have, but I have been given ZERO instructions from the clinic of what to do to prep (or what not to do) for tomorrow's chemo.

    Its a wonder that I have written somewhere to be there at 8am.

    Eat, not eat, not take vitamins, not assume iodine... wear clean underpants....

    In addition to the extreme panic I am feeling, I also am enraged that the clinic has given me nothing at all except their fees.

    And with all the holiday rush, it didn't occur to me to check last week.

    If anyone can give me some guidelines, I'd be most appreciative.

    Thanks

  • OCDAmy
    OCDAmy Member Posts: 873
    edited January 2018

    I would eat something light for sure. I don't think I had any instructions for that day. Some are given steroids to take before chemo but I was not. The only thing I did was put the lidocaine on my port an hour before treatment. Drinks tons of water. I iced during taxotere.

  • pingpong1953
    pingpong1953 Member Posts: 362
    edited January 2018

    Wow. You got nothing from them, not even info about the drugs you'll be getting? My chemo cocktail was a bit different from yours, but I had to take pre-meds (anti-nausea and steroids) starting the day before. It's possible that you'll get the same thing but as an infusion before your chemo drugs. You'll want to have lots of water to drink during your infusion, and make sure you have someone to drive you home after. I was fine after mine, but you won't know how you'll react. There also are some steps you can take to minimize hair loss (cold-capping) and icing your hands and feet to prevent nail damage from the Taxol. There's lots of info about these steps in this forum. (I didn't bother with cold-capping, which sounded like a huge headache, and the chemo nurse gave me special cold gloves to wear to minimize fingernail damage. I didn't ice my toenails because my feet cramp up terribly if they get cold, and I didn't think the pain would be worth it.) Hopefully you'll have an information session before your infusion starts. And yes, wear clean underpants, but you'd do that anyway!!!

  • TWills
    TWills Member Posts: 679
    edited January 2018

    I was given no instructions as well but there aren't really any to speak of, just eat something light as posted above. Bring snacks and wear layers in case you get cold or hot. Good luck, and ask your MO for meds if you are uncomfortable the days after your infusion, too many good meds available to be too uncomfortable:)


  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited January 2018

    Hi!

    During my first chemo, my nurse sat with me for over an hour, talking about my chemo cocktail, the side effects, how to use OTC meds to address them, and when to call the oncologist on call. Some chemo centers do this info session before chemo; mine did it during chemo #1.

    I would assume that chemo #1 will take some time so bring something to do for several hours. I worked through chemo, so I wrote lecture notes during infusion sessions. Having a book, some knitting, or a friend will help you pass the time.

    Good luck!

  • Jennifer522
    Jennifer522 Member Posts: 254
    edited January 2018

    I have had 6 chemo's so far, and there always seems to be at least one person there for their first time. The pharmacist comes and talks to them while the nurse gets started with the IV fluids.

    Do eat before. I was so nervous the first time and didn't and it made me feel worse with the pre-meds. I am not familiar with your drugs other than taxol. With taxol I am given steroids, pepcid and benadryl by the nurse before the taxol starts. Benadryl makes me really sleepy and I sleep for 1/2 the time (which is normal) in the recliner type chair.

    I felt fine after chemo on the way home. My husband brought a bucket thinking I would throw up on the way home. But steroids make me feel great!

  • Amelia01
    Amelia01 Member Posts: 266
    edited January 2018

    Thanks everyone!

    I couldn't edit my profile for some reason, the drugs I will be taking are EC (like AC but the E is epirubicin)

  • LeesaD
    LeesaD Member Posts: 383
    edited January 2018
    Definitely check with MO if you can get someone today and check about the steroids. At least a week prior to my first chemo all of my prescriptions were in the pharmacy so I could have everything at home. The steroids you have to start day prior. I had to take steroid pills day before, morning of and day after chemo. Also I think I had to take an antacid day of. Then also not sure if you have a port but I was given lidacain cream to numb port about an hour before I went to the chemo. Then make sure you have you anti nausea meds on hand. These were all prescriptions my MO gave at my last meeting with him prior to starting chemo. Day of I ate a big breakfast prior to each treatment as you don't know how you'll feel after and for how long so power up before hand. Best of Luck to you.
  • Amelia01
    Amelia01 Member Posts: 266
    edited January 2018

    On the note of steroids, I am following a diy version of the Valter Longo Mimicking Fasting Diet which shows steroids to be potentially bad while fasting because they cause a spike in blood sugar which isn't a good idea (and potentially dangerous) if the body is in ketosis.

    My holistic oncologist suggested the diet, but left it as that --- read up and do what I want, so I haven't any true medical guidelines to follow up on how to address the steroid issue (I sent her a text message that was replied with a nice CYA reply).

    My port is in my chest and was put in on Dec 19th. It doesn't feel quite right (should I still have pain in the area when I do certain simple movements?). I called the clinic last week to find out if they could look at it prior to infusion, but since dr. was on vacation I was told to wait and see what they want to do tomorrow.

    In order to look at it's connectivity (uhhh like a usb?) they need to do an X-ray. Can I stop having potential harmful rays zapped in my body, please?!

  • NotVeryBrave
    NotVeryBrave Member Posts: 1,287
    edited January 2018

    I had a whole teaching session with my oncology nurse about a week before my first round. She gave me a binder with info on all the drugs and some helpful stuff about side effects. They had also called in a number of prescriptions - both routine and as needed meds.

    They will most likely give you some type of pre-meds to start. Plan on a fairly long day - maybe 4 hours or more. Most drugs are run slower the first time or two.

    My port was kind of sore for a while. An xray is usually done right after placement to confirm position. A freezing spray can be used to numb the area right before the stick.

    Good luck. I hope they fill you in on everything tomorrow!


  • ShetlandPony
    ShetlandPony Member Posts: 4,924
    edited January 2018

    Don't take vitamin supplements without checking with your onc, except for vitamin D (which is not actually a vitamin) if you take it. The oncs generally don't want you to overdo antioxidants as it is possible they could interfere with chemo.

  • Beatmon
    Beatmon Member Posts: 1,562
    edited January 2018

    I would certainly check with Doc before starting since you haven’t had any pre steroids. Maybe all drugs don’t require them.

    Take something to do. It gets really boring. I have my noise canceling earphones and wstch a movie. I always take my own pillow because I’m hooked on it. I take it everywhere. I have a big chemo bag and just take it back and forth. Extra charger, small fan, chapstick....things I would need for a long car trip!

    I’m sorry you are going in unprepared. Hooefully you will see Dr first.

  • Mucki1991
    Mucki1991 Member Posts: 294
    edited January 2018

    I take an electric blanket..Best thing ever as I'm always cold

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