Adventures, Random Thoughts, and A Little Zen

Adventures, Random Thoughts, and A Little Zen
Boneyard Beach, Bull Island, Cape Romain National Wildlife Refuge, South Carolina

Thursday, August 22, 2013

Chemo: Round 2…CHECK - Radiation: Last Day…CHECK


As I write, radiation is not over yet, but will be in less than 12 hours.  Tomorrow marks day 15 out of 15 and last radiation treatment.  Dr. K. has been such a source of confidence for both of us.  From answering questions about bone re-growth to medications and side effects, this guy knows his stuff and in turn…our stuff.  He talks about it not as if it is as scary as it is, but the photons have a job to do and it appears that it is working.  He helped take the anxiety out of a serious set of circumstances while supporting our dignity and supporting this end of the journey.

Looking back, Miki was transported to her appointments lying down in the back of the car because she could not be vertical for more than minutes at a time.  The receptionist would come out to the car and let us know when they were ready for her.  Then I wheeled her in, helped her onto the narrow treatment “slab,” took off her shoes, and waited in the hall while she received her dose of radiation from 3 different positions.  The process was reversed and then repeated 24 hours later.  I wonder if she will walk in under her own power with her crutches tomorrow after riding in the front passenger seat to get there.  I know it seems like forever since treatment began, but things have changed for the better in 3 short weeks.  An important milestone on this journey will be celebrated Friday, August 23, 2013.  So if you happen to see a woman with her head hanging out the passenger window of a black SUV, bugs in her teeth and the wind in her hair…the wind washing over her bald head, it’s just Miki doing a little celebrating in the end zone.

Chemo on the other hand has a little more longevity in this game.  So even though Miki finished her second round out of a possible eight today, every three weeks we will pay a visit to The University of Kansas Cancer Center community location in Lee’s Summit.  A nice facility with super nurses (although we are keeping our eye on one of them) and friendly support staff.  I do not recall what mom’s treatment surroundings looked like, but this place is big, open, and comfortable, if you like a warm blanket, snacks, wifi, and bird feeders to watch out the windows.  I am guessing hers was not so much.  We have had two outstanding nurses so far and an excellent bloodletter, you know, the phlebotomist.  And the regulars, which I assume we are becoming, seem like family to one another.  Aside from the circumstances that bring all these folks together, you should be so lucky to hang out there with such real people.  If you are going to have such a shitty thing happen you, then you deserve to be attended to in such a comforting place with such compassionate people.

Miki’s chemo regiment of treatment requires 3 days in a row, each of which the majority of time is spent hooked up to a little machine that controls the IV drip of chemicals that the nurses have to “suit up” for, while attaching the tubing to her port or the bags to the little machine.  I imagine, it is similar to what the local HAZMAT team would do at any dangerous chemical spill, only this spill is controlled.  On day one, Miki receives two medications, preceded and followed by other solutions that come to her in about 7 different IV bags that are carefully customized in the pharmacy, adjacent to the infusion room (or chemo room to us non oncologists).  Seven hours later…viola (pronounced wallah…French for wallah! - or - there you have it)  Day one is over.  We are still learning the nuances of the infusion room, but apparently there are some recliners that are more coveted than others.  Some vibrate and heat up…that’s right…and you don’t have to feed them quarters.  Some patients seem to prefer being close to the bathroom, one on either end of the room.  And we can attest to the brilliance and convenience of that strategy!  And some get what is available or left over during peak traffic times.  But if you have some clout or maybe issues that may not be envied by your average chemo patient, there are two private rooms available, one of which we may have to experience before it is all said and done.  The second and third days, the two main drugs that are beating down the cancer cells, along with many other perfectly good cells, are served up separately, so your time spent being infused is almost cut in half.  That in a nutshell is the name of that tune.  There will be more to enlighten and educate on this process as time goes on.

The Infusion Room.  Miki is on the far side, just above center.
Again, taking a look back…Miki got her first round of chemo flat on her back in the hospital. Three weeks later she’s reclining in an industrial cousin to a Lay-Z-Boy for her second round, conveniently located in an outpatient clinic.  Again, things are changing for the better.  Keep up the good mojo work, it’s making a difference.

Zzzing toward the end of her treatment and after getting Skunked by me
in Cribbage...only after she beat me 3 times in a row.  The beating took
a lot out of her.  Who can blame her, she was SKUNKED!


My Zen from Home:  The first two days of Miki’s chemo this week, we saw two excellent nurses doing what was expected of them professionally.  Some procedures might seem redundant, but as a patient it’s being careful.  Our nurse today got lazy (admittedly) and skipped what could turn into a problem, but Miki nicely brought it to her attention and she seemed a bit more “on it” the rest of her time with her.  Miki didn’t get in her face about it, like she normally would (yeah, right!), but achieved the expected outcome nonetheless.  No matter what you are confronted with, you always have choices (my oldest sister once told me).  The problem is, taking the time to realize what those choices are and selecting the best one for the situation.  Miki’s choice today helped the nurse save face and brought the level of care back to where it should have been to start.  Shortcuts are meant for kids that are late getting home after curfew, not for being lazy at work.


P.S.  I know you are shocked that I posted two days in a row...first time on this journey.  Don't get use to it!

No comments:

Post a Comment