Thursday, June 10, 2010

Getting Ready.......

It has been 50 days since Lin's cancer was discovered. 44 days since his surgery and 17 days since we arrived in Singapore and met with Prof. John Wong at NUH.

In some ways it seems like years and in others it seems like no time at all.

Many of our friends think that Lin has been undergoing chemotherapy for part of this time, but we are only now getting ready.

At 8:15am tomorrow (Friday, June 11) we go to Cancer Center @ Level 3, NUH for Lin's IV line to be put in; then downstairs to the Day Surgery centre on Level 2 to have his Bard portacath 'installed'. With any luck we should be home that night.

Today, we met with Prof. John Wong to review what will be happening. He looked at Lin's list of medications and agrees with Vitamin D3 (800mg) and Calcium (700mg).

He noticed Ibuprofen on the list and recommended against it. Curious, we asked why and he explained that it lessens kidney function in older people. So we have learnt yet another new thing from him! He suggested using Panadol (paracetamol or in the USA, acetaminophen) instead for pain.

Thus far Lin's blood pressure, kidney and liver functions appear to be in good order and so chemotherapy will start on Monday, June 14 at 2:00pm.

Tonight he will take some antibiotics and use an antibiotic called Bactroban (mupirocin), which he has to apply just within his nostrils. It did not occur to us to ask why but we will tomorrow or a later date. (From what I have read about it, Bactroban works against most staph infections.)

He had a blood draw this afternoon which should provide the baseline for the treatment. More draws scheduled for June 28 and July 12. Glad it's not me!

OK, some of you want to know what chemotherapy cocktail he will be served. It's called FOLFOX6 which basically means 5FU, Leucovorin and Oxaliplatin, and Prof. Wong is starting him on the recommended dosage.

And that is the plan for now subject, as always, to change depending on how his body reacts and what happens.

In case you want further reading, I like this UK site which will tell you about FOLFOX:

http://www.macmillan.org.uk/Cancerinformation/Cancertreatment/Treatmenttypes/Chemotherapy/Combinationregimen/Oxaliplatin5FU.aspx


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