The Chemo Experience

 

Happy Halloween :) I thought this was a funny picture.

Happy Halloween :) I thought this was a funny picture.

I thought I’d take some time to answer some FAQs regarding what it’s like to experience chemotherapy. By golly, I hope none of you needs to go through this. It’s not as bad as ending up on the ICU unit in the hospital, but it does have its own potency.

 

Chemotherapy is like being extremely uncomfortable for long periods of time. You don’t ever get to really be pain-free as side effects build upon other side effects, ranging from headaches to nausea. Some will make you lose feeling in your toes and feet. Others cause mouth sores. Or back and muscle aches. The thing about chemo is that all of these side effects hit you at once. And it never quite leaves.

Now, if you’re crazy enough to try and replicate the experience, here are the 10 Ways to Get a Taste of the Chemo Experience (from: www.planetcancer.org):

10. Set down a delicious array of food before you, then eat only wood pulp for several days.

9. Throw upon your lawn.

8. Each week at a pre-determined time, wake up, collect some bees and let them sting you, (for that “I can’t seem to get a vein” feeling, apply one of the little brutes to your arm with scotch tape.)

7. Throw up on your neighbor’s lawn again.

6. Shave off your eyebrows, take out your eyelashes (except maybe 3) then Nair the rest of your body. Don’t worry, the burning is normal.

5. For that fun Ativan feeling, wander into a room and ponder all the possible means of the word “Amazing.” Walk out of the room, repeat. (Ativan is a popular and in-demand anti-anxiety, anti-nausea medication given to chemotherapy patients. It works wonders and makes you feel really nice, allowing you to doze off and sleep in bliss. But it’s notorious for being highly addictive like Vicodin. I tried to stop this cold turkey once after finding out, but ended up in the ER for drug withdrawal syndrome. Luckily, you can slowly wane yourself off it, which I’ve done successfully. However, I still need to get back on it from time to time to control side effects.)

4. Hang upside down from a tree until your face is cherry red, this wll help with the dizzy/flushed, red faced feeling of Adriamycin.

3. Lay around feeling like you got hit by a truck. (This is so true!!!)

2. Attempt to drink Ensure while you are nauseated. To become nauseated, drink an Ensure. (It’s not too bad, tastes like Strawberry Wild Jamba Juice to me. But it’s hard to consume it while nauseated, no doubt.)

1. Congratulations, you’ve finished one chemo treatment, how many more do you get to do?

That’s pretty much it in a nutshell. So comparatively, it’s not like the flu or cold, which I feel can be worse sometimes since you’re hit pretty badly, but it’s temporary for a few days. Chemotherapy can be just as painful but for months on end as long as you’re receiving it. Lesson learned? If I’m completely “out of it,” you’ll know why :)  

Dedicated to all my fellow patients out there! And the hope that none of you normal folks go through this.

6 more rounds of chemo!

This is me back in late August after my diagnosis getting my first blood transfusion. Color instantly returned to my face! I was pretty pale before.

This is me back in late August after my diagnosis getting my first blood transfusion. Color instantly returned to my face! I was pretty pale before.

Hey everyone!

Sorry about the dreadful, previous post. Part of me regrets putting it up and sharing the downsides of having a blood cancer, but part of me doesn’t at the same time, because I know that it was as real as it gets. My sincerest apologies though if I sounded like a Mr. Grinch :x

I’ve currently transitioned to the UCSF Medical Center. For the past few weeks, I’ve been going at the outpatient clinics at the hospital getting check-ups about once to twice a week. Since my family is located in the Bay Area, I didn’t want to further burden my parents by continuing treatment at UCLA. However, the UCLA Medical Center took care of me very well and I owe it to the physicians, case managers, nurses, and volunteers there for helping me get through induction. I can’t give them enough thanks and gratitude.

I have six more rounds of chemotherapy left to go and entering the phase of consolidation. It will take up the course of my time for six to seven months. Luckily, not all of it will have to be at the hospital (i.e. living there overnight or weeks at a time). Here’s a brief outlook of my chemotherapy schedule:

Round 1: Induction completed at UCLA! Woot!

Round 2: Outpatient (Yay!) — takes place from late October 26 to November 25ish
Go visit the clinic about 1-2x/week for 4 weeks, enjoy home time :)

Round 3: Inpatient (Boo!) — takes place after Thanksgiving in November to early December 2-3ish?
4 to 5 days of hospitalization (not bad?)

Interim: Rest for 2-3 weeks to let body recover! No chemo! Enjoy home time for the rest of December, yay! Christmas!!


Round 4
: Outpatient (Yay!) — takes place from beginning January to beginning of February
Go visit the clinic about 1-2x/week for 4 weeks, enjoy home time :) Hopefully don’t have to do chemotherapy on birthday :x

Round 5: Inpatient (Super Boo!) — takes place from beginning of February to mid March
3-4 weeks of hospitalization, similar to induction round. This one is the hardest hurdle to go through for consolidation ….

Interim: Rest for 2-3 weeks to let body recover! No chemo! Enjoy home time until beginning of April!

Round 6: Inpatient (Boo!) — takes place from beginning of April to mid-Aprilish
4 to 5 days of hospitalization (not bad?)

Interim: Rest for 2-3 weeks to let body recover! No chemo! Enjoy home time until mid-May!

Round 7: Inpatient (Boo!) — takes place from mid-May to late-May!
4 to 5 days of hospitalization (not bad?)

Rest and recover again for 2-3 weeks, but then I’m FINALLY DONE!

As most of you may already know, we finally finished our website headquarters: www.helpingjanet.com

I’ll try to post more often! :) Just kind of trying to enjoy the weekend before I restart chemotherapy.

Until then, all my best,

Janet

Dying, Struggling, Frustrated, This Isn’t A Joke

Disclaimer: I sound like a brat, but this is uncensored. Here’s the real deal, folks. 

I’m beginning to realize that the fight with leukemia (Mr. Luke) isn’t simply a physical toll on my body, which I will gladly attempt to endure and take, but a tremendous pressure on my heart and soul. Many of you have been sending thoughtful messages of support and admiration about my bravery and ability to keep a relatively positive demeanor throughout this whole ordeal. You raise me up to a pedestal of inspiration, hope, and faith. It almost makes me feel like I’m on a huge ego trip. Yes, I’m really grateful for all of these kind thoughts and vibes, but to be honest with you — it’s not like this everyday, and in particular, today is one of those days. In fact, half of the time I pretend I am happy until I forget that I have cancer and actually trick myself into staying positive. 

I pretend because I don’t like sharing pain, particularly emotional pain which contains a certain depth to it that seems limitless. This is why nearly all cancer patients are automatically assigned psychotherapy to help them deal with the emotional extremities of a “life-threatening sentence”. No, in our defense, it’s not because we’re crazy. It’s because we’re dealing with too much on our plates. The same questions resurface and I continue to ask myself what I’ve done in my life to deserve something like this. Maybe as a kid I stole a pack of gummy worms from my mom’s cupboard without telling her. Or that sometimes my friends and I will pull pranks on one another just for kicks and laughs. But is that enough to render something like … leukemia?

You begin to really think about your own mortality. You try to smile when your friends come over. No one knows what to say or how to feel except pity. And you don’t need or want that. You see, keeping me in your thoughts is not enough, guys, as much as I appreciate with all of my heart this kind, voluntarily, out-of-your-own-will gesture. Joining a Facebook group is great, spreading the word is wonderful, but in the end the only thing that will save me and other patients in the end is widening the pool of Asian American and other ethnic minority donors in the national registry through a determined, call of action. As in … did you register yet? As in … would you like to host a bone marrow drive? As in … would you like to get down and dirty and just help me out for one day to get people registered? 

I became distraught because an urgent email was sent from a coordinator at Asian Miracle Matches to 70 of my closest friends in Southern California that I was willing to burden. Only 2 of them replied. No, I’m not popular at all. For some reason, those 70 came to mind that I’ve developed a special connection with over time. Again, just 2. Reality hits.

There’s an overwhelming amount of guilt I feel and frustration, because all I can do is keep asking and begging. That’s all I’m good for these days with no guaranteed promise of the ability to return your favors. I also understand that many of you have fruitful, promising lives/futures and are extremely busy. All I can really tell you is that I have about 3-4 months time to come up with some kind of bone marrow donor match. That is nearly impossible. The pressure is on, as my doctors and bone marrow transplant coordinator continuously remind me of the time-sensitive nature of treating this disease. If not, they’ll continue to drag it on and on, keeping me alive with one chemo round after another until I become resistant to it and there’s no other alternative except an umbilical cord transplant, which will buy more time and is currently in the research/experimental stages. 

I spend about 8 hours in front of the computer everyday (albeit going on Facebook every two hours, that is my fault) working on everything I can before I become incapacitated at the hospital again. The extra 2 hours are dealt with insurance and medical centers. Look, I know it’s not easy, but damn. Let me count the ways of anxiety: 

Anxieties/Stressful Stuff: 

- Missing your boyfriend and not being able to be with him as much anymore. Trying not to show HIM too much pain either. Always being separated and not being able to be with the one you love.
- Watching your parents go through it all with you. Everything. Every step of the way. And wishing you had some control over this disease. 
- Trying not to yell at your insurance for purposely delaying important procedures at the very last minute you need to get them done. 
- Wondering if nurses and doctors who work for insurance are on your side or the evil, profit-making side? Why do they ask so many unnecessary, sneaky questions that I don’t know how to answer?
- When insurance threatens to kick you out because you’re not a full-time student. How can I be a (undergrad/grad?) student when I’m sick like this? Am I suppose to take 13 units and vomit during class?
- Losing a normal physical appearance. Yes, I have no hair. As a female, it kind of hits you hard too. 
- Not being able to eat what you want and craving it while other people eat it in front of you. (Okay, this one’s not too bad and I can deal with it.)
- Having black and white dreams of your own funeral pictures with a stand and flowers around it, then waking up in the middle of the night from it all … it was just a nightmare
- People who call you or your parents up just for a good ol’ story about cancer, then saying “gotta go, good luck” and hanging up. It’s true.
- Fighting insomnia 
- Taking medications and hoping some type of chemical reaction isn’t induced from an overwhelming mixture of “must-needed” drugs to counteract a side effect from another side effect
- Money. And spending it on cancer in an economy like this. I’ve costed insurance almost $500,000 at this point.
- Asking and not being able to return the favor. Feels like debt. 
- Feeling angry at God sometimes and alone, as if He’s not listening to you.
- When people write FML on their status pages … now does the fact that you couldn’t fit a size 7 shoe really an “FML”?
- Scaring people away, especially my friends 
- Crying secretly in my sleep
- I’m a baby and not as brave as I should be
- Wanting to be free and outside instead of trapped at home/hospital all day. 

In the end, I know I’m being a brat. And there are severe consequences for being too open about this. But damn, I am tired. If there is no one to proactively reach out for me, I will just pray that China eventually opens up its registry and improves U.S. relations. I will just let loose and let the natural fates determine whether or not I deserve to live and find a match. If God gives me three years to live from remission, damn, I will be enormously happy. That’s pretty much all I’m asking at this point. Three healthy years. Or you can knock me out when I’m 50. That’s even better. You can blast all the cancer you want in my direction.

I just want to live my life accordingly and do good while I’m young and still idealistic and hopeful. I’m not crazy, just talkative. This is how I deal. We all have our moment of weakness and well, here’s mine.

If there’s anything that’s even more bewildering, it’s the new sense of realizing who are your real friends and who are friends who are only with you when everything’s dandy and fine. You start to keep a natural tab on these people in your life and man, the clarity is amazing.

Finally, if there’s anything that consoles me, it’s the support of my boyfriend, who I’ve only dated for less than 9 months. He’s been with me ever since and strangely enough, I feel closer to him now than I ever have before. Not a day goes by without long exchanges of conversation. He anchors me in place and removes all the fears that I feel with the tone of his voice. And yet, I know that I’m not bound to him in any way and you let people go when it’s time. I remember asking God, “Can the one that I’m destined to be with called a James? Because that’s my favorite guy name.” I met him three weeks later at the library after an earthquake. So, not all faith and hope is lost, not that I’m basing fate on meeting this guy. But yes, I do love you, James.

Surrealism

Just when I was getting acclimated to the hospital environment, the doctors and nurses rushed into my room today saying that I should get ready to be discharged. First, I’ll start with some bad news:

BAD NEWS 

1. My brother (and only sibling) is not my bone marrow match. This does make the journey a little more tough to follow, but I still have hope and faith. Once I get home I really want to begin the search and educate the public, especially the Asian American community, about how easy it can be to save lives with four simple cotton swabs to your cheeks. I can’t stand the idea of patients dying simply because we couldn’t find our matches in time. It’s disheartening to know that 95% of Americans aren’t registered, probably due to the stigma of donating a very small sample of bone marrow.

Now that I’ve vented and released the “dark” kernels of what’s on my mind and the slight negativity, here’s the …

POSITIVE NEWS

1. I’m doing really well with the blood work. Platelets, hemoglobin levels are climbing higher in counts on their own naturally. Most importantly the neutrophils, a specific type of white blood cell that is responsible for eating up the germs and bacteria in our bodies so we don’t sick easily, have reached .09! You need 0.5 to be released from the hospital and be safe enough to interact with the mass public, so I’ve already exceeded this threshold, as well as the regular white blood counts.

2. I’m feeling better. Nausea mostly gone. Vomiting gone. I can walk faster now. I have more energy. It feels good.

I’ll be heading back to the Bay Area where hopefully (if insurance goes well) I can continue the rest of my treatment at UCSF. I already miss UCLA dearly. :(  

 I don’t hate anything — hatred is too harsh of a word to use or an emotion to feel, but MAN I do hate cancer. Because the more I sit here and contemplate how my life has changed so dramatically, the more I realize that I simply can’t die. There’s really no choice, no other option. I HAVE TO SURVIVE. There’s too much good left to do in this world, so much to change that is needed for us to work on to make it a better place, and I WANT to be a part of that. I WANT to be allowed to be a part of that. So … I can’t die. 

PS. As a side note, I really also hate it when people die from being murdered brutally or shot … or just human beings hurting each other. We already have natural disasters like typhoons in parts of Southeast Asia to wipe out innocent lives, not to mention life-threatening diseases that we can’t control … but we CAN control our own actions. So why hurt each other? It continues to boggle my mind. 

Sorry for the mood — maybe it’s the 15 pills/meds I need to take everyday, but man some things just need to change. Stat!