I've spent the last couple of days focused on getting sleep and rested. Thankfully, it's been a successful quest. I posted to Cooper's blog about it this morning while I was getting my chemo infusion (click here to read it). Sorry for not copying it over, but I'm late for my nap :).
At my appointment today, Dr.Barstis discussed the differences between Cisplatin and Carbopatin since I'll be getting one of them, along with Gemcitibine, for chemo rounds 5-8. Cisplatin has a tendency to cause more side effects (mainly nausea) but might be more effective against triple negative breast cancer...although Carboplatin might also be deemed more effective. We agreed that he would contact Dr.Glaspy and discuss it with the understanding that my position on the matter is this - I will take ANYTHING that is deemed the most effective, regardless of side effects (as long as said side effects are not life threatening of course). Some people would choose fewer side effects and that's OK - this is a personal/individual choice that every patient needs to make for themselves after getting educated on the subject. But for ME - I want all guns ablazing in my fight even if that means praying to the porcelain gods for a week of every month (although Dr.B didn't seem to think I'd fare that badly since I haven't had nausea at all thanks to the anti-nausea drugs I get days 1-3).
We also talked about my return to work, again, because Dr.B is very concerned about my not getting solid sleep DAILY and he's concerned about the effect of adding more responsibility to my plate when I should be working on ensuring I get the sleep thing under control first. Chemo related fatigue usually has a cumulative effect and since I have 5 more to go after today we don't want me to set myself up for problems. I learned that the fatigue I've been experiencing is more related to the chemo than to my son's annoying sleep patterns - although they certainly go hand in hand - a perfect sleep deprivation storm, so to speak. So....we discussed a couple of alternative options to the plan we last agreed upon and I'll be deciding on that tonight and get my revised note from him tomorrow when I go in for my Neulasta shot and then I can call and let folks know what the new plan will be. I'm so grateful to my employer for being so compassionate and flexible during this critical time. I know that many people are not nearly as fortunate as me. I thank God for this and the many other blessings He has sent me.
Also, I've officially met my deductible and out of pocket maximum for the plan year (our plan year is July 1 - June 30) -- so $2k within the first 2 months of the plan year. This is after meeting those same deductibles and out of pocket maximum amounts within the LAST 2 months of the previous plan year (May and June) $4k in 4 months. This is with GREAT health insurance benefits (for which I'm very very grateful). From now through June '10, I just pay office visit co-payments - phew!!
OK...I'm an hour late for my nap and the sitter is leaving in 10 minutes - ugh - BUT Bob is home so I'm logging off and catching some quick zzzz's - doc's orders! LOL ;)