Surgery Pathology Report

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NHMike
Posts: 2312
Joined: Fri Jul 21, 2017 3:43 am

Re: Surgery Pathology Report

Postby NHMike » Fri Sep 27, 2019 2:00 pm

MistyBlu wrote:
NHMike wrote:

I gained weight on Chemo but that's because I didn't work out as much.


Aren't you the one following the anti-inflammatory diet. I started that! Kinda sucks...[/quote]

No, that's not me. I use a Mediterranian-ish approach.
6/17: ER rectal bleeding; Colonoscopy
7/17: 3B rectal. T3N1bM0. 5.2 4.5 4.3 cm. Lymphs: 6 x 4 mm, 8 x 6, 5 x 5
7/17-9/17: Xeloda radiation
7/5: CEA 2.7; 8/16: 1.9; 11/30: 0.6; 12/20 1.4; 1/10 1.8; 1/31 2.2; 2/28 2.6; 4/10 2.8; 5/1 2.8; 5/29 3.2; 7/13 4.5; 8/9 2.8, 2/12 1.2
MSS, KRAS G12D
10/17: 2.7 2.2 1.6 cm (-90%). Lymphs: 3 x 3 mm (-62.5%), 4 x 3 (-75%), 5 x 3 (-40%). 5.1 CM from AV
10/17: LAR, Temp Ileostomy, Path Complete Response
CapeOx (8) 12/17-6/18
7/18: Reversal, Port Removal
2/19: Clean CT

User avatar
Jacques
Posts: 534
Joined: Sun Dec 28, 2014 10:38 am
Location: Occitanie

Re: Surgery Pathology Report

Postby Jacques » Sat Sep 28, 2019 11:15 am

Rock_Robster wrote:... I must say my calculation based on your height & weight is still higher than what they’re prescribing, but I’m reluctant to go into this too much as I’m not a doctor or pharmacist, and they should be able to explain this to you. For peace of mind, I would be asking them to explain the calculation they used to get to your dosing (the pharmacist can be a good independent check if you’re unsure about the doc).

MistyBlu -
I agree with Rock_Robster and I would encourage you get to the bottom of this before your regimen gets too far along.

My calculation, too, gives a higher dose than what your script prescribes. Your doctor says that he wants to put you on the X-ACT protocol for Xeloda monotherapy, i.e., Xeloda by itself without combination with oxaliplatin, or with radiation, or with anything else. But the prescription that he gave you is for a "light" version of Xeloda, not one with the full standardized dose of 1,250 mg/m2. His prescription is one appropriate for special patient populations like patients rith renal insufficiency, or patients with intolerance of fluoropyrimidines, etc. His prescription is around the same "soft" level as the fallback dose that they revert to when a patient cannot handle the full-dose regimen.

In my opinion, you need an explanation for this apparent inconsistency.

MistyBlu
Posts: 28
Joined: Wed Aug 21, 2019 7:26 am
Location: New York

Re: Surgery Pathology Report

Postby MistyBlu » Sat Sep 28, 2019 2:27 pm

Honestly I’m afraid of a higher dose. That’s probably silly. But I guess there’s no sense in putting these chemicals in my body if I’m not going to have the dose strong enough to give me that minimal yield.

I will ask first thing Monday. My pills should be arriving Wednesday.

Jacques, you sure you’re not a doctor? Maybe in a past life?
F, 49 at DX, Stage IIA
9/4/19 Right Hemicolectomy
PT3NOMO- Grade 2
Xeloda - 1,650mg (Oct19-May20)
CEA 10/22/2019 - 1.2ng/ml


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