Code: Select all
DISCLAIMER: This post concerns only M-Stage=MØ patients, that is, Stage I, Stage II, or Stage III rectal cancer patients who have no evidence of remote metastasis to the liver, lungs, peritoneum or other remote sites.
CancerBum21 wrote:...I just feel like the process is moving so slowly! I'm try to be as proactive as I can, but the process just seems so disorganized. Is it common for it to take over a month to go from initial diagnosis to staging and treatment? It just seems like this process is taking forever. I want to take some action or at least know how bad it is...
CancerBum21 wrote:Does anyone had any experience with adjunctive treatment for rectal cancer? I have an appointment with my oncologist and surgeon on Thursday and am trying to figure out what to expect and prepaid some good questions.
Since the Initial staging was T1 N0 M0 the treatment path was surgery and done. Now with the pathology report it seems like more treatment will be needed. It’s been upstaged to T1 N1 M0. The lymph node wasn’t detected on my MRI but found during the pathology report.
- Oxaliplatin - Treating peripheral neuropathy by naturopathy -
Re: Oxaliplatin advice (post)
http://coloncancersupport.colonclub.com/viewtopic.php?f=1&t=50311&p=385241#p385241
Prevention and Management of Chemotherapy-Induced-Peripheral Neuropathy in Survivors of Adult Cancers: ASCO Clinical Practice Guideline
http://jco.ascopubs.org/content/32/18/1941.full.pdf+html
Complementary Therapies for Chemo-Neuropathy: An Integrative Oncologist's Bag of Tricks
http://www.integrativeoncology-essentials.com/2013/06/complementary-therapies-for-chemo-neuropathy/
°- Note: Oxaliplatin toxicity and oxaliplatin desensitization protocols -
Oxaliplatin desensitization questions
http://coloncancersupport.colonclub.com/viewtopic.php?f=1&t=35164#p246839
Allergic reaction to Oxi
http://coloncancersupport.colonclub.com/viewtopic.php?f=1&t=43093#p304849
Desensitization protocol for oxaliplatin
http://coloncancersupport.colonclub.com/viewtopic.php?f=1&t=57906&p=456018#p456018
Hypersensitivity Reactions to Oxaliplatin and the Application of a Desensitization Protocol
http://theoncologist.alphamedpress.org/content/9/5/546.full.pdf+html
°- Oxaliplatin - Slower infusion rate. Normally, the Cycle 1 infusion is run at a slower rate (like 3 hours instead of the normal 2 hour infusion). This is so that they can better monitor the patient for reactions during the first infusion. From Cycle 2 onward, however, they will probably try to set up the infusion at the normal rate (like 2 hours to deliver the same amount of chemo that was delivered over a 3-hour span in the Cycle 1 infusion). This might be too fast for you. It would be less stressful on your system if they continued with the slower infusion rate from Cycle 2 onward. The down-side to this is that your infusion sessions would be an hour or more longer than standard if you choose to go with the slower setting. This is something that you could discuss with your oncologist.
.- Oxaliplatin -Lower overall dose of oxaliplatin - I think the standard dose for oxaliplatin for the Capox protocol is 130mg/m2 administered over two hours, but the fall-back dose for patients who cannot tolerate this level is 115mg/m2. It might be better for you over the long haul if you were given the lower dose instead of the standard dose. With the lower dose of oxaliplatin you would have almost all of the benefits of oxaliplatin, but would have the added possible benefit that you may be able to tolerate oxaliplatin for the entire treatment period as opposed to having to drop it completely halfway through. This is also something you could discuss with your oncologist.
.- Oxaliplatin - Ice packs on feet during infusion There is some evidence that a patient can inhibit toxic doses of oxaliplatin from reaching the toes if the patient brings ice packs to the infusion session and places the ice packs on his feet during the two-hour infusion session.
https://coloncancersupport.colonclub.com/viewtopic.php?f=1&t=65168&p=507045#p507045
Return to “Colon Talk - Colon cancer (colorectal cancer) support forum”
Users browsing this forum: Carmark, Google [Bot] and 375 guests