jsbsf wrote:... I unfortunately had to get all the feedback from DH who told me the margin was not clear. But he also told me the surgeons sounded very optimistic, although there was discussion about post op radiation which is concerning....
jsbsf wrote:The board met and the oncologist called today with his recommendation. Everyone wanted to stand by and monitor since they all feel quite optimistic. He dissented, and opted for “insurance”.
DH was offered 3 months of adjuvant Xeloda, which he should start in a couple weeks. Even though they feel his cancer won’t return, this should seal the deal.
jsbsf wrote:I mentioned that our oncologist recommended 3 months of Xeloda. But yesterday the pharmacist called and said it’s 6 months. 1500mg for breakfast and another 1500 for dinner 2 weeks on one week off for 8 cycles. It does seem like quite a bit for “insurance”… We are taking the chemo though, mainly because he tolerated FOLFOX pretty well the first go around.
Here are the details for the special case of diarrhea. In this case, an increase of more than 6 watery stools per day is considered serious and requires immediate doctor intervention to avoid termination of treatment. This is because severe diarrhea causes excessive loss of fluids and loss of electrolytes, leading to multiple problems like kidney damage, kidney and bladder stones, etc. It should be noted that chemo-related diarrhea is different from the common traveler's diarrhea that we are familiar with. Chemo-related diarrhea is more difficult to deal with and may require special measures in order to control it. Similarly for mouth sores. These sores are not the same as the canker sores that we have had in the past. They are much more virulent and will not just go away with the passage of time. They need to be treated properly with appropriate medical procedures. If not, the mouth sores will soon gravitate to throat sores, then to larynx sores, and finally to sores in the lungs (i.e., pneumonia). Simple mouth sores need to be taken very seriously as soon as they appear, otherwise they can soon escalate out of control if they are not treated appropriately.
Diarrhea A disorder characterized by an increase in frequency and/or loose or watery bowel movements.
- Grade 1 -Diarrhea Increase of <4 stools per day over baseline; mild increase in ostomy output compared to baseline
- Grade 2 - Increase of 4 - 6 stools per day over baseline; moderate increase in ostomy output compared to baseline; limiting instrumental ADL (Activities of Daily Living)
- Grade 3 - Increase of >=7 stools per day over baseline; hospitalization indicated; severe increase in ostomy output compared to baseline; limiting self care ADL
- Grade 4 - Life-threatening consequences; urgent intervention indicated
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