Cycle 2 Days 3 & 4 - Starting to feel Average

Day 3                                     21 June2013

Action                                    Woke at around 6.00am. temperature was 36 4. Temperature at 7pm 

                                               was 35.2.
Drugs                                     Took anti nausea meds at four hourly intervals through out the day 

                                               combined with hot water and ginger in excess of 2 litres to combat       

                                               nausea and flush chemo effects. Bruising mid way up arm from chemo

                                              was slightly swollen in the morning but went down during course of the

                                              day but was still very sore up to near shoulder. 

Outcome                               Felt ok throughout day but towards evening became extremely tired.

Sleep                                     Poor quality sleep. Woke frequently with temperature changes and 

                                              chills . Extremely cold despite adequate clothing and bedding. 

                                             
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Day 4                                     22 June 2013

Action                                    Woke at 6.30am

Temperature                          Took temperature at 7.30am. 36.40 degrees. Temperature at 7pm was

                                                36.1 degrees

Drugs                                    Light breakfast with anti nausea drugs throughout the day.

                                      

Outcome                              Extremely bad day feeling fatigue, nausea and constant temperature shifts

Sleep                                    Again felt very cold throughout the night and woke continuously with chills   

                                              followed immediately by surge in temperature and hot flush. 

                                              Uncomfortable and disrupted night sleep.

                                             

Second Cycle Days 1 & 2 - Got the process down pat!

Day 1                                     19 June2013

Action                                    Commence Chemo treatment at 1pm at Chemotherapy Day Unit

Drugs                                     One Hour saline for hydration mixed with anti nausea medication 
                                               including Aprepitant, Dexamethasone, Granisetron and Metoclopramide
                                               Chemo commenced at 1.45 Gravity fed Epirubicin for 20 minutes.   
                                               Followed by pump powered Fluriuracil and then Cyclophosphamide.
                                               Chemo infusion ended at just after 3.50pm.  Took home anti-nauseau of
                                               metoclopramide and dexamethasone for home management.

Outcome                               Went home and took temperature which was 35.1 degrees.
                                              Over the next few hours not obvious effects other than weariness . 
                                              Legs became very heavy. Started drinking hot water and ginger but didnt
                                              urinate as frequently as I would have expected given quantity of water 
                                              consumed. No nausea at all. Had a reasonable appetite but only a light 
                                              pasta. Went to bed and slept soundly until woken feeling extremely cold.
                                              Had felt very cold during chemo treatment and wondered about           
                                              any connection or simply a bloody cold night. Had beanie on but still cold. 
                                              Went back to sleep at 2.30pm warm and slept ok.

                                             
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Day 2                                     20 June 2013

Action                                    Woke at 6.15am

Temperature                          Took temperature at 7.30am. 35.0 degrees. Temperature at 7pm was
                                                36.0 degrees

Drugs                                     Awoke with sligght nausea. Took two dexamethasone with light breakfast 

                                               of two weetbix and cup of tea.

                                      

Outcome                              Had sandwich for lunch and consumed two litres of water by mid morning.

                                              Feeling low level nausea but active, mobile and motivated. 

                                              Metallic taste in mouth and also taste similar to fake sugar such as
                                              saccharine. Getting weary around 7pm.

Sleep                                     Again felt very cold throughout the night and woke continuously with chills  
                                              followed immediately by surge in temperature and hot flush.
                                              Uncomfortable and disrupted night sleep.