Day +37 : Second Chemotherapy

I am fine today, continue my story at SJMC...

I have my second chemo on 9 April 2008, before starting the chemo, doctor need to check the blood counts, ensure I am fit to take the chemo. The blood counts confirm I meet minimum requirement with TWB 2.

Bloods Count on 9 April 2008:
Hb: 11 ( Normal 13 to 18), Platelet:111 ( Normal 150 -400 and TWB: 2 ( Normal 4 to 11). I discharged in the next day.
As the TWB expected to drop further, I was given growth factor Nuelastim, one dose of Nuelastim equal to about 8 dose of Neophogen, it help to boost up the TWB, which important to prevent nuetropenia to a certain extend and lessen the risk of infection. However they are expensive, Nuelastim cause RM3400+ per injection.

The bloods count on 14 April 2008
HB: 11
Platelet : 163
TWB : 0.9
So, I have to take the Nuelastim.

My hair starting to lose after the second chemo. Mum and I went to India Barber shop to get a clean cut. 见妈妈眼泪掉了，心底感到非常疼。

Day +36 : First Chemotherapy

I am fine today. It is Sunday Morning, I have a donut and oat for my breakfast, follow by a bowl of mee after 1.5 hours later . Steroid drug keep me hunger most of time.

Continue the yesterday story, I have my first chemo treatment on 27 March 08, and discharged the next day. One of key drug used was Rituximab, it is Monoclonal antibody target on the cancer cell. Encouraging results are reported for treatment with NHL ( Non Hodgin Lymphoma) and in combination with chemotherapy has been shown to increase the Chance of respond rate and survival of diffuse large NHL in elderly patients. Doctor said the cured rate increase by 25%. This the most expensive drug which cost RM6000+ per treatment. I don't encountered much side effect for the first chemo. I will go through minimum 6 cycle of chemo at 2 weeks interval.