Sunday, October 12, 2008

LBH589, oh how I despise you....

To literally cut a long, three week-story, short. LBH589 has been nothing but hell. Emotionally, Physically, Psychologically, just everything has been very, very difficult. And it being Sunday, I am not looking forward to this next week.

To summarize, my schedule at the hospital last week was as follows:

Monday 7am-7pm
Tuesday 9am-12am
Wednesday 9am-2pm
Thursday 9am-12am
Friday 7am-4pm

It was, to put it bluntly, just hell.

Next, were side effects. The LBH itself are two small pills, 40mgs. The dose is taken on a M,W,F schedule. Every single M,W,F. You'd think something as small of a dose as that could not affect your entire body. But, in this case, poison is poison. Whether it be infused, or swallowed. And boy did I get a good kick in the butt, reality wise.
Side effects listed on the trial were: nasea, vomiting, fatigue, GI issues, shivers, fevers, skin rashes, insomnia, anorexia.

I can tell you out of the nine that were listed for 'minimal' side effects, I had eight of them. My doses would start at 7 or 9 am, and four or five hours after my dose I would begin to have flu-like symptoms. The nasea, was the absolute worst, so we tried to focus on that issue first hand. Since zofran (a common anti-nasea drug is not allowed on this study), and compazine (which I'm allergic to) are out of the picture. After dicussing things with my two favorite men in my life (My uncle Jay, and my good friend Darrel, and I think you mentioned it too Alison!), it seems that Tigon (which has been discontinued) and Kytril are working the best.

The GI issues, are ones I wish not to talk about, trying to find a balance between imodium, and Senokot, leaves me shuddering just thinking about. And, pain in my lower abdomen, that makes me want to sleep all day.

And the flu-like symptoms are usually for a straight 24 hours, a few hours after a dose of the LBH. This means, the following day (Tuesday night), I begin to feel better, only then to return to swalloing the pill the next morning, and returning to the same cycle. In addition, I am force feeding myself, as I've already dropped around 5-7 lbs in the first week. Due to the nasea, GI issues, and never being hungry.

There is a lot more, to all of this as well, but those are the nuts and bolts of my treatment so far. This week I will only need to go in mornings of Monday, Wednesday, and Friday. Even though those are just the physical side effects that I've described, being back in the hospital again, surrounded by chemo and cancer, has side effects of its own. But, I'm working through them.

I've realized, it's no longer a sprint, at this point.
But a long, uphill, marathon. To where? I'm not sure.

My hope is that as treatments, and medications are sorted out I will have some kind of quality of life, since all of this week was either spent in a hospital bed or my own. And that the side effects will become more tolerable, as will the idea of being treated... for the rest of my life.

I realize that this is a very 'non' Bekah update, not really explaining my emotions or thoughts. I've just literally had hundreds of emails, asking how I am doing, and what the news was of the new trial. So, I felt the need to throw all of this out there.

On a positive note,
At least there is hairgrowth, to speak of....


Hope October is being wonderful, to all of you.
And wherever you are... you're enjoying fall.

B

21 comments:

Veronica said...

Wishing we were closer to help you through this........sending love and hugs.........Vx

Anonymous said...

Yuck, Bekah....sounds like a week from hell. So sorry....here's to hoping next week goes a little better. Ugh...keeping my fingers crossed that at least the LBH is working to get the disease. Hugs from Arkansas, E&Z

Anonymous said...

Hi Bekah
Thank you for the update. I was thinking of you and wish you a better week. I feel like a blog stalker, but you have captured my heart. My daugher Kristen, also a teacher relapsed in July and will be going for Stem cell transplant very soon. I sent her this quote and wanted to pass it to you:

I hated every minute of training, but I said, ''Don't quit. Suffer now and live the rest of your life as a champion.''
Muhammad Ali

All good thoughts coming your way.
Your friend,
Karen (long island)

Anonymous said...

Dear Bekah-we are so sorry to hear of your week from hell! We were hoping the trial series would be easier than what you have already experience. We will keep you in our thoughts...hang tough....With love, the Hale family

Anonymous said...

Your on my mind big time..., hoping this week is much better.

Jane

j said...

we love ya girlie
j and fam

R said...

So many people are thinking of you, Bekah. I hope you have a better week this week. Love Rachel x

katmm said...

Just know that I am always thinking of you Bekah - your courage knows no bounds.

Kathy

Adrienne said...

Hang in there. It does get better. Adrienne's GI side effects from the MGCD are almost nonexistent now but it took awhile. It's a tough balance but you'll figure it out. We love you and are cheering you on. Love, Alison

Anonymous said...

I'm saying prayers that this regimine gets easier for you.

Anonymous said...

Oh my. You look so worn out, hon. But your strong spirit shines through in your blog post, despite everything. One day at a time, right? we fight. One. Day. At. A. Time.
Have you been to my.crazysexylife.com site yet? So far, I've found it an invaluable group of survivors with whom I can talk about ANYTHING...even those "GI issues" you eluded to! :) Check them out if you're interested or if you liked the book/documentary Crazy Sexy Cancer.

Take care. Sending healing energies your way!

Anonymous said...

Dear girl, I cannot even imagine how hard this must be for you - I rejoice that you are still with us and that you were able to update your blog. There isn't really an "unBekah" You are who you are each and every day and you are the best you can be each day. I hope it lifts you up a bit that there are so many who care and think of you each day - and I think of your Moms too.

Blessings and love to you,
Darcy's Mom
Linda

Paula said...

Bekah,

I've been checking your blog periodically hoping for an update, and I was hoping it would be more positive. However, these side effects will probably become more manageable as time goes on. Just keep getting the rest you need, and imagine LBH wreaking the same havoc on those Reed-Sternbergs. I'm thinking about you and squeezing your hand across the miles. Keep on keepin' on, girl. much love, P

j said...

i can SO see your disgust....
keep fighting
j

laulausmamma said...

Gosh Bekah - sounds like you are going through *ell with this trial - but I'm imagining the drugs doing what they are intended to do...making you disease free. Hope that you and the drugs will adjust to each other and your side effects will be less uncomfortable. Always thinking of you - hope you wrap all our love and support around you like a big ((HUG)).
Susan

Chris said...

Bekah, can't believe you can fit that much fun into one week ;) You poor thing... My heart goes out to you. Sincerely hoping your body will adapt and these horrific side effects will ease up. I remember when I did my first round of ICE and I thought I was going to die... For whatever reason, the second round was much easier. I think our bodies need time to adjust and yours probably was in shock so to speak.

Anyway, I'm thinking about you and wishing you the best physically and mentally (can relate to the strain).

Hang in there hon, Love ya, Chris

Anonymous said...

Just thinking of you Bekah and hoping you are staying strong (as I know you always try to be). Said a prayer for you at shul this past week on the big day.

B

Justin and Petrina said...

Bekah-

I am really hoping that this week, and the ones that follow, get better for you.

Anonymous said...

You are beautiful and as you have asked for before your worth the fight!

Darcy Davidson said...

Hi sugarplum,

I think of you everyday...every, every day, lovely girl. And I've got all my peeps thinking about you and sending tons of love and squishy hugs all the way to the other side of the country.

Lots of love to you,
Darcy

Anonymous said...

Dear Bekah,

I've been traveling and away from the computer, but you've been in my thoughts and prayers. I hope this note finds you feeling better. Love, Janet