Saturday, May 28, 2011

Sick of Side Effects

Unless you have been close to a cancer patient, you are probably not aware of how debilitating treatment can be. Often the only visible sign of cancer is baldness which is temporary and, for most men, probably the least troublesome side effect. In this way cancer is like autoimmune diseases—not obvious to observers but very real.

Most often Jim appears healthy, but appearances are deceiving. He has so many side-effects and is taking so many drugs that we are no longer sure which drugs are responsible for which side-effects. This I know: all of the pain and suffering he has endured over the past nine years is from the side effects—not the cancer. He has—like many lung cancer patients—been asymptomatic from the beginning.

After nearly a year with no chemotherapy drugs, he went into this round of treatment determined not to let it get him down. Since he would be taking the same four drugs he took in 2003 (with one addition) but taking the drugs less frequently, we hoped the treatment would be more tolerable. Wrong. Either the new drug is packing a wallop or Jim is worn down from years of toxic agents, or he is just older.

List of drugs he has taken to date:

Taxotere
Cisplatin
Gemzar
Navelbine
Neupogen
Epogen
Celebrex
Coumadin
Alimta
Avastin
Carboplatin
Zometa
Taxotere
Cisplatin
Gemzar
Navelbine
Erbitux
Rapamycin
Metformin
Neulasta
Lovenox
Decadron

The temporary side-effects of these drugs have been manageable. Nausea, joint pain, headaches, diarrhea, dry eye, mouth sores, loss of appetite, fatigue, acne like rash, hair loss, metallic taste in mouth, insomnia, blood clots—all unpleasant but tolerable. The permanent side-effects are a different story—peripheral neuropathy, weakened heart muscle, osteo-necrosis of the jaw, hearing loss, blood clots, nerve damage.
The drugs taken to wipe out the cancer have taken their toll on his overall health. He has gone from taking no medication—except for allergy meds—to requiring twenty or more pills daily. The toxicity of the chemotherapy agents has resulted in conditions requiring more medication.
Carvedilol (Beta Blocker)
Pantoprazole (acid reflux)
Lisinopril (Blood Pressure)
Vytorin (Cholesterol)
Antibiotic (chronic mouth and gum infections)
Sucralfate (ulcers of the alimentary canal)

Still we consider ourselves fortunate. As bad as treatment is, for Jim it has worked. We are grateful for dedicated researchers and physicians who continue to seek a cure for cancer.

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