My wife started Carbo-Alimta chemo on March 12. Just before getting her 4th chemo, she did a CT scan. The scan was compared with a baseline PET/CT scan from mid February be cause a more recent scan was compromised due to another bout with pneumonia. We were very relieved and happy to hear and see that there was a marked improvement from the baseline scan.
Initially she was struggling with low oxygen saturation levels, but after an extended treatment with antibiotics saturation levels reached the mid and upper 90s, likely the combined effect of removal of pneumonia remnants and a regressing carcinoma.
Having gone now through four cycles of chemo, she has been rather free from any serious side effects. The last two times she was lackluster for 3 - 4 days, but then got her energy back. They have been very good in managing the usual side effects.
Following each chemo she takes:
- prochlorperazine each night for three nights to prevent nausea. Thereafter, only as needed, and that is rarely the case.
- folic acid daily
- vitamin B12 (a shot every 9 weeks)
- magnesiumoxide supplement daily
- Citrical - vitamin D with calcium - daily
On the day of chemo:
premedication of palonosetron and dexamethasone sod phosphate.
Early June she completed the six cycles of the Alimta-Carboplatin combo. Generally, she tolerated the treatment well but on two occasions her red blood cell count had gotten so low that she required blood transfusions. No problems with that.
Her oxygen saturation levels (98) have now been normal for quite some time now and incidences of shortness of breath have greatly diminished.
A late June CT scan showed further and remarkable improvement. She is now on Alimta only maintenance (one cycle every three weeks), has had two treatments so far and is tolerating that well. Some issue with swelling of the feet but right now a minor issue.