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Chemotherapy 101 Part II: Managing Through Treatment

In Part II, Jacki Donaldson guides you through the process of undergoing chemotherapy, describes typical side effects and offers tips for finding support.

Meet Jacki Donaldson

Part II: Managing Through Treatment

Ready, Set, Go

Before each chemo session, a nurse will draw blood to check your blood counts. If they are not in a safe range, treatment may be delayed. A nurse will weigh you (drugs are mixed according to body weight), take your temperature (treatment may be delayed if it’s high), and take your blood pressure (make sure to use the arm on the unaffected side of your body).

Once you’re ready, the port is accessed or an IV is placed and pre-meds begin. These drugs combat side effects of chemo drugs. I received anti-nausea medication (Zofran) and a steroid (Decadron) for both nausea and allergic reaction. You’ll also receive fluids.

Then the chemo drugs begin their journey through the body. This part was always painless for me and I tried to enjoy the few hours of peace and quiet while my husband entertained my busy little boys at home. At the end of treatment, a small bag of fluid is given to push the remaining drops of medication through the line.

Side Effects of Chemo

Standard side effects of chemotherapy can include hair loss, nausea, dips in blood counts, fatigue, and loss of appetite. Hair loss typically occurs about two weeks after the first dose of chemotherapy and begins with the thinning of hair. My hair started falling out slowly, small handfuls at a time. Within days, I could gather fistfuls of hair and lost clumps in the shower each day. I shaved my head to minimize the trauma of my inevitable hair loss, and promptly covered my head with wigs and hats – I never found the courage to flaunt my baldness. My wigs, made of human hair and matched exactly to my hair color, length, and style, came from www.hiphat.com.

Each chemo patient is armed with a stock of medication for nausea and while my own stomach felt a bit “off” for two days after each treatment, I never did vomit and was never bedridden with sickness. One sister survivor told me to drink a gallon of water the day before chemo, the day of chemo, and the day after chemo to help flush the drugs through my body. A gallon is a lot of water – but I did it. I had nothing to lose and everything to gain. Perhaps this is what prevented me from becoming terribly nauseated from chemo. Ask your doctor if you should do the same.

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