This morning, after I dropped Sam off at horse camp, I was able to swing by Target and get the much needed Carnation VHC (Very High Calorie) protein drink that was in lock-down at the pharmacy yesterday when I tried to retrieve it. This beverage will now become instrumental towards getting Dan closer to his daily caloric and protein requirements for the remainder of the treatments.
Then, when I returned home shortly after 9 a.m, I had a message from Sendik's that they had put a special rush on Dan's only beverage of choice...and, they will have two cases by tomorrow. Plus, they said they will keep ordering Peach Mango Fuze for me as long as I need it. Many kudos to the wonderful people there. And, also to the wonderful people who read my blog and tried to find more Peach Mango Fuze for Dan all over the state.
In light of Dan's swallowing issues, pain, throat/tongue/mouth blisters, taste alterations, and other numerous challenges, Dan has been a trooper about trying to take in what he can...but this week has not been one of our more successful ones.
His healthcare team does not care where the calories come from, they just want him to try to get to 2400 daily, along with adequate hydration. The VHCs I picked up have 540 calories per 8 oz can and the Fuzes have about 200 calories per 18 oz bottle. And, both do double duty as caloric intake and fluid. So, this weekend, I will rest a little easier knowing that we might start to get back on track towards his daily goals.
While Dan was in radiation today, I was able to say goodbye to a friend/ex-employer who, until recently, I haven't seen in decades. He was receiving radiation as well and he finished up his final treatment today. I hadn't stayed in touch with him, but I recognized him the moment our paths crossed. He is an incredible man.
We have an odd treatment schedule and so did he. Our times bounce all over the map, but 75% of the appointments we have had have overlapped with my friend's appointments.
Although, the circumstances weren't great for re-acquainting, I did enjoy catching up with him and getting to know his family and a friend who also drove him frequently. Saying good bye today was bittersweet. I am glad his treatments are finished, although I will miss seeing the familiar and comforting faces daily. I pray that his healing path continues.
Then, I had a chance to talk to Dan's other Nurse Practitioner. (Yesterday, I met with his Chemo person and today I met with his RT person.) I talked about how hard this is getting, how much pain Dan is in and how little he is consuming. Like the other people on the team, she assured me that Dan is right on target for a person going through this type of treatment. Again, not much consolation, but I took the news better today.
We discussed the pain in his esophagus that seems to prevent him from eating, and she gave us another prescription for a liquid medication that will help lubricate the area prior to eating or drinking anything. I didn't realize until today that the esophagus is one area that is also getting treated with radiation.
I also confided with her that Dan has been cheating on his weight recently. Early on, he came wearing shorts and a t-shirt...and, when he was weighed, he would empty his pockets, remove his phone and take off his shoes. Now, he comes in wearing long sleeves and jeans and he never empties his pockets or removes his shoes. She laughed and said, "That is such a guy thing". :-)
So, after his treatment, Dan got weighed again, without his shoes and without pocket weights...and, it appears he has dropped another 4 pounds this week. On a good note, the new medications he has been prescribed and the products we have ordered should help. And, they are also going to start giving him more IV fluids during chemo and possibly a couple boosters during the week if his weight continues to dip.
I can't say I understand how everything works. Although, here's what I do understand...low fluid and low caloric intake directly correlates to more suffering and more hospital time. That's why I ratted Dan out. I was actually surprised his loss this week wasn't more than four pounds. Although, anything over two pounds in one week is considered out of range. And, everyone agrees that from here on out the eating and drinking will get more challenging daily. So, it's important to me that his team has an accurate take on his weight so that we can all work together to get him through this.
Dan's NP also wanted him to consider doubling the number of Fentynl patches he is wearing. Dan's not ready for that. While Dan realizes the patch provides a huge, steady relief for the pain, the night terrors and jerky movements that wake him up are a little hard for him to handle.
So, Dan decided to continue to take breakthrough pain relief pills along with the patch until his body adjusts to the side effects. On a scale of 1 - 10, with 10 being over-the-top pain...Dan wakes up every morning at a 7. They would prefer to see him down at a 3 or below. I do admire how pro-active they are in working with Dan's pain. Although, I can understand Dan's reluctance to take on more side effects at this point in time. Especially since we seem to be adding new medications daily.
I have probably mentioned this before, but I'll say it again. The people who are taking care of Dan are amazing at Froedtert. When he is in treatment and I come armed with a list, I am always able to get in to see the people I need to see even though I am not the one who has appointment times. And, they are good about working through the list with me during Dan's 45 minute treatment time so that Dan doesn't have to stay longer than necessary. Their responsiveness, upbeat attitudes and joy for the work that they do go a long way in helping me help Dan.
After we were done in Radiation, it was time to head to the Froedert ENT Hearing Specialist for our "his and her" weekly ear drum steroid injections. While neither of us realized any great benefit from the first treatment, we both stay optimistic that future treatments will help our tinnitus issues and hearing losses. I just learned today that we might have to continue for up to 8 injections. Yikes!
When we signed on for this, we both thought it was a one time deal. On the up-side, the ENT is careful to schedule the appointments to work well with Dan's radiation treatments, helping to minimize the time we are at the hospital. Post radiation, Dan is in a fair amount of pain, very fatigued and he starts getting chills if we don't get out of the hospital quickly.
After the injection, you have to lie very still for a half hour. In a nice quiet room, I found it a good place to lie still and cry, AGAIN. It was cathartic for me, but it was concerning to my ENT...so, now I have an appointment next week with the psychologist in plastic surgery. Yes, I know...plastic surgery...it makes no sense...but, my ENT (who I like a lot) says this guy is great and will be able to help me with the stress of all that is going on in my life.
I don't know if it is the stress or the boat load of steroids I am currently on to help with my hearing loss.
Up until recently, I thought I was handling everything well. But, my recent crying binges and outbursts when things aren't going smoothly seem to indicate that a little help could be in order. I'm fine with trying anything that can be done while Dan is in treatment as long as it doesn't extend his hospital day.
Hey, maybe, I could get a few botox injections while I'm hanging out in the plastic surgery area as I'm quite sure this summer has aged me by a few years. ;-)
After getting some rest in when we returned from our 5 hour day, Dan looked surprisingly well and was able to eat some soft macaroni and cheese and more Peach Mango Fuze. He promised to drink one more protein supplement, but has since dozed off again. It's alright, with all of the night-time side effects he has been experiencing, there will be more opportunities for him to be awake and take in a few more calories tonight.
My goal this weekend is to do whatever it takes to stay away from Froedtert. Going their last Sunday threw us both off kilter for the week.
On the home front, Sam finished up her last day as a jr. camp counselor at the stable. And, since we had a long day scheduled at Froedtert today, she spent time with her friend and also took a riding lesson.
Today, she helped her little campers decorate a horse because it was a themed day. Then, she came home (a little tired from getting up early every day this week) and rested for a bit before going to a neighbor's house to babysit...which was fun for her.
Even though Dan and I were quite exhausted from our Froedtert-fest, she managed to have a nearly normal 13 year old girl day, and that was nice.
Tomorrow Alex comes home from boy scout camp, and then Sam will be getting ready to leave for soccer camp on Sunday. We hope it will be a good weekend for all.
Margaret
Then, I had a chance to talk to Dan's other Nurse Practitioner. (Yesterday, I met with his Chemo person and today I met with his RT person.) I talked about how hard this is getting, how much pain Dan is in and how little he is consuming. Like the other people on the team, she assured me that Dan is right on target for a person going through this type of treatment. Again, not much consolation, but I took the news better today.
We discussed the pain in his esophagus that seems to prevent him from eating, and she gave us another prescription for a liquid medication that will help lubricate the area prior to eating or drinking anything. I didn't realize until today that the esophagus is one area that is also getting treated with radiation.
I also confided with her that Dan has been cheating on his weight recently. Early on, he came wearing shorts and a t-shirt...and, when he was weighed, he would empty his pockets, remove his phone and take off his shoes. Now, he comes in wearing long sleeves and jeans and he never empties his pockets or removes his shoes. She laughed and said, "That is such a guy thing". :-)
So, after his treatment, Dan got weighed again, without his shoes and without pocket weights...and, it appears he has dropped another 4 pounds this week. On a good note, the new medications he has been prescribed and the products we have ordered should help. And, they are also going to start giving him more IV fluids during chemo and possibly a couple boosters during the week if his weight continues to dip.
I can't say I understand how everything works. Although, here's what I do understand...low fluid and low caloric intake directly correlates to more suffering and more hospital time. That's why I ratted Dan out. I was actually surprised his loss this week wasn't more than four pounds. Although, anything over two pounds in one week is considered out of range. And, everyone agrees that from here on out the eating and drinking will get more challenging daily. So, it's important to me that his team has an accurate take on his weight so that we can all work together to get him through this.
Dan's NP also wanted him to consider doubling the number of Fentynl patches he is wearing. Dan's not ready for that. While Dan realizes the patch provides a huge, steady relief for the pain, the night terrors and jerky movements that wake him up are a little hard for him to handle.
So, Dan decided to continue to take breakthrough pain relief pills along with the patch until his body adjusts to the side effects. On a scale of 1 - 10, with 10 being over-the-top pain...Dan wakes up every morning at a 7. They would prefer to see him down at a 3 or below. I do admire how pro-active they are in working with Dan's pain. Although, I can understand Dan's reluctance to take on more side effects at this point in time. Especially since we seem to be adding new medications daily.
I have probably mentioned this before, but I'll say it again. The people who are taking care of Dan are amazing at Froedtert. When he is in treatment and I come armed with a list, I am always able to get in to see the people I need to see even though I am not the one who has appointment times. And, they are good about working through the list with me during Dan's 45 minute treatment time so that Dan doesn't have to stay longer than necessary. Their responsiveness, upbeat attitudes and joy for the work that they do go a long way in helping me help Dan.
After we were done in Radiation, it was time to head to the Froedert ENT Hearing Specialist for our "his and her" weekly ear drum steroid injections. While neither of us realized any great benefit from the first treatment, we both stay optimistic that future treatments will help our tinnitus issues and hearing losses. I just learned today that we might have to continue for up to 8 injections. Yikes!
When we signed on for this, we both thought it was a one time deal. On the up-side, the ENT is careful to schedule the appointments to work well with Dan's radiation treatments, helping to minimize the time we are at the hospital. Post radiation, Dan is in a fair amount of pain, very fatigued and he starts getting chills if we don't get out of the hospital quickly.
After the injection, you have to lie very still for a half hour. In a nice quiet room, I found it a good place to lie still and cry, AGAIN. It was cathartic for me, but it was concerning to my ENT...so, now I have an appointment next week with the psychologist in plastic surgery. Yes, I know...plastic surgery...it makes no sense...but, my ENT (who I like a lot) says this guy is great and will be able to help me with the stress of all that is going on in my life.
I don't know if it is the stress or the boat load of steroids I am currently on to help with my hearing loss.
Up until recently, I thought I was handling everything well. But, my recent crying binges and outbursts when things aren't going smoothly seem to indicate that a little help could be in order. I'm fine with trying anything that can be done while Dan is in treatment as long as it doesn't extend his hospital day.
Hey, maybe, I could get a few botox injections while I'm hanging out in the plastic surgery area as I'm quite sure this summer has aged me by a few years. ;-)
After getting some rest in when we returned from our 5 hour day, Dan looked surprisingly well and was able to eat some soft macaroni and cheese and more Peach Mango Fuze. He promised to drink one more protein supplement, but has since dozed off again. It's alright, with all of the night-time side effects he has been experiencing, there will be more opportunities for him to be awake and take in a few more calories tonight.
My goal this weekend is to do whatever it takes to stay away from Froedtert. Going their last Sunday threw us both off kilter for the week.
Today, she helped her little campers decorate a horse because it was a themed day. Then, she came home (a little tired from getting up early every day this week) and rested for a bit before going to a neighbor's house to babysit...which was fun for her.
Even though Dan and I were quite exhausted from our Froedtert-fest, she managed to have a nearly normal 13 year old girl day, and that was nice.
Tomorrow Alex comes home from boy scout camp, and then Sam will be getting ready to leave for soccer camp on Sunday. We hope it will be a good weekend for all.
Margaret


