My Lymphoma Journey – learning to survive and grow during chemotherapy

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I recently found my notes on my first chemotherapy treatment.  Here’s hoping my experience helps those going through chemo, and their caregivers.

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In 2012, I was diagnosed with Waldenstrom’s macroglobulinemia lymphoma. Over the years, I developed anemia and a B12 deficiency. I’d save writing for the morning, as low energy levels rendered me useless in the afternoon.

My hematologist suggested chemo in fall of 2018 after my IgM protein levels reached 3300. (A normal level is below 250). Hemoglobin levels dropped as well. My hands fell asleep, and my right foot began cramping. If untreated, my type of lymphoma could progress to neuropathy and vision problems.

November 27, 2018 – First day of chemo

The nurses ran an IV drip of Bedamustine, mixed with saline, thus minimizing a burning sensation in the veins. Within a couple of hours, my treatment was complete, and I was free to leave. Hubby and I ate lunch at a favorite restaurant, and the rest of the day went off without a hitch.

November 28, 2018 – Second day of chemo

The nurses started Rituximab at 50 mg. After the dosage was increased to 100 mg, pain and bloat filled my gut, and the drip was paused. After 30 minutes, I was given steroids and Pepcid to ward off side effects from the drug. Anti-nausea meds were added to the drip. Another 30 minutes passed without issues. When the dosage was increased to 125 mg, within minutes, a headache, thirst, nausea and hot flashes ensued. The nurses dropped the dosage back down to 100, and left it there for the better part of the day. Later towards evening, they attempted to increase the dosage to 125 mg again, and reactions resumed. At 6:30 p.m., the on-call doctor, a striking Indian woman, looked at my chart and noticed I’d only been able to handle about 40 percent of the Rituximab.

“No more,” she said. “You’ve had enough for one day. Go home.”

The nurses flushed a bag of saline through my veins which took about another 30 minutes. Hubby and I were the last to leave the building.  Dinner was Bread Company drive-through. So spent, I couldn’t wait to get home.

November 29, 2018 – Third day of chemo

Treatment went smoothly with the Bendamustine drug – in and out in 2 hours, with lunch at a favorite restaurant.

That evening, I felt fine. I napped a bit, but awoke to the worst case of cottonmouth, and consumed massive amounts of water. I retreated to the recliner sofa, and once again, fell asleep.

Awakening with nausea Thursday morning, I phoned the hematology nurse for advice.

“Stay hydrated, and eat protein.”

I sipped homemade chicken soup and water. The nausea subsided temporarily.

After taking my gout and shingles medicine (for prevention) Thursday evening, I felt uneasy. I climbed into bed around 11 p.m. By 12:45 a.m. I awoke with excessive thirst, sweats, and breathlessness. My belly was extremely bloated. Drinking water to curb my excessive thirst, lead to repeated trips to the bathroom. Russell checked my heart rate with a phone app, which read 114. I awoke at 4:03 a.m., feeling nauseated. On a trip to the bathroom, I vomited water. So much water.

The soft glow of the entry ceiling light guided me to the living room. I settled in on the sofa, and sobbed. Russell, hearing my cries, sauntered down the hallway and garnered a seat next to me.

Stroking my sweaty hair, and wiping tears away with a Kleenex, he smiled, “Try and get some sleep.”

I shuffled my pathetic skeleton back to the bedroom, swapped my drenched nightgown for another, slid beneath the covers, and hoped to disappear like Alice down the rabbit hole.

Friday, 7:15 a.m.

A breakfast of Irish oatmeal, fresh raspberries, buttered toast and Ceylon tea seemed to satisfy. After munching the last bit of toast, I felt my belly swell. Nausea was constant, and I really needed to poop. Four days had passed since my last movement. I attributed my constipation to all the medication received.

Gazing at a reflection of myself in the bathroom mirror, I was unrecognizable.  Cracked lips, dry skin, dark circles under my eyes, were just a few effects of chemo. Had I morphed into a character on The Walking Dead? My anxiety railed off the charts.

I phoned the nurse three times in less than six hours.

“You keep asking her the same questions,” Russell mentioned.

Anti-nausea medicine was prescribed, which hubby promptly retrieved at the local Target. God bless him…this was his eighth trip to the store in less than 24 hours with my many requests.

Within thirty minutes of downing the pill, it came back up. I couldn’t seem to keep anything in my system. Sugary beverages made me gag, so I sipped hot tea, alternating with Kombucha and sparkling water.

By dinner, I was jittery and emotional. Adavan was prescribed by my doctor’s office. Yet another trip to Target by hubby…

“Take one now,” he insisted.

I called the nurse again and barked, “I’m not taking any of my meds!”

“That isn’t an option. Try and eat something, then take your meds, followed up by an Adavan.”

As I lifted the pill to my lips, I swallowed it reluctantly, followed by a drink of tea. Five hours later, the 10 p.m. news blared on the TV. I drew a warm bath for myself. While soaking, I reflected upon my experience, and prayed for better days to come. I headed back to bed.

When I awoke, the sun was shining, my head was clear. A new outlook, would bring better days.

“Do you feel better?”

“Yes. Much.”

“I’m glad.”

Just a bit of advice for those going through chemotherapy –

If you receive a cancer care packet from your doctor – read it. There’s really good information useful during your chemotherapy treatment and after. Ask your caregiver to read it.

Caregivers, be patient with your person. Whatever your loved one requests within reason, get it for them…at least for the first few days after treatment.

My husband was so caring, patient, and available through the process. There were days, even weeks, when I really didn’t know what I needed or wanted, but his support helped me figure it out.

Don’t be afraid to ask for help. But please, don’t get dependent on anxiety meds. Sometimes I just took a ¼ of a pill, or a ½ a pill, to take the edge off, a few days after treatment.

Taste changes after chemo for some people. It did for me. Meals savored on treatment days, I don’t care for – homemade chicken soup, pea soup, garlic, veal. I craved nutritious foods, baked chicken, broccoli, asparagus, raspberries, blueberries, red beets, kale, apples and celery – and still do.

Food like whole milk, eggs, or spicy, caused severe cramping for four to five hours after ingesting, or diarrhea. Yogurt, kiefer, bananas, tea and Tylenol aided in calming down my stomach during these episodes. The decision to avoid these foods until thirty days after chemotherapy treatments, helped cut down on instances. I now enjoy these foods, once again.

You might consider taking a break sometime during chemotherapy, if you doctor allows. My hematologist afforded me an extra week off in order to vacation in California between treatments.

We rented a beach condo in Malibu for a portion of our stay. Even though I was suffering from stomach issues, I spent time allowing myself to calm down.

The crashing waves, seagulls soaring overhead, the pier in the distance, dogs running on the beach, all took my mind off the lymphoma. With so many places to explore, hubby and I savored the drive along winding Topanga Canyon, spotted a coyote in the hills at Griffith Park, visited the Point Verde Interpretative Center, walked the marina at Redondo Beach, enjoyed the wild ocean while cliffside at Pacific Palisades, the comedy of Jeff Goldblum at the Rockwell, and the live taping of the Big Bang Theory in Burbank.

Best of all, unforgettable walks on Malibu Beach at sunset stirred my soul and soothed my worried mind. I was determined to remain positive during chemotherapy.

Lasting a full six months, with treatments three days a week (and a 24-day reprieve before the next treatment), six weeks after chemotherapy ended, I rang the bell at Siteman Cancer Center. I was in remission! See photo below!

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Here are some thoughts to keep in mind –

  • Be happy this day, and give thanks if you live a healthy life.
  • Be kind to others, because you never know what they’re going through.
  • Take joy in simple things….like golden, caramel, and creamy saw-whet owls you discover while looking ‘up’ at a log cabin’s eaves, the soft brush of a cat’s whiskers on your cheek, the aroma of a sugar cookie scented candle, sweet surprises from your loved ones (including the endless number of trips your husband makes to Target because you can’t decide what you want to eat or drink).
  • God has your back.

 

I wish you life!

Peace, love and sand dollars,

Sheree

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Sheree K. Nielsen is the award-winning author of four books  –

Her newest poetry and photography collection, Mondays in October, recently won the Royal Dragonfly Book Award: First Place – Poetry, First Place – Fine Art/Photography, and Honorable Mention – Coffee Table Books. Mondays in October is Sheree’s love song for the beach, and her eternal companion water. She’s dedicated the book to the Siteman Cancer Center Nurses who helped her make chemotherapy more bearable.

Ocean Rhythms Kindred Spirits – An Emerson-Inspired Essay Collection on Travel, Nature, Family and Pets, based on her adventures (Chanticleer Semi-Finalist for Nonfiction Guides – Insight and Instruction)

Folly Beach Dances is her 2015 Da Vinci Eye Award Winner, a healing coffee table book inspired by her lymphoma journey

and coauthor of, Midnight the One-Eyed Cat, 2019 Chanticleer Little Peeps First Place Winner for Early Readers, Montaigne Medal Finalist, and Foreword Indies Review Finalist

Memories of Christmas Dinner Past – Missing Mom

Our silver tinsel Christmas tree, decorated with hand blown glass ornaments, stood regally in our home’s entry hall on Meramec Street, South St. Louis in the Dutchtown neighborhood. Visible from the road, strands of multi-colored cone-shaped ‘C’ style bulbs (as they were called in the 1960’s) brightly illuminated our porch, shining through the glass front door, and stationery French door (complete with mail slot).

Mom, of German heritage, cooked up the tastiest meals, preparing holiday feasts for our large group of cousins, aunts, uncles, and grandmothers.

“Turkey should only be served at Thanksgiving!”, she’d exclaim.

The choice of meat for Christmas – baked ham, coated with brown sugar, covered with pineapple rings and maraschino cherries. Beef roast with red onions often accompanied the baked ham.

I’d like to think Mom was a cross between Lucille Ball and Julia Child.  She possessed the hilarity of Lucy mixed in with the masterful culinary techniques of Julia.

Image result for lucille ball pics

The precursor to preparing mashed potatoes – sipping sherry or a Tom Collins from a cordial glass or water goblet. She saved up enough S&H green stamps to buy an entire cut glass collection. Her potatoes always turned out buttery and fluffy, no matter how much she sipped.

Of course, there’d be Bing or Frank on the radio singing carols, with Mom’s voice as back-up, all the while concocting a divine creamed spinach, broccoli, or strawberry jello dish. Light on her feet, she was known to dance around the kitchen table while cooking.

Baking was another art that came easily to Mom. Donning an apron of lavender, crimson and yellow flowers (which I inherited), using the wooden rolling pin (with lacquered green handles) she’d skillfully craft pie dough on the countertop. The rolling pin, a gift from Grandma Muskopf, later was gifted to me.

Dad’s favorite pie was mincemeat – a combination of dried fruit, distilled spices and spirits, and sometimes an unrecognizable meat. (The mincemeat concoction was purchased at Bettendorf’s grocery and didn’t always list the ingredients.) Apple, coconut cream, pumpkin, or lemon meringue pies were sure to find a place on the Christmas menu, as well.

Leaning over the festive table complete with china and linens, Mom, still in her apron, struck a match, lighting the tall white candles of the shiny gold-plated hurricane lamps. As everyone took their seats, Dad carved the ham and the roast, and plates of savory sides were passed.

Long after the meal settled in everyone’s bellies, she’d be up on her feet clearing tables, hand-washing china and silverware. Grandma, aunts and cousins took turns drying the dishes.

Finally, she’d garner a seat at the kitchen table, kick off her black flats, puff a Kool menthol cigarette, followed by a sip of Folgers. Dad, with a twinkle in his eye, admired her from across the room.

The house was warm, family was content, and “It’s a Wonderful Life” played on the RCA console tv, complete with rabbit ears antenna.

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If anyone has foolproof recipes for the following, please send them my way, or feel free to comment below. I have yet to master these dishes. They were favorites from my childhood.

Some of my favorite meals that Mom rocked

  • Russian tea cakes
  • Pan fried chicken and milk gravy
  • Stewed chicken and dumplings
  • Homemade beef chop suey
  • Lemon meringue pie

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Sheree K. Nielsen is the award-winning author of four books  –

Her newest poetry and photography collection, Mondays in October, recently won the Royal Dragonfly Book Award: First Place – Poetry, First Place – Fine Art/Photography, and Honorable Mention – Coffee Table Books. Mondays in October is Sheree’s love song for the beach, and her eternal companion water. She’s dedicated the book to the Siteman Cancer Center Nurses who helped her make chemotherapy more bearable.

Ocean Rhythms Kindred Spirits – An Emerson-Inspired Essay Collection on Travel, Nature, Family and Pets, based on her adventures (Chanticleer Semi-Finalist for Nonfiction Guides – Insight and Instruction)

Folly Beach Dances is her 2015 Da Vinci Eye Award Winner, a healing coffee table book inspired by her lymphoma journey

and coauthor of, Midnight the One-Eyed Cat, 2019 Chanticleer Little Peeps First Place Winner for Early Readers, Montaigne Medal Finalist, and Foreword Indies Review Finalist

Mondays in October – My love song for the beach, and her eternal companion water – dedicated to the St. Louis Siteman Cancer Center nurses

Mondays in October….Happy Book Birthday Baby!

July 30 – published by Shanti Arts, Maine

For me, this collection is about time, nature, art, movement, and learning to slow down. During the creation of this book, I was forced to take a step back and look at life differently. In November 2018, I began chemotherapy for Waldenstrom’s lymphoma.

At the end of April 2019, chemotherapy was finally over. As for life, well, I imagine things in a simpler light. I’m in remission. I’m grateful for a publisher like Christine of Shanti Arts who was both patient, understanding, and kind, throughout the book’s journey.

I’ve dedicated Mondays in October to my husband, my fur babies, the tango dancers Elise and Marco who I met on the beach that Monday in October, and the St. Louis Siteman Cancer Center nurses who aided in my longest days of treatment with a smile, a kind word, and even a joke.

The photographs and poems are places, people, animals…and nature….that I hold most dear. They are my gift to you…..my love songs for life.

“Like the cricket’s song serenading a marsh at sunset, the wind’s harmonies causing waves to lap to shore, or two lovers dancing the tango in the sand, Sheree K. Nielsen’s Mondays in October’s collection of poems and photographs suggests easy movements in nature, and a time for us to slow down… like October…and imagine a simpler life.

Mondays in October are Sheree’s unmistakable love songs for the beach and all things water – vulnerable, blissful, and sensual.”

Here’s a page from the book titled Red Dog’s Observations at the bottom of my blog page.

Red Dog was diagnosed with a malignant tumor in his heart on Monday. We are cherishing our days with him….however many sunsets he still has….

This post is for him.

Peace, love, and sand dollars,

Sheree