Chemotherapy Treatment – Cycle 8 (CTC8) – The last Cycle…

On 14/12/2010, I was back at JHC with Liu Ge for CTC8.  We got to JHC before 8am. As usual, the nurses there took my weight, blood pressure, temperature and extraction of 2 tubes of blood for the blood test to see whether I was ready for CTC. My weight was 62.40kg. I had lost almost 4kg since my last weight-in for CTC7.  This is expected since I just a major surgery on 11/11/2010.

After the blood test, Liu Ge and I went to the Kopitiam within TTSH for our breakfast. After our meal, we did not had to wait a long time to see Dr. Lopes to review my blood test results. Overall, the results was not as good as CTC7 blood test results. My Red blood cells and platelets cells counts were all ‘low’. But Dr. Lopes advised that the results was typical for someone who just gone through a major surgery recently. CEA test indicates ‘<1’ which was was a good indicator that my cancer was gone.

Dr. Lopes informed me that he will prescribe the same chemo drugs dosage as given to me in CTC7. Though this was my last chemo treatment and I was eager to go through with it, my only concern was will this treatment disrupt my bowel self-recovery during the chemo treatment. According to the doctor it is possible but but it depends on individuals. I just had to make sure I take my regular supplements during the chemo treatment to boost up my immune system.

As Dr. Lopes will be returning to Sao Paulo, Brazil with his wife to spend Christmas & New Year with their families, we arrange to meet again at his clinic on 25/1/2011 to review the last chemo treatment and the next course of action to ensure I remain cancer-free.

Since my appointment with Dr. Lopes started and ended early, I was called into the Chemo treatment room earlier than usual for my treatment. I was in there before 10+. By the time it was completed, it was only 3+.

The drugs given to me during CTC8 were as follows:

  • Oxaliplatin (Eloxatin) – Administered to me intravenously on 14/12/2010 at JHC during the 1st day of the cycle.
  • Capecitabine (Xeloda) – Administered orally twice daily for the next 14 days. Tablets to be taken in the morning and evening after food. Each session comprises of 2 xeloda tablets of 500mg each  and 2 xeloda tablets of 150mg each (i.e. 1300mg per session). Total consumption daily is 2600mg.
  • Emend (aprepitant, MSD) Tri-Pack – To be taken in the morning during the first 3 days of CTC7. This drug is to suppress nausea and vomiting.
  • Granisetron (1mg) – One tablet to be taken twice daily before or after meals as needed for relief of nausea and vomiting.
  • Dexathasone (4mg) – One tablet to be taken twice daily after meals during the first 3 days of CTC7.
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