Update after Cyclophosphomide

Megat has been very regular the last two nights with his poo. I am glad that he has done it in his own litter every night from Tuesday 160609. It is easier for me to keep track. I have included 20 ml of duphalac in his supplements with either papaya or pumpkin, the usual mushroom combination, ling zhi and milk thistle. Then I had given him about 20 ml of water. This has been the usual regimen with him for the last 2 days and for 2 days in a row, he has managed to poo. The poo is rather firm. So maybe this is the best formula for him at this time. He does not go during the day though except to pee.



He takes his formula with good grace with only minor fussing and grandma and Cousin R have been very good at helping me. Of cos Megat's antics made them laugh too so the whole process was not too arduous for everyone, Megat included. He ate is pumpkin with much better grace though. Maybe its because he is used to the taste of pumpkin.

I would not be able to see if there is blood in his urine as he does it in his litter but I am sure that with all that water in his system, this would not happen. I was glad to see that he went to pee quite soon afetr we got back from the hospital as that means some of the the drug would have gone through his system and out. He urinates regularly which is a good thing as 37% - 82% (20% intact) would be excreted through urine.

He is doing much better with the Cyclophosphomide and is alert and active. Maybe it is the supplements that have made such a difference. He still sleeps but not any more than he used to do before the chemo. He is getting into the swing of asking for scritches and brushing regularly and more important, he still grooms himself as carefully as before. :)

2nd chemo session cyclophosphamide

Megat's blue bandage at the site of his IV catheter is reminicent of wounded POWs...
"I know what you are up to san. Don't think I don't!"
Megat at his hanging basket right after dinner.

Megat sitting with me after his supplements. Furgive and furrget...

Megat's haematology test gave his wbc count as 3.26 from last week's 1.88 so he was able to undergo his 2nd IV of cyclophosphamide or Endoxan. His platelets were down to 68 from last week's 90. His rbc was the highest in 3 weeks at 6.70. His weight was also down to 3.5 from 3.63 kg. The doc was not worried though about his other vitals saying that Megat was otherwise ok. I asked the doc about his stools and she checked. She said that she did not feel a lot of them so I guess he was able to go do the necessary. I had been worrying about his constipation as I had not been able ascertain if he had indeed gone and done the job last week.

I was able to be with him throught the whole IV process and I was glad that he was a very good patient. He had three rounds of blood taking as the pressure in his lower leg was too low. Also the pressure in one of his neck veins was no good as the doc put it. So she got blood from his jugular. THAT was fast and furious. Throughout all this Megat seemed unperturbed.

She gave him the Endoxan and told me that the side effects would be vomitting, a little anorexia and diarrhea. She also said that as the drug would go through his bladder, he mght get a little blood in his urine but I was not to be alarmed. I was to make sure that he drinks water regularly as if not his uterine system would get a little irrtated and that would be where the blood would come in. Then she flushed out his sytem with 2 vials of saline solution and gave him an anti-emetic, Metomide. Throughout the process, he was quiet and of course he earned alot of praises from everyone.

At the end of the whole thing, Dr Ly came in and spoke to Dr P about his patient that was also undergoing chemotheraphy and that his patient was doing very well indeed. Dr P told me that she hoped Megat would have the same results :)

Of course he still has to take prednisolone but only 1/2 a tab per day.

We decided that apart from his usual supplements tonight, Megat would have to take about 20 ml of water in a syringe. Of cos I think after his fussing, we got only about 15 ml of water. But that was quite a success as he also would have the water from the mashed papaya and the water in which I had diluted the mushroom tablet. He also had his usual portion of ling zhi.

I am glad to report that even now he has forgiven me all that fuss and is now sitting by my side , asking for a good round of brushing...