First step, access my chemo port. My port is a little purple plastic thing, implanted under my skin above my left breast. It is like an artificial vein, and it has a tube that goes directly into a larger vein right near my heart. I'm told that the drugs that are in my chemo cocktail are harsh on smaller veins, so I'm glad I decided to get the port. It is much better than the phlebotomists trying to find my tiny veins every time as well, plus now I get to joke with the kids that I have a robot part. Accessing the port involves a lot of cleaning and prepping, a little numbing and then, voila, a tube is stuck into the port and they can draw blood and administer the drugs by hooking up to it. It's important to wear clothes that allow access to this area, and I'm glad I chose to wear this awesome shirt (made by my friend, Jenny) to my first infusion—nice, loose, flowy and positive!
Second step: See my doctor. We talked more about the Dana Farber doctor's recommendation to add the carboplatin to my regimen after I do the 4 doses of Adriamycin and Cytoxan. The trouble is that the carboplatin has to be administered every 3 weeks, which would mean that I could not do the dose dense Taxol every two weeks. I would have to do a regular does of Taxol weekly, adding the carboplatin in every third week, making my schedule much more complicated and time consuming. We are going to review the studies about carboplatin and triple negative/BRCA1+ further in order to make the decision in the next couple of weeks.
Third step: Wait for my infusion appointment at 1:30. My doctor appointment ended around 11:30, so I got a salad and sat outside in the sun. We are having such beautiful weather here in Vermont this summer. My mom met me around 1:00 and we sat in the 3k waiting area, which is really a lovely place. There are puzzles everywhere and magazines and volunteers who try to make the patients as comfortable as possible. Once we got in there we met my nurse, Stephanie, who was wonderful. Very friendly and calm. There are two spots in each infusion room. The man next to us left right as I started then two women came in who were having a heated discussion. My mom asked them to cut it out, thankfully! Last thing I wanted for my first treatment was bad vibes in the room.
The infusion starts with the premeds which include three anti nausea drugs plus steroids. The steroids made me chatty. That all took about 10 minutes. Then we did the Adriamycin which is a "push" not a drip. Stephanie used two large syringes for that one. The Adriamycin is bright red and makes your pee bright pink immediately. She warned me of this. This lasted another 10 minutes.
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| Stephanie getting the drip ready plus the two enormous Adriamycin syringes |
The Cytoxan cam next, a half hour drip. Mom got out the cards and beat me three times at Gin Rummy (nice, right?). We each had a dixie cup of ice cream (I'm really trying not to eat sugar right now but just had to say yes—how often are you offered one of those little dixie cup ice creams?!) The IV beeped a half hour later and that was it. She put a band aid on me and I left and had a really nice dinner with Sue and Dave and my brother and Edie down at their house. Edie and I had a sleepover in their room with twin beds (so cute, she loved it). I came back the next day for my Neulasta shot (a bone marrow stimulant that helps make white bloods cells quicker after a chemo treatment), and then headed back to Montpelier.
So, I am writing this five days after my infusion. I have felt very fatigued the last five days and a bit down, but other than minor tummy troubles and taking a bit of Immodium, I have not had to take any of the nausea meds they prescribed yet. I have been sleeping, a lot. A lot more even than during my pregnancies. Chemo brain has also not been a stranger. Spacey is a good description of my mental capacities right now. I have been walking for a half hour each day. We have a beautiful park behind our house that is nice and cool with wooded trails. That's about all that I can do though, and more than a half hour in the sun totally zaps me.
I have been reading and crafting with the kids. We found a good hidden area for a fairy house in our yard; we made patriotic rice krispy treats. My appetite is definitely off and strange. Salt and Vinegar potato chips are high on my list of cravings, in addition to sushi. The biggest thing is just a feeling of "blah" (those of you who read Frog and Toad to your kids will know what I mean). I just can't believe I'm only at the beginning of this journey and there's soooo much more to go of it, and it's a bit disheartening at the moment, but it's begun and I just have to grit my teeth and do it.
I know this might just be this one time that I get off this easy after my treatments, or I might start feeling a lot worse tomorrow. I know it is all very unpredictable. But for now I am feeling lucky for everything I have and thankful that I live in such a peaceful place with amazing people all around me. Oh, and for bitmoji. Thanks, Sian, for that tip. ;)









