The first day back at chemo went pretty well. We had our favorite nurse, Dee, who is pregnant and due in October. She knows Jon very well and takes his idiosyncrasies in stride. We also had a visit with Dr. Chue. It took us a while to decide what chemo cocktail to go with because, as the Chue Chue likes to say, we are "making history". We settled for a combination of Gemzar and Taxol intravenously on a weekly basis with 100mg of Tarceva daily. Jon will get one week off every four weeks in hopes of dissipating the cumulative side effects of chemo. He also promises to let us know his side effect symptoms prior to him requiring a visit to the ER this time (I'm not sure I really buy that one). His alkaline phosphatase was somewhat elevate (174) and his liver slightly enlarged. It concerns me that maybe the tumors there have grown a bit during our "vacation" but he is otherwise strong and healthy.
Everyone is in good humor tonight. My parents are still visiting and made us a wonderful dinner, we told lots of stories and laughed through the whole meal. The nurses have finally mastered Jon's steroid dosage so he should sleep ok tonight. Oh, except for when he picks Levi and Ericka up at the airport at 1am!! My parents leave for PA at 6:00am so I guess it will be another semi sleepless night here at the Nichols! We are all a little tired but have thoroughly enjoyed this special time with our family.
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