Worst part of the cycle

I'm in the worst part of the Enhertu cycle again - days 5-10 of the 21-day cycle. I woke up at 3am on Day 6 (Monday wee hours) with intense stomach cramps. I let them crash over me for agonising minutes before it turned into full on diarrhoea where I had to go three times. Then while I was in the kitchen trying to rehydrate and swallow some diarrhoea meds, I gagged. 

A split second later, I started puking out my fish and chips dinner into the kitchen sink. 

Ya, I know you're supposed to hurl into the jamban and not the sink, but I didn't have enough advance notice to schlep back to the toilet k, and I didn't wanna trip over the carpets in the process. Plus it's been 10, maybe 20 years since I last puked so I kinda forgot the basics. 

As a result, I had to keep puking and then clearing the fish residue out of the sink, and repeat sampai mampos. 

I really really hate throwing up. I find it one of the grossest things in the world. And the pain, the absolute pain in your throat from the force of the hurl - I just can't. 

After that, I still had to go potty twice more before my body finally let me have a break. I took the day off work and then slept the whole day, barely eating because I was afraid of triggering the vomit monster. I know that's not how it works but when you're miserable, you'll cling on to anything that sounds logical. 

Now we're at Day 8, Wednesday, and I'm at my dental appointment. Cancer-related - they want to check that the jaw bones (?) are in order because some upcoming cancer meds might make them weak. Or something along those lines. I haven't had a new puking or diarrhoea episode, which is great, but I can still barely eat. 

I've been having to sleep in a seated position since Day 4 because the discomfort of the trapped air when lying down is too much to bear otherwise. Yet this did not stop the pukes and poops of Day 6, so I really don't know what else I can do. Girl dinners, fast food, salads, water - everything leaves me permanently bloated and eating is just no fun anymore! Even sleeping is no fun since I can no longer lie down for longer than 30 seconds.

Yeah the last few posts have been a lot of self-pity over these GI side effects of Enhertu. It's my party and I'll cry if I want to. Until I reach Week 3 of the cycle and manage to collect some shreds of happiness till the next infusion.

Eyebrows are back

I'm entering Week 3 of Cycle 2 of Enhertu. Chemo cycles are three weeks long, so it's been two weeks since I got my second Enhertu infusion. 

I was hopeful that the side effects would have lessened as my body got used to the new drug, but sadly no, it was the same old shit.

The nice thing is that my eyebrows and eyelashes have grown back in the last week. What the heck does that even mean? Idk, but it's nice to save 2 minutes of using Brow Wiz in the morning. 

Everything else is not so nice. I had major indigestion and/or diarrhoea daily since Day 5 of this cycle, up to and including today. This makes me not feel like eating because the bloated feeling is painful and nauseating. 

From Days 5 to 8, I was eating nothing for like 8 hours without feeling hungry. But not eating just makes it worse cos there'll be nothing to digest. So I've been forcing myself to eat half-meals, with nothing spicy because spicy food needles my throat. 

It's been lots of Greek yoghurt with granola, Swensen's fish and chips, plain rice with a sausage or two.. Basically picky kid food. Oh, and cereal drinks in the morning. Is that old people food? It's comforting, though. 

I had to bail in the middle of two ballet classes in the last week. I'm not sure if it's due to lack of nutrition/electrolytes? Plus my asthma is back, so my inhaler has to come to the rescue. It's so frustrating to be hindered by poor health when I'm not even 40. I feel it's unfair. 

But I know, someone always has it worse. So why dwell on it, right? On the bright side, maybe I'll lose weight from this unwanted diet. Then I can finally fit into my gingham cheongsam, three sizes too small, that I've been sentimentally hoarding since 2018. 

I should just get a new one tailored, pandai.

I'm feeling better today now that we're in Week 3, so I'm trying to make the most of it! 

These days, cancer-wise, I'm getting increasingly irritated by people who say things like, "When your chemo is over" or worse, "You not going holiday?"

It's Stage IV cancer. Which has spread to the bones. BONES. It's basically a chronic disease so there is no guarantee my chemo will be over. 

I can't go for a holiday with these unpredictable bouts of bloating and diarrhoea. It's gonna be so unpleasant in the plane/coach/car/train! And if these side effects ease sufficiently for me to make any plans, best believe I will get a town crier to announce it for me. Please, don't ask me such questions. (Idk, maybe other chemo patients are happy to answer them.)

Ask me how my dancing is going. I think it's going great! Considering I'm such a Lembek Lass (weak girl) nowadays. My turns are getting better, my ballet combinations memory getting springier, my head is moving less stiffly. I love ballet so much, and although I pole much less now, I didn't die in Estefania's class last Sunday!

Always Alhamdulillah for the ability to keep dancing through this. 

Armpit hair is back

The family wedding on Saturday 1 Nov went pretty okay. We got to the hotel ballroom at 10am, I socialised, ate, but was gassing out by 1pm so we just cabut and I had a nice nap till 5pm. I love napping!

Wedding 'fit pic

Because my Aus-based BIL was in town that period, we still had a family dinner the next day. Somehow I managed to go for ballet in the early afternoon, get Waterloo Coffee, and still get home and to the dinner place in time. I continued eating half-portions of food. Enhertu plus my acne med (Doxycycline) really messes up my digestion. 

The second week of Enhertu recovery was actually supposed to be fine, but my period came back wtf! And it wasn't all neat and clotty like it's been for the past 10 years either. It was super heavy flow, pushing all my mini-tampons out within two hours of use and necessitating a change of my period underwear twice a day. Luckily I was already on some random leave from work on Monday and Tuesday, so I spent Monday loafing around in a pool of my own blood, then dragged myself out on Tuesday morning for pp and coffee then back home to tido.

The rest of Week 2 went well and almost normal, except having to halve my meals and girl dinner everything. I've been having a lot of my Nestum instant cereal and Rockit apples.

Cutes and I saw my oncologist Dr Beh on Wednesday 12 Nov, where she admitted they'd forgotten to book my Enhertu infusion for Cycle 2, so they'd squeezed me in that same Friday. Wow, thanks eh. The fierce nurse from last time did ask, "Are you okay? I can try to shift it to today if you want." But I didn't want to risk waiting forever like I did in Cycle 1, so I said I'd carry on with Friday. We went to Warung M Nasir at Beo Crescent for lunch, then I went home and napped. 

Story of my life. I did some work too, don't worry.

Wed onco pic: Weakforbatik top I squeezed into and my Adidas jeans from CDMX which I had the waist taken in.

My Friday infusion appointment was at 10am, no need to do blood test as they went off my Wednesday one, but I had to arrive at 9am for some reason. The registration counter called me up within 10 minutes, so that was nice. I was at Suite A, so I went to the Suite A/B waiting area which was half empty. Suite A hadn't even opened yet while Suite B was firing the numbers away. There were two ladies chattering away in English and Arabic, which was quite fun to listen in on, until two more people joined them and made me wonder if they were gonna take up the whole waiting area.

Meanwhile, one uncle received a phone call from his wife on speaker. She was telling him to please get her a kopi si - "But kopi si got sugar, I thought you cannot take sugar?" - "No, I want kopi si. And kaya toast but no half boiled egg." 

Uncle: "But the kaya toast and egg is one set. I'll just eat the eggs lah. Why don't you come down with me then we can eat together?"

Auntie: "But I cannot be in crowded places."

Uncle: "Just wear your mask. Okay I see you downstairs."

Okay I know it's boring and mundane but it was entertaining for me at 9.30am k.

They called me in at 10.05am. Everything went swimmingly. Except when the nurse injected the syringe of anti-nausea meds, I felt an immediate sakit perut. That was a signal the bloating was starting UGH. But I powered through it cos I stronkkk. Infusion went much faster because they increased the speed for this Cycle onwards. The nurse told me we were doing 460mg compared to 470mg in Cycle 1. Because I'd complained to Dr Beh about the extreme fatigue, so this was the reduced dose?! Lol.

Arlene the nurse with a delightful British accent did my de-cannulation, and I took the bus home and promptly had another lovely nap. 

Fri infusion OOTD: Uniqlo skirt, Adidas black top, and Big W shirt. I miss you, Australia.

I've been okay. We're only at Day 3 now and the shittiness kicked in on Day 4 yesterday so good luck to me. Digestion has been sucky. I've had to sit upright in bed for 2 hours or so before the discomfort starts to abate. Hate it but what can ya do?

Aside from my heavy period which is back, so is my armpit hair! Wtf. I mean, my head hair has ceased shedding like a husky too but stay away, armpit hair! Dr Beh says the hormones are prolly out of whack due to the two-week break I took after my hospitalisation, and we should be back to no hair and no period when it stabilises. We're looking at a total of four to six cycles of Enhertu. 

Ballet and pole and friends and books keep me happy to be alive. Oh, I had Waterloo Coffee again yesterday and I've concluded it's just not worth it. $10 for 330ml and you still need to wait for some time, no in-house seating area, etc. I'm better off paying $7 for Ayie's iced mocha at pull.in with nice comfy seats and friendly convo. 

Sat at Cypher Pole Studio with my Tox babes

Enhertu kicked my butt

Wow, I haven't blogged in over a week. Yeah, Enhertu just beat the shit outta me and I'm still trying to claw my way back to normal. It's been really hard to stay positive this past week so this will likely be a bitter post. But as always, I am happy to be alive and today, well enough to get dressed and head to the coffee place for my custom.  

So last Wednesday, 22 Oct, was my first chemo on new kid Enhertu. It's meant to target the bone mets that I've been developing the last few months which Pacli and nab-Pacli didn't work on. My oncologist mentioned that Enhertu would be more intense, but I don't think she sufficiently prepared me for it. She was more concerned about the high cost, last we spoke. 

I had to call up NCCS multiple times to check whether I was supposed to have a blood test two hours before the chemo like I was used to. The nurse grudgingly called me back and said "no need" without explaining shit. 

Okay takpe. So I rolled up at 1.30pm for my 2.30 appointment, as specified in my HealthBuddy app. (I also bumped into my JC friend Joshua in the bus, which was a pleasant surprise. Also bonus, he's a doctor and I was wearing a cancer-looking beanie for kicks so I didn't have to explain much about why I was alighting at NCCS.) I thought it would be very fun and skip-the-line, not having to do the blood test this time. Nope. I waited until 2.45pm to be called up by the screening counter, where the nurse confirmed that I was feeling well after my hospitalisation, then transferred my queue number to the registration counter. Reg called me up at 3pm. And apologetically told me there'd be an additional 1-hour wait because she could only get me a 4pm chair. Like huh?!

Apparently I wasn't alone, because the same faces I'd seen at 1.30pm were still there with me at 3pm. Including one uncle and his family who were demanding to cancel his appointment because they couldn't guarantee exactly what time he would be called in. He actually angrily ripped the plaster off his blood draw site. I'm with you uncle, in spirit.

Anyway, since I hadn't eaten since 11am, I went downstairs for a chocolate waffle (meh) and came back upstairs to continue waiting. They called me to the chair at 4.05pm and.. left me sitting there, so I fell asleep until they finally started the poking at 4.30pm. 4.30pm! I was rather grumpy because I'd forgotten to bring my book - staring at my phone for over 1 hour straight makes me testy. So I texted Cutes and he joined me later at 6.30pm. 

The one great thing was that the nurse did the quickest and most painless IV cannulation yet. What a genius she is! 

The pharmacist came by to give me three days' worth of dexa for the side effects of nausea and vomiting. Like, compulsory, must eat. And optional metoclopramide for additional nausea. That should have been a warning, but I was just too tired and bored to do any good critical thinking then. He also cautioned me again not to eat day-old food to keep the risk of infection low.

Infusion went fine. We were done at 7.30pm, thinking I was the last one but weirdly, I wasn't. So IDK if there was a cock-up at NCCS that day/week or this is the new system, or entah.

Chemo 'fit featuring this short beanie Cutes bought for $3

On Day 2, I was fine but very tired, so I didn't do any coffee run and stayed home all day until my evening pp with Farizan. Which went well too. On Day 3, I retched while eating breakfast, so I had to throw it out and take additional metoclopramide. I was eating half-portions of food by then because my stomach was always feeling queasy.

Day 4, Saturday, I managed to do pp, lunch, and pilates then promptly crashed until 11am on Sunday. Then Enhertu officially kicked my butt. 

Pilates Princess on Saturday

I didn't actually vomit, but I felt both bloated and poopy all the time. All the time! I was too tired to do anything, I didn't want to eat because consumption of anything just made my stomach feel worse, and nothing tasted good, anyway. My right thumb joint has been swollen since Monday. I did sneak out for Salsation which I somehow survived lol. But only because it's at the next block so it was easy to go home and pengsan afterwards.

I thought the pacli side effects were annoying, but the Enhertu ones just took all meaning out of life for me. 

Love to eat? Can't eat.

Love to dance? Can't dance.

Need to work for a living? Good luck focusing.

Enjoy watching TV? Okay you can still do that, I guess. 

As an example, on Tuesday I ate a danish for breakfast, another for lunch, and half a nasi for dinner. 

Oh, pedas food (with chilli) is now intolerable. I had my favourite Ayam brand chilli tuna level 5 with rice yesterday, and it burned so badly, I had to chase it away with an apple. Wtf is the point of eating if the food is not pedas?

I joined the Enhertu support group on Facebook and it seems like all this shit is normal. It's normal to be fine immediately after the infusion and only have the side effects kick in big-time a few days later. Because Enhertu has a longer half-life or whatever. Many people reported feeling better after getting IV infusions, but okay that's US-centric and I have zero idea how to get that here in Singapore. I know I cannot orally consume enough fluids in my current state though, thanks to the perma bloatedness.

My boss Amanda has been great, allowing me to work from home the entire week and rescheduling my physical meetings. (I'm unable to take actual time off because we have a scheme launching on 3 Nov.) And today is my scheduled mental wellness half day off so here I am!

I have been slowly feeling better since yesterday. But eating is still a chore and I don't dare to go for classes yet. We have a family wedding on Saturday so I hope I survive that.

I found a cluster of new acne on my chest too, so that's fun. How long will it bloody take me to adjust? I guess it's a good thing there's no new Enhertu appointment booked yet. I'm supposed to see my oncologist first mid-Nov (with blood panel) and I guess we'll go from there. 

I still don't have enough spoons to give, though. I owe a few people text replies and even now, I don't feel like doing it. I just wanna hide away in this corner and scroll Reddit forever.

Couple's Haircut by Fatcat today!

Stop calling me Auntie

I got hospitalised last Friday and was discharged on Tuesday. So we're off chemo for two weeks while I chill out. But in summary, I'm fine.

Last Thursday on my chemo day off, I went for pole prac in the morning and Afro Fusion class at night. I had a lil' asthma attack at the end of my group's run - don't worry, I sat down immediately after and took lifesaving puffs of my inhaler.

Polyclinic visit

The next day, I woke up with a nagging pain below my left breast. It sent sharp needles of pain every time I took more than a shallow breath. I thought it was the usual muscle ache from Thursday's dance classes so I just tried to power through the day. At lunchtime I went to take a nap, but it was impossible because of hard it was to breathe properly. Also, lying on my right side hurt like ass. Also also, I was having a sore throat with an almost-fever of 37.1 deg. So I went on Health Buddy and tried to get an appointment at a polyclinic near me. 

It's not really about cost for me when I choose polyclinics over private ones. It's just that after visiting the downstairs clinic over my debilitating back pain a few months ago, their response was to ask me to get an appointment with my oncologist "because it might be cancer-related". My oncologist was bingit and told me to just visit a polyclinic next time because they have more facilities to order an X-ray or whatever tests instead of fobbing me off.

Sadly, I didn't manage to get my favourite polyclinic this time, so I had to go to Bedok Polyclinic. It was my first time there and my first reaction is that the Eunos one is so much cooler. The Bedok one is noisier and I can't explain why without being kecam. But the staff and doctor (that I saw) are equally great. 

I took a Gojek to the clinic but I was already planning to have a burger after my appointment, then take the bus home. Nope. The doctor said it sounded like a gall bladder infection (pain in right abdomen radiating up to the shoulder, low grade fever) so she wrote me a referral letter and told me to go to A&E instead. 

A&E also concurred with the prelim diagnosis, but I couldn't get an immediate slot for a CT scan, so I had to be warded while waiting for the Mon appointment. Meanwhile they pumped me full of antibiotics and didn't let me eat anything in case it worsened the infection.

Anyway, it turned out not to be a gall bladder infection, yay. But I had RSV (some respiratory virus) which explained the sore throat that turned into a phlegmy cough during my time in hospital.

Nurse kept calling me Auntie

It took almost 24 hours from the time I stepped into A&E to get into a ward. Meanwhile I was watching others leave the the observation room like Rachel when she was in labour but not dilated enough. 

Anyway, I ended up in what seems to be the cancer ward. My wardmates were four old aunties and one 40ish lady. And one of the nurses-in-charge kept calling me "auntie". I wanted to deck her. 

In all fairness, I'm sure she didn't really think I was more than 30 years older than her, because she did call me "sister" sometimes. It just seemed to be a force of habit for her, due to the demographic of that ward. But maybe you could drop the salutations?! All the other nurses had no problem not calling me anything at all! They just said things like, "Hello, time to take your BP" and "need to go toilet?" and "pass motion or pass urine?"

Window seat

I was pretty blessed to get a bed beside the window. It had views of the Singhealth tower and the Tg Pagar port and a nice slice of sky. One evening I just sat there watching the sky change colours. 

window seat pic

Aunties vs Lazy Ain

Most of my other wardmates had their curtains drawn closed in my first three days in the ward. Sekali on Tuesday, my last day there, everyone decided to keep their curtains open in the morning. Yeah that's cool but then I realised my next-door neighbour was standing beside her bed doing light exercises. For like an hour. And one auntie beside the door was just standing. The nurse asked, "Auntie, where you want to go?" Auntie said, "Nowhere, I just want to stand here."

I had been lying like an invalid in bed since Friday! And I didn't know any different cos the auntie opposite me did the same thing - eat, pee, sleep, repeat. Properly abashed, I started doing little hamstring stretches in bed. I didn't wanna stand up cos takut the next-door auntie think I copy her.

Cutes visited every evening, which I appreciated because he doesn't stress me out

I am a horrible daughter

My parents decided to barge into the observation room (one by one cos max one visitor) on the morning of Day 2, which immediately distressed me because my dad started sharing more about their home problems, which instantly made me start crying. I am very sorry you have to deal with such problems, but I barely had any sleep the night before and I'm trying my best to breathe without spasms of pain. Could you not treat me as a literal captive audience for your own issues? 

I watched my wardmates get cheery visits from their family members (one uncle was singing at the bedside of my next-door wardmate) and I realised this could never be me, because most of my family of origin stresses me the fuck out. Not saying it's their fault, maybe it's mine. 

New chemo protocol

Anyway, what the CT scan found is that the cancer has spread to other parts of the bones, i.e. further metastasis. The scan from three months ago only saw mets in the hipbone, but it's in other areas now so it means the chemo hasn't been working that well in arresting the spread of the cancer. There were some pathological fractures (i.e. fractures that happened on their own and *not* from my excessive dancing) too. This might also be what was causing my original pain on Friday.

We will be aborting the Paclitaxel/Abraxane regime, which I had two weeks left of, and changing to Enhertu, from 22 Oct.

My oncologist Dr Beh came by on Tuesday to discuss all these with me. She commented, "I see that you've been quite stoic about everything - that's why I told my junior doc yesterday that she could just go ahead to update you on the CT scan results."

Lol. I mean, I did cry a bit when the junior doc (Dr Kezia, cool name) told me the news on Monday, but I already knew it was stage IV before this so.. it's not really a huge difference, is it?

Okay well, the difference is that since we now know I have weak bones, I cannot do vigorous physical activity like afro dance. Or like Quan Bui's choreos. So, yeah, boo but I'm gonna modify whatever I can, as long as I can still move. 

Breast Cancer Awareness photoshoot

This was yesterday and while I was hospitalised, I was afraid I'd have to miss it but alhamdulillah, I made itttt. Jasmine invited me to join the photoshoot and I readily agreed. I didn't expect to be the only one in active treatment and I felt a bit awks at first but it turned out great. 

I kinda got ready for the shoot in a daze, because I'm still recovering from the phlegmy cough and diarrhoea from the hospital antibiotics. We all shed our bottoms for the white shirt part of the shoot, and I was thanking God I hadn't chosen to wear ratty underwear that day.

It was really nice to hear stories from the other BC peeps and also getting to see Rai, Jayne, and Claudia again. And meeting Shar in person after months of IG-only interactions! Watching Jas swing in her hammock while telling her story of how she cried for no reason on so many occasions was surreal.

Lift pic before the magic of makeup

Lots of this is so surreal. I'm so sick of traipising in and out of healthcare institutions and if it takes putting my FOO on an info diet and dancing till I drop to make me feel normal, Imma do that.

Bright spots

We finished our 20 weeks of ballet together last week and I'm very proud of us! I hope to continue bumping into these lovely ladies at the studio.

Argh my elbow could be more turned out

Buzzed it

Refer to headings below!

Buzzed my hair

My pixie cut was starting to look really straggly to me, with an annoying cowlick sticking up at the left back area UGH. So I was super excited to rock up to Salon Nu to see Eugenie on Saturday.

I was on the fence whether to just get a buzz cut or go totally bald. But we realised that I have numerous acne bumps on my head (thanks, hormones) which would be very painful to do a smooth shave over, so we just went with number 2 buzz. Eugenie forced me to try it out myself, so I did, for like two strokes. It was a less smooth process than I expected. 

I'm blessed enough that I started off with really thick hair, so the hair loss doesn't look very apparent to the untrained eye. Even in the current buzzed form, you can see more hair than bald spots. Always Alhamdulillah. It looks even enough that I'm just going out and about without my lovely scarves. Although I just bought two more from Binary Style HAHA sorry not sorry.

Looking like some sorta punk/Sinead O'Connor Clueless person

Girl dinner

Nothing has been tasting good. Well, almost nothing. My favourites like bebek goreng or basic-ass stuff like nasi ayam have been tasting tasteless! Like I just have to choke it down for survival.

I made this basic bruschetta last week which was palatable though, because fresh crusty bread is still good. This was the Hayley ciabatta and two leftover tomatoes. Not exactly fuss-free cos I need to slice and chop, but at least I got to finish most of it. 

Girl dinner: Basic bruschetta

Chemo Day 

Registration

They scheduled me for: 7.30am blood test, 8.30am oncologist appointment, and 11.30am chemo yesterday. Zero chance of getting there by bus or train lol. I got a $30 Grab ride with a guy who was playing Christian pop, fun. Would he smack me if I started playing Tu Pum Pum? 

I was afraid we'd be affected by F1 road closures, but we just got slightly diverted to the wrong side of Fullerton Road, which was pretty cool, and still reached the hospital in the usual 20 minutes. 

Got to the registration kiosks at 7.24am, only to see zero registration staff and a queue of five. The more anxious ones tried to scan their ICs but a seasoned auntie patient said, "Cannot scan, it will only open at 7.30." Kepala hotak ah. Indeed, the staff came out at 7.28am and told us to wait 2 more minutes jokes. So anyway, now we know, all blood test staff start work at 7.30am so don't bother coming earlier.

Cost of meds

I was at the oncologist clinic before 8am and was the first patient there. So we now know they also don't open clinic until a few minutes before 8.30, then. Some PSAs/nurses were gossiping at the back. Wow I miss being frontline sometimes.

My oncologist is busy/blur/IDK so I had to remind her that I'm on Abraxane now because I had two allergic reactions to them. "I couldn't breathe and my blood pressure dropped to 80 or 70.."

"Oh that was you ah? I remember the case but didn't realise it was you."

Baiklah, thanks.

Then she went, "But I'm a bit worried about the cost.. Oh they didn't tell you about it? I told them to tell you."

Great. No, they only spoke to me for two minutes about the side effects which are the exact same as Pacli. Thanks to r/breastcancer for keeping me aware of the higher cost, though.

It turns out to be ~$1,800 for a 3-week cycle of weekly infusions. I'm expected to pay $3,600, not sure if fully or partially out of pocket. She tried to check for other subsidies, notably the Medical Assistance Fund (MAF), but I've means-tested out of it cos the threshold is per capita monthly income of $7k, based on gross income. Even if I lived alone, I couldn't get MAF subs.

I'm sure I can swallow the cost but I'm just gonna ask to see the financial counsellor at my next appointment. This medical admin shit is truly the hardest part, sometimes.

Anyway, if you caught my bitching about why they start you on Pacli first despite the higher chance of allergic reaction, this is the two thousand dollar reason.

Absentminded oncologist and understandably irritated nurse

I was sent to wait outside as usual for the nurse to prep the forms and pass them over. She was quite crabby as I walked out of the room, so I was afraid I'd offended her. I was also starting to feel indignant and considering submitting a feedback about her - that's just how my anxious brain works.

But when she came out and explained that my doctor had accidentally cancelled the post-chemo regimen bone scan and CT scan, I realised she was actually irritated at the doc HAHA kesian. To the nurse's credit, she managed to get them rebooked for the same week, although not the same dates. 

Bronch

I went to Dearborn for my usual yummy granola and chilli toast and refreshing yuzu drink. I just love sitting there munching and watching the fowl and the people.

Pleasant Phesgo jab

During the actual chemo, the nurse somehow found a sweet spot on my thigh for my dreaded once-per-cycle Phesgo injection! It did not hurt going in and only stung every 30 seconds of the five-minute process, instead of every millisecond like the previous rounds!

We discussed it and she said maybe she managed to find the part of the thigh with more fat. So, fun learning point to all chemo nurses out there! She actually measured (with her hands) the midpoint between my hip crease and my knee a few times before poking it there. There's a good guideline for you. I remember the first nurse poked it about a palm's length above my knee and that hurt like sin.

What's next after Abraxas?

I have two more sessions of Abraxas to go. In the final week of Abraxas, I also have my CT scan and bone scan, on separate days cos apparently the bone scan solution to be injected into my bloodstream will interact with the CT scan otherwise. 

Then the following week, my doctor booked me a new chemo appointment. It won't be Abraxas or Phesgo anymore but "two chemo drugs" but she didn't mention what and I just get tired of interrogating her sometimes. My chemo nurse shared that it might be AC, which I've seen mentioned frequently on r/bc and I'll read up more later.

Isn't it kinda crazy? You're sick with a potentially deadly condition, you still have to juggle it with adulting shit like work and chores, then you need to keep your brain alert during medical appointments so you can retain and critically examine all this new info you've been given. When can you just sit and relax? Probably when you mampos.

Medical folder? No!  Medical foldeD.

Cutes has been giving me grief for folding up my medical forms and stuffing them into my handbag. He told me to get a folder for them instead. But who wants to cramp their style and ease of travel by incorporating a fussy folder on top of everything? No thanks, the current handsfree handbag life works for me.

Test order forms folded in my bag

Chemo 'fit 

Not to masuk bakul angkat sendiri (translated from Malay: enter a basket and carry it yourself aka praise myself), but my 'fits are consistently fresh the longer I'm on this chemo journey! I'm sure someday I'll be too tired to put in the effort but for now, I enjoy traipsing around and looking back at my photos. And I feel extra high fashun in my bald head.

BTV top and new Whimsigirl Sculptor Linen pants under a Mother Dough cap. Also my favourite monster face earrings which one nurse complimented.

I'm at Cata Coffee now and the very nice Chinese lady came to say hi and exchange a few words as she noticed I haven't been here in a while. How kind, excuse me while I cry.

Benadryl Breakup

Back to regular programming!

Yesterday's blood test was at 10.30am with the chemo at 1.30pm, because the order was for the usual full blood panel and an additional liver panel, so the tests take three hours to run instead of two. After some internal battle, I decided to bring my laptop along to get some light work done. With the fortuitous tech refresh on Monday, I now have a laptop with an acceptable battery life so there's no need to drag the charger around as well!

When I hopped onto the bus to get to Tiong Bahru, the laptop (in its tote bag) banged the handrail. Loudly. Haha MALU PE. Luckily there were only four other passengers in the bus. The driver looked around, maybe wondering if he'd banged something, but I just acted dumb and he moved on. 

Went back to Plain Vanilla! I got there just shy of 11am, and it was basically full! A far cry from the 9am crowd, weird eh? (Okay I found it weird in the moment, but I'm realising I just got to this pull.in at 12pm when I woke up at 9am. Sometimes people just wanna sleep in. Or go for yoga first or whatever.) 

Anyway. I had a pesto chicken and sundried tomato sandwich with like, 11 sweet potato fries. But it's fine, it was the right amount for my smol chemo stomach. Then I managed to log in and get an hour of lame work done with the patchy connection. It still felt cool. The mental image in my head of working at a cafe just sounds cool, although I know how impractical it is for a Pee Demon like me. Actually I'd booked the HPB cowork space, but I was so lazy to go to another building (although it's practically beside NCCS) then double back to NCCS, so I didn't bother.

Cool Work From Cafe vibes

Then I walked back to NCCS. It's so hot at 12.45pm la please. But many others were doing the same walk! Medical staff walking away from hospital grounds and this rando pair walking from Eng Hoon to Alumni House, maybe? So it's an entirely normal thing to do, despite what Cutes would have me believe. (He's too lazy to do such walks.)

They put me at Suite F this round, which was new. I was always at Suite A or B in the last two months, so I mostly knew the nurses' and PSAs' faces. Suite F was.. different! They have maybe eight chairs and a correspondingly smaller care team. They were also very chirpy and chatty and close-knit, starting with what seemed to be the lead nurse, who gave me definite Jasmine Han vibes. She greeted me with, "Wow! Love the colours! Dress for success!" or something lol. I mean, I've been wearing bright nonsense to the centre for months and no one has said boo to me about it, so it was different for sure.

I also love the colours. This was a particularly cute outfit I feel! Except the Fenty Creepers gave me blisters after the walking. In the second pic, I'm being annoyed at my runny allergic rhinitis nose.

Nurse Jas was asking, any side effect in the last week? I said there was some light diarrhoea in the last two days. She told me to "avoid taking dairy, eating fried food, spicy food, otherwise your body have to work harder". Ah fuck. Why is it all my favourite food are diarrhoea triggers? We should definitely look into some genetic engineering at conception to adjust this. (TMI: I had my favourite ayam bakar at Paris Van Java on Tuesday and the yummy sambal is what I've been pooping out, sigh.)

It was 2pm when I was called in. They got me set up, I confirmed that we were doing Abraxane. Nurse Jas (obvi not her name but I can't remember it even though it was an unusual Chinese name!) gave me the usual syringe of anti-nausea meds, then I was just stoning when another nurse came over to say, "Okay, starting the drug now."

"Huh? Is there no Benadryl today?" It's my bestie Benadryl, I had to ask!

"No, Abraxane has lower risk of allergic reaction, so we don't give Benadryl. The steriods we gave you earlier will have some anti-allergy effect also."

"Oh, I was hoping to fall asleep from the Benadryl." It's clear I have become a lowkey Benadryl addict.

So ya, the drug started 15 minutes after I sat down, it was over in 30 minutes, then another five for flushing with the saline, then removal of the cannula, and I was done at 3pm!

Re: the cannula, Nurse Jas actually gave me detailed breathing instructions as she was inserting the needle. "Deep breath in, deep breath out, breathe in, breathe out, breathe normally." So I apologise to Chatty Cathy from last week. More nurses should give this type of breathing instructions. Having your skin get poked once a week, sometimes multiple times a day, is not fun, especially with older drier skin. These instructions help when you're feeling anxious over the pain and discomfort. 

There was a young Viet girl who came in with her mum and sat at the chair facing mine. She looked cute in her patterned silk scarf under a baseball cap. But without the Benadryl daze, I was too self-conscious to compliment her. She gave a nurse a shopping bag of goodies and the receiving nurse came to show Nurse Jas, who was with me. Nurse Jas was like, "Oh what is this, is it Japanese?" I saw the writing on the bag and said, "It's Viet." LOL. Actually I felt like tearing up because it was the girl's last session, so she brought the goodies to thank the nurses. 

Then I realised, there's no way I can do that because they schlep me into a different suite each time. Cutes said that Viet girl was probably a private patient, so they'd give her a dedicated ward and care team. Sorry I'm naive/bodoh/whatever, I didn't realise private patients also visited NCCS! That might explain the Japanese mother and son beside me in the waiting area earlier.

It was so weird to be done at 3pm and be non-groggy. Also Cutes wasn't with me as he was attending a course. So.. I.. resolutely crossed the road and took the bus home! Yay me!

Bus stop pic