You should call the doctor if you have a fever of 100.5 or higher, or if you are experiencing other signs and symptoms of an infection. These could include shaking and chills, burning with urination or extreme fatigue that is unusual. Some other concerning symptoms that might require a phone call could be nausea and vomiting not controlled by medications, We are open Monday-Friday from 8:30am-5:00pm. If you are having a problem, please call as soon as possible so that, if necessary, we can schedule an appointment for you. After-hours or weekends, call our main office number and the operator will put you through to the on-call doctor.
Absolutely! Family and friends are a welcome and valuable resource during your appointment. They can be a great source of support and another set of ears to help you listen and understand. Their early involvement provides them with a greater understanding of how they might help you. Treatment chairs are for patients only. If more then one person comes with you, they may be asked to wait in the waiting room.
You are welcome to bring a lunch or snack with you to eat during treatment. Your support person may also bring you something during your treatment. There are minimal snacks available. We do offer tea, coffee, or water for our patients and their families.
Most of our patients never experience nausea or vomit, and if they do the nausea is typically mild and brief. Before your treatment, you will receive IV nausea medication, which will last for several days to a week. In addition, most of our patients have at least two oral nausea medications prescriptions provided so they have the ability to treat any nausea they may experience once at home. In the unusual event that patients are unable to control their nausea they have access to Dr. Trezona or his associates, even after hours, for assistance with nausea management.
Hair loss does not occur with all chemotherapy. You may notice hair loss or thinning as soon as the second or third week after your first treatment of chemotherapy. It may happen suddenly, slowly and in an uneven pattern. It is common for hair loss to include hair that grows anywhere including eyelashes and eyebrows. In almost all cases of chemotherapy induced hair loss, your hair will resume growth after your treatment is completed. Most insurances pay for wigs. For more information, refer to http://www.chemocare.com/managing/hair_loss_and_chemotherapy.asp
Patients who are on
chemotherapy typically have a blood draw on the first day of each chemotherapy
cycle, then once a week in between cycles.
Low blood counts are a common side effect of most chemotherapy treatments. Your doctor and nurse will want to assess your blood counts before giving you your chemo. For more information, refer to http://www.chemocare.com/managing/low_blood_counts.asp
Depending on what is happening medically with a patient Dr. Trezona or Diana Seaders, PA-C may order additional labs.
Fatigue is one of the most
common side effects from chemotherapy and immunotherapy. Depending on the level
of fatigue, some patients might have less interest in sex. Occasionally, there
are physical changes making sex more challenging. Patients are encouraged to
review any concerns with Dr. Trezona or Diana Seaders, PA-C.
Some examples of changes affecting sexual activity may include: decreased interest in sex due to fatigue or stress, In women, vaginal dryness, hot flashes, difficulty with orgasm or irregular periods. Men might experience difficulty maintaining an erection or having an orgasm.
It is important to review your fertility status and concerns about sex prior to beginning treatment and throughout your treatment as concerns develop.
Some precautions may be indicated depending on the type of treatment you are receiving. For example, some chemotherapy can be present in the semen, so condom use is recommended.
We recommend you have someone drive you on your first and second treatments.
When your immune system (white blood cells) is low you are more prone to infection. The best way to prevent an infection is for you, and those coming in contact with you, to frequently wash hands. You can use hand sanitizer when soap and water are not accessible to you. You do not have to wear a mask but it is wise to avoid contact with people who you know are ill. For more information, refer to http://www.chemocare.com/managing/low_blood_counts.asp.
A daily multi-vitamin and a well balanced diet should be sufficient. It is not a good idea to take high doses of vitamins. Large doses of vitamins or minerals can be toxic or harmful in some instances and are counterproductive to chemotherapy and radiation treatment. For more information, refer to http://www.chemocare.com/eatingwell/vitamins_and_cancer.asp