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Impact on delay of bleomycin booster?

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  • Impact on delay of bleomycin booster?

    I am on a 3xBEP chemo treatment for my embryonal carcinoma. I did BEP the first day, then 4 days in a row of EP. The plan is B on day 8 and 15. Then the cycle repeats after day 21.

    So... today there was major flooding in Houston and my hospital was only partially staffed. I went to in for my day 8 bleomycin booster but was not able to do my chemo. I'm guessing tomorrow will be a no go as well. Is this something to worry about? Or is a few-day delay ok?
    Mar 23, 2016 - Left I/O, tumor 4.0 x 3.5 x 2.6 cm
    Embryonal carcinoma, extensive lymph-vascular invasion, pT2
    Mar 28, 2016 - CT scan, 5 lower lobe pulmonary nodules, largest 1.8 cm, retroperitoneal adenopathy
    Apr 4, 2016 - met with oncologist, cancer staged at IIIa
    Apr 11, 2016 - started 3 x BEP
    Jun 13, 2016 - finished chemo!
    Nov 8, 2016 - 4 month checkup, tumors shrank significantly, bloodwork normal

  • #2
    No idea, honestly. Certainly it's best to stik with the protocol. I'd be surprised if a minor deviation made a big difference,but I am not a doc. 3X BEP Iis a tried & true treatment & evey effort should be made to adhere to the regimen for the best results, but sht happens & we sometimes have to punt.
    Jan, 1975: Right I/O, followed by RPLND
    Dec, 2009: Left I/O, followed by 3xBEP

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    • #3
      Thank you Davepet. I was able to reschedule for this afternoon, so looks like it worked out. I am starting to appreciate the mindset of being willing to punt and improvise. Seems like a key for getting through this intact (emotionally). Good life lesson I suppose.
      Mar 23, 2016 - Left I/O, tumor 4.0 x 3.5 x 2.6 cm
      Embryonal carcinoma, extensive lymph-vascular invasion, pT2
      Mar 28, 2016 - CT scan, 5 lower lobe pulmonary nodules, largest 1.8 cm, retroperitoneal adenopathy
      Apr 4, 2016 - met with oncologist, cancer staged at IIIa
      Apr 11, 2016 - started 3 x BEP
      Jun 13, 2016 - finished chemo!
      Nov 8, 2016 - 4 month checkup, tumors shrank significantly, bloodwork normal

      Comment

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