So far, so good. They did have to rearrange his protocol. He was supposed to get Vincristine this week but because one of his liver enzymes - ALT - increased after the rest reduced to normal range from last week and Vin metabolizes through the liver, they switched to Cytoxan for this week. They'll do the Vin next week if the liver panel comes back good. They also sent me home with a liver protectant - Denamarin - to give him daily for the week. They did the first dose of the Cytoxan at U of P yesterday and sent me home with the remaining 4 doses for the week. They also sent home Zofran for nausea and Flagyl for diarrhea just in case. (I asked about the Cerenia but the onc said that also metabolizes through the liver so she wanted to stay away from it.)
We have a snow day today - already 8" on the ground with at least 10 more expected by midnight - (I'VE HAD ENOUGH ALREADY!
) - so I can be home with him to be sure he's getting enough to drink and is peeing enough since they tell me that Cytoxan is metabolized through the bladder.
The onc did confirm that his nodes have all reduced - YAY.
It's nice to have the third party confirmation on that! He's still eating great and he's acting like his normal lovey self.
Michelle, Rufus & Hamlet (dx 01/29/10 tx 02/01/10)