Nutrition Notes:
No fresh fruits or vegetables (i.e. salads); no Chinese food, Thai food, stir fry, no sushi
Food must be fully cooked
OK for small cans of fruits, applesauce, Jell-O, juices (pasteurized) – little containers. Anything that is processed is usually ok.
All milks and juices must be pasteurized
What about cooked shrimp – this is OK
Be careful on fresh fruits and vegetables – bacteria we are not familiar with – stay away for three months – gradually introduced after three weeks.
Chemo impacts from mouth to bum – cold is better than warm. Pills start on Thursday – four different anti-nausea and vomiting meds.
This week will be OK; next week and week after will be feeling the worst.
Imodium AD – pick up at Target
Pick up pill box at Target
Don’t start Imodium until after a stool sample is collected. Ask for collection tools later.
Other Notes:
Day +8 Fatigue really kicks in – fluid can be high – BP can be a concern – watch for light headed feeling. Will be a balancing along the way the amount of Lasix.
Day +9 Cells start to come back – start to feel better / different. Day +14 Could be every other day and be based from home. Can’t promise anything, but this seems reasonable right now.
Recovery at home is the biggest challenge – fatigue from laying around. Recovery from chemo – a good three months is what your body needs. Be patient with yourself.
Contact with “The Others”:
Hand washing is important – If anyone has coughs, colds, stay away – keep 3′ of distance away from infected person(s);
Masks? Yes, where one at home in same room with Tom and where one in public – this is for three months. Kate will get some.
Medication Notes:
Stop Lipitor; Continue with all other medicines; including penicillin
Start following additional medication list from Kate
Oral Care:
Mouth care is important – make fresh baking soda rinse each day
The toothpaste that dentist gave – yes, this is OK.
Dry taste may last for several weeks – do not floss!
In Patient Stay
Kate will note that blood draws will be done by her – George will be in 7 North.
radiate harmony 