Round 2

I have felt better for the last 48 hours since before the surgery, and now I'm ready to go back into battle tomorrow. Jimmy will check me into the hospital Monday morning, and I'll be there all week. Round 2 will be much like Round 1, except some of the chemo drugs will be changed around a little.

For those of you who are interested in things medical, I'll give a synopsis of the week:

Hyper C-VAD Course#2: Methotrexate + Cytarabine


Day 1: Methotrexate bolus infusion over 30 minutes
Methotrexate 23.5 hour infusion
Methylprednisolone (SoluMedrol) IV every 12 hrs (6 total)


Day2: Check MTX levevl at end of infusion (if MTX> 20 increase resucue)
Begin Prednisolone eye drops in each eye every 6 hrs prior to CYTARABINE

Cytarabine infusion over 2 hrs IV every 12 hrs
Methylprednisolone(Solumedrol) IV every 12 hours

Methotrexate 12 mg Intrathecal injection

Day 3 Cytarabine infusion over 2 hrs IV every 12 hrs

Begin Leucovorin 50mg IV x 1 then 15 mg IV x 6 hrs starting 36 hrs after start of mtx

Mehylprednisolone IV every12 hours

DAY 4 Check Mtx level (if >0.1, increase rescue)

Day 5 Discontinue prednisolone eye drops. check Methotrexate level.

Cytarbine intrathecal injection

Begin growth factor injections SQ Q24-48 hrs after last dose of cytarabine

Day 6 Before WBC's decrease, Begin:

Cipro 500 mg twice daily

Fluconazole 200 mg 1 tablet once daily

Penicilllin VK 500 mg tablet twice daily

Begin next Chemotherapy Course on Day 22