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First Round of BEP done today!

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  • First Round of BEP done today!

    I have not been on in a while, my fiance just finished his first round of BEP today! He has not had too many side effects at all, and it is starting to make me nervous...I read about every side effect and warned him and bought him the Lance Armstrong book and it seems to be going pretty good for him??? Is this normal, is it at least a good sign that he hasn't suffered too many side effects? I know the 2nd and 3rd rounds will probably be worse, right?

    Anyway, another question...his doctor had him start this two weeks round 2 begins, but the clinic is closed January 1st, which would be the first day, and also closed on Saturday and Sunday...the nurse told him today that they will probably just have him start on Tuesday and come back the following Monday for the last dose. Is that alright...what is the purpose of 5 days on if they can skip 2 because of a holiday??

  • #2
    Glad to hear that his first round went so well. Hopefully the others go just as smoothly,but the effects are cumulative.

    I ran into a similar situation last year,where my final round of BEP ran into Christmas holidays. What they ended up doing,was running 5 days worth of chemo,in 4 days. I really didn't notice the extra "weed killer" that was administered.

    Best Wishes
    Dec/04-Right I/O-nonseminoma (95%E/C),Stage 1, surveillance
    Nov/05- 2.2 cm lymph node= Stage II A
    Nov/05 -Jan/06-3 x BEP
    Jan/06 -Surveillance



    • #3

      5 treatments in 4 days makes sense, that nurse probably just didn't know and made something up which wouldn't be a first...


      • #4
        Hi Jenpat,

        I think you should talk with the oncologist about what the nurse told
        you. My son had a consultation with Dr. David Vaughn, who is one of
        the experts listed at TCRC, back in June when he was scheduling his
        chemo. Dr. Vaughn said he admits his patients to the hospital on holidays,
        so there is no delay or change in the proven successful treatment



        • #5
          I agree with Diane- I am a being treated by Dr. Vaughn (4xEP).
          I was lucky that my schedule skirted the holidays, If I had started one week earilier, I would have spent Thanksgiving in the hospital
          I think you should try to stict to the five days straight if at all possible.
          Good luck, hope the side effects aren't to bad going forward.
          Stage III. Embryonal Carcinoma, Mature Teratoma, Choriocarcinoma.
          Diagnosed 4/19/06, Right I/O 4/21/06, RPLND 6/21/06, 4xEP, All Clear 1/29/07, RPLND Incisional Hernia Surgery 11/24/08, Hydrocelectomy and Vasectomy 11/23/09.

          Please see a physician for medical advice!

          My 2013 LiveSTRONG Site
          The 2013 Already Balders


          • #6
            I have the same problem this week with my first round. I have been scheduled to go into the hospital for my 5th day, to keep me on schedule.

            The reason for the 5 days in a row is to kill all the new cell growth during a complete cycle (so I understand - I am NO doctor), so it makes most sense to actaully do 5 days in a row.

            Fortunate for us, hospitals don't get to close for weekends and holidays!


            • #7
              Actually I didn't have much side effects as well and it got better (except fatigue and dizzyness) until the end

              just keep on drinking water, I started during 3rd and 4th only after I start to have neuropathy now it is ok with support of vitamins (fingers crossed)

              best wishes
              diagnose 18 Aug 06
              Orchiectomy 24 Aug 06
              pure Seminoma, markers normal, PALP positive
              CT 35x45x60 mm at L3
              EPx4 cycle from 6 Oct 2006
              CT no shrinkage after 4 cycle, PET negative 12 Jan 07
              Post chemo mass resection 14 Feb 07
              Found mature teratoma (unusual for seminoma)
              Surveillance !


              • #8
                The standard protocol in the UK is to administer each BEP cycle over a 3 day period as an in-patient.

                Based on this, I imagine on a 5 day cycle a day here or there doesn't matter too much.

                Diagnosed March 2006, Stage IIB, 3cm RP mass
                10% Seminoma, 90% Non-Seminoma (Embryonal, and a tiny amount of choriocarcinoma and teratoma)
                Prechemo bHCG-2648, AFP-582
                3xBEP March-June, markers normalised
                3 months postchemo - 1.2cm residual RP mass
                RPLND September 2006 - mostly necrotic tissue plus tiny amount of well differentiated teratoma
                June 2009 - TRT commenced to help out my lefty
                May 2011 - check-up, all clear


                • #9
                  From what I've heard through TC-NET, three-day cycles and in-patient treatment are more common in Europe, while five-day cycles and out-patient treatment are more common in the U.S. Both treatments are effective, but delivering the chemotherapy over a longer period reduces short-term side effects.
                  Scott, [email protected]
                  right inguinal orchiectomy 6/5/2003 > nonseminoma, stage I > surveillance > L-RPLND 6/24/2005 for recurrence, suspected teratoma but found seminoma, stage II > chylous ascites until 9/2005 > surveillance and "all clear" since

                  Your donation funds Livestrong services for people facing cancer now. Please sponsor my ride!


                  • #10
                    I wouldn't be too worried about him not showing many side effects. I also never noticed most of the side effects people usually associate with chemotherapy, my oncologist said my body was just tolerating the drugs much better than the average patient does. The worst of my side effects was a complete loss of appetite during the first week of round 1, I had to drink a lot of Ensure to keep from losing weight that week, but then I felt almost normal after that.

                    Now it's been two months since my last bleo injection and I almost feel 100% again. I'm still really tired sometimes and I have a very slight ringing in my ears that seems to only come on when I hear certain sounds, but the doctors said that'll all pass in time.