I thought of this title a long time ago. As many of you know I almost majored in Chemistry (I just need to write a thesis) but ended up with a major in Forest Pathology. Today, I realised that it would be better off with Chemo vs the Forester, but it doesn’t sound as good!

Taxus sp. in Rogaland arboretum

For some reason I have not connected taxanes with Taxus sp, although I know that the highly poisonous yew trees have been found to be useful in medicine. I must admit that although I can easily see how Salix sp became Aspririn (in older days, chewing willow bark was found to be helpful against headaches and fevers), I have no idea how they turned yew trees into a highly potent and effective chemotherapeutic drug. Did some person with cancer chew on it?

And it is effective albeit a bad-ass drug. It’s also really difficult to synthesize because of the multitude of chiral centres (Taxol which is another taxane has 11). Enantiomers are bad enough if there are one or two in a chemical formula (see how I brought the chemistry back in?) but 11 – back when I took Organic Chemistry we were happy if we managed to get one right.

More Taxus! I love these trees!

Today started pretty early (up at 5:30 am) and with a few cups of coffee, I was pretty much awake by the time the taxi picked me up at 6:55. For obvious reasons one is not supposed to drive or use public transport when getting a dose of chemo! The taxi took me to the medical bus pick-up point, and the bus was awesome! I got this really nice leather recliner so I could stretch my legs properly and was at the hospital at 8:10, long before my 8:30 appointment. As always – spilled coffee on my jacket. Nothing new there.

You probably all know the drill. Sit in chair, have needles stuck in arm and retracted cos they didn’t work properly, moved to bed to take EKG, back to chair, new needle (bad needles today), cup of coffee, blood pressure measured, new needle – three’s a charm – talk with onco and two nurses. Onco clears the room (which kinda worried me) but it was only to tell me that she’s taking a sabbatical from October 1st. YIKES!!! How can she leave me like this???

Nansy of Arguably Venomous Mammals at Northern Green Gathering. Check them out before Soundcloud disappears!

Make jokes with support person (SP). Make bad jokes to nurse about vodka in the saline solution (got that first). Get requisition for wigs or headware (whatever that is defined by – a top hat so I can start my steampunk look?) and put on waiting list for make up class (woohoo! Maybe – just maybe – I’ll learn how to do proper make up. About time, I guess).

The meds I’m getting is actually called Docetaxel (dxl) but it’s still Taxotere. Saline was followed by dxl and I didn’t notice much of a difference. Nurse was following me closely to make sure I didn’t experience any allergic reactions, and took my BP at regular intervals. It was pretty close to normal most of the time – apart from that one time I had a new cup of coffee and had taken a large sip! They did tell me to drink plenty of fluids…

250 ccs of dxl and an extra 800 ccs of saline later, I was all done. No reactions, no problems, didn’t notice anything. Taken home by taxi. It’s been raining cats and dogs so I’m not unhappy about not having to brave cars, trains, buses and Shanks’s ponies!

OTOH SP and I had a slight disagreement regarding cats in the room (if they haven’t been spesifically forbidden, how do you know they’re not allowed?), a lot of coffee and laughs. Side effect from tamoxifen: laughing so hard you cry till your eyes turn red. Not sure I should report it.

Got home, snuggled in bed, slept for a few hours, still feel remarkably side effect free. Not sure how long it’ll last but I will enjoy it as long as possible!!!