Thurs, Oct 19:
Jennifer wins a box of chocolates! for being the first with the correct answer to; What does VAPAHCS stand for? A second correct answer will get a small box of chocolates. Spinal tap went really quickly. It was done by a doctor trainee, being supervised by the doctor who did my last one. She did really well and was as fast or maybe faster then the last spinal tap or lumbar puncture as the doctors call it. She said that it was the second time she had done this procedure. I am now in the middle of chemo infusion. Going smoothly so far. I expect and have been told that a Saturday hospital release is expected. I had a fun experience with a second year medical student today. She was suppose to figure out on her own, based on my symptoms, what I am being treated for. Good luck! It took several doctors several weeks to figure it out to begin with so it cant be easy. It would be nice if she had access to my various test results, to speed things along.
Tues, Oct 17:
Rm 117 VAPAHCS! Chemo Therapy Cycle 4 of 8. Spinal tap on Wednesday. I'm getting my health and happiness back. Let's see how I fare for this round. I will be at my half way point in treatment after completion of this cycle. Last one, cycle 8, trickles into January. All remaining cycles will require a hospital stay as well. If I had known how much treatment was involved, I wouldn't have caught cancer in the first place. ;=) VAPAHCS? It's an abbreviation for the hospital
I am staying in. PA stands for Palo Alto. Can you nut out the rest? A box of See's chocolates for the first correct answer emailed to me
. All entries must be received by the second Thursday of next week.
Fri, the 13th!
So, went down to the VA today for my 50,000 mile checkup. They changed the dressing on my PICC line. I also checked in with my charge nurse Connie to make sure I have a future plan. Once they heard I was at the VA, my doctor ordered a blood test so I had to stick around and do that. PICC line? I have a (semi) permanent access line from my arm to my heart for IV fluids
and blood draws. Follow the above link if you are still curious. I was mistaken about being finished with chemo. Turns out I get readmitted next Tuesday to repeat the chemo I had during cycle 2 a month ago. Oh joy, I get my butt kicked by chemo, yet again. On the bright side, I have three days of almost perfect health before being readmitted for more chemo. My GF and I have a date to make Cinnamon Buns from scratch this weekend. Hopefully I can put on five more pounds
eating the buns. Did lunch with a couple of close friends this week: Bev and John. John lives in Moss Beach. We did lunch at Ketch Joann's in Princeton Harbor and then toured the Devils Slide area. Bev met me at Commercial Tree. I gave her a grand tour of CTC and then we had lunch nearby at Dave's BBQ. The reason Bev met me at CTC is because I was installing a phone extension for a new hire, my granddaughter Jessica. I purchased an office phone system for my son's business
years ago and now I get to fix and expand it as necessary. It's joyful to me, that I am still able to help do things like this.
From the Devils Slide area, a bunker once used to spot possible enemy invasions by sea er ocean.
Wed, October 11:
No progress! on the chemo front. It appears that future treatment is yet to be determined. I got pushed back from two doctors regarding my decision to not do the prescribed anti-biotics for diverticulitus. I started taking the antibiotics (2 of em) last night and will finish next Friday morning of next week. It feels a little like I am being bullied by the two doctors as I am completely symptom free. I can't imagine what good 10 days of antibiotics can do and then there
is the massacre of the probiotics in my gut. I have a lunch date in Half Moon Bay with two dear friends today. We are meeting at Sam's Chowder House. This is the same place a 74 year old man, while crossing Highway 1 in front of the restaurant, was hit and killed by a Highway Patrolman just a couple of weeks ago. I'm worried about cancer wiping me out and this guy that got hit, just decided to cross the road at the wrong time. Why, did he cross the road? Another chicken
joke, I suppose. His lack of success was probably a case of not listening to his Mother telling him to "Stop, look and listen." Maybe he felt lucky and capable of outrunning a car going 45 mph. Yes, his universe really intersected with a car's universe.
Fri, October 6:
Usual miserable Chemo things, food tastes like chalk, no physical energy, tired of convalescing, yes I'm depressed. I need and want this behind me. Guess I'm going to have to do it the hard way and be patient. Not my strong suit. Went to the VA today for Chemo infusion and lower abdomen pain. It turns out I have Diverticulitis symptoms as verified by a Cat Scan. A leg ultra sound was also ordered to see if blood clots had formed. That was negative. Dr. prescribed two antibiotics
for the Diverticulitis but since I'm not running a fever, I'm holding off starting the ten day regime. Also holding off based on flare up subsiding. Ten days of antibiotics is grueling and upsetting for the GI tract. I'm not going to do unless symptoms reoccur or persist. The pain was so bad last night, I considered running myself to VA emergency. Tonight, not a hint of pain. Go figure. Called my Sister today. The three of us seem to always finish our call with tears.
Can't control it, just happens. Family love and caring is the reason. Thanks Sis and her wonderful husband Amon, for your support and well wishes. Also today I got a "well" wishes card from my Niece Janet and husband Jack. Lovely card, lovely thoughts, thanks. You know my renter moved out a couple of weeks back. I just discovered today that he took my personal stash of TP I had in the guest bathroom, with him when he left. Who does that? Maybe
I should deduct $5 a roll from his security deposit. lol I guess he is redefining "petty" theft to a new low.
Tue, October 3:
Tuesday is garbage day in my neighborhood and it is time to take out the Leukemia! I found out today that the Bone Marrow results do not indicate any additional medicine or procedures are required to suppress all of my symptoms. Spinal tap was finished in an hour with only 24 minutes for the procedure itself. Fastest yet. What a treat. On Friday, another bag of chemo, Vincristine IV. Treatment is
winding down so maybe I'll have a real chance of working on my body conditioning in near future without the benefit of a week of chemo set back. YaY! (for me), so far a cancer survivor. Knock on wood for my good luck and the well wishes and prayers of all of my friends and especially my family and GF. All of you really buoyed my spirit and you all gave me the courage to knuckle down and get through this. Life is worth it, isn't it? I choose life.
Mon, October 2:
I have been home recovering, taking meds and in general trying to get back to pre cycle 3 conditioning. Today, I did get out and about, not to St. Jo's Hill but around my one mile block while carrying clippers to clear brush from the sidewalk path. I am intending to lead my friend Praven around my favorite contiguous sidewalk course to show him a better neighbor hood course to exercise on that is relatively
safe for his near blindness (caused by Macular Degeneration). The reason this is so safe is that if you stay on the sidewalk and do not cross any streets, after a mile, you end up at the exact same start point and Praven then knows his way back home from that point. Cool, huh? I did finish my trimming but still a lot of raised sidewalk issues so we still have to be careful. Tomorrow, another lumbar (spinal tap) puncture to inject more meds. So far, my least favorite procedure
with only the bone marrow procedure being less bothersome then the ST.
Fri, September 29:
I'm finished with cycle 3, disconnected from my dance partner; Olive Oil (my IV Tree) and will be released to go home tomorrow (Sat) morning! Yay, I am elated. Physically, conditioning wise, some setback but too early to tell how much. I think preparation is key to avoid too much setback, at least that was and is the plan. I think it is working as the last chemo was suppose to take 24 hours to infuse but was shortened to two hours due to my demonstrated stamina and this is the reason
I am getting to leave the
hospital early. On the home front, I am no longer sharing my house with one of my renters, the one I was sharing my kitchen and laundry room with. He moved out today so I no longer have to worry about my reduced immunity being compromised by him. A big relief. My daughter did mention the house keeper wont arrive till Monday which will be even better because she can sanitize behind the renter that left. I do have one other renter but he doesn't use my kitchen and is an infrequent
user of the laundry so I feel safe with him. Besides that, he is a friend as well and he is very considerate of my need for isolation when ever I return from the Hospital. After chemo, it takes about seven days to get my immunity built back up to a safer level using the Neupogen tummy injections I am prescribed. My preliminary bone marrow results show main stuff gone but lingering Lukemia cells that may need different medicine or chemo to kill off. I will know for sure sometime next week.
Thu, September 28
Wow, exciting morning (not) with another spinal tap and medicine infusion into the spine. Doctors knew ahead of time how difficult and private my spine is and it still took them by surprise. X-ray imaging was used to locate everything but still x-ray is just an improvement in technique not a sure thing. In my case, a second x-ray machine was bought in and used to determine additional needle position. It turns out the first spinal tap needle was in the right position but was
too short to reach the spinal fluid so it had to be extracted and a longer needle and more Lidocaine had to be used. This ended up being a two hour procedure. Maybe the next spinal tap can be done in a shorter time if the same doctors are used. In the mean time, I am not allowed to be disconnected from my IV because of the critical medicine being served up to protect me from chemo bladder damage. This means I have to take my dance partner (IV pole) with me where ever I go and restricts
my walks to level surfaces that I can roll the IV pole across. I can go any place I want, I just have to have Olive Oil with me all the time. Also, I have to lead while trying to prevent stubbing my toes on her wheels. Yesterday was uneventful. No procedures, just chemo infusions. The rest of today, likewise. Hematoligist Dr. says I have to come in Tuesday next week for another Spinal Tap but as an outpatient. No bone marrow results back yet but should be forthcoming
soon. Still scheduled to leave on late Saturday.
On a different note: This cancer blog is more detailed then what I could craft individually
responding to inquiry's. So please keep emailing me with your questions
and concerns and enjoy my blog as well. I'm sure even with my blog you
may still want to know more or want to share with me what you are
Love to each and every one of you and thank you for your support and
if you are so inclined, your prayers as well. BTW my family is still
offering and giving me support for the daily things. My daughter has
even arranged for a house keeper to come in to clean my house while I am
away at the hospital. I am still able to drive so I am meeting my own
transportation needs. So many of you have offered to help and I truly
am blessed to have so many friends willing to help. Thank you for your
Tue, September 26:
I was admitted to the VA hospital this morning. Right off the bat they did a bone marrow sample from my upper right hip. It seems that I'm always the difficult one. The doctor had to poke around quite a bit before getting everything he wanted. Can you say "ouch?" This sample will tell how curtailed the Leukemia is and if any rogue Leukemia cells need different chemo. According to the Dr., there could be zero Leukemia. Results will be back in
a few days. Further down the road, DNA results of the sample. Also started chemo, although late at night (10:30). So, a half hour bag now every twelve hours for a total of four bags. Thursday at 10:30, another spinal tap with medicine, oh joy.
Mon, September 25:
Failed my lab test. Had to transfuse two bags of red cells in order to be properly prepared for Cycle 3 chemo that starts tomorrow. Getting red cells always boosts my spirits though, so no complaint here.
Sun, September 24:
So, Thursday and Friday, my body went on vacation. It was difficult to walk and hiking was impossible. Turns out I overdid my training so I had my body quit on me. Saturday, was returning to normal and Sunday, was able to hike and walk decent distances. Tomorrow, a lab test at the VA and then Tuesday, back to the hospital for chemo infusion. Please think good thoughts for yourself and for me.
Toured the Southwest on Sunday. This is Coyote Reservoir (by Morgan Hill). Taken from the top of the dam. Click on the photo for the high res version. (Fisherman and boats will appear! ) We had a Subway picnic lunch here and then a nice hike down to the water and
over to the boat launch area.
Fri, September 22:
It feels like my life has been derailed by cancer but on the plus side, hey, this side of the grass looks pretty good. I am still focused on body conditioning for the next round of chemo. I should stop looking at what the next round entails as most of the chemo being infused, I can't even pronounce and then the listed side effects, who needs that? My head of hair keeps getting thinner but the rest of my body is keeping up. A little distraction is that one of the chemos I got three
weeks ago made the tips of my fingers and toes, numb and tingly. Initially, this made me restless and sleepless but is not such a problem now. Today, lunch with a dear friend and training on St. Joseph Hill. I've decided to cut back to my original distance of two miles because of joint and muscle pain. I discovered that my body isn't ready for the longer hike I was doing, so I am scaling back. and admitting to myself that conditioning lost, doesn't return overnight.
Mon, September 18:
Still chilling. Went to the VA today and lab test showed my platelet count was really low so I had to stick around and get a bag of platelets infused. Good thing about that is my four day nose bleed finally cleared up. I kicked up my hiking. Now hiking 3.64 miles and 600' of elevation change. My White count is up so I risked socializing a little, attending a Sunday Singleaires Potluck held at Alma's house. It was nice to say hi to a bunch of my friends.
Fri, September 15:
Yesterday, the VA used imaging to do a spinal tap on me. I thought it would be faster but no, it wasn't. The Drs were complaining about my spine curvature and compression so I explained to them: 5 years of racing 600cc motorcycles followed by an aggressive Mountain Bike Hobby. They all agreed that that would do it. Rested the rest of the day and repeated the Sep 12 hike today. Went down to my son's work yard and watched him play with his new crane. He was in the process
of replacing the cable which he wouldn't have had to do if there were no override switch. Then a quiet evening with my GF. Was going to do dinner and a movie but neither one of us was up to it.
Wed, September 13:
VA was slow today. I arrived about 9:00. At 11:30 I was told to come back and give more blood for testing as the original batch soured. Called back again at 12:30 for Spinal Tap but two doctors were unsuccessful in getting in and procuring fluid so after two hours or so, they decided to use an imaging system instead, to locate my correct spine position for tapping. Yep, got to go back tomorrow to finish the spinal tap using imaging. Afterwards, I went to Los Gatos and repeated
yesterdays hike. It turns out, my legs are willing but my heart rate and breathing go off the chart. Getting better though. My lower back feels like it was used for a pin cushion, yet more of the same tomorrow. Good news is, all my blood test results are in the normal range. YaY!
Tue, September 12:
I set out to do my first hike today targeting Jones Trail in Los Gatos. I didn't know how much I could do but quickly discovered that uphill was not my thing. I did manage to do 2.3 miles and 400' so I did accomplish something. Tomorrow; VA appointments. If I get done in time, I will try hiking again.
Mon, September 11:
I am doing really well considering how pained and sick I was before
getting chemo treatment. The very first round of Chemo practically returned
me to normal with the ability to build up and retain my hiking and
walking strength. I just finished
cycle 2 with five days of chemo. The last couple of days did set me
back a little but here it is Monday and I have my strength and appetite
back. Next up is cycle 3 in two weeks and 14 days of bag after bag of Chemo. I'm a little nervous over it. I
do hope to start hiking again, the sooner the better. My Drs.
encourage my active life style so I really have no excuse not to get my
conditioning back to par.
Sun, September 10:
Home Sweet Home. Finished the last of four bags of Cytarabine last night. It takes two hours to infuse with twelve hours between bags. All in all, this was a mild session allowing me to walk up to 3 miles per day. The sum total of four bags of Cy though, did have a negative impact on me causing me to cut back and rest today. Hopefully, I can get back on track tomorrow. My next appointment is on Wednesday. I am due to have another Spinal Tap at the
A good friend of mine, Frank Bryn, who maintains two homes: one here on the West coast and one back East where most of his family is, was monitoring my condition and gave me several well wishes and prayers for my cancer. While packing for a camping trip over Labor Day weekend, he fell and hit his head and in spite of seeking medical help, died a few days ago. Nobody on the West Coast knew that he was even in danger and poof, he's gone. I'm very sad to lose a hiking buddy and a great friend.
Frank posing with Monica at Mariposa (near Yosemite) ca 2014. Mariposa and the Spring time flowers produced there, was one of Frank's personal favorite hikes to lead.
Fri, September 8:
Did another heavy bag of Chemo today. This one is called Cytarabine. It has a list of side effects longer then the Russian book "War and Peace." So far so good. Also getting small bags of a medicine to counteract kidney and bladder damage. Appetite still working. I usually eat 75% to 90% of food bought to my room. Another Cy bag due tonight and two more tomorrow then, released on Sunday.
Thu, September 7:
Finished the 24 hour bag of chemo and then did the Spinal Tap thing. I am thrilled that I continue to build my strength and the latest chemo has not been a set back at all, so far. I have a walking course here at the VA that takes me all the way to Arastedero St. and back for a total time of 35 minutes and approximately 1.5 miles. I have done it every day for the last two days. A dear friend visited me and dropped off a lovely flamboyant Orchid. Unbelievably pretty.
Wed, September 6:
Being infused with 500ml of Methotrexate (MTX), formerly known as amethopterin, which is a chemotherapy agent and immune system suppressant for treating cancer. It will be infused over 24 hours ending sometime Thursday around 9:00 AM.
Tue, September 5:
Admitted to Palo Alto VA Hospital (room 109, unit 2A on second floor) for a second round of Chemo. Hair on head about 75% gone. The rest of my body feels really normal. It's a pity to knock it out again. This is suppose to be 4 or 5 days then back home again. We'll see. A spinal tap is scheduled for tomorrow (Wednesday). Another painless procedure, I am told. (liars!) lol While home, the first week was kind of rough with a lot of abdominal pain and nausea and
swelling in the legs. By the end of the first week, my first inkling of normalcy returning and by the end of the second week, walking a mile every day and then two miles every day. Still weak but I am regaining my strength, one day at a time. YaY! Finally, I have received such a wealth of advice and love and offers of
help, I am overwhelmed. Everybody has truly been amazing and
thoughtful. Thank you so much. All of it has really helped to buoy my
spirits and encouraged me to be strong. In spite of my blog, please
feel free to email and text me every chance you get. I do enjoy hearing
from everybody and will respond in kind.
Sat, August 19:
A quick summary, in the last part of June, I developed
severe swelling and gut pain. Subsequent diagnosis ended up
treating me for Diverticulitis. I was admitted for about
four days of treatment at the VA hospital in Palo Alto. A Cat Scan was ordered and showed a
worrisome area so I was rescheduled for another in three
weeks. The follow up Cat Scan showed some really bad stuff going on
so the VA kicked it into high gear ordering a biopsey also, which finally determined that
I have "ALL" known as Acute Lymphoblastic Leukemia. Acute
means the cancer is very fast growing, Lymphoblastic means
the cancer starts in young white blood cells called
lymphoblasts and Leukemia is cancer of the body's blood-forming tissues, including the bone marrow and the lymphatic system.
So, I've finished round one of Chemo and I am being released
tomorrow (8/20) until September 5 when I get admitted for a
second intense round of chemo infusions. In the following
two weeks while at home, lots of outpatient clinics and workups with daily
self tummy injections of tbo-filgrastim aka Neupogen which is a man-made form of a protein that stimulates the growth of white blood cells in your body. White blood cells help your body fight against infection. Neupogen is used to treat neutropenia, a lack of certain white blood cells (caused by cancer). Self injecting in the tummy is mostly painless but not a fun thing to do.
find the whole thing quite intimidating but wouldn't relish
the alternative. I have been off chemo infusions for 24 hours but
I am still feeling really weak and mal-adjusted. Kind of trying
to function but short of really getting there. On the plus
side, I have gained back so much: swelling is down, kidney
is no longer in danger of dying and my bladder capacity has
gone from 2 oz to 8 oz. I can now go more then an hour
between bathroom breaks without fear of being incontinent.
Sounds insignificant but I have been dealing with this
bladder issue for almost a year. The net of it is, worth
the effort so far and a noticeable improvement. I'm
encouraged. This treatment sure knocks me for a loop
though. Very weak, upset tummy, etc. (I know, redundant
but it is what it is.)
Mon, August 7:
I saw a hematologist today and the preliminary results of my
biopsy are back. It's Lymphoma for sure and apparently treatable with
symptoms being fully reversible. I am elated at this but wondering why the VA doctors painted such a bleak and dark
picture to begin with, scaring the crap out of me for over 4 weeks. Final biopsy results are due by Wednesday to identify the specific type
of lymphoma and a specific treatment for that specific type. It appears I will be admitted for a five to seven day Chemo treatment, starting as early as Wednesday or Thursday. I apologize for the darkness and sadness of my earlier message, I was
reacting to what the VA Drs. were telling me. I could have, should have,
waited for the biopsy results before upsetting my friends and family to
such an unnecessary and unpleasant outlook.
Sun, August 6:
I've been home from the hospital since Wednesday 8/2 last week. Not a whole
lot going on. Still have a lot of comfort issues such as swelling in my
left leg and scrotum, clot in my left leg with multiple clots in my
lungs, Kidney still shutting down with constant pain and nausea.
On the bright side, I have my first appointment with VA to explain a
course of treatment, outlook, etc. on Monday at 10:00 AM. If I get any
significant news, I'll let you know.
Mon, July 31:
It's pretty much a given that I have stage 4 Colin or Lymphoma
Cancer, it would be a miracle if it were anything less. The tumor has
spread all over the place so it is growing aggressively as well. I
suspect a prognosis of weeks, not months before I become a total invalid
then looking up at the grass instead of down at it. That being said,
perhaps I am overstating my condition but so far, it appears to be a big
big problem for me. It ain't over till
it's over so this next week will reveal more and options, if any that
are available. The first thing they want to do is prevent the tumor
from shutting down my left kidney. If they do that, they would run a
hose to the kidney to drain it into a bag taped to the outside of my
body. Never heard of that being done, not attracted to doing it. If I
don't do something for the kidney, then the kidney will kill me before
the cancer does. So, for the next few
days, I sit here at the VA hospital in Palo Alto, while they work up to a
biopsy. The biopsy takes 5 to 7 days to determine the nature of the
cancer. While they are doing that, I will be released to go home. I
guess they figure I can be miserable at home, just as easily as in a
hospital room. When they know the results of the biopsy, I will come
back as an outpatient for further counseling. I'm
still able to walk a mile or less but have constant pain in my lower
abdomen and nausea that comes and goes. My legs and groin are swollen
due to the tumor restricting blood flow to my lower extremities. I have
also had clots in my leg and lungs and am on stomach injected blood
thinners, to shrink the current ones and to prevent future ones. Also
due to the tumor. Today, I had a Pet
Scan which showed an even bleaker picture of tumors running amuck, then
what the previous Cat scan had shown. So,
now you know almost as much as I do. My family and GF are keeping
close tabs on me. Additional visitors would be a burden at this time.
Especially over the next couple of days. So, text me if you like. I'll
call you if you text me first, but please don't call me directly. I
will also respond to your emails as well.
Fri, June 23:
Admittted to VA Hospital with severe leg and scrotum swelling and Diverticulitus. Released after four days with a regime of anti-biotics and a follow up CAT Scan appointment three weeks later due to what appeareed to be internal bleeding on the Cat Scan.
Drugs I am / or have been prescribed since start of treatment:
||Used to decrease high blood uric acid levels. It is specifically used to
prevent gout, prevent specific types of kidney stones, and for the high uric
acid levels that can occur with chemotherapy (Pill 300mg 1 a day)
||A fluoroquinolone (flor-o-KWIN-o-lone) antibiotic that fights bacteria in
the body. (500mg Pill 2x day)
||For chemotherapy and to suppress the immune system. (bag)
||Mainly used in the treatment of acute myeloid leukaemia, acute
lymphocytic leukaemia (ALL) (bag).
||Used to treat inflammatory conditions such as allergies, skin
conditions, ulcerative colitis, arthritis and breathing disorders. (bag)
||Dexamethasone Sodium Phosphate
||Ophthalmic Solution usp Eye Drops: Steroid responsive inflammatory
conditions, when the hazard of steroid use is accepted to obtain an advisable
diminution in edema and inflammation.
||Commonly used to treat some leukemias and Hodgkin's lymphoma (bag)
||Used to stimulate the production of granulocytes (a type of white blood
cell) in patients undergoing cancer therapy that will cause low white blood
cell counts. (tummy injection 1x)
||Antifungal medication used for a number of fungal infections (pill 200mg tabs, 1x)
||Fragmin (dalteparin sodium )
||Anticoagulant (blood thinner) used to prevent blood clots such as deep
vein thrombosis, which can lead to clots in the lungs. (tummy injection 1x)
||Reduced folic acid.
Leucovorin is used in combination with other chemotherapy drugs to
either enhance effectiveness, or as a "chemo-protectant.
||Used therapeutically to reduce the incidence of haemorrhagic cystitis
and haematuria when a patient receives ifosfamide or cyclophosphamide for
cancer chemotherapy. Also known to protect the bladder from damage. (bag)
||Interferes with the growth of certain cells of the body, especially cells
that reproduce quickly, such as cancer cells, bone marrow cells, and skin
cells. (spine injection)
||Used to treat bacterial infections of the vagina, stomach, skin, joints,
and respiratory tract. (500mg pill 2x)
||Used to prevent nausea and vomiting caused by cancer drug treatment It works by blocking one of the body's
natural substances (serotonin) that causes vomiting (pills 3x,8mg prn)
||Antipsychotic used to treat schizophrenia, and is also an
antiemetic used to control severe nausea and vomiting. (pills, 10mg, 4x prn)
||Stimulant laxatives. They work by keeping water in the intestines, which
causes movement of the intestines.
(pill 8.6mg, 2x)
||Sulfamethoxazole and trimethoprim
||Drug combination is used to treat infections such as urinary tract
infections, middle ear infections (otitis media), bronchitis, traveler's
diarrhea, and shigellosis (bacillary dysentery) (pills 2x sat and sun only)
||Used in various types of chemotherapy regimens. Its main uses are in
non-Hodgkin's lymphoma as part of the chemotherapy regimen the less popular
Stanford V chemotherapy regimen in acute lymphoblastic leukemia (ALL) bag