Daily Diary for Month of February 2020

64) Saturday 1^st Feb : Manas routine is getting settled, gave him the GCSF injection, evening did 3 rounds of walking.  He had his favourite bisse bele bath, slept well. Shalini spoke to Kaushik mother which was good and she explained the power of prayers.

65) Sunday 2^nd Feb : Manas was feeling very positive and could stand up on his own using the walker and do 3 rounds. Morning also he walked. Saw the Australian open final between Novak and Thiem and also the 5^th T-20 with NZ which India won.

66) Monday 3^rd Feb : Another nice day was routine, good part was Manas was able to sit and stand using the walker. He did 3 rounds as well as 700 pedals, overall he was feeling fine.

67) Tuesday 4^th Feb: Today is world Cancer Day and Manas had his follow up blood test.  His WBC had increased to 6 which is good sign while his hemoglobin had reduced to 8.1 but acceptable. The cytrabin injection was given and 6 MP dosage also continued. Did not do Physio today as he was tired.  

68) Wednesday 5^th Feb : Manas was his cheerful self, he couldn’t pass motion in morning , gave him Dufalac post breakfast and the cytrabin injection as well. He was feeling tired and went to sleep. Today was India-NZ first one day which NZ chased 347 and won. Evening passed motion, was feeling a bit nauseauting, gave him  emset, felt better. Did 2 rounds of walking and did few knee exercises. Was feeling a bit sweaty hence did his sugar test and it was normal.  He was feeling a bit tired hence slept off early.

69) Thursday 6^th Feb : Manas woke up late, did his morning routine,  gave bath and cytrabin injection. He had lunch and went to sleep. At around 4 pm he started feeling very tired and low , spoke to Dr Shobha who asked to bring him to hospital as his hameglobin could have dropped. Took him to hospital around 6.15 pm, did his blood test and report came at 8.30 pm and hameglobin was 7, decided to admit him and 2 pouches of blood was transfused. He felt better and went to sleep. His blood was sent for blood culture and pro calcitron which came clear

70) Friday 7^th Feb : Morning Manas woke up but did not get adequate sleep, hence slept off. Dr Shobha came and said his other parameters are all fine hence can be discharged and we do the LP on 11^th Feb. Afternoon he had lunch and then we came home. Did his Physio tests. Today was the send off party of his class of 10^th and he spoke to his friends over video chat and enjoyed it. Shalini was feeling sad that he is missing this day. His cricket friends took group snap of the team and kept one chair empty for him which was very thoughtful. Manas overall felt better.

71) Saturday 8^th Feb : Manas had good sleep though was feeling a bit tired, from today 3 days is GCSF injections. Later in day he was fine and fresh. Evening did 4 rounds of Physio and could stand without walker help. Evening he had good dinner and did some cycling and later went to sleep early. Overall he felt better.

72) Sunday 9^th Feb : Manas was feeling normal and did his usual activities. Morning after breakfast felt nauseating and vomited, gave him Emset and then felt better. Evening he did 4 rounds of Physio. Saw the under 19 finals which Bangladesh defeated India. Evening he complained of headache hence gave him half tablet of dolo and he felt better. Went to sleep early.

73) Monday 10^th Feb : Manas had good sleep and had a pleasant day. Had proper breakfast and lunch. He did not sleep in afternoon, hence evening could do only 2 rounds of physio and then got tired. Went to sleep in evening. Tomorrow is his LP and he has to feel fresh as post LP typically is difficult for him with headache and nauseating feeling.

74) Tuesday 11^th Feb : Manas had good sleep, finished all his activtives by 10.30 pm as he has to be empty stomach for 4 hours before LP is done. Went to hospital, his CBC showed good and his LP & Chemo was planned. Dr Shobha asked to ensure his weight does not increase and maintain in the 58-60kg range bcoz if it increases then chemo medicines doesn’t spread and also with his mobility better to maintain weight. His LP was done quickly, he vomited couple of times but he was much better than last time. Could finish all clearances by 8.30 pm and then came home. He was still feeling nauseating but around 10.30 pm he felt better and then had dinner and went to sleep.

75) Wednesday 12^th Feb : Manas had good sleep and today walked inside the toilet and was feeling better. He woke up late, after breakfast he was complaining of headache which is a side effect of cytrabin injection. Skipped the Physio and he took rest, later in evening he was feeling better. Had light dinner and went to sleep

76) Thursday 13^th Feb : Manas woke up late but was feeling nauseated, he started vomiting. Gave him emset and he felt better. After breakfast again he started vomiting and had headache as well. Shalini spoke to Dr Shobha who asked to check his BP and in case he vomits again to bring him to hospital. Post lunch again he felt uneasy hence we went to hospital. His CBC stat was done and the parameters were acceptable in fact the hemoglobin had increased to 9.80 hence we came back home and she asked to bring him on Tuesday for planned chemo. Manas came home and had good bath and was fine.

77) Friday 14^th Feb : Morning Manas slept well and had good breakfast. Gave him the last dosage of Cytrabin injection and he went to sleep. He had lunch but then again felt nauseating and threw up. Gave him emset and coconut water and later he felt better. Evening did Physio but was tired hence did only 1 round of walking. Later slept and felt better. Had dinner and went to sleep.

78) Saturday 15^th Feb : Manas was his normal self, no vomiting as his cytrabin course is over and GCSF injections started. He had good breakfast and light lunch and slept in noon. Today last day of 6 MP tablets as well. He did good physio and also walked a few steps on his own, which is a very good development. At night he was feeling low and wondering why he is unable to walk-run, we spoke to him and he then felt better.  Sagar left for Indore.

79) Sunday 16^th Feb : Today was Kitna-Mani 50^th wedding anniversary and I am sure they are celebrating it together in the world that they are in. Manas was his normal self given that cytrabin injection stopped. His 6 MP also is stopped so he was overall feeling better. Had good lunch and dinner, did good physio. Today he could walk a few steps without anybody help which was a good progress in making him independent.

80) Monday 17^th Feb : Manas had good sleep and ate well, today last day of GCSF injection, overall he looked fine and hopefully his key parameters should be fine for the last Chemo of Jan that is scheduled for tomorrow. He did the Physio exrecises and walked a few steps.

81) Tuesday 18^th Feb : Morning Manas woke early got ready. While having bath he noticed slight blood coming from his nails and ring finger was slightly swollen. Went for his last chemo for January, showed to Dr Shobha, she asked us to see Dr Pratibha dermatologist for both the infection as well as his stretch marks on back, she suspected low platelet counts. We gave his blood for CBC Stat and went to meet Dr Pratibha. She saw his hands and suspected a fungal infection and after speaking to Dr Shobha prescribed antibiotic and a biotic medicine. She saw the stretch marks and said they will remain and we leave them as is. The CBC stat came and his hameglobin was 8 and platelets 40K. We decided to transfuse blood as we see a pattern of those dropping and then come on Friday for the chemo. His transfusion was done by 5.30 pm and then we came home. Manas was fine, had dinner and went to sleep. He did not pass motion though, hence gave him little more doseage of Duphalac.

82) Wednesday 19^th Feb : Manas had good sleep and could do his routine activities. Gave him the new medicines for finger infection. Made my style of egg dry masala sabji which he liked. Morning he walked from is room to the hall without the walker and taking my slight support. Evening did his round of Physio and today walked without the walker the entire rounds. Had dinner and went to sleep

83) Thursday 20^th Feb : Manas had good sleep and did multiple walks without the walker help but taking my support. Today last day of GCSF injection and hopefully his parameters must be good for the chemo tomorrow. Did evening physio. Made clear soup for him. His weighted has increased to 60.90 and need to bring that down to 59-60 range. Had light dinner and then went to sleep.

84) Friday 21^st Feb : Manas had good sleep woke up early and got ready and went to hospital for his last chemo for January month. This is already running 21 days behind schedule. Manas wanted to walk on his own and not take the wheelchair hence he went using the walker. Mami was not feeling well hence Mama stayed back home. At hospital Manas walked to the doctors cabin using my help and Dr Shonha was very happy to see him walking. His CBC Stat was taken and we were hoping for it to be normal as he was feeling fine. Unfortunately his WBC count was low 1.7 hence again the chemo was postponed to Monday. GCSF injection was given and again asked to give for 3 more days. Dr Shobha said this happens and not to worry. We came back home. Evening I did the physio stretches with him. Mami had slight viral fever hence showed to doctor and she moved to Mani house.

85) Saturday 22^nd Feb : Manas had good sleep, complained of slight headache, this could be due to being dehydrated as he had passed urine twice and had not drunk enough water. He had good water, had breakfast and then felt better. Gave him GCSF injection at noon. Evening he did his Physio exercises

86) Sunday 23^rd Feb : Manas woke up bit late and had good sleep. Day was fine, evening he did 4 rounds of Physio, had early dinner and went to sleep as tomorrow is important day. Mami went to Sunita house as he has flu.

87) Monday 24^th Feb : Manas woke around 8 am, gdid his morning chores and got ready to go to hospital. He wanted to walk to the car and not take the wheel chair hence we walked. Dr Shobha saw him and did the CBC Stat which came out good. His WBC count had reached 10, hence his last chemo of Jan Phase-1 was completed today. She prescribed 5 days GCSF as this chemo is intense. Showed his hand to Dr Pratibha as well and she asked to continue to apply the T-Bact cream. We met a young guy who works in the hospital who is doing his engineering but also works there and is a cancer survivor, he underwent Bone marrow transplant and his mother was the donor, nice to see positive and strong survivors around us. Came home and made masala bhat for dinner which Manas liked.

88) Tuesday 25^th Feb : Manas was feeling nauseauting and threw up multiple times during the day, this was expected. Gave him medicines but still it persisted, gave him curd rice and he felt better. Had headache and gave him Dolo  and he felt better. Did not do Physio, had light dinner which again he threw out and then went to sleep.

89) Wednesday 26^th Feb: Manas was feeling fine and no side effects. Had curd rice only and the medicines, GCSF continued as well. Afternoon had slight headache but then went to sleep and drank lot of water. Evening did good physio and overall was feeling better.

90) Thursday 27^th Feb : Today is 90^th Day, I started working partially. Had been to Hospital for his follow up. Dr Shobha was on leave but Dr Arjitha saw him and he was fine hence asked to continue with GCSF and come on Tuesday. Evening did Physio. Night was feeling very tired hence went to sleep. I started working from today, planning part time but doesn’t seem to be so.

91) Friday 28^th Feb : Manas had a normal routine day, gave him GCSF injection. Evening did regular physio and went to sleep. I started working given it was quarter close

92) Saturday 29^th Feb : The Leap date today, Manas was feeling normal, last dose of GCSF given. He ate normal food, did little extended stretches and did 2 rounds of walking.