{"id":196,"date":"2025-12-14T15:03:25","date_gmt":"2025-12-14T15:03:25","guid":{"rendered":"https:\/\/paul.macpherson.photography\/TMI\/?p=196"},"modified":"2025-12-19T20:14:42","modified_gmt":"2025-12-19T20:14:42","slug":"three-days-in-living-inside-the-first-cycle-of-treatment","status":"publish","type":"post","link":"https:\/\/paul.macpherson.photography\/TMI\/three-days-in-living-inside-the-first-cycle-of-treatment\/","title":{"rendered":"Three Days In: Living Inside the First Cycle of Treatment"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Starting treatment is rarely a single moment. It\u2019s a sequence \u2014 measured not just in infusion hours, but in nights slept, symptoms noticed, and the quiet recalibration that happens once the drugs are already moving through your system.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I am now three days past infusion.<br><br>Day four of a standard fourteen-day cycle, shortened this time because Princess Margaret\u2019s systemic treatment centre closes on Christmas Day. The calendar shifted, but the biology did not. The drugs are doing their work on their own schedule.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">And so is my body.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>The Medical Baseline After Infusion<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">From a clinical perspective, things have been steady. Post-infusion ECGs showed no acute abnormalities. Heart rhythm remained sinus, heart rate low but consistent with my long-standing bradycardic baseline. Blood pressure readings have stayed within a narrow, predictable range \u2014 no spikes, no crashes, no red flags.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">These early checks matter. They establish whether the body is tolerating the therapy at a systems level \u2014 cardiac conduction, autonomic response, vascular tone. So far, all signs point to stability.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That doesn\u2019t mean nothing is happening. It means what <em>is<\/em> happening is controlled.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Energy: Variable, But Manageable<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Energy levels have become moment-to-moment rather than linear. I feel capable one hour and suddenly heavy the next. Fatigue arrives without drama \u2014 no collapse, just a quiet insistence that rest is required.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The good news is that rest works.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Short naps reset me almost completely. That tells me the fatigue is treatment-related rather than systemic failure. My body isn\u2019t breaking down; it\u2019s redirecting resources. I\u2019m listening.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Nausea and Brain Fog: Present, Not Dominant<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nausea comes and goes. It\u2019s mild, transient, and rarely dictates my day. Brain fog is more noticeable \u2014 brief moments where focus softens or thoughts take longer to land. It\u2019s not frightening. It\u2019s familiar to anyone who has lived inside chemotherapy cycles before.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">These are not symptoms of alarm. They are signals of engagement \u2014 evidence that the drugs are interacting with fast-dividing cells and inflammatory pathways.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Sleep and Recovery<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Sleep has remained solid. Falling asleep takes a little longer than usual, but once I\u2019m out, I stay out. One brief wake-up to pee, then back to sleep. Morning vitals continue to reflect strong parasympathetic tone \u2014 low resting heart rate, stable blood pressure, calm recovery.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sleep is doing its job. So is magnesium. So is restraint.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Where I Am in the Cycle<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">If experience is a guide, the more difficult stretch typically arrives around days seven, eight, and nine. That\u2019s when cumulative drug effects peak before easing toward the next infusion.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Knowing that matters. It allows me to plan, not fear.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Right now, I\u2019m through the first gate. The acute reaction window has passed. What remains is endurance \u2014 pacing energy, respecting fatigue, and letting treatment do what it was designed to do.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Perspective: Treatment Is Not the Enemy<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">It\u2019s easy to frame chemotherapy as something to \u201cget through.\u201d I don\u2019t see it that way. Treatment is not an interruption of life; it\u2019s an active phase of it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Being under treatment means the disease is no longer unchecked. It means the strategy has shifted from surveillance to action. That alone brings relief.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I\u2019m not chasing optimism. I\u2019m grounded in process.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Where Things Stand Now<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">I feel reasonably well, all things considered. I\u2019m functioning. I\u2019m adapting. I\u2019m not pretending the side effects don\u2019t exist \u2014 I\u2019m contextualizing them.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This is what it looks like to live inside treatment, not around it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I don\u2019t know exactly how this cycle will unfold. I do know that, three days in, my body is holding steady, the data is reassuring, and the symptoms \u2014 while real \u2014 are manageable.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That\u2019s enough for today.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I am under treatment.<br>I am adjusting.<br>And I am ready.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Starting treatment is rarely a single moment. It\u2019s a sequence \u2014 measured not just in infusion hours, but in nights slept, symptoms noticed, and the quiet recalibration that happens once the drugs are already moving through your system. I am now three days past infusion. Day four of a standard [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":198,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[15],"tags":[68,66,67,65],"class_list":["post-196","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cancer-treatment","tag-adaptation","tag-first-dose","tag-side-effects","tag-treatment-cycle"],"jetpack_featured_media_url":"https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-scaled.jpeg","jetpack_sharing_enabled":true,"featured_media_urls":{"thumbnail":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-150x150.jpeg",150,150,true],"medium":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-300x300.jpeg",300,300,true],"medium_large":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-768x768.jpeg",768,768,true],"large":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-1024x1024.jpeg",930,930,true],"1536x1536":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-1536x1536.jpeg",1536,1536,true],"2048x2048":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-2048x2048.jpeg",2048,2048,true],"featured":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-2000x2000.jpeg",2000,2000,true],"featured@2x":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-3000x3000.jpeg",3000,3000,true],"featured-small":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-1000x1000.jpeg",1000,1000,true],"recent-thumbnail":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-345x192.jpeg",345,192,true],"recent-thumbnail-retina":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-690x384.jpeg",690,384,true],"woo-featured":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-280x280.jpeg",280,280,true],"entry-cover":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-1800x1800.jpeg",1800,1800,true],"entry-cover@2x":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-3600x3600.jpeg",3600,3600,true],"loop":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-950x320.jpeg",950,320,true],"loop@2x":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-1900x640.jpeg",1900,640,true],"portfolio-scroller-widget":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-560x560.jpeg",560,560,true],"portfolio_item-thumbnail":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-scaled.jpeg",400,400,false],"portfolio_item-thumbnail@2x":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-scaled.jpeg",800,800,false],"portfolio_item-masonry":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-scaled.jpeg",600,600,false],"portfolio_item-thumbnail_wide":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-1800x600.jpeg",1800,600,true],"portfolio_item-thumbnail_wide_cinema":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-1800x750.jpeg",1800,750,true],"portfolio_item-thumbnail_cinema":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-scaled.jpeg",335,335,false],"portfolio_item-thumbnail_portrait":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-scaled.jpeg",600,600,false],"portfolio_item-thumbnail_square":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-scaled.jpeg",800,800,false],"portfolio_item-masonry@2x":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-scaled.jpeg",1200,1200,false],"portfolio_item-thumbnail_portrait@2x":["https:\/\/paul.macpherson.photography\/TMI\/wp-content\/uploads\/2025\/12\/DSCF0365-scaled.jpeg",1200,1200,false]},"_links":{"self":[{"href":"https:\/\/paul.macpherson.photography\/TMI\/wp-json\/wp\/v2\/posts\/196","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/paul.macpherson.photography\/TMI\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/paul.macpherson.photography\/TMI\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/paul.macpherson.photography\/TMI\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/paul.macpherson.photography\/TMI\/wp-json\/wp\/v2\/comments?post=196"}],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