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GaryG

Triplet

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74 year old male, Diagnosed early June with NSCLC Adeno Stage 3 B, Right lung, no biomarkers, PD-l1 0.

I call my case plain vanilla because of the lack of PD-L1 positive and target therapy but I am sure many lung cancer patients are in the same boat.Will start on first cycle tomorrow (Ketruda, Carboplatin and Alimta). Cycle = one week on, 3 weeks off,.Second cycle in 4 weeks.Then CT scan and Oncologist decision  how to proceed.

I don't know what to expect but choosing between  hope and  resigning to failure is an easy choice. I will go with the first.

So far I am very impressed with my medical team. They are very organized and prepared.\I will have my blood work done today (one day early). Also I am already started on some medication to minimize side effects. Medication prescribed Prochlorperazine 10 mg (nausea), Dexamethasone 4 mg (inflamation), Folic acid, Ondansetron ( also for nausea).

Sorry for the boring details but I want to provide new comers with my complete story down the road. I am very grateful for all those who helped educate me since I first joined.

I feel lucky and blessed to have found this site and hope I can do the same for others.

Gary.

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Gary-

I'm happy to hear that you have a plan of attack.  My mom did the triplet for 6 sessions before going onto keytruda alone.  The 6 sessions reduced her tumor to where it was unable to be seen and she could have her tracheal stent removed (her tumor was on the back of her trachea).  People have seen great outcomes with this triplet now that it is a standard of care for those with our without PD-L1.  I hope this does the trick for you too!

Take Care,

Steff 

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Steff: With encouragement from kind people like you, I feel the wind at my back. Thank you  always for your kind words. They mean a lot. I am really happy for you and your mom and I will take any number of sessions if it works.

I finally got my Molecular Pathology Final Report today. To my surprise there is only mention of PD-L1 22C3  (< 1%} and ALK D5F3 (negative). There are no mention of KRAS, MET, ROS1 and so forth.  I plan to ask my oncologist  of course and can only assume those tests are not important at the time being.

Gary

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My side effects from the triplet: The 3rd day brought in a constant dry cough that won't quit. I am up to 6 mucinex per day and starting to fee a slight relief. The cough brings with it a very unpleasant rib cage pain. I also  lost my appetite completely after enjoying some good meals while the steroid was still in effect .Oddly enough I can't sleep  at night but manage to do so during the day. All and all I don't have it too bad  compared to what I read on the forum so I am thankful and aware this is a marathon .

For those who discovered a better way to fight the cough, please share the wealth.

Today is the 6th day after chemo and i am sitting here wondering which one of my unwelcome friends will give up first. Regardless I am staying the  course.

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Gary,

I took "steam showers" to ease my coughing symptoms. Sometimes I needed to take several during the course of a day but it worked.

Stay the course.

Tom

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Hi Gary,

I had one of those terrible coughs that the triplet exacerbated.  Sleep was even more elusive.  It was a side effect from the Keytruda.  Two things kinda sorta  helped- an opiate based cough syrup administered every four hours (hubby did the 2am dose) and a wedge pillow.  It elevated my chest and proved enough relief to sleep.   Do let your doctor know about the sleep and cough, they will have some type of magic cocktail available.   Let us know how you do.  
Michelle

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