Nearly a year into treatment…

I have stage four distal esophageal adenocarcinoma diagnosed February 20, 2024, which is in my stomach and liver and has moved down my esophagus, I’m on a second treatment plan with paclitaxel and cyramza. My red blood cell count and hemoglobin numbers tanked last month and I felt as if I was on my death bed, because I was. I had a blood transfusion and I’m feeling better, now have a standing order for transfusion if my hemoglobin drops below 8.5. I’m an optimistic person in general, but this last month really tested my strength, which I had little of. I was so weak and tired that my sleep schedule was all screw up and my voice was very weak, I had constipation and difficulty swallowing liquids or food. My question is if anyone else has gone through a similar experience and how did you get through it? I am looking for any help in battling this and every thought and suggestion is another avenue for me to explore with my oncologist, Dr. Jasdeepa Nagi at Sutter Downtown Medical Oncology in Sacramento, CA. Surgery is off the table as she feels that it doesn’t add to length of life for my specific situation.