Week off before Cycle 5

After that couple of good days from the last post, Brian ended up in the ER from pain.  We ended up changing his patch again.  It seems like the 75 mcg is too much and the 50 mcg isn't enough.  The 75 has been working really well the last 5 days but the last 2 days he has been sick and throwing up.  He thinks it is because of the patch so he went back to the 50 mcg today.  

I don't know if its the patch or the chemo..