Wow, still no major fatigue.  Maybe I have lucked out.  I was expecting this second week of chemo doing extra topotecan to be bad, but that's not true.  The side effects of topotecan alone are even less than the topotecan with carboplatin.  I decided to try the other kind of nausea pill because the Zofran gave me stomach & bowel problems.  Trade off really.   This other anti-nausea pill (Phenergan) makes me so drowsy.  So what is better, puking, painful days of constipation, or groggy all day long?  Tough call.