Day 15, Delayed Intensification, Outpatient Visit
No transfusion today!
Hemoglobin was not within normal range, but not too low. Platelets were fine.
Also, the Nurse Practitioner ordered that the doxorubicin to be run over 30 minutes instead of 10 or 15 to eliminate the flank (side) pain that she experienced last week.
Last week, just as the doxo was finishing Isa grabbed her sides moaning about how it hurt. It came on suddenly and was debilitating. She doubled over and could not stand-up. Quickly, however, it dissipated and she was fine. It is one of those side effects that is considered rare. In fact the veteran doctor had not seen this type of reaction.
Her emotions are bursting forth a little bit more. I wish I had a better understanding of the emotional side effects of these drugs. Tonight at bedtime, lights out, screaming comes from the girls room, so I run in turn on the light and G is holding her eye and Isa is holding her thumb.
It appears that some pinching, poking and biting occurred.
A mere 15 minutes later I found both of them sleeping. Supposedly, Isa wanted to “get cozy” with G., but it was misconstrued as an assault. After telling G. this bit of information, she wanted to cuddle with her sister. Maybe tomorrow night?
I’d really like to insert a table here to show you the blood work range. BUT, I don’t know how.
**Anyone reading this who knows WordPress could send me an email to help me (for free of course). I’d be grateful***
- WBC 5.0 -17.0
- RBC 4-5.2
- Hgb 10.2-15.2
- Platelet 150-450 k/cumm
- Absolute Neutrophil 1.5 -10.2
- Abs. Lymphocyte 1.5-11.1
- Monocytes 2-11
Notice the BIG drop in WBC , this means that the chemo is killing her white blood cells. When her white blood cells die off her ANC goes down. The ANC, absolute neutrophil count, is the immunity indicator. When it drops below 1.5 (also known as 1500) it is considered below normal.
Today, Isa’s ANC was 1170.
Last week, Isa’s ANC was 6400.
It is still dropping. Remember we are only at Day 15. Each week after chemo, we play “LOW ANC” and we treat her as if it has dropped, because it can happen suddenly. We asked the doctor if we could take her visiting down south and he recommended that we NOT go a-visiting. So, more time at home. WHEEEEEE…
I need to get on the ball with some art projects or make some doll clothes or something. She doesn’t like to go outside and G. doesn’t like to play outside alone. (Brudder is leaving Tuesday for, uh, 46, weeks.)
Thanks for reading, now EVERYONE leave a random comment about your day. You’d think I wouldn’t get bored with all this excitement, but let me tell you, a nice little random comment about your day would be really nice!
BTW, I know you’re reading. So leave a little randomness please.