Thursday, August 30, 2007


Mild Neutropenia (1000 < style="font-weight: bold;">Moderate Neutropenia (500 < style="font-weight: bold;">Severe Neutropenia (ANC < 500) — severe risk of infection.

As you may recall Thursday, my counts were 1.4 and 460. That's 1400WBC/microliter and an Absolute Neutrophil Count (ANC or "Absolute") of 460. I need an ANC of 1200 before I can get chemo.

A normal healthy human has 5,000-10,000 WBC. 50-70% are Neutrophils.

I went in for labs on Monday. My counts were 1.8 and 700. Cell growth isn't linear so I was hoping for the best. In the meantime, the RN had to get my info so she could do battle with Insurance and get me Neupogen. I was on it last time. It's a recombinant colony growth stimulator. I inject it subcutaneously and it helps my WBCs rejuvenate. Its big bucks.

Monday night the Nurse calls, says I got the Neupogen but it will be delivered by Icorps health (cheaper?) to my door. They canceled my Tuesday appt with my Doc and rescheduled my chemo from Thursday to Friday, hoping my counts will be fine by then. In the meantime, my doc also convinced the PI that I should have chemo on Fridays only. Day 22 instead of 21. This way I get to see my doc the day of chemo. Makes me and I think my doc much more comfortable.

And My mouth sores suck ass and are getting worst. But it is the night before chemo. So I raise my glass of usige beatha and toast.


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