We are at Piper, but it is unclear whether we’ll have treatment today or not. Yesterday afternoon I was running a fever of 102.4. With drugs, it came down to 99.1. This was a real relief, as they would have sent me to the emergency room if the fever were much higher (103). This morning at Piper it was 99.7. With the fever, they may not be able to treat; I am just not sure. I think it will depend on the blood work (something in addition to the platelets and bilirubin count). I, of course, really want the chemo treatment, but I know they won’t treat if the blood work counter-indicates treatment. They want to be safe. And I appreciate that. If we don’t treat today, perhaps we’ll be able to treat later in the week. I don’t think having a fever at this stage in treatment is unusual, though I certainly wish I didn’t have one.
I did not gain a pound this past week. I was down a little less than a pound. I am basically holding my own. I do not need to go back to TPN, but I do need to eat more frequently. I can do that, though it feels like I am force-feeding myself at times. Fortunately, Cathy has made food that I like (including her famous tofu/peanut butter/chocolate pies), so that makes it easier to eat.
The blood work is back. Everything looks really good except the platelets. They are at 38,000, whereas they need to be at 50,000. So, we won’t have chemo today. It is somewhat disappointing, but it is what it is. They need to be safe, and they definitely do not want to treat when the platelet are that low. And they are happy that we were able to get two full-dose treatments in (I, selfishly, wanted a third!). They will give me this week and next week off (next week was to be off anyway). We’ll come back this Friday morning for blood work to, among other things, see if the platelets are increasing or still going down.
I am currently receiving fluids, as I got a little dehydrated with the fever (despite my best effort to drink lots of water yesterday afternoon and last night). I always feel better when I have fluids, so this will be good. They also think my slight decrease in weight could be due to my being dehydrated.
They are going to monitor my temperature today, to make sure it doesn’t go above 100.5. I’m not sure what they’ll do if it reaches that threshold. It is possible that they will put me on a different antibiotic if they think I am infected (it is an antibiotic that I was just on for 30 days). Let’s hope it does not reach that temperature, as I’d rather not be on that antibiotic.
Today was a bit of a disappointment, but the blood work generally was quite good, so we’ll take the bad with the good, and try to emphasize the good. That is all we can do.
As always, I appreciate your support in my journey. I feel that you are with me all the way, and for that I am most grateful. We fight together.