I was Chris' wife/caregiver & this is the medical blog I wrote during his treatment. Short history: dx in July 2010, no initial bone marrow involvement, did 5 rounds hyper-cvad protocol. Found out he is in relapse/refractory status with involvement in his chest, spleen, inguinal & throat lymph nodes, bone marrow, spine & brain in January 2011 when we went to MD Anderson for treatment. The two different rounds of chemo Chris got at MDA could not put him in remission; he died of leukemia/lymphoma on March 18th, 2011, an astonishing and horrific 8 months after his diagnosis.
There is a donation page for organizations here: http://chriscranecancer.blogspot.com

Friday, October 1, 2010

neutropenia is back

Chris had a fever of 101.8 around 3:30 p.m.  Called Dr.'s office and talked to his nurse who talked to his doctor who said take him to admissions at the hospital.
So we are now in room 7033 awaiting blood draws to grow cultures to check for infection and IV antibiotics and nausea meds.  He has the shakey chills and is pretty nauseous.  That's basically all the news for now.
His last chemo was the 13th of this month so it's been about 16 days.  It's typical for blood counts to drop around this time after chemo.  But it's maybe no to typical for his counts to not be increasing very much since he's been getting the GM-CSF shots almost daily for 2 weeks.  Hopefully we will get some more information/answers tonight and tomorrow.  
The cycle pretty much goes like this:
days 1-5 he gets tons of chemo inpatient at the hospital
days 6-21 he gets GM-CSF shots daily dependent upon his blood levels so they can get high enough for the next round

The chemo kills the healthy and cancerous blood cells which is why they always dip down and have to climb back up.  The low blood levels make him at high-risk for infection.  So far he has only been neutropenic (low blood levels) and hasn't had any infection.

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