And this week it's neutrophils! Down to 0.7, won't treat under 1.0, afraid chemo today would push it below 0.5 and I would be open to potentially serious bacterial infections. I'm willing to risk it, but my oncologist isn't.
My platelets are back up to 175, my hematocrit has just edged up into the normal zone for the first time at 34.6, and Hgb is the highest it's been, at 11.8. The ANC was probably even lower last week, I'm told, which may be why I had a sore throat starting Thursday that went away on Monday.
Now the plan is to go back Tuesday and hope it has recovered enough. I'll receive a prophylactic shot of Neulasta on Thursday when they remove the pump. He plans to reduce the dose of Oxi, and/or possibly the bolus of 5FU. My bone marrow just isn't cooperating.
I am SO frustrated. This means I will have missed a full 2-week cycle. And I feel fine. I get all geared up for the infusion and the pump, go in, and nada. I'm trying to be philosophical, but failing. It is such a roller coaster.
F, 64 at DX CRC Stage IV (or "3 1/2" per Dana Farber consult, LOL)
3/17/18 blockage, emergency surgery, r hemicolectomy
11 of 25 nodes
5 of 5 mesentery nodes, matted
0.5 cm sub-capsular liver met removed
pT3 pN2b pM1
Neg CEA, neg BRAF, mut KRAS, germline mut ATM
dMMR, MSI-H, Neg for Lynch