Postby mpbser » Sun Mar 10, 2019 9:17 am
Not sure if it's normal for some of these labs to get worse before they get better. Plus, not sure if the continuous drop in plasma inorganic phosphorous should be a concern.
Today's ALT: 450, AST: 146. ALK Phos still great but up by 10 to 74. Albumin 3.4 (stable, same as yesterday), Bilirubin 1.4 (still high but improving). BUN now normal. Phosphorous low 1.4. CBC results now somewhat out of whack: Abs mono 03/10/2019 1.5 K/mcL [0.0-1.3 K/mcL] High, 03/09/2019 1.5 K/mcL High, 03/08/2019 1.0 K/mcL Normal, 03/07/2019 1.4 K/mcL High. Immature granulocytes: 03/10/2019 0.7 % [0.0-0.6 %] High, 03/09/2019 0.6 %, 03/08/2019 0.4 %, 03/07/2019 0.3 %. Hematocrit: 03/10/2019 35.7 % [37.5-49.3 %] Low, 03/09/2019 36.4 % Low, 03/08/2019 39.0 %, 03/07/2019 38.8 %. Hemoglobin: 03/10/2019 12.0 g/dL [12.5-16.2 g/dL] Low, 03/09/2019 12.1 g/dL, 03/08/2019 13.2 g/dL, 03/07/2019 13.1 g/dL.
Going to look at his labs following his past three surgeries for comparison.
Thankfully, the liver enzymes are headed in the right direction although I am not sure if the rise in Alk phos could be an issue.
Oh great. Just read that correction of acute hypophosphataemia tends to leave no long-term complications but failure to recognise and treat an acute, severe situation can lead to fatality.
Wife 4/17 Dx age 45
5/17 LAR
Adenocarcinoma
low grade
1st primary T3 N2b M1a
Stage IVA
8/17 Sub-total colectomy
2nd primary 5.5 cm T1 N0
9 of 96 nodes
CEA: < 2.9
MSS
Lynch no; KRAS wild
Immunohistochemsistry Normal
Fall 2017 FOLFOX shrank the 1 met in liver
1/18 Liver left hepatectomy seg 4
5/18 CT clear
12/18 MRI 1 liver met
3/7/19 Resection & HAI
4/1/19 Folfiri & FUDR
5/13/19 HAI pump catheter dislodge, nearly bled to death
6-7 '19 5FU 4 cycles
NED