Paige remains in the hospital and doing well considering. They're treating this as an ear infection since thankfully her blood cultures have remained negative for 2 days. The fevers continue, but usually respond to a dose of Tylenol. Since her appetite remains poor and she's lost 3 pounds since January 8th, they're starting her on TPN (IV nutrition) until her appetite returns. Around the clock medication for nausea has helped a little. Her blood work indicates her immune system continues to weaken as a result of the chemotherapy (wbc 0.5, hgb 7.8, platelets 34 and ANC 120). The ANC (absolute neutrophil count) indicates how at risk they are for infection. While it's expected, her ANC has never been this low...yikes! With the hemoglobin of 7.8 they will also transfuse her with a unit of blood today. Considering the length and amount of chemotherapy Paige has received we're fortunate that she hasn't faced an infection before. While we're definitely concerned, it's assuring that she's still asking to go the playroom.
With Andy working, my mom and sister visit daily so I can come home to take a shower. I couldn't image not having the support we have. It would make an almost unbearable situation worse. Will update soon.
Thanks for caring,
Andy, Sandi & Paige
ANC of 1000-1800: Most patients will be given chemotherapy in this range. Risk of infection is considered low. (Mild neutropenia)
ANC of 500-1000: Carries with it a moderate risk of infection.
ANC of less than 500: Severe neutropenia - high risk of infection.