Posted by Steph in
Chemo Round 5, Letters to Asher, on Monday, February 12. 2007 at
Did you like all the toys I dropped off for you this morning? They are some of your favorites from when you were in the hospital last fall. Now you can't get bored, for at least 2 days Enjoy playing. I miss you.
Posted by Scott in
Chemo Round 5, Counts, on Monday, February 12. 2007 at
When Asher has an anc below 250, we confine him to his room because we don't want him to catch something in the hallway or in the playroom. So, today was the 2nd day that we've been confined in the room. Asher seemed pretty bored today and ended up watching a number of TV shows and DVD movies on his portable DVD player. We also blew up about 5 latex-free gloves into 'balloon men' and Asher had fun coloring on them with a Sharpie
Now that his counts have hit close to the bottom, they'll start to come up, probably by Wednesday.
Counts from 02/11/07 14:00
wbc 0.2 (4-12)
rbc 3.40 (4-5.3)
hemoglobin 10.6 (11.5-14.5)
platelet 75 (140-450)
Total Cells counted 5
With his ANC so low, he's suceptible to everything, so we try and be very careful with who gets close. We also keep the draw curtain closed most of the time when his ANC is so low.
Asher has started to have more mouth sores. There are 4 in there now. one on each side of his mouth and one on each side toward the rear. I know that he has sores in his stomach because some 'sluff' came up with some vomit today and in addition, he had a very bloody stool that they sent away to be tested for bacteria or other 'problems'. The stool softener at least made it soft, so he didn't tear. Everyone is pretty sure the blood is from mucositis in his lower intestinal area.
Earlier today, Grandma Eunice dropped off some cupcakes at the front desk and Asher ate two of them. He was so excited to have cupcakes, that I couldn't talk him out of scarfing them. I just knew that they'd come up later, and sure enough, a few hours later, they did.
Normally, during this part of a round where his ANC is so low, he's extremely tired. He really hasn't taken any naps today and is still going strong. I'm not sure what is keeping him going so well, but I expect that he'll crash at any time now. He laid down shortly before 6 prior to his neupogen, but he didn't get all the way to sleep before we had to give him his poke. He handles it so well now that Steph has him so well trained on it from doing it at home.
We're starting TPN/Lipids tonight because Asher hasn't had any nutrition for 2 days. They haven't adjusted any of the chemicals in it (like potassium or magnesium) because they didn't have a chance since the chemistries just came back. If they need to adjust anything, they'll do it tomorrow.
Also, on the weekends, Asher has been taking his Bactrim (Sulfamethoxazole) in addition to the standard Biotine and Nystatin mouth meds.
Monday will probably bring some more serious mucositis in the mouth and it will most likely start to get more painful as he starts to heal and get more white blood cells. Those cells will start to heal his mouth / GI Tract and that will cause the pain.