
My blood counts have, as expected, dropped again. I think I'll start posting them.
WBC = White Blood Count, where 4.5 to 11 is normal
HGB = Hemoglobin, where 14 to 18 is normal
Pltlt = Platelets, where 150 to 450 is normal
Every night at about 10pm, a Complete Blood Count is drawn (an RN pulls a test-tube's worth out of my port). The results are in by 2am and are communicated to me when I wake up, and then determine my care for the rest of that day.
Thursday Night (determining care for Friday)
WBC = 0.4
HGB = 8.0
Pltlts = 70
Once Platelets were under 100 they stopped administering the anti-clotting shot (that had been daily since my first day). With WBC that low, I was officially "neutropenic" and they officially got more vigilent about fever or infection.
Friday Night (determining care for Saturday)
WBC = 0.1
HGB = 8.6
Pltlts = 46
So today, Saturday, my care adapted to these.
If HGB gets 7 or lower, they will tranfuse red blood cells to keep me from getting any more anemic. Those would have to be "leukoreduced" (purified to be red-only) and irradiated (to destroy anything that is not a red cell)
With platelets below 50, they worry about bruising, and my gums. Below 50 I'm barred from using a toothbrush, and must use a "Toothette" (a coffee stirrer tipped with a banking-soda-infused sponge).
No comments:
Post a Comment