Barring an unexpected complication over the next few days, I’m heading home Thursday afternoon. This is great news!
I feel like I’m ready now. I am trying to learn how to manage my nausea. Some days are better than others. But I am up and walking a mile or more each day. I’m still not eating as much as I should, but I’m trying.
I met with Karla, Dr. Alsina’s Physicians Assistant for the BMT outpatient unit this morning. I made my case for leaving right away. But Karla made some good points for why I should stick around a few more days.
First, I still have three courses of IV antibiotics to complete. Secondly, my platelet count is only at 33. Karla suggests another platelet transfusion on my way out Thursday if the numbers don’t come up on their own.
She stressed that they would like to see that number closer to 50 before they yank my central line and send me home.
Apparently, a lot of things revolve around these platelet numbers. For example, once my platelet count reaches 50 again, I am to begin giving myself fragmin (blood thinning) shots again. Once I reach a count of 100, my medical oncologist can switch me back to warfarin pills again. The 100 number is important for another important milestone: They don’t want me driving until my platelet count exceeds 100.
I never gave my platelet count a second look at anytime since I was diagnosed years ago. Who knew?
My white count has dropped since my neupogen shots were discontinued. It sits at 3.16. My hemoglobin is also a bit low at 11.9. And my all important absolute neutrophil count (ANC) has been fluctuating between 1000 and 1500. Anything over 1500 is considered good.
Who cares? It will sure feel great sleeping in my own bed Thursday night!
But even that isn’t without questions. Tomorrow I will share differing opinions as to whether my dog or cats can sleep in the same bed with me–opinions are all over the board.
Once again, thanks for all of your prayers and kind words. No question they helped!
Feel good and keep smiling! Pat