We went to clinic this morning with hopes of starting next round, Interim Maintenance 1. (There’s Interim Maintenance 2 later on.) To review, that meant if his ANC (absolute neutrophil count) was above 750, he would have an LP (lumbar puncture) and bone marrow aspirate (like a little sample) in clinic, and then be admitted to inpatient for a high dose of chemo meds. We would stay at least three days to be monitored and get other meds. It’s more of a mental challenge to wonder – will we be admitted, or will we turn around and go home? You have to have all of your bags packed and arrangements made in case you are admitted, not to mention he has to fast for 6 hours. Fortunately, he did wake at 2:00 a.m. so he got a nice late night meal in.
It was very busy at clinic and the blood draw and results took a while. At least his crew of BFFs were there, too, so he had playmates. He wasn’t ready to start next round, though. Naaman’s other counts are okay for now (i.e. no need for blood or platelets), but ANC was only 500. All we can do is keep him healthy and wait until next Thursday. Backs are packed and will just sit in my car until we need them. Keep praying for the magic number: 750! Fortunately, if he isn’t ready next Thursday, we don’t have to spend Thanksgiving in the hospital (unless something unexpected occurs) because they can flex his start time by 72 hours. (If you see Naaman, ask him what sound a turkey makes and get ready for cuteness.)