Erin did get her neulasta injection and flu shot on Tuesday, and she was neither neutrapenic nor transfusable (though close on hemoglobin, 8.4, where below 8.0 earns you a unit of packed red cells) that day, clearing the deck for the rest of the school week. Wednesday had its highs and lows. Erin stayed after school for Student Council and gave her spiel about why they should vote for her for Treasurer. That evening she did a little homework, but like Tuesday night she was way sluggish and her head throbbed (If you Google "low hemoglobin side effects," you will find the words "fatigue," "headache," "weakness," "confusion." You could just have easily seen a picture of Erin Wednesday evening.).
We had counts done again today, because I was sure that we had dropped below the magic number and wanted to avoid the weekend rush. Call me clairvoyant:
HGB 7.4 (ding, ding, ding, we have a winner! Grand prize: transfusion)
WBC 7300 (excellent)
ANC 6200 (excellent, could the neulasta be working already?)
PLT 115,000 (still okay)
Since we waited fairly late in the day to have counts done, coordinating orders presented some obstacles for the local doc and the Houston doc. At first it looked like the Houston doc really wanted us in Houston tomorrow (you know. . .a five hour+ round trip, plus waiting in the infusion room on the busiest day of the week to be crossed and typed, waiting for the blood order to arrive in a city with heavy blood needs, and then waiting the three hours to transfuse. You do the math.). I couldn't think of a single reason why that sounded like a good idea. Especially, since Erin could drop by the local hospital on the way home from clinic this evening for crossing and typing, and just show up after school tomorrow at the hospital, watch a few movies, play some games, and order pizza in a private room during the three hours transfusion, and then drive twelve minutes home.
Luckily, the Houston doc saw it our way.
We did have another lowlight getting crossed and typed this evening. The lab techs insisted on sticking Erin for the blood sample instead of using her PICC line. They didn't even change their mind when Erin pointed out how stupid that was, since that was the whole point of having a PICC line. Sigh. However, by mixing in the news that Erin didn't have to miss the school awards ceremony tomorrow, where she will receive an award for academic honor roll the first six weeks (missing only eleven of 25 days), and that she won her election as Student Council Treasurer, we were able to balance out the lows with the highs. [NOTE: I also had to promise to give her all of the money in my wallet, towards her saving project of buying her own trampoline, if she let the tech poke her.]
We'd like to end the week on an even higher note: Erin is having an Open House at St. Joseph's Hospital tomorrow, starting at about 4:30 and continuing until about 8:00 or 9:00. She will have decks of cards and some movies. I'll probably order pizza. If you would like to stop by to say hi we'd welcome your company. Ask at the information desk which room they have assigned her to, or give me a call on my cell. Be there or be square.