Back from the hospital - neutrophil counts back up

I’ve been back home since Saturday pm. I slept all Sunday and most of Monday. As of Tuesday I’ve been feeling mostly back to normal. The G-CSF worked incredibly well to stimulate the growth of neutrophils. My counts shot up from a dangerously low <100 to a healthy 1000 within 48 hours, then to 3000 within 72 hours.

Taking a break with my sister Jacky in front of a giant redwood. 13:30 – feeling mostly ok.
Taking a break with my sister Jacky in front of a giant redwood. 13:30 – feeling mostly ok.

Apparently my bone marrow is very healthy. So I’m no longer neutropenic. Apparently this severity of immunosuppression affects under 10% of folks going through my chemo protocol (not sure underlying causes). It’s also unclear to me why they didn’t check for this since post chemo infusion white blood counts reach their nadir around day 7-10. This would have been actionable information. I’m assuming

16:00 – in a Lyft to ER and frantically checking my temp.
16:00 – in a Lyft to ER and frantically checking my temp.

it’s because 90% of patients don’t experience this though I’ve been asking around and haven’t gotten a good answer yet. Will be digging into this piece w/oncology team. I’ll likely need to supplement my chemo with these g-csf injections to ensure I stay out of the neutropenic red zone. I’ll pickup chemo next week.

Thumbs down to this ER visit. 23:00, channeling Saul when he's angry with the 'mad truck' face.
Thumbs down to this ER visit. 23:00, channeling Saul when he's angry with the 'mad truck' face.

Also my hair has started falling out. This really would have been more troubling had I not pre-empted by shaving my head. Literally every time I touch my scalp I get a clump/handful of hair (see below).

I took a shower yesterday and the tub was literally filled with hair. I lost about 30% of my hair in the space of a 5 minute shower. It’s a reminder that despite feeling fairly ok I am sick and these drugs are

01:00 – checked into the hospital inpatient room for the next few days. Way better than the ER.
01:00 – checked into the hospital inpatient room for the next few days. Way better than the ER.

doing their thing. I’ve always associated the start of the school year with freshness, opportunity and potential. In a strange way I still feel that way despite the circumstances. chemolog Get me outta here

Lev: you can do it, daddy! This kid inspires me every day.
Lev: you can do it, daddy! This kid inspires me every day.

Phyllis, my next door neighbor tells it how it is chemolog hair everywhere. Every time I touch my head it looks like this. hair in the tub Bald and splotchy is beautiful

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