Low Point

It looks like Carla has reached her low point where she feels she is "walking through the valley of the shadow of death."  Her white blood count was 0.23 today and her platelets were 10.  They want to keep her platelets above 30.  We went into Myeloma Infusion Center at 9:30 and got home after 4:00.  She has been running a low grade fever of 99 - 100 and therefore they have taken samples for blood cultures the past three days.  Yesterday with a WBC of 22 she should have been called back to get a platelete transfusion but wasn't.  Today they had to get blood samples, do the lab work, order the platelets, administer the transfusion of platelets, get another blood sample, have the sample run, order more platelets and administer the transfusion of these platelets.

Carla has had a pain in her left thigh.  Today the APN nurse ordered a Doppler test on that thigh which will be done tomorrow at 1:00.  This will show if there is a blood clot in her thigh.  This is similar to the problem she had in January when she had a blood clot in her left calf.  Hopefully it is only a strained muscle from Carla doing her stretching exercises.  The Lovenox shots have been given to lessen the probability of blood clots. 

This evening, Carla did not eat any dinner.  She was running a fever of about 99.6 and just couldn't eat. 

We were given an infusor just in case her fever goes up overnight.  I am to call the myeloma doctor on call if her temperature reaches 100.5.  The infusor could save us a trip to the emergency room.  We have had these infusors a couple of times before and they just expired in our refrigerator.  Hopefully this will be the case this time.

Hopefully extra rest will help her body rebuild and she will be much better in the morning.