I wonder then what night in the cycle the studies use? I always try and draw blood on day "6" -- the day before my shot night. That gives me a conservative "trough" value at least for my PCR.
-- Jim
Thanks guys. I'm drawing labs on day 5, since that's a Thursday & it gives me a day of wiggle incase I forget or the surf's up on Thurday leaving me with Friday open (yeah, right). Yesterday the fellow at the lab took like 9 vials, when I said that seems like a lot. Oooops, wrong draw sheet. "Well shove 'em back in dude, I'm low enough already", LOL!
I was dragging butt yesterday, though still able to get to work to sit on my FA there instead of home. I seem to be doing better today. Nurse's first email yesterday said she thought they'd be looking at doing something for the RBC's, then Dr checked in and said he was going after the WBCs/ANC. Hopefully this is just that 2 week dip, and my counts will start improving, toot suite (like that veggie?).
I still don't have the recent labs, but using baseline as an example, do I have my calc correct?
3.7 (WBC) x 36 (Neutro %) = 1,332 ANC
Thanks again friends. You're a huge help.
For my schedule do the peg Friday evening, CBC Monday AM. riba has a half life of 44 hrs but with daily AM+PM dropping it's at a constant level. Peg has a half life of 27 hrs. So, i figure that by Monday am (60 hours) the peg has had it's max effects to the CBC. But with work and kids have to stick the the schedule I have. Would prefer the CBC later than Monday but gotta do what you can. Looking forward to not having track marks - again. With the peg, insulin, glucose reading, neupogen I make 16 holes a week. Thank goodness platelets are not too low, I'd be leaking like a sieve.
Your calc for ANC looks right. BTW, Neulasta effects on ANC. ANC's were 653, got Neulasta, following Monday ANC=9428, following Monday ANC=2916, following Monday ANC = 2176. See what happens this Monday. It's an elevator ride.
Got my CBC from yesterday. WBC 1.9, Neutros 25, Platelete 81, and hemo is 13 from a baseline of 15.5 two weeks ago. By my calc ANC is a whopping 475. It's confirmed, not only do I look crappy in real life, now I look crappy on paper too!
Time for neupogen/neulasta. I find that the swings in WBC/ANC lot more volitile than hgb and plats.