Doctor's Appt. 7-20-09

Another long day at the clinic. We got there at 12:30 PM. Our doctor's appt. is at 1:30. But, we need to be there an hour before for labs. After Triage (this is where his vitals are checked), we went straight to one of the rooms in the clinic. Of course. this is because he tested positive of VRE. He needs to be isolated. No more waiting in the registration, playroom.

Chase was already asleep when Dr. Freyer came in. He told us that his counts are good and will receive his chemo treatment. But, he will not to increase his Methotrexate dose because of the mouth sore last week. We waited in that small room till 6:00 pm before the nurse came back with his Zofran. After another 20 mins., another nurse came back & explained the cause of the delay & that they have not forgotten us. I am not sure what time we saw the doctor. I just know we were in that room for a very long time.

Chase's ALT & AST were very high and they informed Dr. Freyer. The nurse told us that he did not see Chase's blood chemistry earlier when he ordered the medicines. So, They were waiting for him to call them back.

ALT is 816 U/L = normal is 0 - 45 U/L

AST is 325 U/L = normal is 0 - 40 U/L

So, when the nurse came back, she informed us that there is a change of plans. NO CHEMO today, no medicines ( bactrim, etc.) this week & will go back on Monday and will another CBC. They suspect that this increase in enzyme was caused by the chemo he is getting. Hoping that without medicines this week, the numbers will go down a bit to confirm that it is drug/medication induced.

This was supposed to be the last Chemo for Interim Maintenance. We will have to wait & see next week.

Today's counts : 7/15/09 Counts:

WBC - 4.14K 5.79K

HGB - 11.8 12

PLTE - 198K/UL 123K/UL

ANC - 1.6 3.47

ALT - 816U/L 809U/L

AST - 325U/L 300U/L