[stanford_status] Jan 11, Thu - No chemo,
platelets too low - liver getting worse
John R Larsen
john at larsen-family.us
Thu Jan 11 20:58:55 EST 2007
Well, blood work shows that Stanford's platelet count is too low for
chemo this week. He is at 48,000. The normal range is 140,000 to
440,000. His white blood count is also below normal. It has been
in the normal range the previous three times. However, it is the
platelet count driving the decision this week.
It is disappointing to have no chemo today, but not completely
unexpected. The protocol for gemcitabine that Dartmouth Hitchcock
Medical Center (DHMC) follows is three weeks of treatment followed
by one week off to let the body recuperate. Time is so precious
right now. Taking a week off seems like a huge amount of time.
There is so little time left.
The blood chemistry is also disappointing. The ammonia at 72 is
also higher this week. Other chemistry numbers (ALP AST ALT) are
also creeping higher and higher each week. These are all indicators
that Stanford's liver is struggling more and more. This is all very
distressing news. He has had so many good days in a row. We were
expecting different results.
Stanford's next appointment is Thursday, Jan 18th, at 1:45 PM. That
will be round 5 of gemcitabine assuming counts are within acceptable
range. Dr. O'Shea said a CT scan will be done the following week
sometime around Jan 23rd. It hasn't been decided yet if that will
be done in Nashua or back up at DHMC in Lebanon, NH. The last CT
scan was done in Nashua on Nov 21st during the emergency room crisis
when Stanford almost died. Dr. O'Shea is getting copies of all the
past scans done in Nashua. Once he has those he will decide where
the CT scan should be done. The results of that scan will be very
important, showing whether or not the gemcitabine has been effective
or not. This "roller coaster" we're on is agonizing.
As always we continue to hope and pray. We know that the Lord can
do all things and that the final outcome is in His hands. We thank
you for your continued encouragement, support, and prayers.
John R Larsen <john at larsen-family.us>
More information about the stanford_status