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@loribmt Hello. It's been a while since I logged in here.
Thank God the week before the second cycle his blood count bounced back up.
Platelets from 17 to 298
Wbc from 0.92 to 2.7 with 56% neutrophils
Hemoglobin is 9.1 from 7.1

After the second cycle, his counts still remained steady with hemoglobin rising up to 9.7 and wbc bounced to 7.3 and platelets at 251. It's been a week since his second cycle was finished.

I asked our doctor if they would do another BMB but they said it was still too early and would do it after a few more cycles. I still worry a bit if this is considered an exceptional response or something to be expected. I still find it a bit hard to feel at ease since there's so many different responses from the same medication.
I continue to pray that he would also be a part of those with exceptional results

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Replies to "@loribmt Hello. It's been a while since I logged in here. Thank God the week before..."

Hi @jalan00 It’s often the same process monthly with each round of chemo. The blood numbers will drop and then the week before the next round begins, they tend to rise. It’s just the nature of chemo.
Chemo interferes with rapidly dividing cells, such as cancer cells. It’s not discriminatory however. So chemo also destroys or interferes with other rapidly dividing cells such as blood cells, hair follicles, the mucosal lining in the digestive tract, etc.. Mid month, the blood numbers will drop to a very low point called nadir or neutropenia. It will take a week or so after that for the numbers of cells to regenerate, often just in time for another round of chemo.
In my own experience, each month the numbers of cells regenerating seemed to be slower to rise. So don’t be alarmed if this happens. It can take longer in some patients. But the cells usually return to normal or near normal on their own terms.

Usually another BMB isn’t warranted this early in your dad’s treatment. There’s a lot of information available in the blood draw results as to how the treatments are working. There will be another BMB at some point. But for now, it appears your dad is reacting favorably to the treatments. So you can breathe a little easier and trust the process! Your dad’s progress sounds right on track.

I’m here any time if you have questions! Keep me updated, ok? Hugs.