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@shels93

@loribmt thank you. He did have more energy and was feeling good during the period you mention. I just spoke with him briefly; he's still very tired and said that they are keeping him for another 2-3 days; they just don't know what's going on and why he has this fever. I am now wondering if we should reach out to his specialist and get him moved there (Penn Medicine) instead of the hospital where he is now. Thoughts on that?

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Replies to "@loribmt thank you. He did have more energy and was feeling good during the period you..."

That’s encouraging to hear your husband had more energy during that period where his blood numbers were up! That’s what is expected and so welcomed after a crumby period.
Do you know how long he is going to be given chemo? Or is this what you’re hoping to find out from his specialist?

If you’re having concerns about the level of care he’s getting it wouldn’t hurt to get another opinion regarding his current condition, especially from his specialist. I’m sorry he’s going to be missing that appointment. But if you can a message to his specialist, hopefully he’ll call you or have his NP call you with a suggestion as to where might be the best place for care at this point and what he feels should be done!

From my experience, the 2 times I developed a neutropenic fever during my months of treatment, each required a trip to the hospital and I was given IVs of a broad spectrum antibiotic. Each time, the fever went away quickly after the treatment. It’s better to be safe than sorry!

When the immune system is severally compromised by chemo, infections, though not evident, can develop rapidly. So I would discuss the fact that he hasn’t been given a broad spectrum antibiotic at this point. It is fairly standard practice to do so. Most friends that I know who have gone through neutropenic fevers have had similar treatments to be on the safe side.

Here are a couple of articles that supports the use of antibiotics. https://www.uptodate.com/contents/diagnostic-approach-to-the-adult-cancer-patient-with-neutropenic-fever?search=treatment-of-neutropenic-fever&source=search_result&selectedTitle=4~150&usage_type=default&display_rank=4
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https://www.osmosis.org/answers/neutropenic-fever
You might want to ask his oncologist about this and also his new specialist!