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Neulasta to stimulate production of white blood cells

Posted by shmerdloff @shmerdloff, 3 days ago

Today, temp before neulasta 97.8°. 3 hours later, 104°. Had chemo a week agp. Under a good doctor"s care. Should I go to ER, or is the neulasta causimg the fever. Now, waiting for it to go down 🤞🙏.
Inpatient is the last place I want to be, Thanks.

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Lori, Volunteer Mentor | @loribmt | 2 days ago

Hi @shmerdloff Absolutely, call your Oncologist office or go to the ER. It most likely isn’t the Neulasta causing the fever.
If you had your chemo a week ago, your blood numbers, especially the neutrophils, may be dropping, leaving you at risk for infection.

When I was undergoing chemo, whenever my temperature got to 100.4 I was instructed to call my oncologist ASAP or head to the ER for IV antibiotics. I was then admitted for a week for the IV antibiotics and monitoring. This is a standard protocol for anyone undergoing chemo.

So please call your doctor. There should be someone on call to give you guidance. Let me know what you find out, ok?

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Mentor
Lori, Volunteer Mentor | @loribmt | 2 days ago
In reply to @loribmt "Hi @shmerdloff Absolutely, call your Oncologist office or go to the ER. It most likely isn’t..." + (show)
@loribmt

Hi @shmerdloff Absolutely, call your Oncologist office or go to the ER. It most likely isn’t the Neulasta causing the fever.
If you had your chemo a week ago, your blood numbers, especially the neutrophils, may be dropping, leaving you at risk for infection.

When I was undergoing chemo, whenever my temperature got to 100.4 I was instructed to call my oncologist ASAP or head to the ER for IV antibiotics. I was then admitted for a week for the IV antibiotics and monitoring. This is a standard protocol for anyone undergoing chemo.

So please call your doctor. There should be someone on call to give you guidance. Let me know what you find out, ok?

Jump to this post

Good morning @shmerdloff. Just checking in to see how you are today. Did you get in contact with your oncologist about your fever?

REPLY
shmerdloff | @shmerdloff | 2 days ago

Thanks so much.
I didn't. I am on big doses of augmentin and cipro. They are working. Temperature went down, not normal yet but stable. My wife and I discussed this, having past experience. It was late at night. Hospital is a distance. My MD would not be available. The covering, and hospital would not take any chances, and per protocol, would admit me-probably for a week (sepsis awareness) as happened last time. My MD told me 100.4° and "go." We also agreed that staying out of the bacteria and virus infected hospital (MRSA) and being isolated at home is best. It's an excellent hospital, but as last time, some things cannot be avoided.
I realize I can be criticized for going againt medical directive, but as long as I am on antibiotics and neulasta (which I'd get in the hospital to fight my own internal bacteria), and the temperature is stable, I am best isolated at home. Bloods tomorrow, appt. MD, Monday. Thanks again.

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1 reply
Mentor
Lori, Volunteer Mentor | @loribmt | 2 days ago
In reply to @shmerdloff "Thanks so much. I didn't. I am on big doses of augmentin and cipro. They are..." + (show)
@shmerdloff

Thanks so much.
I didn't. I am on big doses of augmentin and cipro. They are working. Temperature went down, not normal yet but stable. My wife and I discussed this, having past experience. It was late at night. Hospital is a distance. My MD would not be available. The covering, and hospital would not take any chances, and per protocol, would admit me-probably for a week (sepsis awareness) as happened last time. My MD told me 100.4° and "go." We also agreed that staying out of the bacteria and virus infected hospital (MRSA) and being isolated at home is best. It's an excellent hospital, but as last time, some things cannot be avoided.
I realize I can be criticized for going againt medical directive, but as long as I am on antibiotics and neulasta (which I'd get in the hospital to fight my own internal bacteria), and the temperature is stable, I am best isolated at home. Bloods tomorrow, appt. MD, Monday. Thanks again.

Jump to this post

I agree with staying out of a hospital setting if you can avoid it. While they’re safe harbors for us when we need them, they’re also safe harbors for sneaky bacteria. As long as you’re on antibiotics and your fever is going down, that’s encouraging. Having had this experience myself a couple of times, it’s still good to let your oncologist know that you have a fever…I’m that little gnat buzzing around your head. LOL.
If you don’t mind my asking, what is your cancer diagnosis?

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