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| July 1, 2005 Bad ANC |
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| Hello my wonderful e-family! Time for me to pester you again! Shockingly, this one may actually be brief. The past several days have been busy, but not very Avalon-centered. Saturday, June 25th was the Columbus Taps! showcase that I wrote you about. Sunday the 26th, Aurora had a performance with Kids of Broadway. Monday brought the beginning of dress rehearsals and the final shows for this KOB season. Normally, I love helping KOB with costumes, back stage and anything else I can poke my nose into. These are the best kids, its actually pure joy to be able to spend time with them. However, for this show - I have had to completely bow out. We were in and out of the hospital for the first few months of rehearsals, and basically overwhelmed with port replacement, fevers and paranoia at the end. It killed me, but I had to take Aurora to dress rehearsals and leave her - I couldn't even volunteer to help out then. Actually it ended up being a darn good thing that I didn't. Because Aurora had a performance at the same time Avalon had chemo - Nick and I had to divide and conquer. When we met back up, the news couldn't have been much worse. Two weeks earlier - on June 16th, Avalon's ANC (Absolute Neutrophil Count) had been 2045. Absolutely wonderful. With no warning, and no indication - her ANC on June 30th was a mere 84! Eighty four is not only low, its scary-low. They want our kids to stay above 1000. Between 600-1000 the kids are susceptible to pneumonia as well as any other bacterial infections. Below 400, and their ability to fight bacteria is so non-existent, that naturally occuring bacteria in the gut can escape and attack other body organs. Yes, its really that bad. So here we are, sitting at 84! I retroactively have had several heart attacks. I have been behaving as if she was at 2000, so I've been taking her to the mall, we took her to the Tap Showcase, and I even took her to a local outdoor festival. Let's just say that Momma is not happy with herself. In all fairness, when I called to discuss it with the nurse practitioner - we reasoned through where we'd been, and I really haven't done anything too terrible. After all, Avalon never got out of her stroller in the mall, and we rarely ever shared a store with anyone but the clerk. As I told you, we spent most of the tap show either outside, or locked in the vestibule - so no germ exposure there. And the festival was outside, where Avalon never got out of her stroller, or shared space with anyone. Although I know none of it is too bad, I'm still leaning toward self-flogging at the moment. Our biggest concern is about next week. On July 6th we are supposed to be going to Kings Island with Adventure for Wish Kids. I wondered if we could go. I called Diane (our nurse practitioner) to ask her opinion. She says that Avalon's blood values indicate that she should be having a huge jump in ANC within a few days. Diane feels its OK to plan to go, but that if I am too worried, I can bring Avalon in to clinic on Wed to check her values. Would you like to guess where I'm headed on Wed? So that's life at the moment - we're in lock-down. Avalon is not seeing or breathing air outside of the house until I know she's more stable. We don't even go out to the back yard when she's like this - too many germies waiting to get her. The other kids are frustrated, but they understand what we're up against. Side note, Aurora's KOB show went beautifully. Nick and I went on different nights so that one of us could be home with the other girls. Aurora's tap solo was fabulous - she really does have a natural gift for tap. Nick stayed after the last show and helped with set strike. At least we got to do something! Hopefully, our lives will be on a more even keel for the fall show... We can dream... Love to ALL of you! Alicia, Nick, Aurora, Ambrosia, and Avalon |
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