What's been happening here? More neutropenia – that's the term for low white blood cell count. I feel fine, but am just vulnerable to infection so I need to be careful.
Cycle 4 went ahead with full chemo on Day 1, and I had that nasty reaction as I described last time.
One week later on Day 8 I was turned away because of low neutrophils. My doctor said to skip that dose of gemcitabine and proceed to Cycle 5 without delays, so I have just enjoyed a fortnight of high energy and well being. Very nice!
I rolled up today expecting another Day 1 but my neutrophil count is still too low, so now I do have a delay.
Surely next week my blood will be ready for more chemo. Also my specialist is calculating a slightly reduced dose of gem, keeping up the amount of platinum drug (carboplatin), aiming to prevent such devastation of my white blood cells next time.
At least we are reassuring ourselves that the cancer has also been hit hard each time. Also I am happily focused on the end of chemo (Cycle 6) which is coming into view despite the struggles.