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Dec 30 Last clinic visit for 2017

Wil finished frontline treatment. This is his first visit for bloodwork during maintenance. The goal as I understand it is to keep his ANC between 1,000-1,500 to keep his numbers low enough so that no new leukemia cells can grow. The next few months will tell us what needs to be adjusted and then changes will be made. We are following the COG protocol TALL 1231 regimen A.

He had vincristine and intrathecal methotrexate last Friday along with his lumbar puncture. He did a 5 day steroid pulse and took his 18 tablets of oral methotrexate on Friday morning. He takes 6mp (mercaptopurine) in a cycle of 3.5 pills for 5 days and 3 pills for 3 days. We are going to need a calendar to keep all this straight. 

12/30/17 Labs:
WBC 3.2  up from 1.9
RBC 2.8   down from 3.2
Hemoglobin 9.1 down from 10.6
Platelets 151 down from 253
ANC 2.37 up from .8 

symptoms: 
has a cold (taking Nyquil/dayquil & nasacort)
heartburn (mostly from steroids)
thigh bone pain (tylenol and oxy)
lower back pain
headache




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