
I refer a lot to Odette's counts and decided, after being asked a number of times what that meant, that I would attempt my best to explain. Remember that I am not a doctor and don't always use the most technical of terms! This probably will be as clear as mud, but here it goes.
Counts refer to Odette's blood and the components that make it up. There are lots of things in blood. There are four things that we keep good track of to determine if Odette is ready for her next round of chemo to begin or to make sure she is okay. The doctors watch a lot of other things, but for Ken and I there are the four things to keep track of.
The first one is White Blood Cells (WBC). The normal range for these is between5.5 and 17.0. This is the one that is affected by the leukemia. The body makes weird white blood cells that don't do their job and reproduce quickly and take over-leukemia. During chemo, the goal is to get rid of the fast reproducing cells. (This is why baldness happens since hair is a fast dividing cell.) Odette needs to have at least 1.5 on her white blood cells in order to start a round of chemo. Currently Odette is at 13.3. In the past 5 months it hasn't been above 4.7, however she has been on nupogen shots for the past week to stimulate her bone marrow to produce because she had 0 for about a week.
The next one is her Red Blood cells or Hematicrit(Hct) - I have no clue how to spell that one. This is just red blood cells that take oxygen around. The chemo will kill these off to, so we watch it since oxygen is a vital necessity! If it ever gets low, that is when we give Odette blood transfusions. (So please go and donate some blood today!) Red blood cells replace themselves about once a month. Normal is between 33 and 39. Currently Odette is at 35.6. She got blood just one week ago today.
The next thing they watch is Platelets. These are what allow your blood to clot and heal cuts and keep your body from bruising. When we first found out Odette had leukemia it was because she had bruises all over...super low platelet levels. Normal is anywhere between 150 and 400. Currently Odette is at 41. In order to start the next round of chemo she needs to have a minimum of 75. You might wonder why not just give her a transfusion, but this is only done when she gets around the 20 mark, besides, we want her body to try and make her own. She did do this over the weekend since she started at only 27 last thursday.
The final thing that we watch is ANC. This is your immune systems ability to fight disease. Normal range is 1.5 to 10. Odette is only allowed out of the hospital if it is at .5 or higher. This is why she gets sick easily. However, since having the nupogen shots, her level today is 10.2! (NO, this does not mean it is okay to come over and visit even if you are sick!) This is super high for her and will probably drop back down into the normal range since we aren't giving shots this week.
So, based on this information, Odette is not able to start her round of chemo today because, "she didn't make counts". Now you all should be pros and understand what that means--right? We will be waiting until Thursday to see what her blood looks like then and hopefully be able to start on Friday. Maybe with a little luck and some prayers she will be home for Thanksgiving!