u/Calm-Might-3084

Hi everyone!
Dr. ordered a cbc and metabolic panel for chemo tomorrow. He put the order in last week and when I was there getting my usual thyroid test and they ran the other two despite me telling them to hold it. Other than being rather hyperthyroid, most of the CBC and metabolic panel came back normal. The CO2 levels were rather low. I’m not terribly concerned about that.

Because they ran the tests too early, I had to have them done again today. Lots of changes over 5 days!

Co2 was even lower.

My mean corpuscular hemoglobin concentrate which has been sitting on the low side of normal dropped about 1.5 points to abnormal. I’m concerned because this is generally a stable value. Anyone know if this is an issue for getting chemo?

But here’s the crazy stuff:
Neutrophil percent went up 34%! The graph line goes straight up.

Lymphocyte percent went from
26% to 3%!

Monocyte percent when from 10 to .5

Eosinophils and Basofils also tanked.

And in turn neutrophil absolute is super high, lymphocyte absolute is way low etc.

I guess the good news is that I’m not pregnant. I’m 55 and post menopausal. 🤦‍♀️😜

Anyone know if this is a concern for getting chemo? The only thing I did differently is drink a lot of water to start hydrating for chemo. And I didn’t fast- but they said I didn’t need to.

Thanks!

Ok- I know it’s not taking forever but it does seem slow. I’m 4 weeks out from dmx and at the earliest time MO will let me start chemo. I met with him early last week to get the ball rolling on scheduling. Port placement is scheduled for early next week. But no contact re chemo. I hate to bug them but it seems like it’s taking a really long time to get a chemo start date. Is this normal? Should I call or just sit tight?

Hi everyone- I would love to get your take on this. Stage 1, high ER/PR+, HER2 negative, dmx to flat, no LVI, node negative, grade 3, high ki67 and a ridiculously high oncotype.

I always assumed I would need chemo. With the high grade and high ki67, a “no chemo” oncotype score would have made me real uneasy. So I’m glad I get the chemo. My issue is- this is a very aggressive cancer and the two oncologists I’ve consulted with said 4 TC was fine. That seems not in line with everything I’ve read about treating aggressive HR+ tumors. I don’t necessarily want more chemo but this seems a little light for an off the charts oncotype. AC-T seems like the more common route in my situation.

Anyone here have a similar issue? Or was given a choice between TCx4 or AC-T? Studies show a 5% greater benefit with AC-T vs TCx4 so it seems like worth it but also know it has some serious risks as well.