Today we went to the clinic today to check on Kate's counts. Her ANC is still below 500 (at 480) so her daily chemo, Methotrexate and Bactrim will continue to be held until we recheck the counts next week. From the rest of her blood counts we can tell that the bone marrow is working, it's just that her cells are all being used up fighting this current virus. Despite her junky cough, Kate is feeling well and is ready to go back to school. I do get nervous sending her with low counts but I am reassured that it is best for her to be there.
Also, her IgG level was low so they are going to start giving her monthly transfusions of that. Hopefully the immunoglobulin transfusions will help keep her healthier more of the time. Additionally, they are probably going to be discontinuing her Bactrim, as it can also be causing her to have low counts. Instead, she'll get a monthly IV antibiotic dose. The only downside to this really, is that our clinic days once a month will be pretty long with IV chemo, followed by IV antibiotic, followed by a 3 hour IV Ig infusion. It really is a very small inconvenience if it keep her from getting all of these little viruses.
We both left the clinic feeling happy for some reason. There is something very comforting about having a plan and moving forward for us planners. Kate is feeling good too, so we are keeping on, keeping on! ;)