Today's clinic visit was supposed to include a lumbar puncture with intrathecal methotrexate, IVIg transfusion, Vincristine and IV Pentamadine. Since Kate awoke with a fever, vomiting and headache none of that happened. Instead, she got blood cultures drawn, a chest x-ray taken, a viral panel done (water squirted up her nose and sucked back out - yummy) and IV Rocephin (antibiotic) to cover her until the cultures come back. The chest x-ray looked ok and her ANC was 4000! Our nurse practitioner thinks that it is so high because her body is mounting a response to her illness. With all of the symptoms she has, I'm betting this is a virus. At least her ANC isn't below 500 which necessitates a 2 day hospital stay. Resting at home is better than the hospital any day!
In clinic they gave her Tylenol and Zofran and she started perking up even before we left. She's sleeping now and will hopefully just continue to feel better and that pesky fever will stay away! We'll go back next week for the lumbar puncture and the rest of the medications.