We were told in the beginning of Maintenance that Olivia will be monitored closely for the first three months of this phase because this is the time when blood counts usually drop. We have been going every other week for her blood tests.
About a month and a half into maintenance, Olivia's blood counts have started to plummet again. Her hemoglobin is good and has constantly been around 10 grams per deciliter (normal is 12-14). It's her ANC that dropped significantly. From being 2,200+ for the longest time, her ANC has dropped to 736 (normal is 1,500). In the earlier stages of Olivia's treatment, this level of ANC would have been a reason to delay chemo until her ANC goes back up. But now that we are in maintenance phase, the minimum ANC to continue chemo is 500. And so her oral chemo meds at home will still continue. Since her ANC is really low, we just have to watch out for fevers since she's more prone to infection right now.
I can't believe how much she has grown!
Brave girl getting finger pricked for blood test
Here she is after blood counts, exploring the doctor's office and his microscopes!