Labs and exam

Emily went to the clinic today for a lab draw and an exam. Dr. Link says she looks great. Her mouth sores are much less severe this time than last. He said that often patients get their worst sores on the first round of high dose methotreate and fewer in later treatments. That seems to be Emily's profile. That is opposite of what I would have expected. Her ANC levels are too low again, I think she was a 137 today, which means she is neutropenic. She will be on hold again this week to manage that anc level closer to where they want. In phase 3 she has gone from really low, to really high anc levels and I can't see what is causing such fluctuation. I am going to try not to worry about it. They would like her anc levels be at least 500 and over 750 to qualify for another round of methotrexate. She is due to be back in the hospital for another LP and methotrexate next Wednesday and we will be taking labs next Tuesday to determine if her levels are high enough.
We are going to try to get away this weekend, back up to Tahoe City. Emily is really excited about going back up, and so are Tracy and I.