Chemo affects blood counts and patients may receive shots of either Neulasta or Neupogen to keep counts at a normal level. When blood counts decrease, the body’s immune system suffers and infection is likely. I was hospitalized twice because of low blood counts. White blood counts should fall between 4,000 and 10,000. Mine were 700 and 1,200 on my admission dates. It took IV antibiotics to prevent infection and a blood transfusion during my first stay for my anemia to recover.
Fatigue and loss of appetite are common, and it is critical that you let your loved ones help you. Allow friends to deliver meals, baby-sit, and stop for groceries. Give yourself time to rest – this is the perfect time to justify daily naps. Be sure to eat -- it’s necessary so the body can remain strong during this debilitating treatment. Try small amounts of food several times per day.
Most important, call your doctor with any symptoms that signal a problem, such as fever. One night I was awakened with a sore throat, headache, fever, and sore gums. My body was suffering. I was admitted to the hospital that same night. Had I stayed home, the result could have been tragic. If a hospital getaway is necessary, take advantage of the down time and allow yourself to heal and recover. The hospital is the best place to be if the body is not responding well to treatment.
Finding Support
I have never attended a support group but I do attend counseling. I started with a weekly appointment, and I now go once per month. It helps me to talk to someone who knows me only because of my cancer. My counselor is objective and compassionate and I walk away from her each time feeling inspired. My spirits were also lifted during chemo by a program called Chemo Angels (www.chemoangels.com). Two of their volunteers wrote to me each week. Their letters distracted and motivated me. Any chemo patient can sign up for an angel and volunteers are always needed.
