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Archie spiked a fever Saturday afternoon
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by Anne Moore
07/31/2005
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Archie spiked a fever Saturday afternoon. The fever got as high as 102.5 degrees, and it took a
combination of both acetaminophen and ibuprofen to bring it down to around 99 degrees. Although
the use of ibuprofen is more or less forbidden in the hematology/oncology unit, Dr. Stroud
ordered it to fight Archie’s fever because that’s how dire the situation was becoming.
Turns out that both Broviac
lumens, or lines, are contaminated. This means that Archie has a
bacterial infection in his blood. Dr. Jung, an infectious disease specialist, examined Archie and
made some alterations to his antibiotics. She and Dr. Stroud agree that if Archie’s blood cultures
continue to grow a gram-positive bacterium that his Broviac will have to be pulled. Dr. Stroud had
planned to pull Archie’s Broviac following his next course of chemotherapy and replace it with a
traditional port, so
it may be that we simply end up pulling the line sooner than expected.
Archie’s blood counts are still very low. His AGC
remains at zero, and his white blood cells are
under 1,000. This is not a cause for alarm, nor is it unexpected. In fact, if Archie’s counts hadn’t
bottomed out the doctors would have been very concerned. But Dr. Stroud has prescribed a daily shot to
stimulate Archie’s bone marrow to begin producing cells to not only get them where they need to be to
begin the second course of chemotherapy, but also to help Archie’s body fight his current infection.
Dr. Stroud also received the results from the cytogenetic report the Mayo Clinic was generating based
on Archie’s latest bone marrow aspiration harvested after he completed his first course of chemotherapy.
We were excited to learn that the Mayo Clinic was unable to grow any cancer cells from Archie’s bone
marrow. This means that Archie’s treatment protocol is effective, and that we have definitive reason to
feel encouraged and hopeful regarding Archie’s prognosis.
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