I have returned from my 6-week follow-up at Emory Winship and although Dr. Khoury said that I had reached a comfortable CHR and told me to come back in two months for FISH/PCR, I had some questions and a potential concern that I cannot get off my mind - why can't I just listen to the expert and move on? Ah! Anyway...
They ran a CBC at Emory today and I've been getting weekly CBCs prior to that at an oncologist's office closer to home - standard procedure for early TKI monitoring. However, the increase in WBC and neutrophil % this week are making me wonder if test calibration could be that far off, or if I'm starting to normalize in a "normal" range & my marrow decided to kick in with an increased level of normal white cell production over the past week, or if this is a disturbing and unexpected increase. Here's the data:
WBC // Neut % // ANC
4/15: 6.3 // 57.2 // 3.6 <-- this was only the third day of Gleevec after ~ 1.5 weeks of Hydro
4/22: 3.2 // 58.5 // 1.9
4/29: 3.1 // 52.40 // 1.6
5/6: 3.6 // 61.40 // 2.2
5/13: 3.3 // 53.20 // 1.8
5/20 @ Emory: 6.0 // 74.0 // ?? (didn't have ANC on the print-out)
The WBC and Neut % are showing a sharp (?) increase after holding steady for the past four weeks - granted, the numbers today (5/20) were from a different facility, and yes - I recognize that both numbers are within the normal range for healthy folks. It just seemed like a weird increase over the course of only one week. I did start taking Ciprofloxacin a week ago (and will continue for one more week) because of some prostatitis symptoms - could an antibiotic medication cause an increase like this?
I had all of my numbers on a spreadsheet and showed it to Dr. Khoury, but he was unconcerned and said that I can wait a month before my next CBC. But I called my close-to-home oncologist and shared this information, and she thought it was interesting to see an increase like that over the course of a week.