Yesterday I had bloodwork before my infusion. They got the results of my CBC to make sure my white counts were high enough to get treatment. Thankfully, they were! Based on this labwork and my labwork from Wednesday through Friday of last week, at my doctor appointment before the infusion, we discussed with the PA that I just come in on Friday for the bloodwork instead of Wednesday-Friday. I am going to have next week off from treatment, so I will likely get the blood marrow boosting injection on Friday, so that I may get treatment on June 1.
Later in the afternoon, I received a call from my oncologist office, though that was not great. Prior to my first infusion of Trodelvy last week, we noticed my liver enzymes were really elevated, which wasn't good. I thought perhaps it could have been from the trauma of my liver biopsy, but that was unlikely due to the amount of time between the biopsy and treatment. Unfortunately, getting the metabolic panel back takes some time, so we weren't able to know my liver enzymes results from yesterday's labwork until later in the day. They basically doubled, which is not good, since they were already high. I have been having liver pain ever since my biopsy. Now, it could be due to receiving the treatment last Monday, because it would be the first liver panel I received since treatment with the new drug began. However, it could also be due to the cancer in my liver dying off, causing inflammation, or significant progression. We are really hoping it is due to the die-off of my cancer. To be safe, I am avoiding as many medications/supplements and treatments this week as possible to give my liver a break. I am going to hydrate, hydrate, hydrate to try to flush things out as well. I even looked up the injection I received on Friday to see if it could cause liver enzymes to increase. Basically all of the drugs I receive through my infusion can cause a temporary increase to liver enzymes. Also, the bone marrow stimulating injection can as well, But, the increase should only be temporary (1-2 days), so this huge increase is a bit alarming.
My prayer request is that my liver function improves, my liver enzymes go down significantly (normal level would be awesome), the pain resolves and I can continue treatment that is extremely effective. We should know the results of my labwork late on Friday. Thanks for your continued prayers. I feel at peace with all of this, knowing God is sovereign over all.
Praying tonight for your liver and for your whole body to find rest and renewal before your next treatments. May our Almighty Lord touch and strengthen every cell in your body. In Jesus’ name, AMEN
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