So in less than 48 hours, my brother will undergo single agent chemotherapy which may potentially subject him to a life threatening bleed or infection with the hope that maybe, just maybe the chemo can hit the cancer cells in his bone marrow just hard enough to knock them back the slightest amount without wiping out the bone marrow cells in the process. To get there, the doc is going to titer back the dose to 80% of the full dose. There are three basic potential outcomes.
- The chemo does nothing to the tumor cells.
- The chemo subjects him to a catastrophic adverse event.
- The chemo knocks back the tumor cells to give the bone marrow just enough breathing room to start their thing.
It's walking a razor's edge. He'll be given 6 days to recover. He'll then be reassessed for his pain and his bloodwork. If it turns out that Outcome #3 happens, then he'll be given another dose of the chemo. If Outcome #1 or #2.......If ever you wanted to wish my brother encouragement, NOW is the time to do it.