ANC still 0, and all kinds of WBCs

Lucas still has 0 ANC today.  His WBC has been 0.3-0.5, the diff type last three days are:

Tue: 80 Lymph, 20 EOS

Wed: 96 Lymph, 4 EOS

Thur: 87 Lymph, 10 EOS, 3 MONO

I looked back all his CBCs since diagnosis (they are stored in a google doc spreadsheet and the link is at the right hand side of the blog site).  He never had EOS so high before.  I need to ask doctor what that means tomorrow.  Doctor told me today that the appearance of MONO often times means appearance of Neutrophils later.  I looked back to his blood infection in March.  His MONO was in single digits for 5 days, then jumped to 34.  A day later, ANC gets a non-zero number.  During another ANC hospitalization in later part of induction, MONO was 2 and next day neutrophils was 2.  So we still feel hopeful that maybe tomorrow he would have a positive ANC, and if not, the day after next.  We don't mind staying in hospital as long as he doesn't have a fever and eats and drinks okay.

He has been scaring us with his temp hovering around 100 since 3:30am today.  I woke up feeling he was warm and measured his temp -- 100.4.  Got nervous and measured again in 15 minutes and 99.8.  Ever since he has been doing this and we were super nervous whenever he also showed signs of irritation and/or tiredness.   He has very little appetite today and his weight has dropped from 14.4kg five days ago to 13.8kg today.  And I know he looks taller but the reality is that he has grown from 89cm at diagnosis to 90.5cm now.  But surely I worry about his ANC much more than anything else right now.  We are so close to the end of frontline treatment and we really don't need another hurdle.  

We get him fluids at a rate of 46 for 12 hours during night.  We tried to get him to wear pull-ups last night but he insisted that he is no longer a baby and doesn't need diapers.  He did well, woke up 6:30 and went in the potty for roughly 300ml (again shows how flexible his bladder is).   Jianwei took him to the playroom first thing in the morning before any other kid is awake so he can have a clean room by himself.  Later another kid came and they left immediately.  He told me that "the baby with diapers came in and she was full of yucky germs so we had to leave".  And that "baby" just walked by our room and pointed at Lucas -- "Look, baby!".  It's how funny how the 2-3 year olds refer to their peers as babies.  :)

Granulocytes (polynuclear leukocytes)
POLY	POLY, POLYS, PMN, or GRA
POLY, POLYS, and PMN stand for polymorphonucleocytes or polymorphonuclear neutrophils. On some lab reports, they refers to your segmented neutrophils and other times to your total neutrophils (both segmented neutrophils and bands). The Marrowforums ANC Calculator determines which case it is based on which other counts appear on your lab report.
NEUT	Neutrophils or Total neutrophils
Neutrophils are the most plentiful white cells. They move to the sites of injury and infection and break down bacteria by releasing enzymes. There are of two types of neutrophils: segmented neutrophils and bands. Neutrophils may also be called neutrophilic granulocytes.
SEGS	Segmented neutrophils
Segmented neutrophils are fully mature neutrophils.
BANDS	Band neutrophils
Bands are neutrophils that are almost mature. When mature, they become segmented neutrophils. Bands are also called band neutrophils or stabs.
EOS	Eosinophils or MID
Eosinophils proliferate when allergic reactions occur or parasites are present.
BASO	Basophils
Basophils are the least abundant granulocytes. They proliferate when allergic reactions occur and help destroy invading bacteria and viruses.
Non-granulocytes (mononuclear leukocytes)
LYMPH	Lymphocytes
Lymphocytes produce antibodies that fight viruses and bacteria.
MONO	Monocytes
Monocytes ingest foreign particles and dead or worn-out cells.