Malcolm's fever spiked a couple of times Tuesday night but he has been fever free since then. They continue to pump him full of antibiotics (three different kinds) through the IV and he was hooked up all day yesterday for fluids. Today he was permitted to be off the IV for a few hours after his nap. He has not really been himself - not eating much, lower energy - but this could be an after-effect of the fever or be due to his counts being so low (his ANC was 0 again yesterday and he had another platelet transfusion). If his appetite does not pick up tomorrow we will likely start feeding him pediasure to try to get him to ingest more calories - they do not want him to lose weight. The blood cultures have not shown anything so that is good.
Malcolm had an echo (ie ultrasound) of his heart first thing this morning and we have not heard anything so assume everything looks fine. He will have an echo after each round of chemo as one of the more serious (but thankfully quite rare) side effects is cardiotoxicity and either immediate or long term damage to the heart can result.
Donovan and Grandma and Grandpa Lee visited today. Grandpa Lee had to leave midafternoon to catch his flight home. Malcolm really perks up when Donovan is around - he is a great motivator for Malcolm. Mom was commenting that it is obvious how much Malcolm loves his big brother. Malcolm will really miss him when Donovan goes on his trip to the farm.
Mary Ellen
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