There was a little bit of miscommunication last Saturday and actually I am not able to proceed with my chemotherapy today.
Usually before the chemotherapy session, blood tests are done in order to assess if I can proceed with my chemotherapy. Usually the platelet count is one of the key criteria but found out today that my liver panel if fairly important as well.
· ALT (Alanine Aminotransferase) readings are typically used to detect liver injury or liver disease. Reference interval for ALT is 17-63 U/L. My reading is 519.
· The ALP (Alkaline Phosphatase) reading is slightly elevated at 183 U/L. The reference range is 38-126 U/L.
· The Bilirubin (Total) value was 38 umol/L with the reference range at 7-31 umol/L.
You can read more about it at: http://labtestsonline.org/understanding/analytes/
All my other result are in the normal range except for the platelets and lymphocytes that are marginally low and of no major concern.
Kind of hard to determine what could be the as from the last CT scan, the cancer in the liver had regressed and although the report did indicate early sign of bile duct obstruction but it had been there for a long time and I am not suffering from jaundice. I am taking Augmentin (Antibiotics) due to the cut that I had a few days ago but unlikely to be cause by the antibiotic as I was on this antibiotics before during my therapy. I am off TMC for 1.5 weeks and so unlikely due to it.
My Oncologist is also not certain what might be the specific cause but it is known to occur for people undergoing chemotherapy with the drugs I am on. In this case I am perplexed as my previous readings were excellent indicating improving liver functions. My only take on this as I had explain to Josie is that God is allowing the earlier readings to show improvement in order to showcase healing and now that the liver is functioning as per normal, He is allowing the liver to function “as per normal” and be allowed to be affected by the chemotherapy drugs “as per normal”.
May need to go for a liver ultrasound scan after this coming week’s blood test but I am asking some colleagues to help with an “unofficial” scan.
I have been having stomach spasm, bloated-ness and indigestion for the last 2+ weeks. Not sure if this is related.
Generally disappointed but feeling more of apprehension and fear as I do not know exactly what is going on but Josie and I, we trust in God and perhaps it is His way of granting me more rest before embarking on the next phase of therapy.
In God We Trust.
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