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When I was taking Navelbine regularly, I had a Neulasta shot monthly for white blood cells dips. It's a very expensive shot, but insurance doesn't balk. I also took a Procrit shot about every 6 weeks for low red blood counts. These are to be expected with chemo. With Neulasta, the white blood cells will spike very high, then slowly lower during the following weeks until another is needed. I took it the same day as my chemo. Others are asked to come back the following day. Still others are given shots to self-administer at home (Neuprogen, I think). This is regular business with chemo and your Mom's onc should be on top of it. I was never given my chemo until my bloodwork came back from the lab STAT.
My opinion...do not wait until next week. Call her onc today. As it is, she is wide-open for getting infections.
Love and light,
Lisa
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