Thanks to the miracle of automation, holiday weekends don't stop Kaiser Permanente from letting me know about my latest health status:
This is still high, but steady from last month, which means my multiple myeloma continues to be under control.
On the less bright side, my immune system seems to be bouncing around all over the place. My chemo meds are on a schedule of 21 days on and 7 days off, and normally we do labs during the off week. However, my doctor wanted to do a mid-cycle set of labs this time, and they showed my immune system in excellent shape. Then, a week later, I did the normally scheduled set of labs and it showed the worst case of neutropenia I can remember. Very weird. Neutrophil levels always go up and down based on chemo schedules, but this is much more than normal.
In my case, none of this seems to affect my actual immunity to diseases, which is good, but neutropenia does make me tired. So this explains why I've been sleeping about 14 hours a day this week. When I restart the chemo we might cut the dose in half if my neutrophil levels continue to be weak, and in a couple of weeks I have an appointment with my oncologist to discuss all this.
In case this has left you confused, the nutshell version is that things are basically OK, but we're going through a period of instability. This has happened before, and as in previous cases it will eventually either settle down or else lead to a new chemo med. In the meantime, no real worries.