No chemo due to low platelets

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Hi all

My wife has bowel cancer that has spread to liver and lungs. She had 4 cycles of chemo but all through it her blood platelets were low so the hospital lowered the dose of chemo or pushed it back a week. Now they've told us after scans the chemo didn't do as they would have liked and she has to have more chemo. Yet again blood platelets are low so chemo pushed back twice. Really don't know what to do. We have a decision to make. One is suspended the chemo and go on a little holiday while she still can enjoy it or 2 go ahead eventually with chemo and see what happens. The problem is will she be well enough after another chemo to have a break? They have reduced the strength of chemo twice but that's all they have as the liver is too far gone with cancer and chlorosis and the lungs are worse. They won't operate as too dangerous. She's only 56 and wants a holiday so don't know what to say or do anymore. Thanks for reading this and being there. 

  • Hi  

    I can only answer from my own experience watching my mum go through two years of chemo . It very hard to separate what is chemo side effects with what is cancer progression . However if it was my relative and she wanted a holiday that’s exactly what I would be doing .

    Have no regrets as you are doing what she would enjoy whilst she is able to and quality of life matters as much as any other factor .

    What I would do is run it past her team . They may actually think it’s a good plan and be able to work round it . My mum is in treatment for life with a targeted treatment and her team has told us just to speak to them about scheduling the odd holiday . She will have had a good run at it by the time we need a few weeks off but I think it will do her the world of good . I know I am unable to control the factors that surround this so have surrendered to the thought of doing my best in any given situation and know it is suffice .

    I do have a situation where I left my dad overnight thinking after I put him to bed I could go back in at eight the next morning and get him up . He took a stroke at7:30 . That hit me hard but now I know he would not want that for me and often said how good I was to him . I think you can only ever make a reasoned decision in any situation and hope it works . Your obviously full of care snd concern and your love shines through . 
    take care ,

    Court 

    Helpline Number 0808 808 0000

  • Hi Coys

    I'd suggest talking to oncologist about timing and mitigation of risks around proposed travel. For example airports and planes can be big spreaders of germs and you may need to choose timing carefully to avoid further set backs and complications for your wife.

    They may suggest something as simple as allow a few weeks after last chemo treatment.

    Good luck and enjoy the reboosting trip, if you decide to go

  • Good point   I was thinking the U.K. in my head . We are staying within travelling distance of a big hospital too for back up . 

    Take care ,

    Court 

    Helpline Number 0808 808 0000

  • Hello Coys - has an immunoglobulin infusion been ruled out? I had one in Wales recently as my platelet count was so low, it raised them for a short time to fingers crossed allow a chemo next Monday. 

  • Hi  her platelets were 86 on Friday they prefer them to be 100 so they have offered chemo but reduced the dosage. Let's see how it goes. We have very little choice. I just hope this chemo works and don't make her too poorly 

  • Hi ,

    Just remembered my mum got hers reduced due to low platelets and it was only a small reduction but actually lifted a lot of the side effects to a more manageable level and despite her platelets always being on the lower side she muddled through .

    Take care ,

    Court 

    Helpline Number 0808 808 0000

  • Ahh that's good hope that happens with my wife 

    Thank you