More tests tomorrow

06/13/10-0300
ANC 1500

Another dose of Neupogen, and though Alan looked and felt better today, his creatinine level continues to creep up. Doc A wants another abdominal ultrasound and a consultation with a nephrologist tomorrow, both of which will be easier if we are inpatient. His fluid balance is good, which makes a blockage unlikely. While Ifosfamide can cause problems, they usually show up after several treatments. Of course, there is always the possibility of a third as-yet unknown cause for this problem. Hopefully we can figure something out and go home tomorrow, because Alan is heartily sick of being stuck in the hospital. Even a walk this afternoon wasn't making him happy. Amazingly, he fell asleep by 7:30. If things go well, he'll sleep through the night and catch up on some desperately needed rest.