Post # 25
Nulasta vs. Neupogen

T-PLL update

Monday Bill had an appointment with the local cancer center. His doctor was out of town so we saw Katie who is a PA. Katie was great and spent a lot of time with us to make sure she addressed all of our questions and concerns. Dr. Castro indicated that Bill should get a Neulasta shot but it was not clear so it was put off until Tuesday. Here Bill ran into a minor bump in the road. As the saying goes "you learn something new everyday". Neulasta has a window of opportunity - 24 hours after treatment, but not more than 72 hours. Monday at noon was the end of the window of treatment with Neulasta. Since Bill missed that window he now needs to get Neupogen. Neulasta is one injection, Neupogen is 10 injections over ten days. For 10 days straight Bill will need to have treatment, either Campath and Neupogen or just Neupogen. So far Bill has had two injections of Neupogen.

Today is the big Bone Marrow Transplant (BMT) meeting. We are in the BMT clinic waiting for our appointment. As soon as we are done at Moffitt today we will need to race back to Titusville so Bill can get his Neupogen shot. We will never miss the window of opportunity for Neulasta again.