Jeff's Blood Counts are Low
Jeff is getting blood transfusion today that started at 8 am. He is receiving 2 units. He was having blood in his stools. The doctors are not for sure if it is related to his cancer or the ibuprofen that he was taking. Oncology was unaware that Jeff was take 4 ibuprofen tablets at a time. Apparently it interacts with his blood thinning medicine and can tear up the stomach. Also there is the possibility that it is part of disease progression. Rule of thumb is that if Jeff needs another transfusion after this then it is most likely related to the cancer. If he doesn't need another one then it is most likely related to the ibuprofen. We stopped coumadin and ibuprofen earlier this week and he was given a Vitamin K pill to take because his blood was too thin.
Jeff has had subsequent bowel movements without blood. His oxygen was low this morning when they started his blood transfusion, so they have put him on oxygen while he is in oncology today. We are in the process of figuring out the antibiotic information. Dr. Nelson will be back in next week. Dr. Nelson says that Jeff can have the antibiotics once a day, but Dr. Ekram says due to the half life of the drug it has to be given every eight hours to be effective.
Jeff is still in limbo about what to do, but seems to be leaning towards the idea that if he can get antibiotics once a day then he is more open to it then if it has to be given every eight hours. Everyone take care and I will update as I can and as things happen. I have typed this message fast, so forgive any typos.

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