High Fever and the emergency room
I have had a high fever for 2 days now, it was 99.9 at the doctor's office and the Oncologist told me to go to the ER. I started chemo with a cough already and this is day 8 so I am pretty sure I know where the infection is and I am on Zithromycin now for a couple of days. I hate going to the ER, I had a hematoma from my surgery in July and had to go then. What will happen to me if I wait for a couple more days?
Comments
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Although 99.9 is not high I think you are better off listening to a physician who is treating you than strangers on the internet.
People here could tell you to ignore the doctor's advise and not go but that's a gamble.
Hoping for a recovery soon whatever you decide.
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You could end up with sepsis and die.
Not to be dramatic, but without knowing what your blood work shows - you could be heading down a really bad path.
Each chemo agent has different timing for the "nadir" or lowest point of cellular influence. I was at Day 8 when I went in for a follow up appt and was told my Neutrophils were 52. I was sent home with orders to avoid crowds and take an antibiotic. I developed a fever on the way home. We waited until the next morning to see if the antibiotic would work - nope. At the hospital the Neutrophils were 2!
Without a proper immune system, anything can take you out. You need strong antibiotics and support for your WBC's. I was in the hospital for 3 days on IV antibiotics and had Granix to up the Neutrophils. And it worked.
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OK, now I am scared. I will go to the ER tomorrow.
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Vikinggrl- before you head to the ER, why not call your dr back and ask to be worked in tomorrow? Far less waiting, far fewer germs, and likely costs far less too. 99.9 is not high, but higher than normal. Generally anything over 101 or 102 (depending on the dr and situation) is considered high and needs to be treated immediately at the dr office or ER.
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I was assuming that the fever had been higher over the weekend and was 99.9 at the doctor's office after being on an antibiotic for a few days. No - 99.9 is not a high fever. Generally, a fever is a temp over 100.4. A "high" fever would be more than 102.
If your oncologist is sending you to the ER then they can call ahead to let them know you're coming. I was given a mask (to protect me from stuff in the hospital) and taken back right away. Yes, it was more expensive than going to the doctor's office, but the MO's office could not correct the problem.
I'm not usually an alarmist, but chemo is serious stuff. Sometimes we become complacent with things. Chemo used to be only given in a hospital.
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If your MO suggests going to the ER, then do so!
But FYI, I developed fevers (100.5+) during each cycle of TCHP. The fevers only lasted about 2 - 3 days then went away. The first time, my MO sent me to the hospital for blood test, urine test, and a chest x-ray. All were negative. So I decided to just wait out subsequent fevers because I had no other symptoms of infection and Tylenol reduced the fevers. My MO acknowledged that fevers were probably just SEs of chemo for me.
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Thanks everyone! my temp kept climbing to 101 Wed night. and I ended up visiting my Onc on the appointment day 9/21 I got a shot of Neulasta (scary SE) and did 2 blood tests, a flu swab and a chest xray. I was about to leave after being there for hours and was told to meet with my Onc again who explained I had Pneumonia! and needed to be admitted (without going to the ER whew!). Today 9/23/18 I am finally back home with neutrophils at a healthy number but also with a bad back ache (SE?)
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I had lower back pain during chemo. I iced it.
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Glad you're doing better now. It's all scary stuff sometimes!
Neulasta frequently causes bone pain from the ramped up bone marrow. Claritin seems to help with that - not sure why. I had no problems on Claritin so I just took it throughout chemo season. I did end up switching to Neupogen, though. It's not as convenient, but Neulasta put my Neutrophils through the roof and made me feel much worse.
As far as your back - if you're just getting home from being in the hospital, it may just be the bed there and/or lack of sleep. I'd give it a day or two and take Ibuprofen if okay with your doctors.
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I also had bad back pain. I think it was the neulasta.
I’m surprised they didn’t have you do the bloodwork right away. They should have
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Amen to that! Blood work every time!
My MO preferred to not do Neulasta with the first round - to wait and see. I don't disagree with that. But as soon as the saw how low my numbers were - they should have given me something for them right then and not sent me home with a "prophylactic" antibiotic. It might have saved me a very scary hospital stay.
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Vikinggrl:
I'm glad you are doing better. The back ache might be from the Neulasta...it causes bone aches and two or three days after the injection is when mine peak. I take a Claritin for it.
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