Whether it's chemo or radium 223 etc all these treatments can adversely impact bloodcounts. Be especially watchful of your neutrophils . Neutrophils are the wbc's that fight off bacterial infection. This can be successfully combatted with a monthly injection of Neulasta . Talk to your MedOnc about that. If you do initiate Neulasta consider taking Claritan to mitigate Neulasta side effects.
I expect the concern of your physician is the information explained herein I extracted from a paper on the internet:
Low white blood cell counts (neutropenia)
White blood cells help protect the body by fighting bacteria, viruses and other foreign invaders that cause infections. One type of WBC, neutrophils, make up the majority of WBCs and are the body’s main defense against infections. Neutropenia results from an abnormally low level of neutrophils in the blood.
When your neutrophil count is low, your doctor may delay further treatment or recommend a lower dose until your WBC count returns to a normal level. Your doctor may also prescribe antibiotics as a preventive measure and recommend a variety of precautions, such as hand washing.
There are also certain drugs or other therapies that may be used to treat neutropenia. For example, growth factors (also known as granulocyte-colony stimulating factors, or G-CSFs) may be used to stimulate the bone marrow to produce neutrophils. Some growth factors include Neupogen®, Neulasta®, and Leukine®.
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