MomTreatment Dashboard

Lana Markey · Study 2023-0621 · Dr. Andreeff, MD Anderson
Latest labs: 2026-05-28 · Built 2026-05-30 09:41:24
This dashboard refreshes automatically every day at 9:30 AM CT
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TODAY · SATURDAY
May 30, 2026
🏢 Mom is currently living in an apartment near MD Anderson.
We'll update the treatment plan here as we learn more. Each phase of her treatment is decided based on her most recent bone marrow biopsy and bloodwork, so the schedule isn't fixed in advance — the team adjusts after every checkpoint.
📋 Latest labs from Thursday, May 28 (2 days ago). Labs only post on her clinic-visit days now that she's outpatient — this dashboard pulls fresh data every morning, but new numbers only appear here after she's been seen at MDA.

What Mom's Labs Say Today

Auto-generated from Mom's MyChart labs with AI assistance (Claude Sonnet). This is an informational summary, not medical advice or a clinical assessment — any questions or concerns should go to her care team at MD Anderson. Every numeric claim is verified against the source data.

These are labs from May 28th — two days back, since Lana is outpatient and labs only post on clinic-visit days. The headline numbers on May 28: hemoglobin (Hgb) 8.8, platelets 116, WBC 0.8, and ANC (neutrophils) 0.34. Platelets have climbed steadily from 45 on May 20 to 116 — a meaningful recovery over the past week. Hemoglobin dipped to 7.3 on May 26, then bounced back to 8.8 after a red cell transfusion on May 27 — more on that below. ANC remains in severe neutropenia territory at 0.34, though it has improved from the 0.09 range it was sitting in earlier in the week.

Organ function looks reassuring. Liver enzymes — ALT 28, AST 31, bilirubin 0.7 — are all within or close to normal range, and the alkaline phosphatase (167), while mildly elevated, has been drifting down from its recent peak of 191 on May 24. Kidney function is clean: creatinine 0.56 and trending down all week. Electrolytes (potassium 4.0, magnesium 1.9, calcium 8.8) are stable. LDH is 195 — modestly elevated and has fluctuated in the 176–207 range this week without a clear directional trend. Uric acid has been quietly falling all week, reaching 2.3, which is a good sign.

Two transfusions in the past seven days. A platelet transfusion around May 20 helped push platelets from 45 up to 74 by May 21, and they've continued climbing on their own since. A red cell transfusion on May 27 lifted her hemoglobin from 7.3 back up to 8.8 — exactly the kind of supportive care the team uses to keep her feeling functional while her marrow works through this period.

How Mom's Likely Feeling Today 💛

🌬️ Energy. Hgb 8.8 after yesterday's transfusion — likely mild fatigue, easily winded on exertion.

🛡️ Infection risk. ANC 0.34 — severely neutropenic; feels symptom-silent, but the team is watching closely.

😌 Inflammation. Blast % at 3.0 is low; LDH fluctuating but not spiking — deep aches probably modest.

💧 Internal environment. Creatinine, electrolytes all stable — her chemistry looks calm and well-balanced.

Net read: Transfusion helped; she's probably tired but stable, neutropenia the main concern.

What changed today
Biggest day-over-day shifts — 2026-05-27 → 2026-05-28
Hemoglobin: 7.8 → 8.8 (+1 g/dL)
Improved out of the watch zone into normal. Good direction.
Calcium: 8.2 → 8.8 (+0.6 mg/dL)
Improved out of the watch zone into normal. Good direction.
White Blood Cells: 1.8 → 0.8 (−1 K/uL)
WBC trending down — expected during induction.
1The Numbers
Daily labs, transfusions, and the full data

Transfusions

9 detected — confirmed entries come from the manual log; inferred entries are deduced from lab jumps.
🩸 Transfusion log (9)
2026-04-02PRBC (1 unit)Pre-MDA transfusion at Aspirus. Hgb 8.0 → post-transfusion dilutional labs at MDA admit.(confirmed)
2026-04-06PRBC (red cells)Hgb +2.9, RDW -0.8 (revealed 2026-04-07 AM draw)(inferred from labs)
2026-04-11PRBC (red cells)Hgb +1.0, RDW +1.9 (revealed 2026-04-12 AM draw)(inferred from labs)
2026-04-22PRBC (red cells)Hgb +1.2, RDW +0.4 (revealed 2026-04-23 AM draw)(inferred from labs)
2026-04-24PRBC (red cells)Hgb +1.4, RDW -1.6 (revealed 2026-04-25 AM draw)(inferred from labs)
2026-05-01PRBC (red cells)Hgb +1.4, RDW -0.8 (revealed 2026-05-02 AM draw)(inferred from labs)
2026-05-11PRBC (red cells)Hgb +1.2, RDW -0.3 (revealed 2026-05-12 AM draw)(inferred from labs)
2026-05-20PlateletsPlt +29.0 (revealed 2026-05-21 AM draw)(inferred from labs)
2026-05-27PRBC (red cells)Hgb +1.0, RDW +0.2 (revealed 2026-05-28 AM draw)(inferred from labs)

Blood Work

Daily labs from MD Anderson, ordered by day-to-day importance.
Green · on trackYellow · watchingRed · needs attention
Ordered by importance. The top row is what matters most day-to-day: ANC (infection risk), Hemoglobin (oxygen/energy), Platelets (bleeding risk), Blast % (disease activity), and RDW (marrow health).
= transfusion day (same as the 🩸 in the Full Data table)
Blood Counts — the daily headline numbers
1
ANC (neutrophils)
0.34K/uL▲ +0.02
Target ≥1.95 · ≤7.25 (MDA ref) · ↑ higher is better
The specific cells that fight bacteria. Under 1.0 + any fever = call the nurse right away.
2
Hemoglobin
8.8g/dL▲ +1
Target ≥12.2 · ≤15.3 (MDA ref) · ↑ higher is better
Carries oxygen through the body. Low = tired, short of breath. Transfusion likely under 8.
3
Platelets
116K/uL▲ +15
Target ≥160.0 · ≤397.0 (MDA ref) · ↑ higher is better
Tiny cells that stop bleeding. Low = bruising, bleeding. Transfusion likely under 20.
4
Peripheral blasts
3%▲ +2
Target ≤0.0 (MDA ref) · ↓ lower is better
Immature cancer cells in the bloodstream. Goal is 0%. Lower = better.
5
RDW
18.4%▲ +0.2
Target ≥11.6 · ≤15.5 (MDA ref) · ↓ lower is better
How uneven the red blood cells are in size. Rising means her marrow is working harder.
6
White Blood Cells
0.8K/uL▼ -1
Target ≥4.1 · ≤10.5 (MDA ref) · ↑ higher is better
Total immune cells. Low = more vulnerable. Very high could mean infection or disease activity.
Chemistry — liver, kidneys, nutrition
7
ALT
28U/L▲ +5
Target ≤33.0 (MDA ref) · ↓ lower is better
Liver enzyme. Leaks out when liver cells are a little irritated. One she's watching.
8
AST
31U/L▲ +10
Target ≤32.0 (MDA ref) · ↓ lower is better
Another liver enzyme, pairs with ALT. Rising together means the liver wants a rest.
9
LDH
195U/L▲ +14
Target ≥135.0 · ≤214.0 (MDA ref) · ↓ lower is better
Leaks out when cells die fast. Falling means treatment is working. Rising = more turnover.
10
Creatinine
0.56mg/dL▼ -0.15
Target ≥0.51 · ≤0.95 (MDA ref) · ↓ lower is better
Best kidney function marker. Stable = kidneys happy. Chemo doses depend on this.
11
BUN
10mg/dL▼ -4
Target ≥6.0 · ≤23.0 (MDA ref) · ↓ lower is better
Kidney waste product. Rising can mean she needs more fluids or the kidneys are working hard.
12
Bilirubin
0.7mg/dL
Target ≥0.0 · ≤1.2 (MDA ref) · ↓ lower is better
Liver waste product. High can cause yellowing — hers is totally fine.
13
Alk Phos
167U/L▼ -20
Target ≥35.0 · ≤104.0 (MDA ref) · ↓ lower is better
Another liver/bile marker. Stable = plumbing's working.
14
Albumin
3.3g/dL▼ -0.4
Target ≥3.5 · ≤5.2 (MDA ref) · ↑ higher is better
Main blood protein. Low = could use more nutrition. Hers is a bit low.
Electrolytes — the balance panel
15
Potassium
4mmol/L▲ +0.2
Target ≥3.4 · ≤4.5 (MDA ref) · stay in range
Electrolyte. Right balance keeps the heart happy. Team watches this closely.
16
Uric acid
2.3mg/dL▼ -0.5
Target ≥2.4 · ≤5.7 (MDA ref) · stay in range
Waste from cells that are dying off. Allopurinol keeps it controlled.
17
Calcium
8.8mg/dL▲ +0.6
Target ≥8.2 · ≤10.2 (MDA ref) · stay in range
Electrolyte for bones, muscles, heart.
18
Phosphorus
2.6mg/dL▼ -1
Target ≥2.5 · ≤4.5 (MDA ref) · stay in range
Electrolyte the team watches when cancer cells are dying off.
19
Magnesium
1.9mg/dL▲ +0.2
Target ≥1.6 · ≤2.6 (MDA ref) · stay in range
Electrolyte for muscles, nerves, heart. Easy to top up if low.

Full Data

Every value, every day. Colored cells flag out-of-range. 🩸 marks transfusion days.
Full Data
← swipe to see all dates →
Metric04-0104-0704-0804-0904-1004-11 🩸04-1204-1304-1404-1504-1604-1704-1804-1904-2004-2104-22 🩸04-2304-24 🩸04-2504-2604-2704-2804-2904-3005-01 🩸05-0205-0305-0405-0505-0605-0705-0805-0905-1005-11 🩸05-1205-1305-1405-1505-1605-1705-1805-1905-20 🩸05-2105-2205-2405-2605-27 🩸05-28
ANC (neutrophils)4.463.872.193.574.264.353.531.932.342.191.311.071.021.30.82.940.482.061.531.141.21.090.810.680.210.380.230.130.140.190.190.280.220.060.020.080.20.090.120.530.230.160.110.330.090.130.090.390.320.34
Hemoglobin810.99.498.37.78.78.88.98.48.58.68.38.58.18.37.897.89.29.28.7998.47.89.29.49.39.59.29.68.98.58.37.99.18.28.58.27.88.17.98.88.59.18.87.37.88.8
Platelets63565250495155575757646662605849524741394041434444383637353631322825242425232625283435394574106114101116
Peripheral blasts44512664111210131410752353323113
RDW21.220.420.320.520.119.721.620.820.520.220.120.120.220.420.520.820.721.120.518.918.918.418.518.618.818.918.118.11817.917.717.817.617.717.817.517.217.217.417.217.617.917.719.318.618.418.618.618.218.4
White Blood Cells6.757.97.38.38.26.97.59.298.17.77.16.85.45.74.24.47.15.95.74.34.22.63.432.42.53.33.53.13.23.53.132.32.50.93.12.92.42.12.72.12.22.22.51.31.31.80.8
ALT12272725244159615750444034384149453524201717181815162323222017161517171617161616131627303032292328
AST1217171816313834282223222022233024169121313111310111616141112121315161415141512111825262626232131
LDH196206193174152157178179154159178178158177181230216167148160164130150135134125126133140141144155146148158153175169143159147173178187176191207181195
Creatinine0.810.960.90.910.80.820.720.790.720.720.780.890.830.881.060.950.840.720.640.720.680.610.710.860.770.740.940.870.890.860.820.760.750.910.740.770.740.820.790.640.650.670.760.720.850.710.630.640.710.56
BUN24262020262928273031293227323129241919171824251819232123222221232320221925262019152019222216131410
Bilirubin0.60.40.70.40.30.30.30.30.30.30.30.30.30.30.30.30.60.40.30.40.30.30.40.50.30.40.60.40.30.50.60.30.30.30.30.30.30.40.30.30.40.30.30.30.30.70.70.7
Alk Phos887675746967667367677271767680737065716762666158545755576062717474869011094113114124123129132138169191187167
Albumin3.63.332.92.82.72.82.82.82.82.93.13.23.23.23.23.22.92.92.92.932.932.92.93.13.23.33.43.63.53.33.43.33.63.23.33.23.13.33.13.13.23.73.83.73.3
Potassium4.64.74.14.54.44.44.54.44.444.23.944.24.73.743.93.74.34.14.13.53.83.943.84.344.44.44.44.54.34.74.44.44.44.13.93.93.73.73.943.63.53.84
Uric acid32.62.32.122.12.22.12.22.52.62.72.43.13.23.12.72.62.82.62.62.92.92.72.92.82.93.13.33.33.33.63.43.23.13.63.83.23.13.23.63.23.53.132.82.3
Calcium99.38.899.18.98.98.88.99.198.898.898.88.78.88.88.9998.68.89.39.199.19.29.19.18.98.88.68.598.58.98.88.58.88.88.79.29.28.28.8
Phosphorus4.13.73233.133.53.53.73.83.53.72.82.53.73.43.13.73.33.23.63.43.13.53.63.33.13.43.844.13.63.82.84.24.34.23.83.43.63.54.23.42.52.63.62.6
Magnesium2.32.12.22.22.12.32.22.42.22.12.1221.821.81.81.91.91.91.81.91.81.82.12.22.22.32.22.221.91.91.91.921.82.31.91.81.71.81.81.91.91.81.71.9
Anion Gap10149109
Basophils (abs)0.070.090.050.060.030.040.060.020.040.030.010.02
Basophils %111211212112
Bilirubin (direct)0.20.30.20.10.10.10.10.10.10.20.20.10.10.10.10.20.20.30.20.10.20.20.10.10.10.10.20.10.20.10.10.1
Bilirubin (indirect)0.20.40.20.20.20.20.20.20.20.40.20.20.30.20.30.30.20.30.20.20.30.40.20.20.20.20.20.20.20.20.20.2
Marrow Blasts (BM biopsy)74
Chloride9797979910110196991031031021011031021049999100100100101102103103103102105103104102102105104106103109104106108108110109109107107106106105
CO2282626262524272524232224222423232625262625242424262727272625252525252324252422242223252221232322
CRP160.1412.7557.05
Egfr6576748677868678677368546272869186909288707983626967707481826583798374779191908186718891918894
Eosinophils (abs)0.220.250.090.270.240.230.070.070.160.170.040.060.060.040.040.030.030.030.020.030.010.03
Eosinophils %3313331133111111111114
Fibrinogen665509383236256452297205153137141147229172328391
Glucose1401481711459413112511499114100982331071051131161291301581211291359690881109089951161201131879388119134128121111122112123108130186
Hematocrit28.227.525.722.926.626.226.925.72626.425.525.824.925.524.526.823.927.328.726.727.326.72624.327.728.628.830.629.329.526.626.625.924.527.625.326.224.524.124.724.326.626.12827.324.324.127.4
Lymphocytes (abs)3.362.081.891.11.954.053.153.083.624.473.472.213.190.552.861.991.482.912.241.811.222.042.281.421.953.143.292.792.913.122.672.852.232.280.62.982.611.661.722.41.971.852.072.281.030.71.310.25
Lymphocytes %462523162644353847635141561365282551524347607659789594909189869597916796906982899484949179547331
Mch30.329.93030.429.329.229.32929.128.92929.129.128.928.728.828.928.828.228.328.929.128.528.628.828.528.627.52828.729.228.228.228.628.728.728.629.428.828.728.828.828.128.328.529.227.628.5
Mchc33.332.732.333.632.733.633.132.732.732.632.532.932.532.531.833.632.633.732.132.63333.732.332.133.232.932.33131.432.533.5323232.23332.432.433.532.432.832.533.132.632.532.232.932.432.1
Mcv919193919087898989898988908990868985888788868889878789898988878888898789888889888987868788898589
Metamyelocyte Pct333214323946235221111
Monocytes (abs)0.881.161.310.91.652.021.81.541.390.280.951.080.910.50.792.342.541.310.691.130.520.580.420.580.30.030.070.120.060.070.220.090.050.130.10.030.120.190.110.110.020.020.020.10.170.160.140.16
Monocytes %1214161322222019184142016121833432316272017142412124227325111485411141312820
Mpv10.9111311.910.711.1
Neutrophils %304352634721262717151524147011292620282631207169446687213223422116515457301843
Nucleated RBC0.30.20.7
Glucose (point-of-care)191176143205
PT (clotting)15.214.51515.214.915.714.815.315.114.614.714.814.714.814.815.6
PTT (clotting)23.519.319.221.61721.820.219.520.721.721.621.922.824.724.525.1
Rbc3.13.012.772.532.973.013.042.92.922.982.862.922.782.872.723.122.73.23.263.073.113.092.952.733.23.33.253.453.293.353.053.012.942.763.172.862.972.792.712.822.743.063.023.223.092.742.833.09
RDW-SD67.468.167.76570.466.665.165.265.464.565.766.466.467.266.864.464.958.160.257.358.35759.259.556.256.257.157.156.356.154.655.855.755.554.153.955.654.555.256.155.859.957.756.956.756.153.354.4
Sodium134131132134135133130134136135136134137136136134133134134135137138138137138139140139139138136140138138135141138139140141142140141139142138139136
Total Protein7.16.96.86.66.56.676.86.66.86.66.86.66.56.56.56.16.36.46.36.46.265.75.966.16.366.46.15.75.85.565.45.65.35.35.35.35.55.266.16.15.7
We ❤️ You Mom!