Kezia was meant to start the second (reconsolidation) part of Delayed Intensification 1 (the fourth phase) yesterday. This involves an intravenous dose of cyclophosphamide which itself is particularly nasty. To counteract potential side-effects, especially damage to the kidneys, the child has to have a dextrose/saline drip for 30 minutes beforehand and 3.5 hours afterwards, although the administration of the drug itself only takes 20-30 minutes. This makes a very long day.
However, her neutrophil count has not recovered to >0.75 (x 109/L) so the start of reconsolidation has been postponed a week.