Cure, I think Bob answered your question.
Once my white blood count hit below 100, I am considered neutropenic - as my neutrophils are at zero. Most susceptible to anything and everything - and as such, I am on meds to prevent as much as possible: antibiotic, anti-virals, anti-fungals, etc. Wash hands a lot, not allowed in crowds, when I leave the hospital, I must wear a mask, things like that.
I understand your concern - and from what I can tell - yes, when one is neutropenic, a fever can happen - it is quite common...and that can cause one's symptoms to flare-up and make a presence...but it's temporary. If you get a fever, they watch you CLOSELY. If it rises above 100.4, you call in and they may have you come to the hospital to check you out. I met someone today who says her symptoms have been bad, etc. but it is important to remember, I guess, that is would be temporary.
Having an infection or fever - it doesn't compromise the treatment result. The chemo is in - it has done its job - it has killed off your immune system (thus, why you would get the infection!).... This person I referred to did have an infection....and he was on IV meds for a bit...but at this point, even though he was in the hospital nearly a week - it didn't slow down his progress much - he is "better" now - and getting ready to get out of here altogether. His numbers are back.
Thing to remember is - despite things that some have said - you do not get the HiCy and boom, the next morning you're cured. You still have MS. Only time will tell the results. (Just like cancer and chemo, so to speak.) I was outside last week - after the chemo - but before my counts dropped - and it was HOT - and my symptoms were definitely aggravated - I didn't expect anything less than that - it will take time to heal the damage. The person I met today who said she felt her MS symptoms were "worse" the last few days....I doubt she is having an actual exacerbation in the true meaning that the lesions are activated - but it seems like being in this immuno-compromised state has made her symptoms act up quite a bit. At least that is my thought.... same thing for the other person who ended up in the hospital. I don't think his "complications" were from the actual chemo, per se, I think it (the infection) caused his sx to flare up and act out! The same way an infection does that to many people with MS regardless of the hicy!
Does that make any sense?
We do not stay in this neutropenic and vulnerable stage a long time. I had my third dose of the growth factor today...this will stimulate my stem cells into restarting the new immune system....and my counts should come up within a week from now. Actually, apparently, my platelets may continue to drop, but the WBC will come up within a week, hopefully. Thing is - there are no definites - some people's counts come up faster - some slower...same for dropping. It seemed like my counts took long to drop. But now I am where I want to be. I think I may be at my bottom and hopefully, they will all kick-start soon and build up. Can't go home until my immune system is back online!
Cure, I'm not sure I answered your question - and again, you'd always want to confirm this with the doctors - but from the questions I've asked - this is what I got from what I've been told. Hopefully I've conveyed it correctly...
If you are interested at all in this treatment, I say to send your records over to them and then talk to them. They will talk to you - they are all very approachable - and they are the best people to answer your questions.