Vincristine

So she got vincristine every week.

And then when she was inpatient, she got vincristine, dactinomycin, and cyclophosphamide.

Vincristine is classic for causing neuropathy.

Some people get drop foot from it.

Olivia has less flexibility in her calves because of it and had to wear some PT boots every night for several months to try to prevent further tightening, but it could have been much worse.

But you're told that, you know, the absolute neutrophil count is within the reference ranges, and that there is no evidence of myelosuppression.

If you see something like this, what should you be thinking about? I really hope you're thinking about, um, vincristine toxicity.

Vincristine.

Remember, vincristine is a vinca alkaloid.

It's one of these chemotherapeutic agents.