For the computer literate, keeping all medical records on the computer is a good option. Parents can print out bar graphs of the blood counts in relation to chemotherapy and quickly spot trends. You can also keep a running narrative of your thoughts, feelings, and concerns during your childs treatment. As with all other computer records, keep a backup copy on a separate disc.

At our hospital, the summary of counts for a given child can be formatted to print out as a "trend review" with each date printed out on the left side of the page and the various values (HGB, etc.) in columns down the page. The system permits printouts from the very first blood draw if that is desired. Periodically, on slow days, I'll ask if I can have a trend review. Then I can discard the associated single printouts (much less paper that way).

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