Lisa's pre-chemo blood test showed some improvement in her red blood count (so slightly less anemic) but still well below the normal level and she has other blood chemistry elements that are out of range.  She had a chest x-ray which showed no signs of infection or fluid buildup, so Lisa had her normal chemo treatment this afternoon.  She'll have another next week, and then at the end of the month will have CT and PET scans to evaluate the effectiveness of the current treatment.

The doctor said that Lisa's fatigue level and tendency to get winded so easily goes beyond her anemia, and is part of being so "run down" from the long-term effects of chemo.

As usual, shortly after getting home from the cancer center, Lisa has gone to bed and to sleep.