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Day 2 his ANC is 0. He has had a cough too that doesn't sound like his normal cough. It's concerning me and so I called med room and told them. 2 hours later he spiked a fever 101.0 so that is our automatic admission for at least 2 days inpatient at the hospital. They drew lab cultures and have to wait 2 days to see if anything grows off it. If it is a nasty bacterial infection of any kind it would grow in the cultures within 24 hours. So its always good when you hear nothing from the cultures. They automatically give antibiotics to start combating anything that might be going on.