How you can help:
1. Donate Blood: http://www.givelife.org/ for locations
2. Register to become a potential life saving bone marrow donor: http://www.marrow.org/
She's awake today, they reduced her ativan a bit to keep her more awake and alert. She was breathing on her own earlier this morning with pressure support. The dialysis seems to be going pretty good! You can see in the picture below how much fluid they got off from just this morning!
One of Dawn's many GREAT nurses holding fluid taken out just since this morning!
Here counts are still looking great! Her liver bilirubin has come down slightly to 5.8. I'm glad to see it stopped getting worse.
So things are still looking good for engraftment. They've stopped a few antibiotics because her counts are looking good, no signs of fever or infection, and they're trying to reduce the number of meds (fluids) going into her. They're also going to stop the neupogen shots (G-CSF) for a few days. The neupogen shots stimulate the bone marrow to produce more blood cells so her counts may drop a bit because of this, we'll see. The neupogen may be contributing to the fluid retention so they're going to try and see if it gets any better and if her counts can continue upwards without the shots.
They just finished replacing her central line that goes into her neck. They put the line in yesterday to do the dialysis and apparently the end of the line was up against a vessel or something. They needed to push the line a bit further in but they can't just do that because the line that's exposed isn't sterile. So they had to replace the line completely. They actually have to move the line AGAIN! but this time they have to pull it out just slightly, which they can do using the existing line. She looks a bit more swollen today, even with all the dialysis, although she's been off the machine since about 2:30 in preparation for the line replacement. She's also running a fever, 101.8 right now. They're concerned about pneumonia so they just injected a bit of fluid into the lungs and pulled it out to get a sterile culture of what's inside. There is some good news in all of this, her counts continue to rise, rapidly. Her WBC is up to 1.89 and her neutrophils are up to 1.342. Even her hemoglobin is up to 10.4. Dr. Stuart said the rule of thumb for engraftment is 3 days with neutrophils > .500 so tomorrow morning should confirm this! I'm waiting on the Dr. to come in and reset her line and then she can get back on the dialysis machine. I can tell she's very frusterated and tired of all this.