Yesterday I reported that her liver enzymes were back in the normal range. Wrong information. They're trending down, but still elevated. The bilirubin is up to 30.1 (normal .2-1.3). What's more concerning is her white count and the presence of blast cells. Normally blast cells are only found in the bone marrow and they make up less than 5% of cells in the marrow. When they make their way into the peripheral blood it becomes a concern. Dawn had 1% blast cells yesterday and 9% this morning. Her white counts are WBC: 33.14 (normal 4.8-10.8), Neutrophils 25.518 (normal 2.2 - 7.6). Her hemoglobin is 7.7 and platelets are 13 (extremely low). I'm not sure what to make of the elevated white counts and blast cells. Normally I would look at this and say leukemia but the doctors don't seem to think so. She had a FISH test a few weeks ago and it showed no bcr-abl gene and it showed 100% donor cells. Dr. Stuart said it would be rare to have blast cells this soon with a test like that and he thinks the marrow is stressed. There must be some concern however because they're going to repeat the FISH test on Monday and have it rushed. We should know something on Tuesday or Wednesday. Her breathing seems to be the same.