Day +22

A month ago, we were counting down the days until transplant.  It was 4 days until admission to begin chemo.

Today, we are counting down the days to her planned discharge! It is 5 days until she is due to be released!  We are praying that she continues to be as well as she has been!  My hands are shaking with excitement as I type this.  It is rare that anyone be discharged less than 30 days after BMT, but so far, so good!

Our targeted discharge date is Tuesday, Feb. 11.  We are awaiting her cyclosproin levels from this AM’s labs to start her on an oral dose.  I already have the empty gelcaps here ready to be filled.

While typing this, we had opportunity to cheer because Naomi was told she can leave the room and go to music class today.  We are hoping that she might be able to see Caitriona, too, but we have not received confirmation on that yet…. We are now busy preparing everything for discharge.  I will move to the Pasadena RM House as soon as our room becomes available, probably Sunday.  I am getting all my training signed off to do her home care: dressing changes, flushes, etc.  These are things I have done before but need to be “certified” by COH as them having witnessed me doing them.  We are preparing to have all her meds ready, and fortunately, the case manager and insurance company will do all that for me this time, leaving me with less concern than last time we were waiting for discharge.

We are very excited to move into the next phase of her post-transplant care.  She continues to eat and drink fairly well.  Her creatinine levels are good indicating she is drinking adequately and her kidneys are functioning well.

Her last blood transfusion was on Day +15.  Here are her labs since then:

Date Platelets (150-450) RBCs     (4.10-5.30) Hemoglobin (12.0-14.5) WBCs (3.4-10.8) ANC (2.0-7.3)
+15 1/30/2014 37.00 2.85 7.8 0.1 0.0
+16 1/31/2014 30.00 3.91 11.9 0.2 0.1
+17 2/1/2014 27.00 3.66 10.7 0.2 0.1
+18 2/2/2014 29.00 3.51 10.6 0.3 0.1
+19 2/3/2014 35.00 3.45 10.4 0.3 0.1
+20 2/4/2014 43.00 3.39 9.9 0.4 0.1
+21 2/5/2014 52.00 3.31 10.2 2.3 1.7
+22 2/6/2014 60.00 3.20 9.9 4.7 3.9

There has been no mention of another dose of neupogen today since she jumped up to normal range.  It is possible, the doctor said, that we can expect a slight decrease in her WBCs as the neupogen doses end, but it will allow the her new marrow to make more RBCs and hemoglobin to maybe climb a bit more, too.  She has been so Blessed!

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