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Posts Tagged ‘neutropenia’

Labs, Dog Problem

July 10, 2008 Leave a comment

Yesterday, I had my labs done. Again, I drew them myself from my fistula, so I didn’t need multiple “sticks”.

My neutropenia is resolved, as my WBC is back up to 2.67 (last week, it was 1.2).  My hemoglobin is now rising (up to 9.9), and my creatinine is rock stable at 1.2. My glucose was up, but I had eaten breakfast before, and rushed to get to work right before drawing my labs. And my Prograf is within desired range of 8-10. I did update my labs on the Vital Signs and Labs page.

I did ask the nurse about my hemoglobin, and she said that it may take a couple of months for the transplanted kidney to “kick in” with erythropoietin production. Apparently, that’s beginning to happen now.

Our “middle” dog, Kelsea (12 year old English Springer Spaniel) had another episode of geriatric vestibular syndrome . She first had this back in April, and it eventually resolved with time, although her head remained slightly tilted to the side. Now, it’s tilted almost completely sideways. We got some Bonine last night, and at least it’s keeping her from vomiting. It doesn’t seem to be as bad this time (no vomiting so far), so I’m hoping it will resolve quickly.

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Transplant Day 61, Neutropenia

July 3, 2008 2 comments

I’ve been fairly busy this week, with going back to work, finishing some odds and ends, etc., so I haven’t been updating my “Daily Vital Signs” page. I did do that today. My BP has been decent, weight is stable, and no fever. That last one is extremely important, as my blood work yesterday showed Neutropenia (my ANC is 0.88, which would indicate moderate Neutropenia).

I did speak to the Transplant Nurse, and the surgeon is decreasing my Valcyte to 450 mg once a day (it had been twice a day). It will take a little while for my white count to rebound, but if it doesn’t, they will probably start me on Neupogen.

I feel great, except last night, the fact that I’m now back to work full-time apparently caught up to me, because I was asleep by 8pm, and didn’t get up until 6 am today (except for some bathroom breaks).

Another thing I’m not used to is that I make about 4 trips to the bathroom while at work. Of course, I hardly ever used the work bathroom when I was on dialysis.

I can tell a BIG difference in my brain function since returning. I’m no longer “clouded” mentally. Prior to surgery, it was definitely noticeable, and made me frustrated.  Now, I can think so much more clearly.

The “theme of the week” for phone calls seemed to be MRSA, which is Staph bacteria that are resistant to certain medications. I must have had at least 1-2 calls on this each day.  Today, I spoke with the mother of an infant who had a cellulitis and abcess of the buttock from MRSA, and was hospitalized 2 months ago for it. Today, they are out of state, and his leg has a lesion exactly as before, but not yet as bad. So, he earned himself a visit to an out-of-state Emergency Department.

We also had a child admitted to ICU today with a heart rate of 270 and symptomatic. She has SVT. Although we have several admissions to the hospital each week, rarely is it to the PICU. Once they get her heart rate down, I’m sure that she’ll do OK.

I did post on MyKidney about Informed Consent with Transplants. Check it out if you have a minute.

Happy Fourth of July everyone!