Emily is doing better and we are starting to have more of an idea of the things causing her symptoms. Her pulse has slowed after her transfusion, she was very anemic and that seems to have made things better. Her temp is 36.6 (which is normal) and has been for 16 hours or so. She is not taking any tylenol per the Doctors order to see if she really doesn't have a fever or if the Tylenol was masking it. But she hasn't had Tylenol or Codeine since 6am and no fever ! They are fairly certain that the leg pain is from withdraw from Dexamethasone, or favorite chemo drug that keeps on giving. She is neutropenic because it is 13 days after her last dose of Doxerubicin and day 14 you expect to see it at full effect, so that explains why she is neutropenic. She was admitted with an ANC in the 250's, and at her last blood draw Tracy calulates it in the low 400's. Emily would need to be at least 500 to be allowed to leave the hospital, we stay until that happens. Also note, Tracy is not an Oncology nurse and calculating ANC is not trivial, so that number may change, once we see an actual Oncologist. (just kidding they are very accessable to us, we just don't need to know so we are waiting.) She also had a slight improvement in White blood cells, which means her marrow is at least doing something.
All in all the symptoms are explained at least. Tomorrow we should get results of the blood and urine cultures from the ER visit to see what exactly this infection is, and if we can treat it with a more appropriate antibiotic. Right now she is on a kill all antibiotic and it's most likely working, it seems to be from these lab results.
We aren't in the clear, but have a better idea of whats up here.
Emily is feeling OK, super depresed about being back in the hospital, but she remains her positive self dealing with this like a real champ. Let's all hope her ANC spikes up soon.
Sunday, September 21, 2008
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7 comments:
Em, you are such an incredible girl, getting rid of the infection so quickly! We hope you are home in your own bed very quickly!
Things are so much less scary when you know what is going on and finally have a plan for dealing with it all...Maybe Chris and Tracy will even fit in a little sleep themselves. I am keeping my fingers crossed that Emily will be home and playing more like her old self early this week.
Celia
So glad there are some answers. Hope the cultures give you some more. I always hate waiting for cultures, because until they come, the antibiotics are all guesswork! Thinking of you guys.
We're saying lots of extra prayers for you guys! We hope Emily is home and feeling better soon.
Emily,
I have been thinking abut you a lot today and hoping that things are starting to get better for you. It sounds like there has been some improvement. I hope you have a restful night and are feeling even better tomorrow. Tracey and Chris, I hope it is some comfort to you knowing how many of us are praying for you and Emily and Hailey everyday.
mrs. breit
Emily,
I have been thinking abut you a lot today and hoping that things are starting to get better for you. It sounds like there has been some improvement. I hope you have a restful night and are feeling even better tomorrow. Tracey and Chris, I hope it is some comfort to you knowing how many of us are praying for you and Emily and Hailey everyday.
mrs. breit
Chris and Tracy,
My heart is feeling for you guys. You are all amazing fighters and I am praying for you that your strength is always there for you to draw on. Celeste is worried about Emily and hoping to hear that she is feeling better soon. Reading this has spurred me to make another appointment to give blood at Stanford. Thinking of you guys!
-Cathie Watson-Short
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