Later in the morning, Krista developed some very dense pitikia on her feet after using the commode. That is usually a sign that her platelets are dangerously low, so we got her back in bed and had her rest until our afternoon office visit.
I took advantage of the down-time to take care of some errands. JJ Gobel was coming down to donate platelets and brought down our mail and other stuff that Monica put together for us. I went to meet him at the blood bank. I didn't see him right off so I met with Jaime, who seems to run the place, to ask a few questions about delays we've seen. He says that there is at least a 48 hour delay to make a donation available for transfusion. Once the platelets are donated, a sample is shipped to Arizona for testing. That testing has to take place, even for donors who have given before.
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The next stop brought me to Jeanne Axelrod's house. She let me know that she loves doing laundry, and my laundry pile was getting to be pretty big. I wish I could have stayed longer, but I felt bad about leaving Krista alone for too long with her platelets being so low. Thanks Jeanne for helping out like that!
When I got back, Glen and Janelle were already there. Janelle hard-boiled some eggs for an egg salad sandwich (minus the bread), an easy-to-chew and easy-to-store food for Krista to be able to take a few bites from. Then we all took the shuttle together over to the hospital for our afternoon office visit. We met another couple waiting at the hotel shuttle stop; the husband was in a wheelchair as well. We got to talking and discovered that they are from Paso Robles and he received a stem-cell transplant for a rare form of lymphoma ten days before Krista and was just recently discharged. They shared many of the same complications, including liver failure and a lengthy stay in the ICU. It was encouraging for both of us to see another couple going through the same things she's been through -- hopefully it was the same for them.
While Krista got her blood drawn, Glen and Janelle went to the cafeteria to get me a larger lunch to keep me running. When the labs came back, I was shocked to learn that Krista's platelets were at 22,000. I couldn't believe it after seeing the pitikia this morning, but the nurse reminded me that 22,000 is still a low platelet condition that can cause pitikia. They don't normally give a transfusion at this level unless there's bleeding (which fortunately there wasn't). I was nervous about going into the weekend without getting a transfusion. If they dropped and she starts bleeding, we would have to take her to the emergency room. Fortunately, HLA-matched platelets were available, and with a special doctor's override of the rules, the transfusion boosted her up to 46,000. I think I'll sleep better starting off with that much.
Many are asking, "Who can show us any good?"
Let the light of Your face shine upon us, O LORD.
You have filled my heart with greater joy
than when their grain and new wine abound.
I will lie down and sleep in peace,
for You alone, O LORD,
make me dwell in safety.
(Psalm 4:6-8)
2 comments:
Krista and Mike!
On your February 13th entry you mentioned a patient who came out of ICU--it was us! I am always excited about God's plan for us. I know meeting you at the shuttle was scheduled in His time. Terry and Monica Campbell
It was so nice meeting you too! I hope Terry is doing better each day. I have seen progess each day too which gives me hope, even though there have still been very bad days physically. Let's keep in touch - my email address is kristaenglish@gmail.com and we can exchange info that way. I might be going home this Tuesday if nothing changes. I'm experiencing mild GVHD in the form of a skin rash. Has Terry experienced any GVHD?
Krista
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