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Oct. 28, 2009
bumpity bumpity bump
Noah continues to bumpity bump along, doing a little better here, a little worse there. Many of his labs are considerably better - his CRP (an indicator of infection which should be 3 or less) was a.most 100 when he was admitted and is now 20-something. His coagulation factors are looking MUCH better (YAY!).
On the other hand, his ferritin was about 70 (normal) 2 weeks ago, then about 1,000 upon admission, and is now over 5,000. We're just seeing lots of strange and inconsistent labs with no clear picture.
The HemOnc (hematology/oncology)doctor are starting to take a more active role as there is increasing suspicion of a bone marrow issue such as a hemophagocytic syndrome. Dr. S from HemOnc ordered some labs yesterday and will be back this evening or tomorrow. Any "next steps" will probably be contingent on the results of those labs.
Noah is really, really, really tired. He can sit and play in bed for a few minutes (and looks pretty good while doing so) but needs to lie down and rest/nap very frequently. He went to bed on time last night (a bit after 9) and slept in until 12:30 this afternoon!
We've been unable to clamp off his g-tube as he has vomiting any time he isn't draining his stomach contents. We're trying again today but gave IV Zofran for nausea right away instead of waiting for him to start throwing up. We'll see where that takes us. It would be great for Noah to stay unhooked - not only would it be an important step toward returning to baseline, but it would be one less tube for him to get tangled in. Right now the little guy is getting (all IV) TPN, lipids, normal saline replacement fluids, D10+K, and 4 IV drugs - 1 via a bag and 3 via syringe pumps. That is a LOT of IV tubing going into one little critter and he is constantly getting tangled up! I sure hope we can cut down on some of those lines before he decides he is ready to get up and get moving.
I'll update when I know more. I kept waiting yesterday for HemOnc to come, thinking I would have more info, but really all he did yesterday was look at Noah and order labs.
Again, thank you for all of your prayers.
Blessings,
Kate |
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Oct. 28, 2009 - Still Praying...
Be blessed, and praying you all get the rest you need!