Today’s good information: I arrived to meet up with everyone (Tom, Kim & Lee) after 10am at the hospital. They were already in visiting and Jenny the nurse didn’t want more than 3 at a time with her, so Lee left. The lasix has certainly drained off enormous amounts of fluid from her system, probably placing her into a more normal realm. Her legs and feet were also back to normal in appearance. According to Dr Amean her heart and kidneys are functioning well. Can you tell I’m feeding you all the good information first?
Bad information: Unfortunately there is a lot to swallow. Yesterday the loaded her system with 2 units of whole blood and a “six pack” of platelets. This raised her platelet level up to 30k and in two hours it was back down to 19k. In addition to her body killing off the new platelets, it has also started destroying the red & white blood cells. The fancy name for this process is autoimmune hemolytic anemia and thrombocytopenia (for the platelet problem). Nothing like having your own immune system try to sabotage your body. She is also experiencing bleeding in her lungs. Her “sucky stick” (a suction tube she can place in her mouth) was showing the remains of what had been coughed up. To top it all off she has a gallbladder stone blocking the way which is causing a low grade infection. How much more can her little body take? Holy crap!
So she is receiving antibiotics, IVIG (intravenous immunoglobulan which helps replace her depleted antibodies), glucose, and a multitude of other drip system goodies. Her appearance is not good (sunken eyes doesn’t look good on anyone). However Dr. Amean said that “on paper, she could come through this one”. But Evelyn has not done things according to books. Her body/mind has certainly not taken the easiest route through the past many years. The good doctor wants to wait until Monday for steroids and IVIG to take effect. If it doesn’t, then we will make her as comfortable as possible with medications until the end comes.
Tom headed back to Bend, Lee was off for his second visit and Kim was going to take a nap. I drove back to Albany to get this posting in and try and decipher all the terminology Dr Amean threw out there today. If you have further questions on the autoimmune problem or immunoglobulan, give google a try. There is certainly loads of information out there. I just wish I wasn’t learning it under these circumstances.
8 bald eagles today on the drive down.