Today’s stats: platelet count down to 9k. White blood cell level down to 1.4. Her bone marrow is not producing any blood.
Mental state is total denial of what’s happening to her body.
She is not going out without a fight.
Jenny the nurse has been on the receiving end of her attitude shift. They had some sort of tiff between them today, but fortunately she has the next 3 days off. Talk of hospice also didn’t go well. When Lee visited, he was directed to feed her ice chips for well over an hour even though she can do it herself. Kim, Dave & I arrived around noon and stayed for 45 minutes with her until she told us to leave. Kim and I both feed her some ice as well. What little control of life she has she is taking and demanding the bone marrow biopsy on Monday. Trying to boss around the nurses and family will continue as well.
Checking the web I’ve run across a disorder called aplastic anemia which seems to match her marrow problems. It’s characteristics are slow to no production of any blood cells (as you may remember, there are 3 types of blood cells the marrow produces). Not all bone has marrow to create blood. The stem cells in bone marrow creates the blood. In younger people harvested stem cells can be inserted into a bone and it is possible for it to start producing blood again. However Evelyn will not fit into this category. The marrow biopsy will let her know that nothing else can be done. Maybe then she will accept it and allow the discussion of hospice to start.