Day +16: higher and higher
White blood count: 3.9 billion per liter (normal is 5.5-17.5)
Neutrophils: 1.6 billion (normal is 1.0 - 8.0)
Platelets: 19 billion, received transfusion (thanks, Emmasdadda!)
AST: 172 (normal is 16-41)
ALT: 394 (normal is 11-55)
GGT: 244 (normal is 5-39)
Bilirubin: 1.1 mg/DL (normal is 0.3-1.3)
It's that last number that gives us hope there's nothing seriously wrong with her liver. Bilirubin is what causes jaundice and other problems if it starts spilling into the bloodstream. Her number is up a notch from yesterday, but still within normal range, despite the rapid spike of the other liver function numbers. The attending physician consulted one of the two bone marrow specialists here, who said it could still be a reaction to the chemo and radiation conditioning. They're planning to reduce her IV nutrition further, from 20 hours today to 16 tomorrow to 12 on Tuesday. Still no tenderness or enlargement of the liver, so everyone is hoping the problem resolves itself over the next few days.
Otherwise, her spirits are excellent. She had a nice day today with our friend Christine ("Ti-ti"), who is visting for a few days from Seattle. She's still puffy from fluid retention, but they've stopped the diuretics and she's doing fine with her urine output. We finally put her on a continuous morphine drip, which seemed to help even our her moods some. We probably should have done this earlier because she has definitely been in some pain. Hopefully she'll only need it for a few more days as her new white cells start healing things up. She had some rice for lunch today and drank 5-6 oz. of milk in the evening, so that's another good sign. We're planning to get some whole milk yogurt in here tomorrow; I bet that hits the spot.
Neutrophils: 1.6 billion (normal is 1.0 - 8.0)
Platelets: 19 billion, received transfusion (thanks, Emmasdadda!)
AST: 172 (normal is 16-41)
ALT: 394 (normal is 11-55)
GGT: 244 (normal is 5-39)
Bilirubin: 1.1 mg/DL (normal is 0.3-1.3)
It's that last number that gives us hope there's nothing seriously wrong with her liver. Bilirubin is what causes jaundice and other problems if it starts spilling into the bloodstream. Her number is up a notch from yesterday, but still within normal range, despite the rapid spike of the other liver function numbers. The attending physician consulted one of the two bone marrow specialists here, who said it could still be a reaction to the chemo and radiation conditioning. They're planning to reduce her IV nutrition further, from 20 hours today to 16 tomorrow to 12 on Tuesday. Still no tenderness or enlargement of the liver, so everyone is hoping the problem resolves itself over the next few days.
Otherwise, her spirits are excellent. She had a nice day today with our friend Christine ("Ti-ti"), who is visting for a few days from Seattle. She's still puffy from fluid retention, but they've stopped the diuretics and she's doing fine with her urine output. We finally put her on a continuous morphine drip, which seemed to help even our her moods some. We probably should have done this earlier because she has definitely been in some pain. Hopefully she'll only need it for a few more days as her new white cells start healing things up. She had some rice for lunch today and drank 5-6 oz. of milk in the evening, so that's another good sign. We're planning to get some whole milk yogurt in here tomorrow; I bet that hits the spot.

6 Comments:
At 5:42 AM PDT,
Anonymous said…
Way to go, Mina. Keep those counts going in the right direction. Your fighting spirit should do away with the liver anomaly soon. There are so many special prayers from so many people pitching in on your behalf as well.
Love and peace,
Hari
PS. Arne, are they giving Mina growth factors to boost her counts?
At 8:22 AM PDT,
Anonymous said…
The four of you are always in our minds. Notes from Mark and Jenny sometimes fill us in when we hadn't checked for the latest updates. Wish we could be there to help relieve the two of you, but know there is nothing we can do in that regard.
Arne, so nice that you can keep all of us so up-to-date on Mina's progress. And dear Keri--stay strong.
Luther (and of course Margaret)
PS Yesterday was Pentecost and the bishop was in our church to confirm the new members. In his sermon he commented that some have suggested that the qualities of a dove aren't necessarily the most appropriate--and that the symbol of a goose may be better--more active and powerful. However, I couldn't decide whether Father, Son and Holy Goose or Father, Son, and Holy Honker had the best ring. I suspect that he had never considered one thing, we all know what the icon of the dove descending looks like--but can you just imagine for a minute the vision of a descending goose?
And yesterday afternoon was our Ohio Norsemen celebration of Syttende Mai, when we were finally free of those darn Danes. I gave a little talk on writing family stories--and again our thoughts were on you all.
At 12:35 PM PDT,
Anonymous said…
Hi again,
Gosh, there is so much going on... The last day sounded good, so we pray it will continue that way. Lots of love and a big, big hug to a strong little girl,
Pia
At 12:45 PM PDT,
Anonymous said…
Hi Mina,
Just wanted to give you a great big HUG and KISS from all of us we are thinking of you lots. Feel better soon and keep it UP.
:) :) :) :)
Keep smiling that pretty little smile!!!!
Love,
Cousin Karissa,Zane and Zoe too!!!!!
At 2:22 PM PDT,
Anonymous said…
Dear Darling little Brigitta--we
have a sign on our kitchen counter that says "Pray for Brigitta today"
We do pray for you daily and are
pleased to see the improving numbers for you. All our love,
Earl and Barbara Tilly
At 4:43 PM PDT,
Anonymous said…
Have been away from computers for a few days. Delighted to return to find Mina's counts returning. Big hugs and love to you all, the journey must be tiresome. Love,
Renee
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