Wednesday +275 (Evening)

Just a quick note to let everyone know that Jackie is slowly improving. She is still having bouts of pain, but it isn't as severe. She is still having problems eating, but it is better. She continues to lose weight. She still has a significant lack of energy, but it seems better. On a scale of 1-10 in terms of well-being she is at about a 5.

She had her weekly blood word completed yesterday. Her counts continue to improve. Her WBC count was 7.6 up from 5.2 last week. This is within normal ranges. Her neutrophils are still low at 1.1, but up from 1.0 last week. Lymphocytes are still a bit high at 5.9. Her RBC (HGL-hemoglobin) is still a bit low at 3.57 and 11.3 respectively. Normal ranges are 4.2 to 5.4 and 12.0-16.0 respectively. Her platelets have declined from last week's 163 to 145. Normal ranges are 130-400 so she is within normal ranges.

We see no clear reason for her problems, but GvHD is a likely candidate. Her C-Diff seems to have completely resolved so that doesn't seem to be the cause. If she is experiencing some GvHD it doesn't seem that it will be too severe. She has been able to reduce her anti-rejection medication to a small amount. Her Prednisone intake is also very low. If GvHD is the answer, these medications can be adjusted to help ease the symptoms.

Until Later....

Bruce and Jackie
From Pryor