We had a good visit in clinic today. It was a pretty short visit, we were in and out in about 2 hours. Olivia's port worked beautifully. The nurse practitioner went over the results of Olivia's CT scan from Friday. Since they did a complete CT in June (pre-transplant) they were able to compare the two. Basically it shows that her sinuses are completely blocked which is what we were expecting. Prior to transplant we knew that Olivia has some skeletal issues that prevent her sinuses from draining well. These skeletal issues are the result of her MPS and Dr. Paul believes that over time they will improve. It will take years though before we begin to see any skeletal changes. In the mean time we'll have to manage her sinus issues with a combination of antibiotics and, when it becomes necessary, sinus surgery. Overall Olivia is feeling much better, she's back to talking and playing more. I don't know if the oral IVIG is making a big difference. She's still having one bowel movement a day and while it's not diarrhea it's not regular poop either. We do have the right combination of antibiotics on board now, her white blood count is continuing to decrease although these antibiotics might also be causing some of her bowel issues.
Someone asked about Olivia's counts so her they are:
Hemoglobin: 11.2 (normal range is 10.5-13.5)
White Blood Count: 9.2 (normal range is 3.8-14.0)
Platelets: 272 (normal range is 150-4)
Wednesday will be our long day in clinic. We're looking forward to seeing Dr. Paul and finding out when we can leave Durham. Her speech, occupational and physical therapy were all scheduled to start in Fayettville this week so I had to push those back a week. I'm really hoping that I don't have to cancel next week as well but I guess we'll see.
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