4/4 (sick visit to ER just in case, with tummy cramps- turns out to be just a bug combined with constipation.) white cells 5.9 Red cells 3.73 Hemoglobin 12.0 Hematocrit 35.5 Platelets 128 Neutrophils 85 Lymphocytes 7 monocytes 6 eos 2% BASO 0% Neutrophil real count 5 (smear of blood under a microscope)
The numbers we watch are platelets and white cells, and the neutrophils and lymphocytes and monocytes, which are the new stem cells being produced, which shows bone marrow production, yeah!!
Now, again remember the body produces more white cells and neutrophils when you are sick. So there are some changes both up and down, but all the changes show good response. Riley's body is responding naturally the way it should to a cold or flu.
The cyclosporan suppresses his immune system so it doesn't fight itself. The risk with taking him off the drugs is that his bone marrow will shut down again and his numbers will fall off. The awesome red cell count and Hemoglobin and platelet count, and a white cell count pop and then not crash all the way to 2, indicate that all is going as it should. We are now hopeful for a full recovery. Modern medicine is amazing.
4/14/2011 white cell 3.5 red cell 3.78 hemoglobin 12.4 Henatocrit 35.5 Platelet count 174 Neutrophil 53 lymphocyte 8 eos% 5 BASO% 1.9 Neutrophil # 1.9
I didn't get to go to this visit as I was laid up with that bug and feeling not up to the visit. Besides they are very strict about bringing bugs into the hospital. Tom and Riley were very pleased with the meeting. Everyone got their way. The doseage change is in the morning , a whole 50 milligrams. Then in a month another 50 milligrams. A whole hundred milligrams all before we see the doctor again.
I am a liittle stressed at the two months lag in blood test, but we are switching insurance also and that will help with the ease of transfer. Besides at the first indication of a problem, I would be rushing Riley to the ER or getting him a blood test. The key is not to sit and stare at him waiting for him to pop.
Riley told me he still has that loose tooth in his mouth from last year, spring. The doctor told him not to pull it, to let it fall out naturally. Well, Riley has it lodged in that hole and is not going to let anyone touch it, no matter how ready it is to come out.
He presented "how to make brownies" to his speech class. The comments were all wonderful. Other than needing to make eye contact with the audience more, they all said they loved it. They had little note cards to write their comments on, in pretty hand writing, unlike my boys' hand writing. Riley tells me other than three other boys the class is all girls. Today's presentation was from a girl on "how to get ready for the prom". Riley yecked at the topic but you can tell he enjoyed it. He liked the audience of girls liking his cooking demonstration. He picked the topic himself. He has such a sweet tooth he has had lots of practice making brownies
I sent Riley off to school with a basket full of items for the cooking demonstation; a table cloth, a chefs apron and hat, along with a toaster oven and all the ingredients for the brownie mix in little lidded ramikins with a mixing bowl and wisk. He made up a batch of brownies the night before so he could show the finished product and serve it to the class. He even took whip cream in a lunch cooler on an ice pack. I was glad I gave him the table cloth as he didn't have to clean up a mess at school, just ball up the table cloth and bring it home to wash. There was chocolate batter on the apron and hat and on the table cloth and the dish towel. When I unloaded the basket, I just tossed everything into the wash. It was an easy clean up. I can only hope the class room didn't look that bad.
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