Monday, August 25, 2008

Amelia is the hospital for 23 hour observation.

Updates from Douglas today...

Amelia wasn’t feeling well this morning, she actually threw up a little. We think it was just from her over doing it yesterday by getting up and around too much in the house, trying to cook dinner, et cetera. We saw the doc this morning and he is checking her lab work and will be calling us later this afternoon. Bc of the transfusions and platletts that she was given throughout dialysis she is at a higher risk for rejection early on, so they are keeping a close eye on it. She is still producing a decent amount of output, so he isn’t as concerned about it being a rejection episode, and her creatinine actually went up a little bit since Saturday. Which could be from her throwing up this morning, which throws off her fluids, and the new kidney is really sensitive to the fluid levels right now. Something else I learned is that they cant transplant the nerve that allows the brain to tell the kidney, “hey I just threw up so I might be dehydrated, slow down on producing urine”. Right now she is pushing the fluids, they are checking the levels on one of her meds, Prograf, which we want to come back as high, so then they will just drop that dose a little. If it comes back low then she will have to go in tomorrow for more blood tests, an ultrasound and possibly a biopsy to check for rejection. He said that there are several different types of rejection and with medicine they can prevent about 90% of them.

She is feeling better now, but has been told to glue her little hiney to the couch for the next few days.

More to come later.

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Well, she has had a rough morning. Don't know why yet, but she threw up this morning, and continued having nauseau throughout the day. We called the team and they want to admit her for a 23 hour observation and put her on IV fluids. She could be dehydrated and we don't want that to happen. This could be anything really, hopefully it isn't an episode of rejection. But the doc said she is at a higher risk for that due to all the transfusions and platletts she was given on dialysis. The first several weeks are critical.

So we are back at the hospital for an overnight stay. More to come later as the kidney story unfolds.


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