John had a restful night. This was his first restful night since surgery. His antibodies are up slightly so they will do plasmapheresis again today, a procedure in which they take the plasma from his blood and replace it with donated plasma thus reducing the antigens. His hematocrit is down to 22 this morning from 26 last night. The somewhat concern is internal bleeding from the surgery but he is not symptomatic. Other possibilities is that the kidney is not yet producing enough erythropoietin which helps the bone marrow produce red blood cells. If that is the case it should kick in soon. They have done a CT scan this morning to rule out bleeding but we haven’t the results back as of yet. If his hematocrit continues to drop they will do a blood transfusion later today. As far as his left arm, they are doing occupational therapy and there is some more improvement this morning. it appears that over time the arm will recover. Urine output is still good and his creatinine is still 1.8 which is acceptable. He will hopefully be allowed around 1500 ml (50 oz or 6.25 cups) of oral fluid today
He is in fairly good humor this morning and will be happy to get out of the hospital
No comments:
Post a Comment