Day +65 (D 205)
Big news today but lets get right to Ann's blood counts...
WBC 8.60 K/uL (4.0 - 11.0)
RBC 3.19 K/uL (4.0 - 5.0)
HGB 10.6 G/dL (12.0 - 16.0)
PLT 318.0 K/uL (140 - 440)
What can I say, but that things continue to look good. The differential counts of individual cells don't show anything weird or out of the ordinary either. Our transplant doctor is extremely impressed with how Ann is doing and says she is "right on course". He even went as far today as to begin discussing what could happen to us on Day +100. Hint, hint, Ann has been practicing her driving.
Also in the good news category we got back the chimerism test that was done on Day +58 along with the last bone marrow biopsy. Previously, on Day +30, Ann was 100% engrafted with the exact mixture being 77% to 23% for each cord and none of her cells in evidence. Today it seems that the dominate cord is close to taking over as it has increased to 97% while the recessive one is down to 3%. Also it looks like 99% of all the T-cells produced are coming from the dominate cord. So to sum it up Ann is still 100% engrafted with one cord becoming increasingly dominate and there is still no evidence of Ann's original cells ("no pre-transplant pattern observed by PCR-based microsatellite polymorphism analysis").
The parainfluenza bug that she picked up seems to be receding. Her temperature has started to return to normal and she is feeling less fatigued. Shes' not quite up to the point that she was last week, but she's getting there. We did have an invite from a couple that we met in clinic to come over and have dinner at their house they just bought here in Houston. However we had to decline until Ann is over this bug. We can't risk exposing her to another patient and potentially setting their treatment and recovery back.
Last but not least if you look at the picture very carefully you will notice that Ann is starting to sprout like a Chia-Pet! It's a bit bewildering seeing hair starting to poke out from her head after half a year of her being bald. I'm just gonna have to learn how to cope.