Day +69 (D 209)
Ann's counts today...
WBC 8.9 K/uL
RBC 3.08 K/uL
HGB 10.3 G/DL
PLT 308.0 K/uL
ANC 6.05 K/uL
So the day started out pretty good. After last weeks "bump" with parainfluenza, Ann was getting back into the swing of things. Her temp readings have all been both low and high but neither alarmingly so and she was feeling good enough to return to the routine at physical therapy in the mornings.
Today started especially encouragingly because the transplant team actually discussed two things that might happen on Day +100. That is if things keep going well. The first is that Ann would be sent down to the infusion therapy department on the second floor and they would take the CVC port of her chest. The second would be a general discharge from MDA and clearance to leave the city of Houston!
Day +100 will fall on 9/7/07 if all goes well. +471 Days or 18 months post transplant marks the point at which the statistical chance of relapse is as low as it will ever get. Then +1731 Days or 5 years is the point at which people are considered "cured". I probably shouldn't be excited by it because I know that making it 100 days post transplant is not the end of any possible problems. But we can both feel the excitement building. Perhaps that makes this a dangerous time too. I worry we could be developing a false sense of security.
I say that because at bed time tonight Ann again registered a temperature of 100.7F. Thats above the magic number of 100.5F anything above which we have to go directly to the ER. Thats where we are again tonight.
While Ann is off to get chest x-rays, a sinus CT scan and the ER doctor tries to admit her to the hospital before finding out what she actually has I have made an observation. Yogi Berra was a wiser man that almost anyone gives him credit for. His malapropisms may have sounded like juxtaposed nonsense, but they are really quite suitable and sophisticated.
Here we are in the ER and really is "... like deja vu all over again".