Received news from the transplant coordinator that the Transplant Ethics committee has approved for the operation to go ahead. Though a formality, it does give a good sigh of relief for Dr Kee. One less thing to worry about :)
Blood platelet counts are a bit low (~100), so it's taking an awfully long time for the hand to clot after dialysis or plasmapheresis. The two angelic SGH nurse took turns pressing the hand for 1.5 hrs. Great patience and finger power :) With the low platelet count, one of the immunosuppressant Myfortic has been removed. Hmm hopefully the platelets count would go up soon, for the Myfortic to be administered. If you recall about 4 yrs ago, Myfortic is the powerful drug that kep the Lupus from flaring further.
With so much intake of medication, Shufen is also suffering from severe gastric pains. Few days ago, a gastric attack is painful enough to make her tear. It's a terrible balance of medication and blood parameters. On one hand, u need the immunosuppressants to suppress the immune system to prevent rejection of kidney transplant, but thus causing risk of bacteria and viral infections. Then u take more antibacteria and antiviral medication. With more variables, blood pressure changes and some blood pressure medication (amlopdipine) is increased while others removed (valsartan). Care also has to be taken that different medication do not affect one another. To help control gastric and diarrhea issues, more medication (omeprazole, nexium, dhamotil) is taken. With more medication, more dialysis is needed. It's almost a vicious cycle, but we are inching closer day by day to 23rd January.
Oh yes through this week, we heard that 1 kidney tranplant went through successfully, while another planned transplant was aborted. Well better to abort than to go through unsuccessful. Safety is the best priority. If the Lord wills, we will go through a successful transplant. If not, there's a second try or to continue on with dialysis, or calling home to be with the Lord. Whatever the outcome, we hope to live gloriously for the Lord! :)
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