Author Archive for: DaveDias

8.30 p.m.

Thanks for checking in!  Irene had a much better weekend.

On Saturday we enjoyed a drive to the greater Monterey/Pacific Grove region and this morning around the greater Santa Cruz area before just relaxing around the “neighborhood” for the balance of the day.  Her nausea remained “at bay”.

We’re hoping this next week she overcomes the challenges that she’s recently experienced @ dialysis.

Thanks for caring,
Dave

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7 p.m.

This late breaking email from Dr. Damon is encouraging!

Enjoy!

Dave
_____________________________

Dave,
Below are Irene’s lab tests – nothing remarkable. The free light ratio remains normal, so she continues to be in complete remission of amyloid!!

The labs do not explain her anemia beyond renal failure. The TSH is a bit high, and might suggest a low thyroid function (which can cause anemia), but her T4 is normal, ruling out a low thyroid function. Her ferritin is high, seen in renal failure, and high enough to rule out iron deficiency. The retic count was a bit high, reflecting young red blood cells made by the bone marrow in response to her epo dose the day before. In sum, this lab work does not explain her anemia, except for the renal failure. If the anemia continues to be an issue, then we’ll need to do a bone marrow biopsy – time will tell. L. Damon, MD

DIAS, IRENE                           USER:Damon
=====================================================================
*=abnormal   l*=low   h*=high   L*=panic low   H*=panic high   #=normal unknown
SITE   DATE   TIME LABORATORY         RESULTS   UNITS   NORMAL   ACRO
=====================================================================
PARN 3-15-12 12:11 DIRECT COOMBS TEST                         DRCT
DIR. ANTIGLOBULIN TEST   NEG                 %DBS
09:52 UNACCEPTABLE SPECIMEN                       USPE
BLOOD BANK                             UBBS
Patient info on requisition missing, incorrect or
illegible
DIRECT ANTI HUMAN GLOGULIN TEST (DCT)
Unit or MD notified
PAULA ACC TX AT 3 2252/RJT
08:30 CBC WITH/DIFF & PLT CT
WBC COUNT           5.1   x10E9/L 3.4-10   WBC
RBC COUNT         l*2.90   x10E12/L 4.0-5.2   RBC
HEMOGLOBIN         l*10.1   g/dL   12.0-15.5 HGB
HEMATOCRIT         l*29.8   PERCENT 36-46     HCT
MCV             h*103   fL     80-100   MCV
MCH             h*34.7   pg     26-34

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4 p.m.

No word from UCSF today relative the blood test results which were were hoping to have by now.

Irene had significant pain today during dialysis but patiently endured. Her right arm could not straighten for about 30 minutes following her session today. She’s at home wrestling with the unrelenting nausea.

Thank for caring,
Dave

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