6.15 p.m…
Good evening…!
Irene started early today with a 3 hour dialysis session…her Bilirubin count is 12.8; yesterday was 12.3. The medical team says that it may take up to 6 months for the levels to lower to target levels but at least it appears to have plateaued in the 12+ish range…
A platelet transfusion was needed again today; all of the doctors are somewhat baffled as to why she continues to need soooooo many platelets… We hope this is a short term condition because the ongoing platelet need will definitely keep her at UCSF until her levels are maintained at acceptable levels…
Irene was able to enjoy lunch (no breakfast because of dialysis) without excessive nausea… with emphasis on the word excessive… she is still experiencing some discomfort even with the Adovan (anti-nausea med), but at least she is keeping food down…she had no dinner appetite because of an afternoon snack of “pot stickers” from the nearby Panda Express… I saw her desire for the pot stickers as a positive sign…at least she was feeling hungry!!! 
We’re taking a couple of short walks around the hallways everyday…slow and steady wins the race…and we know it’s a marathon…not a sprint…
We still wait for the kidneys to wake up as well…
Thanks for caring….your words of encouragement are well received…
Caminando Con Fe’
Dave
Gal 2.20
