Acute Myelogenous Leukemia (AML)
is a fast-growing cancer of the blood and bone marrow. In AML, the bone marrow makes many unformed cells called blasts. Blasts normally develop into white blood cells that fight infection. However, the blasts are abnormal in AML. They do not develop and cannot fight infections. The bone marrow may also make abnormal red blood cells and platelets. The number of abnormal cells (or leukemia cells) grows quickly. They crowd out the normal red blood cells, white blood cells and platelets the body needs.

Monday, April 16, 2012

Day 126 -- (Day +18)

Monday.   Riley shed half his IV pole today.  Awesome!!  Every single day during rounds, the doctors are amazed at Riley's progress and have given us the going home date of this coming Sunday or Monday!!!  YEAH!  He has a little work ahead of him.  He has been weaning off the TPN and eating more on his own.  They are continuing to switch over medication from IV to pill.  His numbers need to continue to be monitored and he is being weaned off the methadone.  ...
Saturday night Riley had some diarrhea.  We thought maybe it was some graft vs. host starting.  He then felt "really uncomfortable in his own skin".  He felt very hot and then cold.  Over night he would get so hot for awhile that he would sweat through his beanie.  He then would get very cold and put on a new beanie and ask for extra blankets.  Then sweat through that one.  In the morning explaining his symptoms during rounds, Dr. Gupta knew exactly what it was... he was having withdrawals from the morphine.  Even though he was weaned off, he needed a bit more weaning.  Methadone is used to to treat withdrawal symptoms and to help wean. It has definitely helped and he is on a schedule to be off by the time we go home.  Progress.  He is doing awesome!

Labs today:
White blood cells:  4.1   (normal 4.5 - 13.5)
Red Blood cells: 11.6  (normal 13.5 - 17.5)
Platelets: 54   (normal 150 - 425)
ANC:  3198   ( < 500 = severely neutropenic) (normal 2,000 - 5,000)

No comments:

Post a Comment