Day +236

My Blood Count Today:
Red Blood Count (RBC) = 130(Normal 130-180)
Platelet = 160(Normal 150-450)
White Blood Count (WBC) = 7.8(Normal 4 - 11)
Absolute Neutrophil Count (ANC) = 6.474 (Normal 1.5 - 8.0)
Potassium = 3.3 (Normal 3.5 - 5.2)
Magnesium = 0.84 (Normal 0.65 - 1.05)
ALT = 137 (Normal < 51 )
AST = 42 (Normal < 41)

I am fine today.

I went to do my follow-up this morning. The white blood count doubled compared to last follow-up reading. I forgot to ask about the reason for this surge, but given that the ANC and platelet are also increased, this reading should be fine. The liver function was recovering too :-)

Since the GVHD is now under control, doctor cut down the steroid Prednisolone to 12 tablets (60mg) per day instead of 24 tablets (60mg). On the other hand, the Ciclosporin dosage has to be doubled. You see, this is how doctor manages a post-transplant patient: never over suppresses the immune system so that it misses the chance to clear up the leukaemic cells, but at the same time, has to prevent the immune system be too strong to attack the host organs.

With this incident, doctor predicted that I have to take anti-GVHD drug for a longer period of time.

Doctor also prescribed folic acid due to decreasing count of red blood cells in my blood. In addition to this, I was given Famotidine tablets to prevent stomach related complication such as heartburn or stomach ulcer.

My next follow-up will be two weeks later in the Monday’s afternoon General clinic.

See you next post :-)