Monday, November 19, 2007

Day +502 : Follow-up – Liver function almost return to normal level :-)

My Blood Count Today:
Red Blood Count (HB) = 142 [148] (Normal 130-180)
Platelet = 152 [163](Normal 150-450)
White Blood Count (WBC) = 8.5 [6.2] (Normal 4 - 11)
Absolute Neutrophil Count (ANC) = 5.525 [3.844 ] (Normal 1.5 - 8.0)
ALT = 71 [135] (Normal 30 – 65)
AST = 26 [53] (Normal 15-37)
GGT = 153 [258] (Normal 15-85)
ALP = 75 [98] (Normal 50-136)

I am fine today.

I went to UH as early as 6:10am this morning to draw blood for this afternoon appointment. The traffic was extremely smooth at this time; it took me only 20 minutes to reach there. I got a queue number of 6 and managed to reach home at 8:10am after drawing blood.

I am very happy to see the continuous improvement of my liver function. Based on the above test result, almost all liver enzyme readings returned to normal level now :-) The previous follow-up reading can be found in the square bracket after today’s reading so that changes between follow-up can be compared easily.

My next follow-up will be on the 31st of December which is 6 weeks from now. The long period of interval is not because my condition is very stable, but because of my holiday trip to Sarawak from 4 to 23 of December.

Doctor would like to reduce the Prednisolon (steroid) dosage by 5mg (1 tablet) every two weeks. That means I would be taking 20mg (4 tablets) of Prednisolon from today onward, then after two weeks, I would be taking 15mg (3 tablets). In order to make sure that the GVHD effect does not resurface due to the reduction of Prednisolon dosage, doctor asked me to do a blood test in Sarawak four weeks later and email the result to him. This would allow him to see the effect of the Prednisolon dosage adjustment and determine if it we should continue reducing the dosage. I really appreciate this type of arrangement.

As doctor prescribed two months of medication for me, I carried back a big bunch of drugs. In addition to the drugs that are available free of charge from the pharmacy, I also need to purchase some other drugs. One indispensable drug is the Refresh Tears which I apply regularly; I could not see properly without it. I consum about three bottles per week.

The amount that I need in 6 weeks - 18 bottles. I believe I stock Refesh Tears more than many pharmacy shops out there :-)

Lastly, I thank God for the continous improvement of my health.

See you next post :-)

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