Our appointments went well yesterday. Brooke saw her PCP for a re-check and had a consult with the Infectious Disease doctor. The infection looks much better so no hospitalization was required. THANK YOU FOR THE PRAYERS!! Both doctors feel the area may be a Hematoma (localized swelling filled with blood) due to her blood being so thin lately. The ID doctor says he typically halves Coumadin dosing when his patients are on antibiotics because the two meds don't work well together. It has something to do with the liver. We had never been told this but shared it with our home health nurses and will share it with the Hematologist today at our appointment. The plan is to continue both antibiotics, bathe Brooke in a special antibacterial cleanser that was recommended and see the PCP again in two weeks. He is in contact with the Immunologist in Albq. I love the way he looks at the "full picture" and includes all of Brooke's doctor's in his plan. He's a super nice guy. In fact, Mike liked him so much that we've both decided to use him as our doctor as well. It's nice to find a doctor unafraid to consult with other doctors, able to swallow pride and admit when something is out of his expertise, and to be kind and gentle in the process. I thank God for him!
Brooke's INR was checked yesterday afternoon by our home health nurse and it's back up. 3.7. YIKES! She called the level in to all three doctors and the ID doctor made the call not to give meds last night. The Hematologist will have to determine the route we take from tonight forward. I feel Brooke will most likely get a Neupogen shot (GCSF). Both doctors yesterday agreed this is necessary and the ID doctor feels it is needed every 2-3 months for routine maintenance. The Immunologist agreed. So...we'll see what the Hema. says today. I do believe we're on the right road finally. Now if someone could just figure out what these spots are and how to make them go away!
Thank you for your continued prayers. I'll let you know how today's appointment goes.
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