Friday, January 9, 2009
The end of today
So today has been a long one for Ibrahim. Starting with his morning bone marrow biopsy in the operating room (since he needed heavy sedation for it), his central line falling out requiring interventional radiology to replace it and then the whole blood exchange that was performed manually over two and a half hours (after some recalculations by the blood bank etc., the exchange did not actually need to be performed over 7 hours, thankfully). Thank God, all went well and baby is now resting peacefully. He was transfused with a little bit of extra blood during the procedure as he had some bleeding through the events of the day and had a hemoglobin of 6.6 at the beginning of the exchange. He was not able to feed most of the day so has fed like a glutton this evening. We are being monitored overnight in the ICU and will move back to our regular room in the morning. We'll just have to wait and see what his blood counts look like from here on. The hope is that the blood exchange will clear him of the antibody that is destroying his platelets.
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