Our new central line is finally in, hopefully to stay this time. The catheter was tunnelled as his platelet count was slightly better today and he additionally was transfused with platelets twice before the line was inserted. We'll check another platelet count now that baby is tucked in. He was intubated (breathing tube placed down his throat) for this and so heavily sedated and is still not entirely awake yet. The plan is to work on feeding this evening since he has not had any milk since 6.30 am.
Dr Mirro and our prior hematology attending, Dr Hankins are working on the long distance consultations that we had planned. We'll see if anyone has any other ideas. Meanwhile, Dr Mirro and I looked at the bone marrow biopsy sections today and they show sheets of megakaryocytes, which are platelet precursors. Simply put, that means that Ibrahim's body is responding to the peripheral platelet destruction and trying to produce large amounts of platelets on its own. This confirms the immune nature of his disease but unfortunatly thats all we still now at this point.
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