Wednesday, Feb 4th

Ibrahim had an unexpected trip to St Jude today. He had some oozing of blood above his central line site in his neck (at the point of insertion of his tunneled catheter) and so I took him in for blood work. His platelets have dropped a little to 85,000. A slight drop is not entirely unexpected with a decreased steroid dose, but we'll have to watch his numbers closely. We'll keep our Friday appointment to recheck his counts and continue the same dose of steroids (he's down from a three times a day dosage to twice a day). As for the line, we're going to try to save it. The radiologists will try to fix it by correcting the defect. So we have to go through NPO (nothing to eat) for four hours before the procedure again just in case he's not cooperative and needs anesthesia. So we'll be busy for the rest of the week.