the international society for mannosidosis & related diseases presents:
Robert's Road to Recovery

Kathleen's Diary: October 20, 2001
Kathleen's Diary:
October 20, 2001

 

Robert's BMT Update
BMT + 90

I am becoming concerned about Robert's counts. We draw blood twice a week and his white blood count has not gone above 2.2 since he has been home. In fact, the only time his white count has been above 2.2 since the bone marrow transplant was when he was on GCSF which is a stimulant that increases the counts. Even before the bone marrow transplant back in April of 2000 Robert's white blood count was not high. It was 5.2 when the normal range is 4.5-15.5. His platelets were 140k versus the normal range is 140-450k. I wonder if this is normal for the syndrome.

I think Doctor Cowan is also becoming slightly concerned. He would like to talk about another bone biopsy soon to see what is actually happen in the marrow. There is a chance they would give Robert more bone marrow from his donor (they have the extra marrow store right now). With the other bone marrow transplant children with this syndrome was this also the case, that it took a long time for the white blood counts to raise again?

 note: the following table can be viewed as a chart, if your web browser permits

White Blood Cell Count vs Other Thresholds: 10/20/01

 

6-Sep

10-Sep

13-Sep

14-Sep

17-Sep

21-Sep

24-Sep

27-Sep

1-Oct

3-Oct

8-Oct

11-Oct

15-Oct

18-Oct

WBC

1.7

2.2

1.7

1.80

2.2

2.2

2.1

1.9

1.8

1.9

1.8

1.8

1.6

2.0

RBC

2.48

2.31

2

3.11

2.9

 

2.7

2.6

2.8

 

2.4

2.3

2.3

2.3

HEMOGLOBIN

7.9

7.4

6.7

10.2

9.7

9.3

9

8.8

7.9

8.5

8.4

 

8.1

8.5

HEMATOCRIT

22.4

21

18.6

28.9

28

27

26

26

23

23.7

24

 

23

24

MCV

90

91

93

93

95

 

95

98

100

 

102

 

102

103

MCH

31.6

32.1

33.5

32.8

33

 

33

34

34

 

35

 

36

36

MCHC

35.1

35.2

35.9

35.4

35

 

35

35

34

 

35

 

35

35

PLATELETS

53

33

 

80

45

24

23

23

30

36

50

53

58

58

NEUTS

1.09

0.85

 

0.87

1.1

0.79

1.05

0.684

 

0.86

1.008

0.85

0.832

1.1

LYMPHS

0.32

0.82

 

0.67

35

 

39

45

44

 

32

 

28

32

MONOS

0.1

0.41

 

0.19

13

 

11

13

3

 

9

 

19

13

EOS

0.03

0.05

 

0.04

2

 

0

6

2

 

3

 

1

0

BASOS

0.09

0.02

 

0.03

0

 

0

0

0

 

0

 

1

0

RED BLOOD TRANS

 

 

 

YES

 

 

 

 

 

 

 

 

 

 

PLATELETS TRANS

 

 

 

YES

 

 

 

 

 

 

 

 

 

 

IVIG

 

 

 

YES

 

 

 

 

 

 

 

YES

 

 

 

 


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