Week 73 – Hitting a very welcome plateau

You know you’re nearing the end of a battle when you are running out of things to say, so I will keep this update very brief.

The results of Lliam’s blood tests yesterday confirmed that Lliam is in the final recovery phase, and that it is very likely that he will make a full recovery without the need for further treatment. Most children prescribed the same treatment regime for Aplastic Anemia only really respond well after two sets; so we are extremely fortunate that Lliam is doing so so well following one.

Lliam’s hemoglobin count is up 4 points to 124, which is firmly in the normal range. The white blood cell count came back at 4.2 and neutrophils at 1.6. Again, both are regarded to be in the normal range and nothing to worry about. Lliam’s platelets dropped slightly from 91 to 90, so effectively remained stable. Whilst his platelets are still below the lower normal range of 150 for his age we are not concerned. We know that platelets are the last to recover and that it may take some time to do so. As expected the MCV and the hemoglobin F (Hb F) counts are still showing downward trends. At the time of diagnosis Lliam’s Hb F was 4.2%. This reduced to 1.9% in March 2009 and we expect it to be even lower when the results of the latest test becomes available in about a week’s time. An Hb F score of less than 1% is regarded as normal.
Blood Work (14 Jul 09)Click on the thumbnail to see the latest Blood Work Graph (14 Jul ‘09). Continue reading ‘Week 73 – Hitting a very welcome plateau’

Week 62 - Nearing the end of the Aplastic Anemia battle

Lliam had his quarterly blood test again yesterday. We are more than happy with the results…again! His hemoglobin count is 121, which is low but within the normal range! His white blood cell count is 4.6 and neutrophils 1.8. These counts are also regarded as more or less within normal range. The platelets (always last to recover) are showing a wonderful upwards trend. It increased from 72 in December to 91 yesterday! The MCV count is going down nicely, as it should. Juliana said Lliam can now participate in any sport he wants – even gymnastics.

Blood Work (17 Mar \'09)Click on the thumbnail to see the latest Blood Work Graph (17 Mar ‘09). Continue reading ‘Week 62 - Nearing the end of the Aplastic Anemia battle’

Week 54 - Good news at the end of a long year

I cannot believe it has been more than a year since Lliam was diagnosed with Aplastic Anemia. It’s been a long year, but all in all a good year. As you may know we have been “promoted” to seeing the specialists only once every three months at this stage, and today was D-day again. Lliam actually said that he was nervous on his way to the hospital…he regards his blood count results almost as a report card. Today, he had a good one! His hemoglobin is up to 115, platelets 72 and neutrophil count 1.3. In short, we have broken through the plateau and in the doctor’s words “Everything is moving in the right direction.” We are still a long way off full recovery – his white and red blood counts have just reached the very bottom ranges of normal and his platelets are not quite halfway, but at least we are getting there even though it is a slow process.

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Week 45 - Hitting a plateau

Just as we thought it was almost over, we are back to playing the waiting game. Yesterday’s blood counts came back flat or even slightly lower than those taken two months ago. With the acceptable margin of error on the machines taken into account these counts are regarded as having remained constant. The MCV count is still slowly moving downward, which is a good sign, because it indicates that the bone marrow function is getting closer to normal, i.e. it is under less stress.

We are a little bit frustrated that we are not off the hook yet. We could still be looking at a full recovery after the first treatment, but it may take many more months or even years. A second set of ATGAM treatments may also still be on the cards if his recovery remains partial.

Lliam’s tests came back with the following: hemoglobin 104, white blood cell count 4.2, neutrophil count 1.3 and a platelet count of 52. This means that his neutrophil count is within normal range. His hemoglobin count is almost there (115 being the target).

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Week 36 - Full recovery in sight!

We are too stumped for words to describe our reaction to the results today. Utmost relief? Profound gratitude? Totally overwhelmed! For the first time since the diagnosis of this frightening disease we can let our guard down to some extent and appreciate the effort it takes to face up to a disease of this nature. Dr Juliana informed us that a full recovery is now very likely within the next few months! Lliam’s tests came back as follow: hemoglobin 107, white blood cell count 3.93, neutrophil count 2.26 and a platelet count of 51. This means that his neutrophil count is now within lower normal range. His hemoglobin count is almost there (115 the target as lower normal). His platelet count is probably closer to 70 based on a physical examination of the slides. The lower normal count for platelets is 150, but we know by now that the platelets will be the last to recover and the trend is overwhelmingly positive.
Bloodwork 24 July 2008
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