Days 120-123 (July 14-17)
Today was the worst day so far taking Haley to the hospital. Not because the nurses made us do quite a few rounds of musical rooms, and not because they waited too long again to take her blood so giving her the Tacrolimus was late again. It was because of a patient I saw when we arrived. She had full-blown GVHD, and it was all over her skin. I wanted heartful hematologist to look at Haley’s new rash iteration, which includes her skin peeling off on her palms, some crusty red blotcheson her arms (small, but you can see them), and a rash on the side of her face, that is hard to make out except in the glow of good light. I have been worried that her rash is a form of GVHD, though I’ve been assured by the New York doctors on my last visit that it’s not. But I just have a sinking feeling. Heartful hematologist actually brought in a transplant doctor from down the hall. He has said that there are many viruses that cause what Haley has. Then he mentioned in passing that even if it was GVHD, it’s so mild, there’s nothing to be done about it now except to watch it. He then went onto explain how I should be applying aquafor or the like on her dry skin, but the letters G-V-H-D just echoed around in my head. I thought non-stop of that girl in the waiting room, with skin that looks like it was cooked on the sun. Her mother, I overheard, was hopeful that after a year, they would get off steroids. Now I know what the doctors and nurses meant when they kept saying “Haley looks so good.” Now I know what she can look like. And it look extremely painful. I do not much more right now than go online and try and find out all the information on GVHD that I can. Maybe we’re missing something. Maybe it is and there’s something to do about it now. The only thing I know that is to be done is to make sure the Tacro level is right, which they constantly test for.
There were no quests today, though Dana’s been trying very hard to come and see Haley. Hopefully she’ll be able to do it before I go back to work next week. Otherwise, she’ll have a nice visit with our new nanny (Kadisha from Morocco).
Funny moment of the day was when I told Anna (for a specific reason) that she couldn’t wear her cinderella dress, she responded through tears, “but I’m cinderella! I need my clothes!”
































Oh, Tansy, my heart is breaking for you for all the worry you are going through. G-d willing, the rash is from one of the viruses that kids get that go away and have nothing to do with the dreaded GVHD. So sorry you had such a trying day. Hope you can feel all the prayers and love directed towards Haley and your family.
July 18th, 2007 | #
Some small points of light in this scary situation are that the local transplant doctor and the great New York doctors believe it’s not GVHD. As you dive into the scarier precincts of the internet, hold on tightly to that fact. And I’m so glad that heartful hematologist was listening carefully to you and taking your concerns seriously enough to bring in another doctor for consultation. He’s really on your side.
I’m sorry it was a crummy day. But we’re still all here cheering for you and Haley, and dress-less Cinderella.
July 18th, 2007 | #
Hi Tansy: I’m sorry to hear about the rash and the hospital difficulties. I’d love to stop by and visit one afternoon if that works for you as I’m on a light student schedule these days.
refuah shlayma,
David
July 18th, 2007 | #
Tansy,
I’m sorry, this sounds like such a frightening day. I think you are doing the right thing in finding out everything you can, as getting the proper treatment at the right time is so important. Your role as coordinator of care for Haley is so important but must be so overwhelming too. It is very good that 4 doctors so far who specialize in this say it is not GVHD, right? My prayers to our brave little girl, and I’m in awe of her amazing dr. mommy. Take care, Seema
July 18th, 2007 | #