Friday, November 23, 2018

Tomorrow's Decision Day

I was trying to explain to my friend how very odd this hospitalization is.

Job feels fine. He's irritated by the pokes and confinement, but he's getting close to his pre-transplant attitude plus with more energy. He actually probably feels better than fine. His *smile for the camera* still looks like a grimace though.


He had a grand ole time today, with his brothers and toys and room service food delivery. He even started insisting on sitting on the toilet rather than wearing his diaper, but we'll see if that lasts.

Tomorrow is the big day: have the diuretics made enough of a difference to definitively push aside the suspicion of rejection?

His BNP has gone down and he's been peeing well and now his Tacro is in range - all good things. He'll get labs at 8:30 and an echo around 9am or so and then the team will convene and hopefully be able to make a decision.

If it's clearly that his too-small, stiff-from-being-on-ice heart couldn't handle being fluid overloaded and the diuretics did indeed make a big difference then I'm not sure what we'll get to do. Go home, but when?

If they can't clearly see the diuretics made a difference then we treat for rejection, even if there aren't any other clear signs of rejection. And that will mean at least 4 days of further treatment here.

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