Let's review them...
21 Aug Labs
Tac: 6.8 (-2.8 from 17 Aug)
Creatinine: 1.94 (+0.22)
WBC's: 3.0 (+0.5)
RBC's: 3.76 (-0.01)
HCT: 34.8 (+0.3)
Lymph: 13.6 (-3.50)
Lymph ABS: 0.4 (NC)
GFR: 38 (-6)
BUN: 40 (-3)
Glucose: 99 (+2)
Phos: 3.8 (+0.5)
*NC = No Change
*NR = Normal Range
= Good, or Positive change
= Bad, or Negative change
= Within NR
The Tac, though technically still in range, took a precipitous drop; hence both the red and green markings. As a result of such a steep, sudden decline, my Tac intake is now 1.5 Mg both Morning and Evening.
The Creatinine is a touch too high, with 1.80 being the current top-end number. The increase of the Tac should pull this number down.
As I stated before, the Lymphocyte number will bounce around. The latest value is a reflection of that. I need to ask the Transplant Docs why, when the WBC's go up, the Lymph numbers drop. One would think the elevation or declination of the one would coincide with a similar number of the other.
Lastly, the GFR is just a touch low. This will also bounce around, though as time goes on, should stabilize, as well.
Tomorrow morning is my Echo exam and Cardiology appointment. I am expecting the Echo to be negative for fluid, though I need to discuss the damage to my heart as I sometimes feel out of breath when laying or after sitting down. I really don't like how this feels...especially since I have never had any cardiac issues in my life. But, it is what it is, and we just have to move forward.
My BP has risen slightly now that my Tac has increased. This will be mitigated with meds adjustments, and should eventually settle into a normal and sustained range once I am on the long-term meds with little or no adjustments from week to week.
And...that's all there is for today. My next entry will go over the Echocardiogram, Cardiology visit, Thursday labs and the next Kidney Clinic--also on Thursday. Look for that entry on either Thursday or Friday.
Good Health to All!
ScottW
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