06 Feb 18 Lab results:
Tacrolimus : 6.7 (+0.2) **Current Target Range-- 6.0-9.0
Creatinine: 1.58 (-.03) **Current Target Range-- 1.40-1.70
Calcium: 10.1 (+0.1) **Target Range-- 8.4-10.4
Red Blood Cells: 4.11 (+.06) **Target Range-- 4.50-5.90
White Blood Cells: 7.40 (+.01) **Target Range-- 3.60-10.60
Hematocrit: 36.30 (+.60) **Target Range-- 41.0-53.0
Lymphocytes: 10.60 (-0.70) **Current Target Range-- 24.0-30.0
Lymphocytes ABS: 0.80 (-.10) **Current Target Range-- 1.00-1.50
Neutrophils: 74.40 (+2.60) **Target Range-- 36.00-66.00
Glomerular Filtration Rate: 49 (+2) *Current Target Range-- 60+
Blood Urea Nitrogen: 24 (-2) **Target Range-- 8-20
Blood Glucose: 105 (+5) **Target Range-- 80-100
Phosphorous: 2.90 (-0.3) **Target Range-- 2.30-4.70
Hemoglobin: 11.60 (+0.2) **Target Range-- 13.50-17.50
Potassium: 4.50 (+0.3) **Target Range-- 3.50-5.00
*Sodium: 141 **Target Range-- 137-146
*I just added Sodium (NA+) because this lab value is watched by the Transplant Committee due to the detrimental effects that high sodium can have on any transplanted organ.
My labs are looking great! Everything is coming back in line with my pre-hernia repair numbers--whether those lab values need to rise or fall accordingly to their target ranges. I included the ranges for all labs as a reference point for my readers. Note the labs marked with **Current Target Range. I added this distinction because the target values of these labs will change as meds are adjusted the further we go along.
Everything for me has been terrific the last week. My abdominal pain is reducing, and I am better able to move about. Even with the binder on, I still begin to hurt after a time; but without the binder at all, the pain comes on much faster.
So, during the day, the binder stays on. During the night--unless I am hurting too much--the binder comes off.
My plan for reducing the surgical pain is working. Over the past two weeks I have felt much better than during most of January. There is still a long way to go, but I have gotten past that bump that was keeping me from better healing. I anticipate accelerated healing from here on out.
Urine output has been good. I did a 24-hour draw this past Sunday that lasted from Sun 9a-Mon 9a. In that period I drank 3.4 Liters of fluid, and excreted 2.9 Liters. That puts me exactly at the 500cc (1/2 Liter) buffer between what I consume and what I excrete, just as my transplant doctors want. This target is there so as to avoid possible dehydration of the kidney. I have previously explained that some renal transplant patients become dehydrated because they fail to consume more fluids than they excrete, thus leading to the dehydration. The result of any dehydration of a transplanted kidney is a high probability of organ rejection, leading the patient back to dialysis and starting the whole process over once more.
For me, I will consume whatever amount I need every day to avoid such an outcome!
Food-wise, my appetite is coming along nicely; continuing to recover from the effects of surgery and pain meds. I know I will be eating even better once I start walking regularly, then better still once I get the clearance to begin exercising. Consummately, my metabolism will also increase which will both drop fat and add muscle weight. Soon...soon.
I have my now once per month Kidney Clinic appointment next Wednesday, 14 Feb, at 0945a. I will let you know how that goes, any med changes, etc.
Until that time, have a fantastic week!
Good Health to All!
ScottW
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