Tuesday, June 17, 2008

Bold move here... I have not had a cup of coffee yet. Anyone who knows me can confirm this is a risky venture....

quick update: the renal team met yesterday and all except for one of them agreed that a biopsy of Jack's kidney was not necessary at this point! (I know... you are wondering how many made up that team of docs and I'm not sure). A biopsy is done when they are concerned about rejection. In general, they feel confident my kidney is doing its job. (makin' me proud).

There is a very small area on Jack's lunge that is possibly the culprit.  It shows up a pocket of air or maybe even a small collapse of the lunge on xray and his CT scan. At 8am today they will be doing a little procedure in which a small microscope will be sent down his throat so they can take pictures and possibly swab the area to see if there is a small infection. His feeding tube could also be the culprit. Jack has had this since early Dec of '07 which is a very long time. (Most kids have these pulled off their faces in a week). So, they will take a picture of him swallowing and see if he is aspirating into the lunges because of the feeding tube.  Both of the tests today are fairly quick, easy and non-invasive. Jack will be sedated for the first one and quite possibly still snoozy for the 2nd one.  I suspect will get results quick.  If it is a small infection, they will treat it with antibiotics and possibly try to clear the area in his lunges. Sometimes they can actually lift up the area that is collapsed with the scope. 

It also may turn out to be nothing... just unexplained fevers which they have seen before with kids post-transplant. That would be fantastic and unsettling at the same time. 

Must get coffee and then sadly, take Nana to the airport.

(disclaimer: no coffee and this is second-hand info from Harry and his mother as I was not around when the docs visited Jack yesterday. Just like in the game of telephone, things get a little lost in translation. The scoop is accurate... the medical terminology... maybe not so much).


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