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Sharmin:
Andy,
The hemoglobin today is 124. It dropped from 146 to 124 in 5 days. I hope that any further drop will be slow so that he can last 3 to 4 weeks before needing another tx.
How does this sound to you as far as hemolysis?
Sharmin
Andy Battaglia:
Sharmin,
The hemoglobin level of 146 may not have been quite accurate as it would have meant a 4 point jump after his transfusion, which doesn't seem right since you should only see about a one point jump for every unit of transfused blood. Because the blood volume is increased right after a transfusion, the immediate measurement may not be totally accurate. The state of hydration of the patient for each test is also a factor. His current Hb is in line with what I would expect at this point after the transfusion.
His bilirubin level may be related to his recent illness so again, I wouldn't make much out of it yet. If he has a sudden drop in Hb then I would be more prone to believe that it is the result of hemolysis.
Sharmin:
Thank you Andy.
Yes, that bilirubin was from Wednesday morning when he was still recovering from his cold. I am hoping that it won't be as high now. We leave for Oakland tomorrow afternoon, the echo was done today and I am hoping that the results are all good. I will also ask Oakland about phosphate deficiency and what they have noticed.
Thanks again Andy,
Sharmin
nice friend:
Hi Sharmin ,
i dont know much abt and wat can i say abt is to wish you allll the best . believe in one thing everything will fine and our admireable su[re lil champ will b fine . take cares
May God Bless you with the better than the best and more than your aspectations , just keep praying and asking for more ...
Best Regards
Take Care
Umair
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