After the cyclosporine was cut down, things were ok for a couple of days. As expected, Richard's blood counts began to drop. He didn't look too pretty. His face was bruised from the fall and his feet were very puffy. He and I both got really tired of the nurses and doctors asking him if he was keeping his feet elevated. Now I wish we had taken pictures, but it never occurred to us at the time.
Transplant patients get very obsessive about their blood counts. Here's a part of the spread sheet record I kept on my PDA. For the unfamiliar, normal hemoglobin (Hgb) is about 12 depending on the lab. Normal white blood count (WBC) is over 4.5, normal platelets over 150,000. More about magnesium and creatinine later.
During this time of depressed marrow function, the patient is at high risk for infection. Any fevers are treated very agressively. Richard had several blood and platelet transfusions which is pretty standard for most patients.