Monday

Myla's ANC remained a zero for another day, but there are some indications that her immune system could come back to life soon. Here's the puzzling part, though: Her body has been greedily consuming the platelet transfusions she has been receiving. For example, yesterday her platelets were at 157, but they dropped all the way down to 22 today--a fall that has left both doctors and nurses mystified. Generally, platelets drop when a child has a fever, and this happened when Myla had a fever in the ICU. Now, however, she has no fever, and yet she is not able to keep her platelet number elevated. Things get serious--life or death serious--when platelets drop below 20, because as I understand it, the body has no way to stop bleeding. Cuts on the outside are easy enough to see, but internal bleeding could also take place. So, that's the main issue we're working through today.