Monday's Update

Here’s today’s scoop on Coby:
Dr. Sisson called this afternoon & apparently he did a CBC today on Coby (he was going to wait until Tuesday, so I’m not sure why he changed his mind). The WBC’s were normal & the neutrophils were up to 1,400 (600 more than yesterday). Coby can come home if they are over 1,000, but because we live so far away, Dr. Sisson wants to repeat a CBC on Wednesday. The neupogen was given for the past 3 days to help stimulate the production of neutrophils – Coby did not have any today & will not have any tomorrow. If the neutrophils are the same or increasing, Coby could possibly come home Thursday or Friday. However, if they are decreasing then Coby will receive more neupogen & continue his stay at Angell. Dr. Sisson stopped one of Coby’s antibiotics today – Coby is still on the clavamox & Meropenem (injectable antibiotic). Interestingly Coby’s platelets decreased & were low (mid-range of low value). Dr. Sisson believes the stress of the flight likely caused Coby’s spleen to contract & release stored platelets in response to temporary increases in blood epinephrine. The RBC’s are also low. Coby obviously has damaged bone marrow, scarring & may take months to fully recover. Bone marrow in animals always recovers if managed & support is being provided – thus, Coby’s will recover, it’s just a matter of time! So, it is a waiting game. Hopefully we get good news Wednesday morning so I can book a flight that night & pick him up Thursday. I’m missing my little boy so much, but I’m glad to hear he is getting the proper care he needs & getting better!