{"id":198,"date":"2024-09-24T15:53:05","date_gmt":"2024-09-24T15:53:05","guid":{"rendered":"https:\/\/cota.org\/cotaforgabrielaswarriors\/?p=198"},"modified":"2024-09-24T15:53:06","modified_gmt":"2024-09-24T15:53:06","slug":"transplant-post-op-day-18","status":"publish","type":"post","link":"https:\/\/cota.org\/cotaforgabrielaswarriors\/2024\/09\/24\/transplant-post-op-day-18\/","title":{"rendered":"Transplant Post-Op Day 18"},"content":{"rendered":"\n

The biopsies from Ela\u2019s cath last week showed that she has Antibody Mediated Rejection (AMR Grade 1). Thankfully, the team had already intensified her rejection regimen by the time the biopsies were taken so she was already getting what she needed. Based on this confirmation from the biopsies, they gave her an even more aggressive treatment regimen that includes increased immunosuppression, steroids, antibiotics, and plasmapheresis treatments 3x a week for at least the next two weeks. Her most recent echo showed some improvement since starting this intense treatment. Ela will have another cath next week to see if the rejection has resolved and if anything else can be done at that time. <\/p>\n\n\n\n

When it comes to rejection, there\u2019s 3 main types\u20141) acute cellular 2) antibody mediated 3) chronic or graft vasculopathy. Ela has the middle one. It\u2019s not the \u201cbest\u201d type of rejection to have but it\u2019s not the \u201cworst\u201d either. There\u2019s a picture below of a document that has helped us better understand Ela\u2019s type of rejection and possible future outcomes. It is scary that she has AMR this soon after transplant and there are still many unknowns for the days, weeks, months ahead. There is concern that this may turn into the the third type of rejection\u2014 the chronic rejection sooner than later. This next year (and especially these next 3 months) are very very critical. <\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Ela has not had very many good days in a while. She has brief good moments, but we are still a ways from where she was pre-transplant (when it comes to physical stamina). However, we have seen brief successes like her eating 2 chicken nuggets! This is the most we have ever seen her eat\u2026and I mean EVER! We see glimpses of old Ela when she tries to weakly sing a brief portion of a song. We are thankful when we see these \u201clittle-big\u201d things. <\/p>\n\n\n\n

For the time being we remain the CICU hooked up to multiple continuous infusions as the team tries to still clear up her partially collapsed, fluid overloaded lungs and stressed heart. There are still concerns and so many unknowns for the long term. But she is improving\u2026little by little. <\/p>\n\n\n\n

We are thankful that God is still good and faithful. He is still strong and kind. Even on days when it doesn\u2019t feel like it. He is our strength and our portion forever \u2026.the Rock that is higher than I. <\/p>\n\n\n\n

\u201cMy flesh and my heart may fail, but God is the strength of my heart and my portion forever.\u201d
\u202d\u202dPsalm\u202c \u202d73\u202c:\u202d26\u202c \u202d<\/p>\n\n\n\n

\u201cHear my cry, O God, listen to my prayer; from the end of the earth I call to you when my heart is faint. Lead me to the rock that is higher than I,\u201d
\u202d\u202dPsalm\u202c \u202d61\u202c:\u202d1\u202c-\u202d2\u202c \u202d<\/p>\n\n\n\n

The 1st and 2nd pictures below are the plasmapheresis process. The bag with the yellow is her plasma\/antibodies being removed. It is being replaced with plasma and blood product that has been donated. So shoutout to all of those that donate blood\/plasma! You help people like Ela. <\/p>\n\n\n\n

The 3rd picture is the successful eating of 2 chicken nuggets!<\/p>\n\n\n\n

The last 3 pictures are us taking her on a wagon ride outside for some fresh air. We have kind of gone backwards in our walking progress. So add her increased mobility and walking again to your prayers too! <\/p>\n\n\n\n

Thank you all for your continued love, prayers, and support. We do read every message although we do not respond sometimes. <\/p>\n\n\n\n

\n
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The biopsies from Ela\u2019s cath last week showed that she has Antibody Mediated Rejection (AMR Grade 1). Thankfully, the team had already intensified her rejection regimen by the time the biopsies were taken so she was already getting what she needed. 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