Post-Transplant Clinic: March 01

I visited the clinic this morning as a part of my post-transplant follow-up appointments. The doctors have been seeing me every week since the end of January.

The important thing to note from today was that my creatinine was up to 1.1 (it had been at 1.0 for several weeks, and was actually down to 0.9 last week). The doctor said that, because it went up, she wants me to come in for blood work on Monday, and a follow-up on Thursday of next week. So, I will not be going to twice-a-month appointments quite yet. We want to make sure that everything is okay before we start reducing appointments.

The doctor said that changes in the creatinine can be caused by the Prograf. She said that if there is too much Prograf in your system, it can make the creatinine start to rise. She also said it could account my my GCT not going down as fast as some other people. If you remember from last week, the GCT is a liver enzyme that normally is up after surgery, but should fall back in to the normal range if I am healthy.

Last time, I mentioned that my Urine Creatinine seemed low. The doctor said that was only because of the high urine output I had in my 24-hour urine. She said not to worry, and that everything is normal. She also was very pleased with my Glofil results, saying that a good number would be between 50 and 100 (and I was 86.1).

So, that's about it for today. I got an e-mail from the disability department saying that they have approved part-time disability from February 6 through February 23. That should show up on my next paycheck, so that's a good thing.

Here are my lab results from today:

PROCEDURE	RESULT	UNIT	REF RANGE
[Profile: CMP]
Creatinine	1.1	mg/dL	0.4 - 1.0
Blood Urea Nitrogen	12.0	mg/dL	8.0 - 20.0
Sodium	142.0	mmol/L	136.0 - 144.0
Potassium	4.3	mmol/L	3.6 - 5.1
Chloride	108.3	mmol/L	101.0 - 111.0
CO2	29.2	mmol/L	22.0 - 32.0
Glucose	100	mg/dL	74 - 118
Calcium	9.8	mg/dL	8.9 - 10.3
AST	23.0	U/L	15.0 - 41.0
ALT	44.0	U/L	17.0 - 63.0
Alkaline Phos	71.0	U/L	38.0 - 126.0
Albumin	4.4	g/dL	3.5 - 4.8
Total Protein	6.3	g/dL	6.1 - 7.9
Total Bilirubin	0.7	mg/dL	0.4 - 2.0
[Profile: GCT]
GCT	56.0 H	U/L	7.0 - 50.0
[Profile: MAGNESIUM]
Magnesium	1.7 L	mg/dL	1.8 - 2.5
[Profile: PHOSPHORUS]
Phosphorus	3.7	mg/dL	2.4 - 4.7
[Profile: CBC]
WBC	7.4	K/uL	4.0 - 11.0
RBC	4.39	M/uL	3.8 - 6.2
Hgb	14.8	g/dL	11.5 - 18.0
Hct	42.6	%	35.0 - 54.0
MCV	97.0	fl	80.0 - 100.0
MCH	33.7	pg	27.0 - 34.0
MCHC	34.7	g/dL	31.0 - 36.0
RDW	12.1	%	11.5 - 14.5
Platelets	244	K/uL	150 - 450
# Neut	3.96		1.40 - 6.50
% Neut	53.70	%	42.20 - 75.20
# Lymph	2.64		1.20 - 3.40
% Lymph	35.90	%	20.50 - 51.50
# Mono	0.52		0.10 - 0.50
% Mono	7.03	%	1.70 - 9.30

Thanks for reading!