Good evening!
On their rounds today, Dr. Lloyd Damon and the UCSF medical team gave us a very encouraging report! Dr. Damon is going to challenge the approach they are using related to the blood platelet count to see if Irene can tolerate a lower threshold. So, the new threshold is now 15!! Historically it has been 40. This is obviously a substantial drop with some risk involved related to the potential of bleeding, but well worth the risk according to Dr. Damon. If Irene does well at this new threshold the outpatient treatment is not as complex. We’ll see how Irene responds to this new approach over the next few days!!
The best news that Dr. Damon shared is that we’re continuing to discuss hospital discharge planning!! All of the related details concerning out patient services are being arranged with the appropriate people and organizations. We are hopeful that there will be no further setbacks!!! We will drive to UCSF for clinics on a frequent basis, but traveling to UCSF is better than LIVING at UCSF!! 
Irene was able to eat small meals yesterday and today without intolerable nausea…! Yes, some nausea, even with meds, but certainly slow and sure progress…
My mom and dad visited a cool and foggy SF from a very hot and dry Modesto and were present when Dr. Damon spoke with us today…
Tom Steipp and I also enjoyed a cup of coffee this afternoon at the Starbucks across the street…
…and lest I forget, I am no longer sporting a pinky ring…because it’s back on Irene’s ring finger where it belongs!! (See the related UPDATE, Thursday, June 28, 2007).
Caminando Con Fe’
Dave
