Tuesday, April 03, 2007

Ashley's hosptial stay- The medical terminology textbook version

Here is the simplified version of Ashley's hospital stay.


One of the main symptoms that sent Ashley to the hospital was what she described as purple lentigos which are technically called petachiae. Primarily she waited for the symptom to abate but when the symptoms only progressed and she began to show signs of mailaise she decided to go to the hospital to find out a diagnosis and prognosis. After they used a vacutainer blood extraction method they tested the blood and the hematologist informed her that she would be spending the night in the facility because her red blood cell count put caused her to be in a state of cachexia of which the etiology was unknown. While in the hospital Ashley felt that her autonomy was challenged by their refusal to let her remain ambulatory. However later she was able to avoid getting any decubitis by remaining ambulatory even when she was weak from her vertex to her most inferior point. On the ward she was placed in she was the only patient not in need of rhytidoplasty.


On Sunday the diagnosis was still unknown so they decided to do an incision into her Left dorsal illiac crest and an excision of bone marrow for a biopsy. To do this test they took her to the oncology ward which caused Ashley to have a panic attack. The pain from the bone marrow biopsy was unilateral and those around her unanimously agreed that the pain needed to dissipate instantaneously. Thankfully she did not experience causalgia but please pray that there will not be a cicatrix at the site of the bone marrow excision.


The test results came back negative for leukemia and so a diagnosis of Idiopathic Thrombocytopenic Purpura and steroid therapy was prescribed. The steroids casued her phenotype to go from ectomorphic to endomorphic which distressed Esh some. There has been much pathalogic study of ITP but the etiology is as yet unknown. It is known that ITP is systemic though. The hematologist monitored her for visceral hemorrhage due to the reduced platlet levels. This also caused her to be in a state of pallor.


Due to the placement of an IV in her right arm and the bone marrow incision in her left hip her sleep was disturbed. On Monday the removal of the IV aided her comfort and when a eschar formed that greatly relieved her pain.

Due to mouth sores and then lack of energy her GI tract has had less work to accomplish.


On Tuesday she reached homeostasis and was allowed to return home. Her condition is still stable and they are montioring her to ensure that the condition is not chronic or recurrent.


Your petition of the Father is still appreciated.


Shalom,
Melbel(who is reading a Medical terminology and A&P book for school at the moment)

4 comments:

[ amy ] said...

Much indebtedness is relayed for that surpassingly informative dossier. Now that illumination has been cast ascertaining the salubrity of aforementioned Esh, our hearts and souls will once again repose in quiescence and dormancy.

A thousand thanks.

Mel said...

I love you Amy! You're the bestest best friend ever.

[ amy ] said...

You were under the effect of A&P. I was under the effect of Emily Brontë.

:o)

Morgan said...

I will continue to pray for Esh. Thanks so much for posting this!