...and that's a good thing. Biopsies are ranked for rejection from 0-3, with 3 being acute rejection and zero being none. Emily's biopsies the last two times were 1's. The doctors were not concerned, saying that it is normal to have some white cells clustering around the myocytes "cleaning up" from the trauma of transplanting, but a zero means that there is no sign of rejection. Yesterday's biopsy was zero!
Our concern the past three weeks has been that her blood showed donor specific antibodies, which could be a precursor to rejection. They aggressively treated the donor specific antibodies with IV Immunoglobulin (IG) and oral prednisone. the IV IG made her very sick last time, so were were worried about a repeat. They gave her a different brand of IV IG and we really pumped up the tylenol.
She got through the biopsy and IV IG ok and we made the long drive home last night. She slept through the night, except for when we woke her up to take tylenol. She felt ok this morning and went to cardiac rehab at the hospital this morning. She came back from that tired and then nauseated. It wasn't as bad as last time but she opted for not going to school this afternoon. We hope we don't have to keep doing the IV IG but the doctors really like its effects.