re·jec·tion (r-jkshn) n.
1. The act of rejecting or the state of being rejected.
2. Something rejected.
3. Medicine The failure of a recipient's body to accept a transplanted tissue or organ as the result of immunological incompatability; immunological resistance to foreign tissue.
1. The act of rejecting or the state of being rejected.
2. Something rejected.
3. Medicine The failure of a recipient's body to accept a transplanted tissue or organ as the result of immunological incompatability; immunological resistance to foreign tissue.
This past week has been strange with a lot of different feelings.
The thoughts of my body not being kind to my new heart has really been emotional to me.
I knew and I still know that having a new organ can and WILL bring some types of rejection.
I have not had my head in a hole in the ground.
My rejection is not TERRIBLE....by any means. It was just a real reality check.
This his how they grade rejection levels:
Acute Organ Rejection - ISHLT Grades and Treatment
Grade
Patients Status
Early (less than 3 months)
Late (after 3 months)
0
Stable
No changes
Standard immunosuppression
1A
Stable
No changes
Standard immunosuppression
1B
Stable
No changes
Adjust drug doses
2
Stable
No changes
Adjust drug doses
2
Unstable, meaning:rising CVP and PCWP, decreasing EFarrhythmias and other symptoms
Increase drug dosespossibly add 100mg prednisone TID
Same as for early treatment
3A
Stable
Increase drug doses100mg prednisone TID
Same as for early treatment
3A
Unstable, meaning:rising CVP and PCWP, decreasing EFarrhythmias and other symptoms
one gram IV prednisoneIncrease drug doses
Same as for early treatment
3B
Stable
one gram IV prednisoneIncrease drug doses
100mg oral prednisone TID
3B
Unstable, meaning:rising CVP and PCWP, decreasing EFarrhythmias and other symptoms
ALG, ATG, or OKT3 for 7 to 10 days
one gram IV prednisone for 3 days
4
Irrelevant
ALG, ATG, or OKT3 for 7 to 10 days
Grade
Patients Status
Early (less than 3 months)
Late (after 3 months)
0
Stable
No changes
Standard immunosuppression
1A
Stable
No changes
Standard immunosuppression
1B
Stable
No changes
Adjust drug doses
2
Stable
No changes
Adjust drug doses
2
Unstable, meaning:rising CVP and PCWP, decreasing EFarrhythmias and other symptoms
Increase drug dosespossibly add 100mg prednisone TID
Same as for early treatment
3A
Stable
Increase drug doses100mg prednisone TID
Same as for early treatment
3A
Unstable, meaning:rising CVP and PCWP, decreasing EFarrhythmias and other symptoms
one gram IV prednisoneIncrease drug doses
Same as for early treatment
3B
Stable
one gram IV prednisoneIncrease drug doses
100mg oral prednisone TID
3B
Unstable, meaning:rising CVP and PCWP, decreasing EFarrhythmias and other symptoms
ALG, ATG, or OKT3 for 7 to 10 days
one gram IV prednisone for 3 days
4
Irrelevant
ALG, ATG, or OKT3 for 7 to 10 days
My rejection numbers have been "0" and "1A"...
See not bad....
Even my labs and biopsy came back great...but my echo was not as good as it should be.
Am I grateful for amazing doctors who are so aware of something that was just a blurb on on echo.
So, tomorrow I am back to Utah for another Cath Lab, an Echo and Clinic.
Oh how I hope and pray I am back home tomorrow...
and just in case...I am packing an overnight bag.
6 comments:
Here is to hoping and praying you don't need to use the overnight bag.
SO many "things" to know and maybe be concerned about..
sending prayers your way!
Warmly,
deb :)
thanks for the info...loves, prayers and faith coming your way...also...take it easy...love ya tons...
Everything will turn out well, I'm sure. And things happen for a reason. You are such a strong and spiritual woman, nothing can stop you! Hold your head up high. I love you!
Sending prayers for you! Twyla
You are in my prayers sweet friend. We love you.
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