Well folks, I'm sitting in Bob's ICU room at Abington Lansdale and we finally know why he's had so much edema (from his toes to his waist) for the past month. He has constrictive pericarditis caused by his GVHD. In English the sac around the heart has become thickened and tight and will not allow the heart to contract and pump properly so the fluid backs up into the body. Bob had his usual checkup...
at HUP this week and his heme-onc. Dr. Luger knew right away what it most likely was. A cardiac MRI yesterday confirmed it, but before the treatment (mega steroids) could be started, Bob became sob and lightheaded andI called nine one one (the flippin numbers on my kindle won't work!!!!!) this am. So, he's getting stabilized here with oxygen and diuretics, and will be transferred to Hup for a cardiac cath on Monday. If the pericarditis is as severe as they believe it to be, Bob will have a pericardectomy/pericardial stripping on Tuesday. I am now praying that this can be done somehow with a scope and he won't need his "chest cracked open ".....a phrase that, even after thirty-three years as a nurse, still makes me shiver! So of course asking for all your prayers again too. After all we've been thru this so very hard to take. And this man o' mine is some warrior, but I think the nearly two hours laying flat for the MRI just caught up with him. Well that's enuf for now. He's sleeping and I will be leaving soon. Last night was a long night and of course this has been a long day. Thank you in advance for storming the heavens with this one.
Will try and update daily from here.
All our love,
Bob and Mo
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