Sunday, December 7, 2008

Thyroid update

Rylie's energy levels seem to be much better lately because of the thyroid medicine she is taking. We will go to the endocrine specialist as soon as they can see us which may be a little while. In the mean time, the BMT doctor will monitor Ry's thyroid level. One of our friends who has thyroid issues mentioned that after Ry's thyroid levels are corrected she may grow hair faster. In the last week or so, I've been learning more and more about how important this organ is, and I'm very thankful there is a fairly easy way to correct it when is stops working. Because of our experience, I've asked both Children's Hospital and our doctor at the U in Minnesota why they do not automatically test thyroid functions until 1-year post transplant. It seems like a good idea to test at 6-months since so much is effected by the thyroid. Both hospitals said they would discuss it, but I haven't heard if they will change their testing protocol to include the thyroid panel or not. 

Rylie also has a rash on her scalp that looks like dry skin. She's had this off and on for awhile now, but it really flared up last week. Our doctor at Children's wants to stop the CSA taper until we know the rash is not GVHD. We're going to try a special shampoo, and if the rash is only dry skin the shampoo should help. If it doesn't help, we may need to stay on CSA for a little longer. We're happy to do whatever we need to keep Rylie GVHD-free. 

We're still using the NG tube some for fluids for Rylie. She will now take sips of water a couple of times a day which is better than she's done is a long time. She's eating about the same--only baby cereal, puffs or chips, and baby food jars. She's getting a multi-vitamin and a calcium supplement as well.

We ordered new glasses for Rylie last week, so we hope to get them by the end of this week. This time we're trying the transitional frames to help with Rylie's light sensitivity. Hopefully we'll be able to keep these in place better than her current frames. 

3 comments:

Erica J. Thiel said...

You may also want to have them write rylie's thyroid med. script for only the brand name. Commonly a Endocrine specialist (mine told me this when I was 1st seen her for thyroid-pituitary issues due to MPS) that pharmacies will dole out the generic version of synthroid unless it is put right on the prescription by the doc. to prescribe 'Brand name' only! the reason brand name is so necesary in this drug is that pharmacies commonly change who they get their meds from and generic synthroid is made by many different companies thus Rylie could be getting a slightly different generic-synthroid each month .. and with brand name the drug is a constant level/formula in her body. I hope this makes sense just in case.

many hugs for Ry! *Cheers! =D
Erica www.caringbridge.org/wi/ericathiel

Uncle Mack said...

Great news about the thyroid. I'll see if Sarah has looked into this... Gracie also has a little rash as she's tapering. Seems to be improving though. I'll cross my fingers for you.

Kjirsten said...

Jade, you and Lyle are such good parents and caretakers. Bravo for bringing up the thyroid testing to the hospitals and docs. Your voice, if not alone, will hopefully begin the process of changing the protocal to benefit others.
Lots of love to you all!

Proverbs 3:5–8

"Trust in the Lord with all your heart and lean not on your own understanding; in all your ways acknowledge him and he will make your paths straight. Do not be wise in your own eyes; fear the Lord and shun evil. This will bring health to your body and nourishment to your bones."