We met with Dr. Graham this morning before Ashley's IV treatment. Things are looking good. The last blood test showed her CPK level at around 440, and he expects that from today's blood test it will be normal. We hope so!
The swelling in her legs and arms has really gone down, and she feels better. She's getting back to her normal self...her friends (and Robin and I) have really noticed. She's smiling much more, laughing and enjoying not being on the couch in pain all the time.
She will go back one day each week for the next two weeks (for IV), then we'll meet with Dr. Graham again.
When Dr. Graham asked Ash if she was worried about anything or had any questions she mentioned the swine flu, which seems to be on everyone's mind. Dr. Graham did not diminish its seriousness, but said to not overreact to what the media is saying. With the steroid treatment she is on, she is actually more immune to something like the swine flu, than she would be off the medication. So that's good news!
Because of her good progress, he had planned to put her on a lighter steroid, metholtrexate, (which has less noticeable side effects than prednisone, although side effects of its own), but said he wanted to wait and see what happens with the swine flu here in Middle Tennessee. He'd rather keep her on the same medications and keep her immunity strong. If the swine flu doesn't really develop here and it kind of dies out, he will switch her over to metholtrexate.
On a sad note, this afternoon we will put Katie (our miniature Maltese) to sleep. Several months ago she developed an inoperable tumor on her neck. It continued to grow and over the past few weeks it has become more difficult for her to breath, swallow and eat. We delayed doing anything before now since we were more focused on finding out what was wrong with Ashley. But now it's time and the vet will come to our house mid-afternoon. Katie just turned 8 years old.
Thanks for your continued prayers.