6:15 PM – Homburg, Germany
Coleman has been biopsied and initial results indicated that there is no leukemic infiltration of the liver.
There is necrosis, however. More testing on the biopsied sample will follow – but for now, on the good news side, Leukemia as a cause for his liver failure seems to have been eliminated and along with it any discussion of high dose chemotherapy. The necrosis also makes the diagnosis of VOD much less likely.
On the other side of the coin, the doctors still have no real clues as to the cause of his liver failure leaving the doctors without a clear target for which to aim.
One possibility is shock, though some of the markers might contra-indicate this, but is treated similar to his current treatment protocol in any case.
His medical status remains essentially the same as in the last post. Of particular worry to the doctors are his lactate levels. Normally we are below 2 in our bodies, at 7 doctors are very concerned. Coleman is at 14 – again – they do not understand why. Again – the issue is that his organs – most or all of them – are not receiving oxygenated blood. His oxygen level has been raised to 60% - not as bad as he has been, but not a step in the right direction.
Coleman is fighting on, we earnestly covet your prayers accordingly.