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no bad news is good news

The doctors at Suburban decided to transfer Carmen to Johns Hopkins, and oh what a transfer it was--her ambulance got a flat tire, and her backup ambulance got lost so 2 hours after leaving Suburban she finally arrived at 5am at Hopkins.

At Suburban they suspected an infection, but after a CT scan saw that the tumors were slightly compressing the inferior vena cava, which became the prime suspect of the fluid retention. If this was the case they would put in a stent to help keep the vein open. But, luckily the medical oncologists at Hopkins decided to do a scan of the legs to see if anything else was going on.  The scan showed that she has two blood clots one in each of her legs. So, the doctors have decided to do a de-blood-clotting procedure, where they stick a catheter in each of the affected veins and introduce a medicine that will dissolve the clots. Unfortunately, she will have to be in the ICU after this procedure to monitor the effects of the blood thinner closely. Hopefully this procedure will go well, and by tomorrow she feels better.

Tom and I are heading up to hang out with Carmen and Jose before the procedure and to sit around the ICU's waiting room. So even though there are risks associated with this procedure, the good news is that her liver and kidneys are function just fine.

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Carmen Mateo

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Today Carmen spent most of the day laying in bed. She was still tired from yesterday and the procedure. Her fluid retention is slowly dissipating, but of course it takes time. She had put on almost 10 pounds of weight during this, so you can only imagine. Her liver and kidney enzymes are stable, which is good news as always. Her potassium levels were a bit high in the morning and a little less high in the afternoon, but still high enough to cause some concern preventing her from being released. Because she wanted to rest, we didn't stop by to see her today. Hopefully tomorrow we will know what is the deal with her potassium and maybe get released from the hospital. Fingers crossed!