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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ok. This Situation Is Crazy. We Are Overseas Visiting Family

Ok. This situation is crazy. We are overseas visiting family going home is no hurry. Our plan is to leave within 3 weeks. However, my daughter has ITP and CVID, she recently developed a severe infection and was hospitalized and treated with antibiotics. When we got the clear to fly from Boston, our home, her platelets had been the highest the have ever been. This would be because after a car accident exactly one month before our departure while in the hospital she had an IVIG to avoid an infection and keep her platelets up. Ok. Her platelets were 500,000 on 2/2/2016. That's high. But I have copies of all her lab work while hospitalized just last week(2/11/2016) and her platelets have decreased from 369,000 to 348,000 to 313,000. Now that's only within a 24 hour period. My daughter upon getting sick and/or getting an infection has bottomed out her platelets. She has a great team of doctors in Boston, but we are in Dominican Republic; now the QUESTION is... If her platelets are on the decline, at what point do we fly her home. We don't know if the platelet count is still on the decline. But how serious is it to fly if, and or when we begin to notice the common petechiae issue. Past practice for us is when we start to notice these symptoms we contact the hematologists and primary care physician to have lab work done and proceed from there. I'm worried if her platelets are low at 30,000 feet in the air, what are the chances of brain bleeds or internal bleeds. Any information in helpful. I know this is alot of info. I just happened to come across this website page and ...
Tue, 23 Feb 2016
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Ok. This Situation Is Crazy. We Are Overseas Visiting Family