We went to Ella's doctor appointment today with the oncologist. He said that her bone marrow still looks good and there were no significant leukemia cells in it. He still doesn't know the actual cause of her severe anemia but suspects that it could be something called Myelodysplastic Syndrome You can click on the link to read more as I still need to read up on it as well. But basically it sounds like it is a pre-leukemia type of thing. Her hemoglobin has dropped a little bit but is still at an okay level (9.9) so we are going to continue to watch it very closely. Her platelets are low again also (41,000) but that isn't as unusual for her. She is a bit of a mystery to the doctor in the sense that her marrow still shows signs of making new blood cells, which is a good thing. He said that if she starts to become more transfusion dependent (meaning she will need frequent RBC and platelet transfusions) then we may eventually move to the phase of treating her with chemo. But until that time, we will just keep doing what we have been doing and watching her blood closely. She has been very active and busy making lots of messes, climbing the stairs when nobody is looking, putting cat food in the cat water when the gate is down...etc. All of these things tell me that she is feeling great and that is what I like to see.
So thankfully, we can move forward with Christmas plans and enjoy this month. We will worry about next month....next month. My only concern now is that she keeps her hemoglobin up so continued prayers for that would be much appreciated. Thanks to everyone who keeps us in their thoughts and prayers as we continue on this roller coaster ride with Ella and her blood.