I know that I've left everyone hanging on a limb (sorry),....but the truth is, that I am also on that limb and I'm just as anxious for answers as you are.
The good news, Beckham is home from the hospital and has been so for over a week. And, the other good news is that his vomiting has ceased, his diarrhea has slowed down, he is eating well and he is gaining a little weight. And while we are thrilled with all the "good" that's been happening, there of course, has to be "bad." And the "bad" is that his hemoglobin has continued to drop and drop and drop.
After getting home from the hospital, Beckham seemed to perk up and resume back to his normal self. And by the start of last week, we decided to send him back to preschool because all of his tests were negative and the only thing the doctors could find wrong with him, was low hemoglobin, which wasn't too low and it did not seem to be a reason to keep him away from school. But, by Thursday, Beckham came home and was not acting normal, and by "normal," I mean that he was not bouncing off the wall, singing The Wiggles at the top of his lungs (yes, he's still obsessed with The Wiggles), or tormenting his sisters (his new favorite past-time). And within a few hours, he was laying on the couch, lethargic, and had a fever of 101. I gave him Tylenol after that, but his fever only went higher to around 104, which caused us to have to give him Ibuprofen (that is a transplant patient no-no). The Ibuprofen worked, and by 3:00 AM, his fever was gone. The next day, he woke up happy and full of energy, but again, a few hours later, his fever was smoking hot, he was miserable (and SUPER grumpy), needed to be given Tylenol, and then, hours later, he was fever free again. This pattern went on and on throughout the entire weekend - happy, lethargic, high fever, happy again - with no other symptoms to accompany it. We debated on taking him into the ER over and over, but we knew that they'd probably just keep him over night, run a whole slew of tests (that would probably come back negative), send him home the next day, and then send us a big fat bill for the whole ordeal. I did, however, take him to the doctor, and after labs, it showed that his hemoglobin and WBC had dropped, but everything else was normal.
By the beginning of this week, Beckham looked terrible; his coloring was so pale and yellow and he had no energy. I took him back into the doctor, and after another slew of tests, the thought was that he had the Parvovirus (slapped cheek disease), not only because of his symptoms, but because Blythe had mysteriously broken out in a rash that looked just like Parvovirus. The Parvovirus is very mild in normal children, mostly presenting itself by a rash and sometimes a fever. But in people with an anemia problem or a compromised immune system (Beckham has both...awesome), it can stop the production of red blood cells, resulting in a drop in hemoglobin. When the tests came back, they showed that his hemoglobin had dropped again (bummer) and that he was negative for the Parvovirus (bummer, too). We were actually hoping that he would have the Parvovirus instead of an unexplained hemoglobin loss.
So, basically, we're back at square one with no answers. Beckham's hemoglobin is slowly lowering and we are not sure of the reason. The best explanation (and one I pray is not the cause) is that he is relapsing into his Evans Syndrome, but his transplant doctor still hasn't ruled out the possibility of the Parvovirus, thinking that he might have had a false/negative test result. The good news? His platelets are stable! Actually, they are better than stable; they are high at 458! So, from here, the next step is to meet with hematology again, which we have planned for Monday. I'll keep you posted on the findings, but until then, I'm going to try and think positive and hope and pray for the best outcome. And, who knows, maybe, by some amazing twist of fate, his anemia will resolve itself! It could happen, right?