Biopsy Complication

This is Ashtyn’s nurse Devyn and physician assistant Sarah. Believe it or not, we have a lot of fun together in clinic. We laugh a lot and have great conversations but when it comes to keeping Ashtyn safe and healthy, these women are no joke amazing. Yesterday Ashtyn had a bone marrow aspirate and biopsy, a quick and easy procedure. We went to the hospital, got vital signs, walked down the hall to the procedure room, laid on her side in the bed, received anesthesia medication, slept for 25 minutes while the aspirate and biopsy was done. In the meantime I sat in the recovery room, only separated from her by a sliding door. Once the procedure was done her bed was moved 5 feet to where I watched her wake up and then wheel-chaired her back to the car. We were in and out of the hospital in 1 1/2 hours. Once back to the apartment the hole in her back started bleeding and hasn’t stopped. It’s now been well over 30 hours. A pressure dressing of gauze and tape has been attached to her back but continues to soak through. We spent seven hours in the ER last night. Her platelets are 67 which should totally be high enough to clot such a small hole. During clinic today a new pressure dressing was placed that I hopefully won’t have to take off for 48 hours. Early Saturday morning she’ll get another platelet transfusion, not wanting her count to drop much. The bleeding from her procedure site has definitely been a nuisance with the pressure dressings, soiled linens, ER visit, and added platelet transfusion Saturday, but long term the bleed will eventually stop; it will just be another complication she experienced and a thing of the past. What does ultimately matter is the results of the bone marrow aspirate and biopsy. Please pray the results will show that she remains cancer free with zero leukemia. Please pray for at least 30% cellularity which would indicate a more robust bone marrow that would allow Ashtyn to start taking Venetoclax as a post transplant therapy to keep any possible hidden leukemia at bay while her immune system becomes strong enough to do the job. And, please pray her procedure site will stop bleeding and heal properly.