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Postponement of Tonsillectomy & Questions

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Hi Everybody:

I need a little bit of help, advice, information... etc...

Noah (5, DS, Juvenile Rheumatoid Arthritis) was scheduled for a tonsillectomy,

adenoids out, and new ear tubes put in on Thursday. A week and a half ago he

was seen by his rheumatologist who did normal bloodwork as usual as he is on

Methotrexate for his arthritis. His blood work came back last week with the

liver levels elevated and they said redo the bloodwork and we will check it out

again. So, we redid the bloodwork last Friday and I get a call this morning

saying his liver levels are still highly elevated. Basically, this means that

he has to postpone the surgery until his levels are down - that in itself is

bothersome, but no big deal...

Liver levels are elevated like this: ALT - 587 (normal is 30-65), AST - 306

(normal is 15-37), and LDH - 432 (normal is 100-190).

What I'm most concerned with is that his rheumy doesn't think it is JRA

medication related and has referred him back to his pediatrician. His

pediatrician has referred him to a gastro doctor and ordered more bloodwork that

the gastro doctor will want to see. He has the gastro doctor appointment on

Friday as his ped wanted him seen as soon as possible.

Ok, has anybody else dealt with any of this? What were your outcomes? The ped

thinks it may be viral - the ones she mentioned were Hepatitis A, B, and C and

also mono. None of these seem to correspond with symptoms she said (and I

agree), for which he is not having any symptoms as far as I know, but it is hard

to tell as he is still pretty much non-verbal.

Ok, any advice, suggestions, etc. would be greatly appreciated. Thanks so much

for everyone's help in advance. :)

Wife to Bruce

Mommy to - 7, Noah - 5, and Grace - 2

HOME AND GARDEN PARTY INDEPENDENT DESIGNER

Want to see a book? Just let me know

Click HERE to see my Ebay Auctions

OR

Look Under User ID " numom1 "

COMPLETE SURVEYS FOR CASH

Email Me For Referral Links

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Have them check for gallstones and gallbladder problems. They may need to do an

abdominal ultrasound.

mom to Bridget 11

wife to

in upstate SC

Postponement of Tonsillectomy & Questions

Hi Everybody:

I need a little bit of help, advice, information... etc...

Noah (5, DS, Juvenile Rheumatoid Arthritis) was scheduled for a tonsillectomy,

adenoids out, and new ear tubes put in on Thursday. A week and a half ago he

was seen by his rheumatologist who did normal bloodwork as usual as he is on

Methotrexate for his arthritis. His blood work came back last week with the

liver levels elevated and they said redo the bloodwork and we will check it out

again. So, we redid the bloodwork last Friday and I get a call this morning

saying his liver levels are still highly elevated. Basically, this means that

he has to postpone the surgery until his levels are down - that in itself is

bothersome, but no big deal...

Liver levels are elevated like this: ALT - 587 (normal is 30-65), AST - 306

(normal is 15-37), and LDH - 432 (normal is 100-190).

What I'm most concerned with is that his rheumy doesn't think it is JRA

medication related and has referred him back to his pediatrician. His

pediatrician has referred him to a gastro doctor and ordered more bloodwork that

the gastro doctor will want to see. He has the gastro doctor appointment on

Friday as his ped wanted him seen as soon as possible.

Ok, has anybody else dealt with any of this? What were your outcomes? The

ped thinks it may be viral - the ones she mentioned were Hepatitis A, B, and C

and also mono. None of these seem to correspond with symptoms she said (and I

agree), for which he is not having any symptoms as far as I know, but it is hard

to tell as he is still pretty much non-verbal.

Ok, any advice, suggestions, etc. would be greatly appreciated. Thanks so

much for everyone's help in advance. :)

Wife to Bruce

Mommy to - 7, Noah - 5, and Grace - 2

HOME AND GARDEN PARTY INDEPENDENT DESIGNER

Want to see a book? Just let me know

Click HERE to see my Ebay Auctions

OR

Look Under User ID " numom1 "

COMPLETE SURVEYS FOR CASH

Email Me For Referral Links

Link to comment
Share on other sites

Have them check for gallstones and gallbladder problems. They may need to do an

abdominal ultrasound.

mom to Bridget 11

wife to

in upstate SC

Postponement of Tonsillectomy & Questions

Hi Everybody:

I need a little bit of help, advice, information... etc...

Noah (5, DS, Juvenile Rheumatoid Arthritis) was scheduled for a tonsillectomy,

adenoids out, and new ear tubes put in on Thursday. A week and a half ago he

was seen by his rheumatologist who did normal bloodwork as usual as he is on

Methotrexate for his arthritis. His blood work came back last week with the

liver levels elevated and they said redo the bloodwork and we will check it out

again. So, we redid the bloodwork last Friday and I get a call this morning

saying his liver levels are still highly elevated. Basically, this means that

he has to postpone the surgery until his levels are down - that in itself is

bothersome, but no big deal...

Liver levels are elevated like this: ALT - 587 (normal is 30-65), AST - 306

(normal is 15-37), and LDH - 432 (normal is 100-190).

What I'm most concerned with is that his rheumy doesn't think it is JRA

medication related and has referred him back to his pediatrician. His

pediatrician has referred him to a gastro doctor and ordered more bloodwork that

the gastro doctor will want to see. He has the gastro doctor appointment on

Friday as his ped wanted him seen as soon as possible.

Ok, has anybody else dealt with any of this? What were your outcomes? The

ped thinks it may be viral - the ones she mentioned were Hepatitis A, B, and C

and also mono. None of these seem to correspond with symptoms she said (and I

agree), for which he is not having any symptoms as far as I know, but it is hard

to tell as he is still pretty much non-verbal.

Ok, any advice, suggestions, etc. would be greatly appreciated. Thanks so

much for everyone's help in advance. :)

Wife to Bruce

Mommy to - 7, Noah - 5, and Grace - 2

HOME AND GARDEN PARTY INDEPENDENT DESIGNER

Want to see a book? Just let me know

Click HERE to see my Ebay Auctions

OR

Look Under User ID " numom1 "

COMPLETE SURVEYS FOR CASH

Email Me For Referral Links

Link to comment
Share on other sites

Hi

Also have them check the blood counts. came within minutes of going

in before they found his drastically low counts. The results could have

been quite serious.

Postponement of Tonsillectomy & Questions

>

>

> Hi Everybody:

>

> I need a little bit of help, advice, information... etc...

>

> Noah (5, DS, Juvenile Rheumatoid Arthritis) was scheduled for a

tonsillectomy, adenoids out, and new ear tubes put in on Thursday. A week

and a half ago he was seen by his rheumatologist who did normal bloodwork as

usual as he is on Methotrexate for his arthritis. His blood work came back

last week with the liver levels elevated and they said redo the bloodwork

and we will check it out again. So, we redid the bloodwork last Friday and

I get a call this morning saying his liver levels are still highly elevated.

Basically, this means that he has to postpone the surgery until his levels

are down - that in itself is bothersome, but no big deal...

>

> Liver levels are elevated like this: ALT - 587 (normal is 30-65), AST -

306 (normal is 15-37), and LDH - 432 (normal is 100-190).

>

> What I'm most concerned with is that his rheumy doesn't think it is JRA

medication related and has referred him back to his pediatrician. His

pediatrician has referred him to a gastro doctor and ordered more bloodwork

that the gastro doctor will want to see. He has the gastro doctor

appointment on Friday as his ped wanted him seen as soon as possible.

>

> Ok, has anybody else dealt with any of this? What were your outcomes?

The ped thinks it may be viral - the ones she mentioned were Hepatitis A, B,

and C and also mono. None of these seem to correspond with symptoms she

said (and I agree), for which he is not having any symptoms as far as I

know, but it is hard to tell as he is still pretty much non-verbal.

>

> Ok, any advice, suggestions, etc. would be greatly appreciated. Thanks

so much for everyone's help in advance. :)

>

>

> Wife to Bruce

> Mommy to - 7, Noah - 5, and Grace - 2

> HOME AND GARDEN PARTY INDEPENDENT DESIGNER

> Want to see a book? Just let me know

>

> Click HERE to see my Ebay Auctions

> OR

> Look Under User ID " numom1 "

>

>

> COMPLETE SURVEYS FOR CASH

> Email Me For Referral Links

>

>

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