Tuesday update

After rounds this morning, here is the latest.  The doctors are showing concern about the fact that her kidney numbers are up and are closely watching the liver numbers too.  Yesterday, the discussion was that they would hope that the kidney numbers would plateau or level off, however, as of this morning, the numbers were still going up slightly.  Right now they don't know if ihe numbers are up because she hasn't been peeing-out much lately because they went down on the Lasix a few days ago after they thought she might have been to dry.  So now they are going back up on the Lasix to see if that works. 
Just now, the Renal doctors came in to assess her per the request of the cardiac and critical care doctors.  The renal doctor said that the kidney issue could have been caused by the recent arrithymias, which in case the kidneys just have to recover in their own.  If its due to too salt or some other chemical in the blood work or urinalysis, they would have to see about adjusting medications and/or the TPN to correct the issue.  And, if it is cardiac-related, they will have to work with cardiology to maximize the blood flow that is going to the kidneys.  He did say that if he had to guess, he would think that it had something to do with the arrithymia issue because her kidney numbers looked okay before the arrityhimia issue.  So, to recap, please pray that the kidney issue is temporary and can be corrected and not a blood profusion issue.
Also, this morning during rounds, Dr. Fricker (The E.F. Hutton of the group; when he speaks, people listen) did say that she has been listed as a 1a status for quite a while and believes that she should be of the highest priority for the next matching heart. 
We resolved the issue from last evening regarding miscommunication with certain doctors.  During rounds yesterday morning, Tammy overheard one of the critical care doctors talking about Rachel's liver and kidney numbers and the issue with her gut and made it sound as if her body was shutting down, which in turn, caused Tammy to call me all worried.  We spoke with him this morning expressing our frustration with how things are presented and he agreed to not mention anything to us until it is addressed by the whole team.We would like to apologize for our part in the any miscommunication with all the doctors. We truly have the best set of doctors anywhere.