Top Line: Blood Tests results were decent; no current evidence of GVHD; liver issue being worked through
Today Susan met with Dr. Cohen, a "really fabulous" hepatologist according to Bob. The results of the late afternoon MRI were not available but, pending those, Dr. Cohen said the problem is likely either a clot in the portal vein or VOD (remember veno occlusive disease?). Whatever the cause of the liver problem, the liver issue is the cause of the ascites. However, he thinks that her test results overall are pretty good.
So, pending the determination of root cause and corresponding treatment, Dr. Cohen wants to eliminate the ascites, which will be done simply by withdrawing all the fluid via a syringe. It could take a while (remember how many pounds of excess fluid Susan carried the last time ascites was an issue), but the procedure is straightforward and not a cause for concern. It is scheduled for 11:00 AM tomorrow, so it's another night in Boston. Once the underlying liver issue is dealt with, the ascites should not return.
I'll blog again tomorrow with what I expect will be the final update for the current DFCI visit.