Since we now know the results of the MRI, I called our Cardiologist with the new information and she explained that given that she had a left MCA infarct, her clot must have travelled through her PFO (which is now closed). However, because she had a clot, and because of the MCA stenosis, she also felt aspirin was warranted. I was comforted to hear that in her 15 years of treating children with heart problems, with the majority on daily aspirin, she has never had a case of Reyes Syndrome. She feels the benefit outweighs the risk.
I left a message for the Hemotologist to ask if he recommended the aspirin because of the stenosis or simply the history of a blood clot. Also at the appointment I did not tell him Josephine had a PFO so I want to see if that makes a difference. I also want to know if an MRA looking more closely at the arteries and veins could be helpful.
And my last plan before making this decision is to talk to Dr. Denney tomorrow. According to my google research there is a test that looks at the liver enzymes that can predict if a child may be predisposed to Reyes Syndrome. I want to ask him if we should test for that. I also want to ask about the chicken pox vaccination before starting aspirin to further minimize the chance of Reyes Syndrome. We are slowly redoing Josephine's immunizations because she did not show antibioties to certain diseases the China records showed she had received immunizations for...so I'm going to ask if we should do the chicken pox one now.
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