Gamma-glutta-whatta?!?

     Sawyer continues to itch all over his body incessantly throughout the day.  There are some days that are worse than others.  His doctor has been treating this as an allergy issue since he had the anaphylactic reactions recently.  However, today she noticed something in his lab results that may better explain  the problem. 

     Sawyer's Gamma-glutamyl transferase (GGT) levels are increasing, which may indicate some blockage in his bile duct.   It could also indicate a liver issue, but Sawyer's liver was biopsied during his kidney transplant.  The biopsy report concluded that he has a healthy liver (PTL!).  Therefore, according to his doctor,  the most reasonable explanation is some type of blockage from the bile duct being pinched because  of the large adult kidney being squeezed into  Sawyer's small abdomen.  It's tight in there!

     If the bile is impeded, this would force the body to absorb more bile acids, which can cause the itching that is plaguing him and who knows what else.  Sawyer will have an extensive  ultrasound scan of his abdomen on Friday to help determine what is going on. 

     At this point, Karen and I don’t even want to ask the "what if" questions.  We will wait until Friday to deal with next steps.   Sawyer's doctor was quick to say, "Don’t worry!"  We'll take her advice and the direction of Jesus when he said, "Do not worry about tomorrow, for tomorrow will worry about itself. Each day has enough trouble of its own".   I guess procrastination is not always a bad thing.