This is spinal tap

Hi everyone:

One of Patty's UCH doctors called this evening. As early as next week, doctors are planning to administer both rituximab and cytoxan intravenously, in the hopes of reducing Patty's antibodies. I'm pretty nervous about the side effects, but since nothing else seems to be working, I guess it's worth a shot. Doctors will premedicate Patty to keep her relaxed (or asleep)for the period during which she's receiving the drugs. We're hoping this procedure will be accommodated at Edward, so that we don't have to do as much driving.

Also, the doctor mentioned that the neurologists may opt to do a lumbar puncture as part of their investigation into Patty's headaches. As I mentioned previously, we're a bit perplexed as to why the docs keep including this in their considerations, since all the tests thus far have been entirely normal, but I'd hate to suggest that Patty refuse something and then find out it was significant.

Let's hope this next round of interventions brings the PRA numbers down. Good night.

Love,
Brian