GvHD Update

The GvHD on the feet and the hands have cleared up quite a bit, but not gone by a long shot, especially on the palms of my hands. My big problem now, though, is GvHD in the mouth, yep, the mouth. So I'm on soft food for now and a steriod mouth wash. The mouth problem set in over the weekend. But, it''s a little better today.

Today was the last of the four days of dexamethasone, but Hosing wants me to start tomorrow on 32 mg of Medrol. I'll do that for two or three days and taper down to 16 mg for a few days and then down to 8 mg and maintain until I see her again the week of the 10th.

So, that's the plan. Oral and topical steroids for awhile and see what happens. Call Dr. Hosing and let her know how it goes. If the GvHD gets worse we'll have to go up on the tacrolimus and maybe the Medrol. I want to keep the oral steroids down to a minimum, although they also help keep the lymph nodes down temporarily. The point is to go into the Sunesis study in pretty good shape with a low tumor load. Ahh, the process.