“From a certain point of view our real enemy, the true troublemaker, is inside.” (14th Dali Lama Tenzin Gyatso)

The direct Coombs test is positive.  Wayne has autoimmune hemolytic anemia (AIHA). Or, in words we can understand, his immune system is attacking and destroying his red blood cells (RBC’s) which leads to extreme anemia.  He really, really knows the meaning of being exhausted. A positive direct Coombs test can visually indicate that antibodies (and/or compliment proteins) have become bound to the surface of the RBC’s.  It is these antibodies and proteins that cause the RBC’s to rupture.  Thus the need for blood transfusions.  Ok, so that is not a good thing.                                                                   Here is the good thing.  The hemolysis (destruction of Wayne’s RBC’s) lasts about 5-10 days and gradually subsides as his residual incompatible RBC’s are lysed, destroyed and replaced by transfused group O cells, or RBC’s of donor type produced by engrafting stem cells.  Further antibody production should stop.  It could be a scary 5-10 days, but hey, he is half way there!!!! And of course, we just happen to be in a place that has blood to spare.

8 thoughts on ““From a certain point of view our real enemy, the true troublemaker, is inside.” (14th Dali Lama Tenzin Gyatso)

  1. Even when presented with a huge roller coaster ride…once we reach the peak the ride down hill seems to be quick and exhilarating – a bit wobbly when we get off but the recovery is almost always energizing! Please God let this be the reality once again for this ride that Wayne is experiencing with Peeches cheering him through it and all of us praying for the ride to be over!! Sending you all our love – stay the course and keep the focus on this ride!
    With continued prayers, Chris and Kathy

    • Oh man, it truly is a ride and they did say they did say there would be lots of ups and downs. Thanks for the encouragement to get up – it means a great deal to us. And of course the prayers assure the rise. Holding on, Wayne and Peeches

  2. Wayne & Peeches

    I think it is safe to say that no one knew what to remotely expect once you had the bone marrow transplant and began the recovery process. There may be certain things that occur that are “normal” and are to be expected with recipients during their recovery but each most likely experiences different things along the way. You, my friends, have had a number of these “different” things to deal with and in each instance you have dealt with and responded to each one with such strength, determination and, in some cases, humor. You truly inspire us with how well you handle these situations. While not being very vocal/visible in wishing you well please know that our thoughts and well wishes are directed toward you constantly. Peeches, as always, you are such an amazing woman with how you do all that you do. Thanks so much for taking such great care of Wayne.

    Love, Bill & Pauline

    • Boy Bill, you are right! The fact that every one is unique is so true in this situation. As such, we are learning what Wayne’s normal is. We are buoyed by your constant support. Someday, soon, we shall be together again.
      Our Love, Wayne and Peeches

  3. Today 23 years ago(12/27/89) was when I had my first day at CR England and Wayne was my new boss. I could see in the weeks and months and years that followed what a strong and determined man Wayne was. So in this fight for his health and happiness for his family I know he can fight anything and so with the strength of a strong women that is his wife and the prayers that have poured in for yall from friends and family he will beat this set back just like he has fought back before. And always with a strong man there is a very strong women right by his side!!!!! Prayers are coming in strong for both of you

    • 27 years, wow Carol, it seems like yesterday. Who knows, if he ever were to get that “BMW” like the model you gave him, it would be an antique. Thank you for your strong support and belief in him, it all helps to strengthen him. Keep those prayers coming, they are super power that will make him stronger than before.

  4. Peeches and Wayne,
    I so admire your courage as you move through each of the challenges that have presented themselves to you. I will keep you in my thoughts and prayers as each day brings new life to Wayne’s blood cells through all the miracles of modern medicine. Please let me know if there is anything I can ever do to help.
    Vicki Sippel

    • We know that you have first hand knowledge, belief and success with modern medicine so we are clinging to that. Patience, belief, your prayers and support will get us there. Thanks so much as we look forward to the better times ahead and getting together with good friends.
      Love, Wayne and Peeches

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