Week 9

Wound healing continues to be heading in a very positive direction. Her arm wound is much, much smaller and her leg wound is nearing the point where it will be ready for the skin graft.

Unfortunately, Wegener's Granulomatosis syptoms are appearing and that has made us very nervous. A blood test came back positive for ANCAs (key indicator of autoimmune issue), her ankle was swollen one day last week, we noticed spots (vasculitis) again on her legs -- though very few, and she has a worrisome cough not unlike everyone else this time of year. Each of these symptoms are not very exciting individually, but knowing the history of how Wegener's developed last May - June we are not taking any chances. Her rheumatologist has started her back on methotrexate, an immunosupressing drug, and he will discuss her medication with the plastic surgeon. We are optimistic that Meghan has made it through the most challenging part of the recovery when taking methotrexate AND avoiding infection would have been impossible. We knew it was likely that she was going to have to restart the treatment. We had hoped it could wait until she was completely recovered.