Lately there’s been a decrease in blood counts and them not doing what they should, as well as a rapid drop in platelets even after 3 infusions in the last week. Given this, the dr has determined that the transplant did not take or work. They believe that the myelofibrosis cells have grown back and are killing off all the cells, like the platelets, as they are infused. Similar to what was happening prior to transplant. The ultrasound from last week was normal so that is part of the reason they think something else is going on. Tuesday they are going to do a bone marrow biopsy to determine exactly what is going on in the bone marrow, such as the amount of the bad cells and if they’ve taken on a new form and if her condition has progressed into leukemia. Because of the low platelets, the biopsy is somewhat risky since her body is unable to stop bleeding. As of today the dr. believes that the most favorable route to take would be to do sessions of chemo over the next 4 to 6 months and at that point determine if an additional transplant is a good idea. After the biopsy they will determine for sure what approach they’d like to take from here. If she does go to the chemo for the next 4 to 6 months, she will be able to do the chemo in Fresno and stay at home which will make Dan and herself very happy. Thanks again for all your thoughts and prayers, we'll keep you posted.