Relapse number 2

As you can see, Ada has completely relapsed.

The protein leakage started Sunday and increased rapidly. By Wednesday she was charting her proteins at 4+, as high as our test sticks monitor. She has also noticed that her urine is foamy - one symptom of leaking proteins.

There was no noticeable swelling until Thursday evening. I was looking at her stomach and ankles and thought she might be swelling again.

Friday morning she woke up with the "downs" look and I knew she was swelling. Because it is the holiday I called the nephrologist on call and they suggested we take her back up to full dosage of prednisone (which is only one level this time) and severely limit her sodium. Also limit her fluid intake as long as the swelling increases.

I will call the center on Monday to see what we want to do from there. I am assuming that we will watch for a time to see if she will respond to the stronger dose again. We are hoping and praying. In the mean time, she is pretty healthy and active, although she experiences some stomach discomfort from the swelling and will lay down for a bit when it gets bothersome.