New Weening Schedule

We met with the Endocrinologist.  He has been handling Satomi’s thyroid condition for several years so we are quite happy with him.  We discussed all of the pending problems and gave him a detailed history of her cancer treatment.  We came up with a new plan:

• 2 x 3 mg per day for 5 days
• 2 x 2 mg per day for 5 days
• 2 x 1 mg per day for 7 days
• 1 mg + 0.5 mg per day for 7 days
• 0.75 mg + 0.5 mg per day for 10 days
• and so on…

You can see that not only are we reducing her daily dosage but the duration of each dose also increases.  Hopefully this would help stimulate her own glands to return to normal function.

We were also to monitor her blood sugar and blood pressure daily.  I do not have a good understanding of the mechanism but her blood sugar had to be in the 70 to 120 mg/dL range after she awoke in the morning.  Anything over about 90 mg/dL in the morning is considered high for healthy adults.

Blood pressure also had to be approximately normal and consistent.  The women in her family typically suffer from low-blood pressure (100/60) so anything not blatantly high or low would be acceptable. 

If Satomi did not tolerate a reduction step well, I was to slightly increase the Decadron dosage and maintain for a few days until the next reduction step. 

This is exactly what happened on the 2nd step-Satomi was unusually dizzy and fatigued.

Instead of a 2 x 2 mg daily dose, I upped it to a 2 x 2 1/2 mg dose.  Satomi felt better and we continued with the schedule.

Our goal is zero mg per day.