We are back home.
Annika's labs were repeated on Wednesday evening, on the off-chance that the rapidly rising enzymes were actually a lab error, but they actually came back even higher. So, no error.
But the ultrasound showed no change from the previous study, meaning no new blood clot and her shunt is still open and functioning. Rejection might be another possibility, but, as Dr. Alonso pointed out, she doesn't have much history of rejection (the only really bad episode was when they completely stopped her immunosuppression to battle PTLD
). And doing a biopsy is no simple matter for her, since they have to do a transjugular because of her bleeding issues (that's where they thread a needle through the jugular in her neck down to her liver and biopsy from the vessel). It could be something viral, but she is showing absolutely no symptoms of fighting a viral infection. Thus, no telling why her liver was suddenly looking unhappy in the bloodwork.
But on the way home, happy to be headed back but still stewing over the unknown cause for the sudden jump in her numbers, I remembered that Annika recently received her 5-year vaccinations, including the live (but weakened) MMR. That might be enough to explain the sudden jump, although we've never seen such a dramatic reaction to vaccines before. We'll take that explanation, though, over any other. I wish I'd thought of it earlier. There might have been more sleeping going on around here.
More to come on insurance updating and million-dollar-medical care, but right now I have a bedroom to rearrange.