Shoot. ANC took a precipitous fall to 293 this morning, which is not good. No one's trying to be particularly reassuring, either... She is CMV positive (a virus that she had as flu or cold a long time ago, but stays in the system forever, usually controlled by the immune system, but when you don't have one...), and either the activation of that virus or the antiviral medication she's on to control it can suppress the immune system, so that's a possibility. Blood tests for CMV levels are pending, and the next step is to do a marrow aspirate to check it out or an engraftment test (see how much of her blood is her sister's). She can get the pump-it-up shots, but they' won't help permanently. So it's a little wait and see and a little well, maybe try it again. Just barely not quite panic time yet.
But...Marian is super cheerful and upping her craft output like crazy. Also a chatty little thing. We're having lots of fun and she feels well and that's all good.