I have both good and bad news.

My hepatologist's office called today. The hospital will be having a flu clinic. They offered to get me a voucher so I could get a shot. I am supposed to call next week to get the voucher.

They also called to tell me that my enzymes are slightly elevated. Back in August my ALT was 20....and my AST was 34. Now my ALT is 44 and my AST is 54. Keep in mind that 40 is normal for these....and my slight elevation isn't a big deal. Its only a sign that things are sort of going in the wrong direction. So.......here's the deal. I will be taking 5 mg of Prednisone starting tomorrow. I will have blood work in two weeks. Some possible solutions...stay on 50 mg of Imuran and a small dose of Prednisone for a while....OR.......increase my Imuran. We'll see what happens. I shouldn't fret.....it's not lke my enzymes are where they were ten years ago.........in the thousands. What's 14 points anyway? Practically normal! I never professed to be normal.

I have been a busy lady. I performed Mary and Jen's wedding this weekend. It felt cool to be the one marrying them....and to sign the official marriage certificate. I also felt honored to have been asked by them. Congratulations Mary and Jen.

I went to New York for one night this week. Did a ton of work during the day. Had a lovely dinner with Christine.

I have been trying to get a flu shot. It's tough. No one has them. I have called my primary care physician...my hepatologist........and the Somerville Board of health. The Somerville Board of Health said they would put me on their "at risk" list. They plan on calling people when and if they get vaccines. At that point I will need to provide proof of my illness.

I called my doctor's office today and made my case for why I should have bloodwork. I am feeling fine...but I only had it checked once...three weeks after I went off the Prednisone....and not once since then. Better to be safe. They agreed it would be a good idea. They reassured me that I was not being a "crazy" patient.