10/07/2025
Update 10-07-25
(From John’s sister, Jean)
Thanks to everyone who has requested an update on my brother John. (Often it’s hard to know when to update because the situation faces numerous and evolving hurdles.) On September 14 after a few days at UAMS, we confirmed that John was having seizures. The extent of these episodes remains unclear, but he is on an antiseizure medication as well as the normal battery of Wegener’s meds. John completed his brain biopsy. Within a short time after, he began temporary feeding via nasal cannula.
Doctors relayed that the the biopsy was inconclusive. No new degradations. No smoking gun that would point them toward a treatment. A general consensus was reached to begin plasmapheresis (plasma exchange, or “plexx”) to remove the harmful antibodies and help his body replace them with healthy ones.
Meanwhile, we waited for a slot to get a G tube placed in his abdomen. During this time, John lost a significant amount of weight. The success of the G tube has been slow.
Last Wednesday, John had a deep vein port placed to begin the plexx treatment; a few hours later he had his first exchange. We have had 3 treatments out of 5 in the first round. it’s similar to dialysis with a large very loud machine bedside. We all agree that he has perked up since beginning the plexx. It’s also hard on his system, though.
We are at John’s bedside 24-7 keeping in physical contact with him at all times, keeping him safe, and talking and sharing music with him. Annie is now looking for respite assistance so that she can get out of the room or nap. If you have the ability to visit with bedbound patients and would like to brighten our doorstep at UAMS, please reach out.
John’s cognitive limitations are profound, and, we hope, temporary. We are praying that the plasma exchange brings him back to us. Every few days, the neurologist on rotation changes. Sometimes this leads to different “theories” or avenues; then the next doctor disagrees. It’s exhausting.
This is a very difficult journey for everyone, most of all John. Some part of his otherwise brilliant brain is blocking his ability to receive information and communicate with us. So we persevere and hope that the plasma exchange will bring him back to health.
We ask that you continue to pray for restoration, comfort and strength. Your texts, dinners, messages and visits sustain us all.