As of this afternoon, the doctors have given Maggie a diagnosis of transplant-associated thrombotic microangiopathy, or TMA. The conditioning regimen of chemotherapy and radiation, and the transplants themselves have caused damage to the walls of her small blood vessels. This can cause a cascade of issues including tiny clots, the hemolysis we’ve seen, and organ dysfunction. While this condition is life-threatening when unchecked, if caught early, there is an effective treatment that can repair the damage. Maggie's doctors believe they have caught her TMA early. She will remain hospitalized until she begins the treatment, and eventually transfer to out patient treatments. The past several days have been a blow. Having our family together for a little while was wonderful. Along with the weight of this new diagnosis for Maggie, it has been particularly bitter to be separated again. We cry out with the psalmist, How long, O LORD? Will you forget me forever? How long will you hide your face from me? How long must I take counsel in my soul and have sorrow in my heart all the day? We have prayed for Maggie’s healing and for our family to be together. The Lord has other plans. As we wait in these uncertain days, we pray that we would also say with the psalmist, But I have trusted in your steadfast love; my heart shall rejoice in your salvation. I will sing to the LORD, because he has dealt bountifully with me. Psalm 13 “To be at rest in God is for the soul to sit down satisfied with what God does as best, and with what God is as all.” ⁃ Edward Pearse