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Right after MacNeil, 39, had surgery in Tychy, Poland, she said she had an energy spike greater than anything she'd felt for 20 years.
That lasted about six weeks and then she started to deteriorate and, by the beginning of October, felt very fatigued once more.
"Then my energy started to build again and now I'm at a level where, although I'm not 100 per cent, I'm very pleased with it," she added
"I pretty well lived on my couch for two years," she said. "I could never pick my daughter up from school and now I can everyday. So that's really special for me."
Emma experienced the "one week slide" - in her case it lasted about three days. We have no idea what it was, it could have been a mini relapse, it could be the body reacting to it's new blood flow - we just don't know.
After three days it just disappeared and all the post op improvements returned along with a few more bonus improvements.
We're now a month on and she continues tiny daily incremental improvements. It's only when you take a week by week or month by month snapshot that you realise the extent of the improvements.