Archive for July, 2008

PT IS FUN

Friday, July 25th, 2008

You would never know from looking at Johnny that he wasn’t in remission — if he doesn’t have to be in his room for meds, we are roaming the halls.  This morning his platelets were N I N E, labs are usually drawn about 4am and results are within an hour.  The ‘platelet fairies’ immediately gave Johnny a transfusion around 5 or 6 am, so when  we finally woke up, it was like it never happened. Doing transfusions in what we call, ‘the middle of the night’ like this is perfect timing. Lately the transfusions have been cramping our style because we usually have to wait for premeds, then vitals are checked every 15 min. and then every hour — which makes it hard for us to be mobile. 

We all went up to PT with Johnny and had a pretty good work out. Not like a normal treadmill, weight kind of work out, but jumping on giant pillow things and climbing rock walls kind of work out.  It was fun for all of us.  We roamed the halls a bit more and made it back to the room for evening meds.  Big day — and Johnny is wiped out.
No big changes in treatment yet, still waiting for the BMA on Monday but it sounds  like the doctor’s aren’t expecting Johnny to be in remission.  His biopsy results show 30-40% blasts, aspirate was 15% — which makes it doubtful he would be less than 5% by Monday.  They are working on other protocols and have a few in mind — I think whatever they choose, treatment will only be another month or so, then go straight to transplant.  Of course we can only talk hypotheticals  – you know, ‘if it’s a Monday, and a full moon and all the planets are perfectly aligned…’ type of scenario.  But I still have to ask…

DAY 60

Thursday, July 24th, 2008

Nothing too earth shattering to report today.  Yesterday we had a little ’shake up’ with a few things, namely his platelets.  It was the 5th day in a row he needed a transfusion and today he’s borderline.  

His morning labs come back with platelets around 13 — everyday.  They transfuse and he’s back up to 50ish – temporarily, then the next day he’s like, 12 or something.  So our doc’s asked the transfusion-doctor-specialist-person (who knew that job even existed?!) for help with making the platelets stick (get it? STICK? …platelets. clot. your. blood.? okay, that was really lame hospital humor…).  
The solution is a special lab test for antibodies he may have built against certain types of platelets.  This might be why his body is getting rid of them faster than they can fill him back up.  The test will determine what, if any, antibodies he may have and will allow them to order platelets specifically without them.  
Or, it just could be the chemo doing a number on him — either way, this test will help rule out one or the other.  What I do know is his counts are dropping like a brick.  It was only Monday when his ANC was 1,510.  Today?  Somewhere under 90.  He needed red blood cells yesterday too.  I pray all day long and every night it’s the chemo working and Monday he will be in remission.
Last night I quietly talked to Dr. Muscal about Camp Periwinkle, which is the first week in August.  We LOVE her because she’s been with Johnny since the beginning — literally — since day one — 3 1/2 ago, so they have a special bond.  I certainly didn’t want to be the one to tell him that camp wasn’t an option this year — are you kidding me?  And feel the wrath of ‘chemo Johnny’? No thanks.  Unfortunately, she left quicker than I could run her down and beg for her to tell him. I knew he could take the news from her.  
Pretty much the answer is no. And by ‘pretty much’ I mean the answer is ‘No’. I like to say ‘pretty much’ because you never know what will happen between now and then, and it makes me feel better.  Either Johnny will be hooked up to his high dose methatrexate (followed by 3 days of intense hydration that requires his tall, thin nemesis, the evil ‘Dr. IV Pole’ to follow him where he goes) or starting a new protocol, and let’s not even talk about what his counts might look like…
So I decided to take a more governmental approach — don’t ask, don’t tell.  If we don’t say anything, maybe he’ll forget and it won’t become an issue.   Luckily, Cathy (she’s in charge of Camp kids) came in this morning to kinda break the news (or at least it helped break the news). She casually talked about Johnny going to camp with a PICC line and how it would really cramp his style.  No pool, no lake, no boating — and with a PICC line, it really is ‘NO’.  The more we talked about the restrictions during camp, the more I think it helped Johnny make up his own mind about going.   At this point I don’t think he would go even if they asked him because of the PICC line.  I’m glad with the way it all worked out — Mike and I didn’t have to have the ‘talk’ and no one ends up being the bad guy.  whew!