My Boys

My Boys

Monday, October 17, 2011

Things Are Looking Up


Sorry for the delay in posting. Cris was released from the hospital August 29, and then we spent a few weeks at the Ronald McDonald House. We finally made it home by the middle of September!! Since he's been out, things have been kind of hectic. The first few weeks, he was taking so many medications, I had to use a spreadsheet to organize them. He has been on a high calorie, low microbial diet since August, which means that he has a ton of food restrictions. While we were staying at the Ronald McDonald house I actually had a hard time food shopping for him. The Upper East Side is very health conscious, so trying to find items that were not low fat/diet was a huge challenge.

He is doing really well now. His counts have started to recover on their own and he hasn't had to use recovery drugs since early September. If he continues this upward trend, he will be able to come off of his restrictions by the end of October and he will finally be able to eat whatever he wants (apples), go wherever he wants (the movie theater), and do what he wants to do (roller skating). It will make it easier to reach his daily calorie requirements when he is eating what he really wants to eat. In the month that he has been home, he has gained back 3 of the 10 pounds he lost during the transplant process. I don't know how he hasn't lost weight since he seems to have more energy than ever. He wakes up bright and early and never wants to go to sleep. I, on the other hand, am exhausted. Once he is able to go out and play with his cousins, I think (hope) he'll burn off some of his extra energy. I can't complain too much because when he is bouncing off the walls, I know he is feeling great. When he is tired and wants to lay down, I know there's a problem.

Things are slowly getting better. Thanks again for all of your love and support.

xoxo
Adina

P.S.- those of you who texted, emailed, messaged and called me and are still waiting for a response, I am very sorry it is taking me so long. It isn't personal, I just listened to voice mails from JUNE. I'm hoping to respond to all of you very soon.

Saturday, August 20, 2011

In, Out and In Again

Yesterday was a very interesting day. The morning was pretty exciting as Cris had been "acoustic" (no med lines/ "tubies") since the day before. The second they deaccessed him, he took off like a rocket and decided to climb on a chair.( I think I am up to my 53,982nd heart attack of the month.) He couldn't get out of the hospital fast enough.

 He got to spend a grand total of 7 hours at the Ronald McDonald house before he spiked a fever and we had to rush back to the hospital. You haven't lived until you have run down the street, carrying your 60 pound child, trying to catch a cab at 11 pm. The cab driver thought I wanted to go into Harlem because, apparently Memorial Hospital sounds like Harlem. The cab ride ended with me screaming directions at him (we were only 5 blocks away, but he didn't know where to go) and throwing money into the front seat when we arrived. We spent almost 6 hours in the ER while they waited for his blood pressure to stabilize. At 4:40, we were finally able to go upstairs. By the time I finally fell asleep, it was almost 6 am. I got an amazing 2 hours of sleep last night. If you have ever spent time in a hospital you know that it is the worst place to get any rest. They wake you up every hour to check your vitals, administer meds, stop the pump from beeping, etc ... Cris slept through pretty much everything, so that was good. Come to think of it, he usually sleeps through everything. Oh well, I'll sleep when we go home. I'd rather have him sleep through the night, he needs the rest more than I do.

When Cris finally woke up, he started coughing and sneezing. He coughed so hard that he threw up. They gave him Tylenol to bring down his temp. They ran antibiotics through each of his 3 lines, one at at time over the course of several hours, to determine whether they could continue using the lines. They also took cultures of each of his 3 lines and nasal swabs. We won't have the results until Monday.

They think it could be one of two things:
1. His central line could be infected and may have to be removed. **I asked why they didn't just remove the line since, technically, his counts have recovered and it was only being left in place in case of an emergency.  If the line was infected and it was removed, the probled would be solved. The Doctor said that I had a good point, but they didn't want to do anything until the test results come back.**
OR
2. He could have a viral infection. He is being treated with antibiotcs until the cultures come back. If it is viral, the antibiotics will be discontinued and he will only be on a saline hydration drip.

The good news is that they gave him Tylenol at 1 pm, and the fever didn't return until 10. The fever wasn't very high, so I'm thinking that's a good thing. When a child with cancer has a fever, it's a huge deal. With any other child, you can give them some Tylenol and they'll get better in a few days. When a child with cancer has a fever, it's an automatic trip to the ER, where they have to test for every possibility under the sun. The worst part is that our local ER is ill-equipped to deal with Cris and so we have to drive down to Memorial every single time he gets sick. Even when he had been off treatment for several months, we ended up driving into the city at midnight because he was sick. Cancer sucks.

Sunday, August 14, 2011

Happy Birthday

Cris had an amazing birthday party on Friday! Alyson from child life brought him an ice cream cake, made him a Darth Vader birthday poster and bought him some really cool gifts. He had a great day!

Dr. Trippett stopped by Friday evening and said that the transplant team was really impressed by his progress and that he might be ready to come home as early as this week!!!!!!  They discontinued the G-CSF (a drug which stimulates cell production) and, while his counts initially dropped, they were also beginning to recover on their own. This is a great sign! His body is doing what it is supposed to and is producing the cells it needs to help him fight infection. He looks great and he has started eating again, so they were also able to discontinue the nutrition drip he was on (that thing used to beep all night long). Today they discontinued one of his antibiotics and they lowered the dose of his pain meds. They are supposed to be either eliminating his meds or switching them to pills to prepare him for going home!! We're on our way out!!!!!!!

I don't know if I mentioned this, but the team told me that Cris will be able to return to school at the end of October/beginning of November. We're planning a back to school Star Wars party for the big day...

Adina

Tuesday, August 9, 2011

Things Are Starting To Suck Less

Typing with gloves is hard. So is trying to use a touch screen phone while wearing the aforementioned gloves. Sleeping with an isolation gown and mask isn't too much fun either.  Just putting that out there.

We have some good news today...they ruled out infection and are now treating him for Engraftment Syndrome. This is common in Autologous Transplant patients despite the fact that they are receiving their own cells. Apparently it is a good thing because it shows that his immune system is beginning to recover (by reacting to these new cells). They started him on steroids (fun, fun, fun) and quickly realized that they had to lower the dose after he cursed out the Physical Therapist. I'm not going to lie, I was pretty amused by the episode. He called her a "Stupid freaking idiot" and told her to shut up because she was annoying him. I wonder where he got that from???? This chick turned to me, with the most priceless look on her face, and tried to explain that this was one of the side effects of the steroids. No Shit. This is his second time at bat. He took steroids for a few months last year, I've seen how the steroids affect him. I live with him. I have been his primary caregiver since he was first diagnosed over a year ago. Homegirl just met him last week and she was forcing him to do something he very clearly didn't want to do. I would have been pissed, too. Anyway, the steroids are working and his fever broke, his blood pressure is back to normal, and the rash is fading.Tomorrow they are inserting a new central line so that he won't have to worry about the IV's in his arms.  Hopefully we can get out of  the Observation Unit before his birthday on Friday.

Things are looking better =)
Adina

Monday, August 8, 2011

Things That Suck

***I am apologizing in advance for any errors in spelling, grammar, punctuation, etc. It has been a rough week and I can't be bothered***
I'll start with the good news: Cristian's counts are improving, which means that the transplant was successful and his body is starting to recover. As of today, he is no longer  neutropenic (when his body is most susceptible to infection).  (Neutrophils are a type of blood cell whose function is to fight infection).

The not so great news is that over the weekend he developed what they think was an infection in his central (medicine) line. He had a fever and his pressure dropped so they had to remove his medication line and insert two peripheral (temporary) IV lines in his arm. They also moved him out of the inpatient unit into the Pediatric Observation Unit where they can monitor him 24 hours a day. Tomorrow they are most likely going to install a new Central line. This will be his 10th surgical procedure in less than 2 years. This evening, he had to have an emergency CT scan to rule out sinus, chest and lung infections. While he was in the machine, the tech was amazed that he was so comfortable in the CT scanner. He couldn't believe that Cris didn't move once, until I told him that this was his 30th scan (give or take). If the scans rule out sinus, chest and lung infections, then the fever, blood pressure, and rash, are most likely due to the engrafting of the cells and they will put him on steroids. A quick note about steroids; they make him super hyper (more hyper than normal) and MOODY. Last year when he was on steroids I had to curse a chick out for making a comment about his behavior. It was bad. Anyway, if the symptoms are due to cell engraftment, the steroids should resolve the symptoms immediately.

In other news;
The hospital has a washer/dryer in the inpatient unit. Last week I watched as two grown women got into a fight over the washing machine. They started screaming and cursing and the next thing I knew one of the women got pushed by the other woman's husband. You would think that both of these ladies would have more important things to worry about...

Adina

Thursday, July 28, 2011

Second Birthday (aka Transplant Day)

The transplant is done!!! This morning, Cris had to have a blood transfusion before the transplant since his hemoglobin levels were really low (it's a side effect of the chemo and radiation). Before they do a blood or platelet transfusion, they give him tylenol and benadryl. Any other child would have fallen asleep because of the benadryl, but not Cris. He had another dose of tylenol and benadryl right before the transplant and I thought that he would become drowsy with the second dose of benadryl, but not Cris. The doctors and nurse all said that they have never seen a child go through 8 days of radiation and high dose chemo and have this much energy on transplant day. They couldn't believe that he continued to talk and play throughout the procedure, something they all agreed was extraordinary. Hopefully, his recovery will be equally exceptional and he will be able to come home before September. So far, so great!


Adina

Friday, July 22, 2011

Radiation is OVER!!!

To our great relief, Cris finished radiation this afternoon. Asking Cris to stand completely still for 16 minutes is like asking a river to stop flowing-- not going to happen--ever. He squished, squirmed, wiggled, danced, sang and did pretty much everything except to stand still during treatment. While we were waiting for patient escort to bring us back to the room, an older man walked by wearing a hospital gown, and nothing else. I don't know if he was aware of the show he was putting on...

Being here hasn't been as difficult as I had imagined. Yesterday, Cris played walkie-talkie BINGO. He had a ball playing with the walkie talkie, I'm just not sure how much fun the announcer had. Oh well.
A few minutes ago the candy cart left the room. They loaded him up with about 4 lbs of sugar and chocolate. It's the only food he's eaten in 2 days. He wouldn't drink the milkshake I ordered for him for breakfast, but he has no problem inhaling fruit snacks and sour patch kids. He asked if he could have a bag of Skittles for me and I think he just ate those, too. My kid just ate candy for dinner and I'm happy because he ate something and (hopefully) won't lose too much weight today.

Tomorrow we get to sleep in because chemo doesn't start until 9-10 and he does it in the room. He's used to the chemo so, hopefully it won't be too bad.

~Adina

Thursday, July 21, 2011

First Week

So far, so good. We have settled into our new (bigger) room. Cris has started decorating in a Harry Potter/Star Wars mash up theme. One of the girls made him a really cool 3D Harry Potter calendar. As far as hospital rooms go, this one is pretty nice. The foldout bed I have been sleeping on only slightly less comfortable than sleeping on the ground. Cris is happy because now he has more space to play. He's been having fun with all of his new books, games, toys and movies. Thank you for sending them!

Tomorrow afternoon he'll be done wtih radiation and Saturday morning he starts his 4 day cycle of chemo. If it weren't for the bald head and IV pole you would never know that there was anything wrong with Cris. He's been entertaining all of the Doctors, nurses and volunteers.  So far he has been taking it all in stride and having fun while he's here.

Adina

Saturday, July 16, 2011

Good News!!!!

Tuesday's scans were all clear!! The cancer is gone!! The transplant Dr. said that he is making great progress. She said that it is rare for them to make a treatment schedule two months in advance and for the patient to stick to it perfectly. Usually, there is a delay in treatment because the patient's blood counts are too low or they will become sick and can't move forward with treatment. Cris sailed through with flying colors! He did really well on the rest of his preliminary exams (echo, EKG, kidney function test, etc). The Dr. also said that since he made so many stem cells during the collection, they will be able to return more than usual during the transplant. This should help to speed up the recovery process. He also has extra stem cells in storage, just in case he gets an infection and needs a "boost".  She also told me that "high energy kids" tend to do better and recover faster than kids who lay around in bed after the transplant. This is great news since Cris isn't just "high energy", he's super electric. To look at Cris right now, the only indication that something is wrong is his lack of hair. He is still running around like a lunatic, trying to get into everything (and giving me a heart attack since he isn't supposed to get hurt or sick right now.)
 
Thanks again for the prayers, kind words and positive vibes =)
Adina

Sunday, July 10, 2011

We're Almost There

So many things to do... Tomorrow Cris has to sit still for 2 hours while they prepare radiation forms for his body. I'm bringing a bunch of movies and hoping for the best.  He also has to see the dentist, psychiatrist, and surgeon this week. On Tuesday he's having PET/CT scans to determine whether the chemo got all of the cancer cells. If everything looks good, he'll be ready for the transplant.

As scary as the recovery will be, I can't wait for the transplant to be over. I know that Cris is sick of all of these procedures. I can't stand watching him have go through it. As far as Cris is concerned, he is not happy about having to spend 45 days in isolation. Dr. Trippett said that they have a lot of activities for the kids, I'm hoping that it will help the time to pass more quickly.

Adina

Tuesday, July 5, 2011

Stem Cell Harvesting

Cris's counts were so good today that he was able to begin the stem cell collection process a day early! He's still having the transplant on the 28th,  but hopefully we'll be able to go home tomorrow (rather than Thursday). If we're really lucky, they will have collected all the cells they need today and we won't have to come back tomorrow. *Fingers crossed* So far, so good.  He's on track for his transplant. Next week's scans will tell us whether the cancer is gone

**Update**  They only needed 1,000,000 stem cells for the transplant, Cris produced 59,000,000!! He is a rock star!! He's doing really well so far! Keep the prayers and positive vibes coming =)

Tuesday, June 28, 2011

Blood Transfusion

Yesterday's CBC's (Blood test) showed that Cris will need a blood transfusion tomorrow (some of his counts were low). We'll be in the hospital bright and early and we expect to spend the day there. He is so over this whole ordeal and I can't blame him. He can't do what he wants, he can't eat what he wants, he can't go out in crowded places, he can't swim or ride a bike. In other words; he can't be a 5-year-old boy. When this whole thing is over, we're going to have to make up for an entire Summer.

xoxo
Adina

Sunday, June 26, 2011

Nick's Birthday, Chemo and July

This past Wednesday Nick turned 15, which is really interesting since I'm only 21 :-) Happy Belated Birthday Nick!!

Cris finished his last round of chemo before the transplant. This time the chemo didn't hit him so hard which is a huge relief because last time he was sick for a week after chemo. This week coming up is going to be relatively calm, we only have to go in 2-3 times this week for CBC's (blood counts). The following week is when it's going to start getting hectic.  Because the last chemo had to be delayed, they also have to delay the stem cell harvesting by one day. He's doing the harvesting on the 6th, 7th and possibly 8th of July and he isn't being admitted!! They are going to use the temp line he uses for chemo so that he won't have to have another surgery to install a collection line in his groin.The week of the 11th he has about 3 appointments every single day for various exams and procedures (EKG, Dental, scans, Echo,etc). The week of the 18th he is being admitted. Radiation starts the 19th (3x daily from the 19th-22nd). On the 23rd-24th he has high dose chemo. On the 25th-26th he has a different high dose chemo. He gets a break on the 27th and the transplant is on the 28th.  The transplant doctor explained that the transplant itself was an injection given through the temp line (which he uses for chemo). I was a little shocked to hear that, I thought it would be a surgical procedure. The good news is that Cris is able to use his own bone marrow since it didn't have any malignant cell involvement. This will make it less likely for his body to reject the transplant. Just in case he can't use his own bone marrow, we found out that Nicholas is an EXACT 10 point match!!  Dr. Trippett said that usually siblings will only match the first 6 points, and rarely match the last 4 points. She said that it is pretty rare to find a perfect match by a sibling.  We were worried because only 40% of patients needing a transplant find a suitable donor. The odds are worse for ethnic minorities. Now we have a plan B!!

On Friday I was able to check out the Ronald McDonald House where I'll be showering and doing laundry while Cris is in the hospital. I'll be able to stay in the hospital with him; he is going to have a private room with a fold-out bed for me, but I'll have to be in scrubs/mask/gloves/hair net while I am in the room with him and I can't use his shower/bathroom. He won't really be able to have visitors for several weeks while his immune system recovers.

Sunday, June 19, 2011

Round 2 of Chemo

This Tuesday Cris will begin the second round of chemo in preparation for his bone marrow transplant in July. He will have chemo on Tuesday, Wednesday (Nick's birthday) and Thursday. We'll be home by Thursday evening and he will get to spend the next few days at home! We go back the following week for blood work and checkups.

July is going to be very busy. The first week he will be admitted for 2-3 days for the stem cell harvesting. He gets to spend a few days at home, and then, on the 18th he will be admitted for about 45 days for the bone marrow transplant. During that time he will be in isolation, which is going to be hard for him. He won't be able to have visitors during that time and he is going to have to be confined to his room. Since so many people have asked me what he likes, we created a registry at Toys R Us under his name (please don't feel obligated to buy him anything--we only did this to make things easier because several people have been asking--seriously, we don't expect everybody to buy him things--but, if you really want to buy something, remember, I like diamonds and platinum ;-))

We told him that he is going to be in the hospital for his birthday and now he wants to celebrate his birthday every single weekend until he is admitted and again after he is sent home.  We celebrated Nick's 15th birthday yesterday and Cris was upset because we didn't sing him (Cris) Happy Birthday. We decided to compromise; on July 15th we're going to take him to see Harry Potter at the Drive-In (he won't be able to go to a regular theater) and this winter, after his immune system has had a chance to recover, we're going to take him to the Great Wolf Lodge (since he can't swim this summer).

Adina

Sunday, June 12, 2011

Chemo

The first week in June would have been Cristian's one year cancer free anniversary; instead, it was the week he went back on chemo. This new chemo he is on is very different from what he was on last year. He had a bit of a rough time with it, but he only has one more cycle to go before the bone marrow transplant. The next few weeks are going to be very busy, as they prepare him for the transplant (and the lengthy hospital stay). He's angry about all of this, especially since he thought last time would truly be the last time. I can't blame him for being angry, this whole situation sucks.

Thanks for all of the love and support,
Adina

Wednesday, June 1, 2011

Good News Today

Cris got all dressed up and had a great time at the pediatric prom today!! I even got him to dance! 

We also got some good news; the cancer didn't spread to the bone marrow or spinal fluid and it looks like Cris will be able to use his own bone marrow for the transplant, which makes things easier.

Sunday, May 29, 2011

Keep the Prayers Coming

Thank you all for your prayers and support. Unfortunately, the initial results of the lymph node biopsy yielded a false negative and last week we found out that the cancer has returned. Dr. Trippett explained that since the original tumor was so large, a few cancerous cells split off and migrated to the lymph nodes in his groin. They went dormant for a few months and then reactivated. She said that it was only a few cells, and that his prognosis is very good. He will have chemo Tuesday-Thursday,  get a 2 week break, have 3 more days of chemo, and if that is successful, he will then have to have a bone marrow transplant, followed by possible radiation, and another round of chemo. 

Having been through this before does not make it any easier. During this difficult time we ask that if you would like to reach out to us, you may do so through email and not by phone. I may or may not respond, but the emails are sent directly to my phone, so I will always be able to read them.

Thank you,
Adina

Monday, May 16, 2011

Our Prayers Were Answered!!!!

Dr. LaQuaglia just came in to tell us the good news! It doesn't look like cancer!!!!!!!!!!!!!!!!!!!! Cris is coming home tonight!!!

Update:
Okay, so yesterday Cristian was supposed to have a lymph node excision/biopsy, bone marrow aspiration, spinal tap, possible temp line insertion and a laparoscopy. He was supposed to be in surgery for 2-1/2 hours. The good news is that they did the lymph node biopsy and it showed abnormal activity (which isn't abnormal for a lymphoma patient), but it was negative for cancer cells. Dr. Trippett and Dr. LaQuaglia said that sometimes, in lymphoma patients, the lymph nodes can over react during illness or infection. The CT/PET scans measure activity and not necessarily solid masses, which is why his lymph nodes were lighting up the scans. (If you ever want to know about your body's immune system and the function of the lymph nodes...feel free to ask, I know more than I should.)  When Dr. LaQuaglia called us in after 1-1/2 hours, I had a feeling that we were going to get good news. Thankfully, they only had to perform one procedure.

In about 2 weeks, he will have been cancer free for 1 year! It is a huge benchmark for him! If the cancer doesn't return within the first year, it most likely will stay in remission, and in 2015, he will be considered to be cured!! With the exception of the last 1-1/2 months, everything has been going pretty smoothly and we're praying that the worst is behind us!

Thank you for all of the prayers (they're working)!!
Adina

Friday, May 13, 2011

Here We Go Again

I never envisioned myself being in the position of having to blog about my child's health. I'm not entirely certain how I feel about this, but it seems to be the easiest way to keep everyone up to date.

If you don't know the back story, here goes: On New Year's Day 2010, we noticed a small red bump on Cris's neck. We thought it might be a bug bite, so we didn't think much about it. A few days later, the bump had grown larger and was a bright red. Initially, I thought it may be a ringworm, but when it doubled in size almost overnight, I made an appointment with the pediatrician.  The Doctor thought it was an eczema flare up. Cris's eczema had never looked that way, but I trusted the Doctor and I applied the cream he prescribed for an entire week. When we went back, another bump was forming and the original bump was bigger and redder. He gave us another medication and told us to come back in a week. Needless to say, the medicine didn't work, and he referred us to a surgeon. The surgeon took blood, and said that it looked like Cris had cat scratch fever, so he prescribed antibiotics. When we returned the following week, another bump had formed and the two previous bumps had morphed into one large bump. Cris was scheduled for surgery for the following week.  Because of a massive snowstorm that had hit Upstate NY, we had to wait almost 2 weeks for the results of the biopsy.  During that time, we never seriously considered the thought that Cris may have had cancer. When the surgeon called, we were devastated to hear that it was cancer. He gave us 3 different treatment options, and it was a no-brainer, we immediately chose Memorial Sloan Kettering.

From day 1 every single person we have been in contact with at MSKCC has gone out of their way for us. Every single person on the pediatric lymphoma team, from Dr. Trippett, to all of the nurses who have cared for Cris during the past year, have been extremely kind, and compassionate.Cris was officially diagnosed with Anaplastic Ki-1 Large Cell Lymphoma, an extremely aggressive and rare type of T-cell lymphoma. Because the cancer was so aggressive, the treatment had to be equally aggressive. Cris underwent 6 rounds of high dose chemo over 3 months, and he was found to be NED (no evidence of disease) in June 2010.  Every 3 months, Cris had to undergo CT and PET scans, most of which showed no abnormal activity. On March 17, 2011, we had to cancel the scans because Cris was not feeling well. Two days later Cris developed a high fever and we had to bring him down to MSKCC. He tested positive for the flu and it took him several weeks to recover. The March scans were rescheduled for mid April, and they showed reactive lymph node activity.  We had to keep him in isolation for almost 3 weeks and they repeated the scans. The Friday before Mother's day, Dr. Trippett called to tell me that the scans were still detecting reactive lymph node activity and he would have to undergo further testing as well as surgery. We brought him back to MSKCC that Monday (May 9, 2011) for more scans (which continued to show reactive lymph nodes). On Wednesday, May 11, we spoke to the surgeon, Dr. LaQuaglia, who will be performing the biopsy. The scans showed suspicious activity on both sides of the aorta as well as in his groin. Dr LaQuaglia examined Cris and said that he has a gut feeling that the cancer has not returned. He thinks that since Cris had recently had an ingrown hair (cyst) near his groin , that may be what was lighting up the scans.  He also said that all of the scratches that Cris has on his legs (from scratching his eczema) may have become infected and that could be what is lighting up the scans. We won't know until after the biopsy on Monday, May 16, 2011.  Dr LaQuaglia will look at a frozen section of the lymph node during the procedure and we'll probably have some answers by Monday afternoon. Cris may or may not have to spend the night in the hospital, which is something he had manged to avoid during this last year.

I am in awe of  Cristian. He knows what is going on and he is handling everything better than most adults would under the same circumstances.  When he started, Cris hated needles. Every time they had to access his port, or insert an I.V. line, we had to hold him down and apply generous amounts of numbing cream. It broke my heart to watch him go through it.  The last few times they had to insert an I.V., Cris sat in the chair, alone, and very calmly allowed them to do what they had to do. No screaming, no tears. His strength amazes me.

I will update after his surgery, as soon as we find out what is going on.


Thank you for all of the love and support!