We were back at the hospital Monday for chemo. Julia was not upset today which always makes things easier for all of us. It was a long morning at the clinic. It's funny what seems normal to us now. Our perception of a doctor's appointment has drastically changed. A typical oncology clinic appointment is 4-8 hours and it really doesn't feel that long, though lunch is not built in for patients and you can't leave or eat in the clinic, so you get really hungry by the end.
The lab was really slow today and everything they do here hinges on those numbers. Sadly Ms. Michelle is sick, so no Art for Life today. (Good news: Ms. Betsy had a healthy baby girl!) It really drove home how important their volunteer service is to these kids. There were some long faces around the waiting room and the kids didn't know what to do with themselves. The playroom is only open for two hours in the mornings and Ms. Stacy did a good job thinking on her feet to fill the gap.
We made some new friends today. It is amazing how easily you get to know people here and how your conversation goes from "hello, what's your child's name?" to the details of their last surgery and chemo side effects. Cancer is definitely the great leveler. The clinic has patients from dozens of racial backgrounds, languages, and socioeconomic groups and we're all in this together.
Julia's physical went well. She bounced right back from last week's fever and everything looks good. We talked a lot about end of treatment protocol. I can't believe we're that close! After chemo ends we will wait 3 weeks, then she will have her chest xrays, ultrasounds, and echo of her heart. At that point if all is clear we move to monthly clinic visits for port flush and labs for the next year. If she is still clear then she would have the port removal surgery. Then clinic every 3 months for a year, then every 6 months for a year, then every year. I'm not sure what the future scan schedule looks like, but it will fit into those appointments. Next time we will also talk about the plan for 'one kidney health' which is vital to Julia now.
We've been given the go ahead for flu shots. They want us all to have them, mostly for Julia's protection. We were also told she cannot be around anyone who received Flumist because of potential viral transmission. Several local schools have been mass innoculating with the mist. She said this is a nightmare for them because their chemo kids are in these classrooms surrounded by the flu virus- yikes! Lymphoma and leukemia patients are in treatment for 2-3 years, so school attendance is a part of life for many.
Her counts came back stable. Her white blood count is 3000 and her ANC was 1230. Red blood count is still low, but not too bad. So she got the go ahead for chemo. Today is her last round of doxirubicin! Yipee! This is our love/hate drug. We hate what it does to her body and the potential permanent damage it is causing to her heart (they will check every 2 years for the rest of her life). This is the drug we were so hesitant about in the beginning. But it is also the drug that we pray is saving her life and preventing those nasty anaplasia cells from spreading anywhere else. It works by preventing DNA from forming, therefore the cancer cells would not multiply. As much as I hated it in the beginning I have learned to view it as our safety net and our best chance for long term health. As hard as it was to find out we had to step up from the simple treatment plan to this one (with doxirubicin and radiation), it is nothing compared to the next step in Wilms' treatment which has intense and devastating health effects. What often times seems overwhelming at the moment, turns out to be less devastating than the alternative.
They did Julia's syringe chemo drugs, then hooked her up to the pump. She likes to watch the red stuff as it makes its way down. They wrapped all the patients in heated blankets because the A/C was so cold...
Here it comes...
When the blankets weren't cutting it, they passed out hats. Here's Julia's! She loves it and had to go show it to her fish friends...
Bye Rainbow Puppy, see you next time...
...for our LAST CHEMO!!!!
I never thought much about these clinic appointment cards, but if you read the plan options- admit, chemo, lumbar puncture, bone marrow, sedation, etc.- this is heavy stuff. These brave kids never get less than a port access or IV- (that's an easy day!) and they're all still smiling the best they can.
Julia was really tired the rest of the day. She took a long nap and didn't do much, besides eat Monday night.
She slept well and is bonding with the bed today. We pray the medicine is doing its job in there and that she rides out these last two rounds well. We go in for labs (and flu shots) next Thursday.
Now the rest of us are off to get some school work done, hopefully...