Monday, July 16, 2012

Day 7, Chemo Round 5 :: We're Back...


Heading to the hospital for round 5,
 Jade was underwhelmed.

 Sorry for the silence, friends.  This family has been on quite the roller coaster ride these past few weeks marked by the highs of enjoying Jade's unexpected three week stay at home, celebrating Lil Jay's eighth birthday, spending quality family time at home... and the lows: sending Lil Jay to Boston, three bone marrow biopsy appointments and inconclusive results.

Gracefully, the 2% blasts that appeared in Jade's June 29th bone marrow biopsy were only precursor cells.  Because each of Jade's biopsies since her chemotherapy regimens began in January have come back with less than one percent leukemia cells, this apparent increase (however slight) was alarming and delayed Jade's being able to proceed to Round 5.  (If these were indeed leukemic cells that were being produced after four rounds of chemotherapy, Jade's treatment plan would have needed to be intensified.)  Jade went back in on July 6th for another biopsy; her doctors believed another week would either give immature cells an opportunity to mature into one of five types of white blood cells or for leukemic cells to increase in concentration and define themselves.

Jade plays with her
True Hope hairless doll
by Bratz, a welcome back
gift from the team here.
Preliminary results from Jade's July 6th biopsy also showed suspicious cells, but her marrow was ultimately cleared -- less than one percent leukemic cells -- after being sent out to labs in Nebraska for flow cytometry and cytogenetic testing. Jade's system is recovering more slowly than in previous rounds (I guess four rounds of chemotherapy will do that to you) and skewed these biopsies; the suspicious cells that were appearing in Jade's marrow were apparently precursor cells that are maturing. Thank God!

And so, we returned to Children's National Medical Center a week ago to begin Round 5 of Jade's treatment plan. Three-hour IV infusions of high-dose cytarabine twice a day and intramuscular shots (right in Jade's fat legs) of asparaginese are on deck this round, in addition to the typical slew of oral antibiotics and antifungal medications.

Nearly 200 days into this journey, thank you for your continued prayers and support.

2 comments:

  1. I am so thankful that the 2% blasts were NOT growing into Leukemic cells! What a blessing. I bet that was all pretty traumatic and worrisome to say the least. Ugh!

    I am so glad you're finally onto round #5. I thought that they had discontinued this last round. Those here in Utah aren't doing it anymore and one of our friends in Texas wasn't required to do it either. Erin had it done. The 4th round was the worst for us and we also ha d 3-4 week break before starting round #5.

    I sure hope this round is a breeze and that you all get to be back home quickly and that cancer can start to get further and further behind your family.

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