Today we had our routine bone marrow aspirate at the hospital. We first met with our oncologist to discuss everything. The first thing he said when he walked in our room was, "Well, I have some good news for you guys." I immediately thought...what could really be that great?? He then let me know that he had just returned from the Oncology conference and that a major thing has changed in regards to the protocol treatment plan for AML patients. After extensive research they have concluded that the 5th round of chemo is not beneficial in any way. There is a 3% fatality rate in the 5th round due to it's harshness. He then let me know that it is up to me and Nathan to decide if we would like to continue on and do a 5th round, but that from here on out it will NOT be part of an AML patients chemo schedule. Sooooooo......GRAHAM IS OFFICIALLY DONE WITH HIS CHEMO!!!! He is now considered to be in remission and will continue to have regular check-ups. If he were to relapse the doc said that it would most likely manifest itself in the same way....skin lesions. So he let me know that for the next 5 years I need to pay close attention to any rashes or spots on his skin. In about 3-4 weeks Graham will go in and have his broviac line removed, an EKG on his heart (this is to make sure his heart is functioning well due to the chemo he received this past round) and they are also going to talk with the dermatologist and determine what to do about the lesion above his eye. They might laser it off....but I'm not sure yet?? He will then have weekly visits from our home health nurse to draw labs and check all of his counts (ANC, white blood counts, hematocrit and platelets and make sure he isn't in need of any transfusions and that everything is looking good) also, weekly visits from a speech therapist to help me with Graham's eating so we can get him off the feeding tube and of course his monthly visits up to Primary's.
We finished our 4th round on September 20th! It has been such a great week+ at home. Graham is rolling like a mad man and can almost sit up by himself!! He has progressed so much in just the last few weeks. It is of course so so so nice to be home :-) I love not feeling rushed when I come home at night. Usually i try to put Sawyer to bed before I go back up to the hospital, but if he doesn't cooperate then I have to leave and have Nathan or grandma do it. I always think that if I put him to bed he won't know that i leave afterwards. But, he is so much smarter than I give him credit! I will put him to bed and he asks me, "Are you going back to the hopsfeetal now?" He knows.
Finding out today that we will not be going back to "live" in ICS I had alot of different emotions....all of them good, but I was not prepared for this news. At first I had so many questions....one of them always being this question to the doc, "What would you do if it were your child." Doctors always give you your options...of course. Our oncologist is very good at leaving emotion out of it and just giving us our options. But, whenever I ask him this question I always get some emotion behind it and a very firm answer :-) I usually go with that option....of course given I feel good about it. I feel very good about not going forward with the 5th round. He left the option up to us because it has always been in our "plan". To be honest I am very sad to be leaving so many of the nurses behind. I absolutely love so many of them! Of course it is their job to take care of Graham, but you can tell that they really love the little guy and that means so much. I am just sad that I didn't get more pictures of them :-( maybe we will have to make a trip up to ICS and take some pics!! We will miss them all so much and I will always be grateful for the way that they took care of our litte "True Grit" ;-)
So my little Sawyer is a funny funny guy. He does and says the funniest things. Sawyer is a very particular little boy. He LOVES to line things up and organize his toys. Below are some of the pics that my mom has taken in the last few months. He recently decided that he was going to flush a handful of his dinosaurs down the toilet. He came out of the bathroom and informed us of what he did....we weren't sure if he was telling the truth. Sure enough the toilet was full on clogged!! Our plumber came and after "snaking" our toilets he pulled out 2 dinosaurs and a horse. Nice :-)
Like I said....He lines up everything!!!
Again...
And Again...
and....
Again!!!
My mom is a bit of a neat freak....I think all the months her taking care of him.....she rubbed off a bit :-)
So we are now home.....for good! I cried for about an hour today. I think it was just such unexpected news and I was so floored by it that I didn't know what else to do :-) I can honestly say that little Graham has endured a lot in his short little life. I know that there are others who have had it worse and also better, but regardless my little Graham is....as cliche as it sounds....a Fighter! I think back to the night that Graham went into respiratory arrest. I have imagined over and over how it all unfolded. I know the nurses that were there and in particular the nurse that performed CPR. I will never forget her face.....and now that I think about it I'm not sure if she knows just how grateful I am to her. I think about my sweet sister-in-law who made the call to me that night. I've thought so many times how scared she must have been and know that it is something she will never forget and I will forever be grateful to her and how attentive she was to recognize that Graham was struggling that night.....and so grateful she didn't hesitate in calling the nurse in.
Graham also had his horrible fevers this round that would not go away.....he just layed in my arms day after day and night after night and whimpered....those are sounds that I will never forget. I feel like I held him for 37 days because that is the only thing that brought him comfort. On day one of his 2nd round he got sepsis. Sepsis by definition is: A severe illness in which the bloodstream is overwhelmed by bacteria. Some of the symptoms that Graham had due to this were: drop in blood pressure 50/20 resulting in shock, chills, hypothermia and shaking. I was holding him at the time and his skin turned blue and then gray and he was cold and clammy. When sepsis occurs in an immuno-compromised child it is life threatening. After staying in the PICU for this he was sent back up to ICS to continue with his chemo. Next up was his liver clot. I remember the day that I noticed his tummy getting bigger and harder....he was so incredibly miserable. Then came the mouth sores/mucacitis.....Hell! sorry that is really the ONLY word to describe this one. I am beyond grateful that he will never remember the few weeks that he had these.....awful. The reason I re-write some of these things is of course to remember, but also to never forget. I don't ever want to forget the things that Graham endured and overcame. Yes he is a baby.....and a very tough one :-) People always talk about how resilient kids are and I think it is because they are very focused on the here and now. Things that have happened to them are like water under the bridge and it seems (at least my take on it) that they are just grateful for the moment. All I can say is kids are so positive and beyond tough!!
Last, but not least.....September is Childhood Cancer Awareness Month. Sadly, I never realized this until Graham was diagnosed. A few statistics: 46 kids are diagnosed with cancer everyday....7 kids die everyday from cancer.....Over 40,000 children are being actively treated for cancer this year......Over 13,000 are newly diagnosed each year. Awful how many kids have to go through this :-( From here on out if you didn't know...now you do :-) Every September remember.....Children get cancer.....and ALOT of them!!! Please do something....even if it is as small as wearing a gold ribbon during the month of September. Thank You!!!