Day 190: Let loose

Six days later, they let us loose! Turns out we all had RSV (Respiratory Syncytial Virus). Blech. Her ANC was 0 for two days, which means she had no immunity to anything (anything!) and her fever ran in the 103′s-104′s for a few days before she started to turn the corner. She needed one blood transfusion and one platelet transfusion, but otherwise, it was a pretty uneventful stay.

None of us are at 100% right now, but we are exceedingly happy to be home. We are free to move about the house as we wish. We can go to the kitchen and make food whenever we want. No one pesters us at midnight and then again at 4am to draw our blood and check our blood pressure. No IV pole. No needle in her chest. No diarrhea-inducing, belly aching IV antibiotics. No mechanical bed. No fluorescent lighting. No hazmat suits. No masks.

Home is the best. THE BEST!

That being said, I am waiting for the stress and panic to dissipate. Something in my brain keeps shouting: “Her counts are so low! She is going to get a fever again. You are going back to the hospital. Don’t get too comfortable.” And it is possible. We could go back again before we are really out of the woods. I know it is no use brooding over it, and we should just enjoy the time we have at home. Everyone will tell me that. I know. I just need to figure out a way to intercept that shouting voice . . .

Next stop on the cancer train? Clinic on Monday to check if she needs any more transfusions. Next round of chemo (Interim Maintenance #2) starts the week after.

Oh yeah. One more thing: Delayed Intensification is over. OVER!

Day 185: Inpatient and I’m getting a pedicure

There is almost nothing that makes you feel more absurd than getting a pedicure while your child is sick in the hospital. I am like one of those Mob Wives. I am a Real Housewife of Suburban Connecticut. I am getting a pedicure and blogging on my iPhone: Absurd!

My massage chair squeaks and a lovely, but somewhat aggressive Korean woman at my feet tells me I need “therapy” for my calloused feet. Therapy, indeed. I tell her “Yes please. Therapy, please. Callous eliminator please.”

I don’t feel guilt, don’t worry. Not for this, at least. I feel only mild discomfort as my toe skin is clipped and relief that I am not glued between a mechanical hospital bed and my hot, sweating, immunocompromised child.

We are in for the long haul, for sure. Her ANC has reached zero and there is no fighting off whatever bug she has now. Her fevers are up in the 104 range overnight and she wavers in the 101′s during the day. She’s stopped eating, but thankfully is happy to nurse all day long. We’re just watching and waiting and hoping this is not something scary. Thankfully, they are thinking it is a virus that will run it’s course, however slowly. John and I are also coughing, sore-throated, snot factories. We are not helping Elsa’s cause, but we have no choice but to be there with her. The hospital has confined us to our room because we are a danger to the other immunocompromised children on the floor. Staff wear plastic, blue, haz-mat uniforms and masks when they come in our room; Elsa is too zonked to raise an eyebrow at these giant plastic smurfs with stethoscopes.

There are some moments of sweetness though. She is a child who snuggles only on her own terms and defends her personal space aggressively when she feels invaded. I quietly sit by and encourage this as I think it will serve her well as a grown woman. John has to ask her for kisses these days as she is quite the roiling mass of grumpiness and lashes out if surprised with an unwanted snuggle. He asks her, “Can I kiss your hand?” and she responds with a nod and her outstretched, mottled little fist. He kisses her and she quietly accepts. John and I find this adorable every time.

[*This callous therapy is very intense.]

Yesterday, I felt like, surely, this would be impossible. We could not possibly survive the intense discomfort of being sick ourselves, sleepless, and taking care of our sick two-year old in a 12ftx12ft confined space for the indefinite future. Today, I’m feeling a little more able. I turn on my constant treadmill of thoughts: She is alive. She is with us. She is alive. She is with us. Time will move forward. Time is moving forward right now.

[* Certainly it moves forward more pleasantly as this man massages my calves. This man has replaced the woman at my feet; he is the massage expert. He tells me I look tired. I tell him I live in the hospital now. He asks me why and I tell him my daughter is sick. She has cancer. He is sorry. He tells me his father had brain damage and was in the hospital back in Korea. He tells me his father would wake at night, when the rest of the family was sleeping. It was awful, he says. I nod and tell him, Yes, elderly people often wake at night in the hospital. They get confused. He nods and we are silent for a while. I tell him I used to work with some Koreans back in Queens. I tell him that I love Korean food and we laugh about Korean appetizers. I tell him Koreans never tell American diners what the food actually is - you just have to eat it blindly. He finds this hilarious and then becomes serious. "Do you think Americans here would like Korean food? I want to open a Korean restaurant." Yes, I tell him. "I love Korean food." I am unsure if I can speak for all Americans, but I do so cavalierly. He continues to massage my calves and we sit in friendly silence.]

It’s 3:30. I will go back to he hospital in an hour and a half. Renewed, hopefully, by these Koreans, and by time moving forward. By cold air and walking with my new, smooth, callousless feet, in flip flops, in the snow. By interactions with humans who are not wrapped in blue plastic suits, talking through yellow masks. By a few moments spent not thinking about whether or not the pale, hot, 30 pound body in my arms is a ticking time bomb or just working through a simple virus that will take an easy course.

Ok. Back to business.

ER update

Earlier tonight, we thought Elsa had a fever but it turned out John’s parents had read the thermometer wrong and we were happy to return home to our beds. We should have just gone to the ER then because now, it’s 2:19 in the morning and we are on our way to the ER with a fever of 101.7 and an ANC of 72. Also, the room they had ready for us earlier tonight on the 8th floor has since been given away and the floor is now full. Unfortunately, John and I are both sick as well, so we are quite the sad sack of a family right now. We’re going to be in for the long haul. . . Can’t leave the hospital until her ANC is over 200 and that could be a week, at least. Wish us luck and boredom. We like malignant boredom to be our biggest problem.

Day 179: Clinic Roundup

We have had two incredibly long clinic days yesterday and last Monday. I hesitate to blame the hospital bureaucratic snafus because, if they happen every clinic visit, then I think they might not be actual snafus. As a nurse, I should know better, really. “Hospital Time” is 2-4 hours delayed past all your expectations and often, there is no reasonable explanation. Time gets sucked down the drain in tiny, imperceptible droplets until suddenly, you realize it’s dark outside and you need to order a dinner tray.

A week ago, Elsa’s counts were finally high enough to start the second half of Delayed Intensification (ANC 860). The day was 13 hours long due to a three-hour delay in the pharmacy making the kids’ chemos. The whole clinic was in chaos because of the delay, but Elsa actually sailed through quite pleasantly. Not to pat myself on the back too heartily, but I was impressed with her fortitude AND my own. We were a really great team all day, even in the face of her not being able to eat, drink, or nurse for 8 hours (in preparation for her spinal tap, which was then delayed). I was proud of us.

We have a schedule of activities that we put on repeat for these long days. All these activities are made just a little more interesting by the IV pole and short length of IV tubing that reaches from the pole to the port in Elsa’s chest. We are a clumsy, bumbling trio: Elsa, Mom, and the IV pole. So here’s the schedule:

Go visit the receptionists, Amy, Ruby, and Karen and play peek-a-boo. Check out the toys on the receptionists’ desks, which are always themed to the appropriate holiday. Go flip the switch for the choo-choo train that runs along a track on the ceiling. Smile, laugh, and exclaim enthusiastically when the train appears around the corner. Get bored of the train and head down the hallway and around the corner to the four seasonal paintings of trees. Find the tiny bunny in the Spring Tree painting and exclaim enthusiastically, “There’s our tiny, tiny bunny!” Tire quickly of these paintings. Check out what the other kids are doing in the exam rooms and see if anyone will invite us in for a visit. Head back to the waiting room and play with a few boxes of plastic figurines. Find all the plastic dogs and line them up. Now, knock them down. Say they are going “nigh nigh” and put “blankies” (little ripped bits of paper towels) on them. Wake up the doggies and exclaim enthusiastically, “Good morning doggies!” Knock them down again. Repeat until bored. Head to the DVD cabinet and remove, at least, 20 DVDS and then put them back. Walk down the hallway past the infusion rooms and see if anyone wants to invite us in for a play date. Return to our room and read books on the bed. Watch 10 minutes of a DVD of nursery rhymes with totally horrifying animation. The only movie that holds her attention is, of course, the most intolerable one for me. Watch until bored. Take off clothes (Elsa’s clothes, not mine!), sit on the counter next to the sink and fill the sink with no less than 37 paper towels, saturated in hand soap. Wait until Elsa’s feet are shriveled little prunes and she is ready to get down (which can take up to 45 minutes – Score!) Diaper change. Clothing change. Go visit the receptionists Amy, Ruby, and Karen . . . . .

After the third repeat of this cycle, it is just about as mind-numbing as it sounds. Then again, some of our leukemia acquaintances are currently experiencing some really tragic stuff. Awful, awful. We are acutely aware that mind-numbing boredom during a 13 hour clinic day . . . we’ll take it with a smile and a nod and a thank-you. We’ll take it and ask for more please. Boredom is good.

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Photos from our 13 hour clinic day on January 9th, 2012

Our trusty pump:

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Our trusty paper towel dispenser:

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Our trusty soap dispenser:

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A highly coveted nap!

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Getting ready for her 9th spinal tap – she’s an old pro now:

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One dose of ketamine and one dose of versed later and you have this: (* I love how it looks like her doctor is performing a magic trick behind her. . . or conducting an orchestra?)

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Sweet little back, recovering:

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