Tag Archives: induction

Day 38: Today and Tomorrow.

I’m very lucky to be related to a really wonderful woman who has sent me some excellent advice over the last 38 days. She is a writer, a photographer, and a cancer survivor, herself. Since we received the news of Elsa’s remission, I find myself revisiting something she wrote me:

One challenge that all cancer patients (and their families) face is dealing with what is known rather than succumbing to the fear of what MIGHT happen. What MIGHT happen exists only in your head. It is not reality. So when it grabs you by the throat, just give yourself a mental hug and say, “Awwww, poor baby. You’re scared, aren’t you?” Being scared is not a nice feeling. Be sympathetic to yourself, because often you don’t share that fear with everyone.

Yes, Elsa is in remission and that is wonderful news. Yes, I am boundlessly thankful for her speedy response to the first month of treatment. There are moments though. Moments where I get stuck deep down in what MIGHT happen. What MIGHT befall my sweet, small one. I read a blog about another little boy with ALL who was told he was in remission on Day 29. Then, days later, they came back and said, “Sorry. We made a mistake. You are actually sicker than we thought and you need a bone marrow transplant immediately.” I know, I know. This is where you tell me to “Stop reading those damn blogs Georgia!”

***********************************************

When Elsa was first diagnosed, our doctor and his team sat down with us for two hours to go over what MIGHT happen. Having an airline pilot father, I can’t help but imagine Dr. Parikh as our captain, making announcements over the loudspeaker:

“Welcome aboard folks to Flight 300, traveling from Acute Lymphoblastic Leukemia into the unknown future. We are happy to announce that there is a very good chance you will exit the plane in two and a half years with a cured child in your arms [everybody on board cheers and claps enthusiastically!] Before we take off, please direct your attention to the flight attendants at the front of the cabin as we go over some of the safety regulations on this aircraft. There are some serious risks associated with flying our airline, but, unfortunately, the risk of not flying is certain death. [everybody on board groans]. While myself and your cabin crew will take every precaution necessary to ensure your safety, please prepare yourself for the possibility of: learning disabilities, partial paralysis, blindness, brain damage, severe allergic reaction, severe kidney damage, and death. . .”

***********************************************

I know I’ve already said it, but Elsa’s total 180 degree turn around this week has been wonderful. The majority of this week, I have spent enjoying our time as a renewed little family. We have spent an inordinate amount of time dressing up dollies, playing peek-a-boo, reading books, singing “Head, Shoulders, Knees and Toes,” and affixing stickers to every surface in the house. From time to time though, I’m struck by a sudden need to return to our treatment protocol binder and furiously search the internet for what’s next. What new drugs will she have to take? What horrible side effects will they bring? I have brief moments of horror where I look at her and realize, this is nowhere near over.

Then I realize I am getting caught up in what MIGHT happen. And this is not reality. I cannot know what MIGHT happen. I cannot anticipate how she will weather her future treatments. I can only know that, today, Elsa wants to dress up in a winter hat and three different bathing suits all at once and then laugh maniacally over her clever choice of outfit. So today, wearing a winter hat and three bathing suits: that is our focus. And tomorrow, whatever we MIGHT face: That hasn’t happened yet.

Always dressed to impress.

Day 34: A word about steroids

I have big plans for the pictures I’ve taken over the past 34 days. For now, I will share a few choice pictures in a story entitled, “Why Steroids Suck.”

Day 2 of steroids: Still able to muster a smile. Weighs 25 pounds.


Day 20: As much of a smile as she can muster. Now 30 pounds. Chubby cheeks? In progress. Buddha Belly? In progress.


Day 29: Really steroids? Really!? Total misery at 33 pounds.

For the last week of treatment, that last picture was pretty much her baseline. Every time I compare before and after pictures of Elsa, I hear a DARE police officer in my head that says, “This is your toddler. This is your toddler on ‘Roids.”

Yes, she will have to take steroids again, but never for as long as she did this month. I think our next round will not be for another 3-4 months and it will only be for one week at a time. For the time being, Steroid Baby is blessedly dormant.

Day 33: Good News!

(Transferred from our Caring Bridge)

Good news friends!

First: We got a call from Dr. Parikh (Elsa’s primary oncologist) yesterday. The goal of the first month of treatment is to reduce the leukemic cells in the bone marrow from approximately 95% at the beginning of treatment (yikes) down to below 0.1% leukemic cells. The test they use is called MRD (Minimal Residual Disease) and that was the big Day 29 result that we have been waiting for since Day 1. From what our doctor explained, the MRD test is sensitive enough to pick up cancer cells up to 0.06% and . . .

Elsa’s cancer is undetectable!

This means that her MRD is less than 0.06%! That’s a pretty big deal and means that she is technically “in remission.” The way John and I see it, Elsa’s job now is to survive her chemo (it will still be 2.5 years of the nasty stuff).

What could be better than “remission?” I’ll tell you whats better than remission: NO STEROIDS (at least for awhile)!

The doctors and nurses warned us that there are two kinds of kids on steroids: those who are OK, but just extra hungry and those who are train wrecks. Elsa definitely falls into the latter category. Since the change in her was gradual, I don’t think I had realized how severe her decompensation was during this past month. I didn’t realize until 48 hours after they took her off the ‘roids and she turned into the brightest, giggliest, sweetest, most engaged, delightful, sunniest, most wonderful, amazing, little girl I could ever hope to meet. Honestly. I’m not exaggerating here. I know I exaggerate, but trust me: I’m not this time. The past two days have been like some sort of sparkle explosion of delightful toddler.

So while I’m happy about Day 29 bone marrow biopsy, I can honestly say that Elsa’s return from her journey into steroid hell has filled me with even more joy. She is enjoying life again! We are enjoying life again!

I have about 500 more things to write about, but, of course, I’m exhausted. Two bits of very good news will have to suffice for the time being.

Day 26

(Transferred from our Caring Bridge)

In case I am ever complaining about how this whole month has been total hell, please correct me and say, “No, No Georgia. Remember? August 16th was a good day.”

We are nearing the end of our first 29 days. It is truly mind-boggling. Today – Day 26 – was just about as good as it gets with a kid on steroids and chemo. I felt busy and got some of my new to-do list done. We spent time with good friends. Elsa smiled from time to time and kept her tantrumming to a minimum. She ate a variety of healthy foods, as opposed to the constant stream of salty cheddar bunnies that she is usually trying to mainline intravenously. We got some exercise. She actually let me stop nursing her long enough to do some dishes and laundry. The sun was out!

I’m too tired to keep typing, but I wanted to get that out there. Today was a good day.