Twisted Sense

Listen up…

 

New site.

There’s another site I’ll be updating to that will send you email alerts when I update it!  Here’s the sign-up instruction email:

Dear Friend or Family Member,

You’ve been invited to visit Lauren Schwab’s online CarePage. A personalized Web page, called a CarePage, has been created for Lauren, so you can easily receive the latest news, view photos and share messages of support.

To visit the CarePage, please click the link below:
http://www.carepages.com/ServeCarePage?cpn=laurenliz&ipc=pinviteemailtemplate

(If you cannot click through this link, please copy and paste the entire URL into your browser’s address window.)

…or you can use these manual instructions:

1.      Go to www.carepages.com?ipc=pinvitetemplate
2.      Click “Visit a CarePage”
3.      Register (first-time users only)
4.      After you’ve registered, enter the exact CarePage Name below:

laurenliz

Filed under : Uncategorized
By aurorah
On April 17, 2008
At 10:14 am
Comments : 0
 
 

ER - home - ER - admitted - home!

Okay, I really don’t understand what’s going on, but .. I don’t know what else to do.

Here’s the timeline:

Friday night (3/28): @ about 11:30pm, Lauren has a fever.  I take her into the ER, they diagnose a UTI, send us home (5:30am) with antibiotics.

Sunday night (3/30): middle of the night, Lauren wakes up with pain in her leg.  I give her oxycodone and bring her into my bed.

Monday morning  (3/31): She wakes up still with leg pain.  I give her some oxycodone.

Monday afternoon (3/31): I get home and she has a highish-low fever (100.6) and hasnt’ walked or eaten all day.  I call the clinic and they suggest to bring her to the ER.  We go to the ER, they say she may have a bone infection so she’ll need to be admitted.  Her counts are all fairly normal, however, including a normal white blood cell count.

Tuesday morning (4/1): They come in and say she never had a UTI (??????).  They say they need to do an MRI and a bone scan to see if there’s infection in the bone.  They can’t do both Tuesday, but they can do both Wednesday.

Wednesday (4/2): They do the MRI and bone scan.  Lauren has some weird sleep terror in the middle of the day where she was RAGING at me, pinching me, pulling my hair, trying to bite .. it was unreal.  I don’t know if it was a reaction to the radioactive dye/isotopes or if it was just weird timing.

Thursday (4/3): They come in and say that the bone scan and MRI do suggest bone infection and she’ll probably have to be on 4-6+ weeks of IV antibiotics.  This sucks.

Friday (4/4): They come in and say that they don’t really think there was an infection and we’ll go home today.

????

I’m lost.

Filed under : Lauren, Leukemia, hospital
By aurorah
On April 4, 2008
At 7:25 pm
Comments : 4
 
 

3-8-08

So, we’re home, of course.  Lauren had a clinic appointment yesterday (Friday) and it was fairly uneventful.  She got vincristine only.  Next week she’ll have a bone marrow aspirate and a lumbar puncture.  There was an issue with getting her blood out of the port, but it’s just something that happens, I guess.  They had to give her some kind of medicine that breaks up any clumps of blood preventing the outflow of blood.  It should be less of an issue when she’s not as bloated from the steroids.

Speaking of steroids, her last dose of them (for this round) will be next Thursday night.  I’m going to throw a friggin’ party for that.

Her counts as of yesterday:

ANC: 675 (normal 1500+; wow - still low compared to normal ANC, but considering we were at zero for weeks…)
White Blood Cells: 4.5k  (normal 4k-12k)
Platelets: 206k (normal 140k-450k)
Neutrophils: 15 (normal 25-50)

She’s still very swollen, obviously, thanks to the steroids, but laying off the salt has actually helped her lose a few inches of water.  Thursday I couldn’t see her ankles because she was so swollen.  Yikes.  Today I can see and feel her ankles and her face seems less plump.  She really must feel miserable, but she’s plugging along.  She’s really an amazing kid.

Filed under : Lauren, Leukemia
By aurorah
On March 8, 2008
At 8:37 pm
Comments : 6
 
 

3-5-2008 // HOME!

Lauren was allowed to go home! We packed up the stuff and she’s relaxing as we speak.

Filed under : Lauren, Leukemia, hospital
By aurorah
On March 5, 2008
At 2:55 pm
Comments : 9
 
 

3-5-08

ANC is 285!!!!!!!!!!!!!!!!!

From 84 yesterday!
We may be able to go home today!!!

Her platelets doubled on their own yesterday/last night and her hemoglobin’s been holding steady around 8.4.

Filed under : Lauren, Leukemia, hospital
By aurorah
On
At 8:17 am
Comments : 2
 
 

3-4-08

Yesterday’s ANC: 12
Today’s ANC: 84

The doctor says her monocytes and her neutrophils are multiplying and that we should really see an upward movement. I asked what he felt the timeline might be and he said “a couple days”. I don’t know if that means we can expect to go HOME in a couple of days, but we may actually be looking at getting home before next week! Crazy thought. It’s kind of overwhelming, but that goes away pretty quick. Once we start actually moving that direction, I’ll take it and run.

Filed under : Lauren, Leukemia, hospital
By aurorah
On March 4, 2008
At 4:32 pm
Comments : 4
 
 

3-2-2008

While we’re (still) waiting for those numbers to come up, I wanted to make a post that gives a more complete picture of this whole rollercoaster ride.

Beginning in mid-January, Lauren started looking pale. She’d had a few unexplained fevers that didn’t really develop into anything, but given it was winter and given Lauren’s going to school and being around a lot of kids who could have who knows what, I didn’t worry much. I’d taken her to the doctor and there didn’t seem to be too much concern there, so we just kept on moving on. Then she got the flu and got even more pale. The weird fevers hit now and again, and her appetite absolutely disappeared. On February 11, she seemed to feel just awful. She was staring off into space, pale, not interested in eating, uncharacteristically unfriendly and crabby … I decided to take her to the doctor again since it really seemed to be getting worse. She still had the cough from the flu, but that was about it. No runny nose or stomach problems. It really just seemed like that lingering stuff that kids get and keep forever.

So the next day I planned to take her to an urgent care place, but when we got there it was closed. On a whim, I called her pediatrician’s office from when she was a baby (but we hadn’t gone there since she was a few months old) to see if they had a last-minute appointment. They had just had a cancellation and I could have it if I could get there in 10-15 minutes. I did, and almost as soon as the doctor saw her, I could see the fear in her (the doc’s) face. I asked what she was afraid of because I could sense something was very wrong. “Leukemia” was said somewhere, and that’s eventually all I heard. She sent us to a nearby hospital to get blood drawn and a chest x-ray (to check for pneumonia), promised that I’d get a phone call that night to let me know the results. I am grateful to that doctor for how quickly she moved with us. Eventually, obviously, she called that night and told me to take Lauren to the emergency room at Phoenix Children’s Hospital as soon as possible. They weren’t sure yet if it WAS leukemia, but it was looking a lot like it, she said.

Lauren was up at Ryan’s house just then as it was his birthday (though he was very sick with the flu she’d given him) and she said she wanted to spend time with him that day. As sick as she was, she was adamant about being at Daddy’s house on his birthday. I was at my house waiting for Dominic to come by. He came in just as I was informing my mother of what the doctor had said. My mom was in Las Vegas but grabbed the first flight home that she could. At this point I was scared to death. It still wasn’t 100% that she had leukemia, but up until then leukemia was a giant, scary, hairy monster that lurked just out of my reach ready to run up and attack. At this point, with the doctor’s words, it was still threatening and mostly unknown, which made it much more scary.

I remember thinking to myself that that night would be remembered as one horrible night. To be honest, I kind of look at it with gratitude because it’s the night we got her where she needed to be — in the care of some seriously amazing health professionals who know what to do and how to do it, and thank God for them. I wish I’d taken her earlier, but from what I’m hearing she had to be at the level she was at for the pieces of the puzzle to fall together as swiftly as they did.

When she was admitted, they drew more blood. Getting the needle into her arm to draw blood was excruciating. She was scared, but they have a wonderful Child Life team at the hospital whose sole job it is is to help children feel less scared and more empowered (by knowledge) about what’s going on with them and their bodies. They taught her how to take deep breaths and blow out while something painful or uncomfortable is going on, and she mastered that in, literally, seconds.

The blood draw showed that she had blast cells, which indicated leukemia. That moment, in my memory, is mostly a numb, disconnected feeling. I had still been hoping it was just anemia from not eating enough, so the reality of what it was was kind of surreal. The rest of her numbers were pretty sobering.

Hemoglobin was 2.7 (which explained the paleness and the being crabby/unfriendly; normal = 11.5-14.5)
RBC count was .89 (normal = 4.6 - 4.8)
WBC count was actually within normal ranges - 10.2k (normal = 4k - 12k)

Later, the doctors said that her “normal” white blood count coupled with her extremely low hemoglobin was a sign that the disease wasn’t terribly aggressive. Some kids come in with 100k white blood cells and fairly normal hemoglobin, which indicates its aggressiveness? I’m not 100% sure about that.

As soon as she got her first blood transfusion, her color came back! Her personality returned! She was giggling and being silly and kicking her feet and laughing. With this, my hope snapped back. I realized that a lot of my despair was connected to how terrible she’d been feeling. If she could feel well AND go through treatment? In my mind, leukemia lost its fangs with that. I could do this if she could feel good and be happy with minimal discomfort.

All of this hit on Tuesday, February 12, around 10pm when we entered Phoenix Children’s Hospital’s emergency room. We were whisked past the hordes of people waiting to be seen (the hospital was waiting for us) and I’m sure a few of them called us some colorful names. Lauren obviously hasn’t left since that day, but she doesn’t seem too bothered by it. She likes being there and getting taken care of. She hates her medicines though she takes them with minimal complaint.

The nurses and doctors are all amazed by her verbal ability, how good she is at taking her medicines, and what a cutie she is.

Filed under : Lauren, Leukemia, hospital
By aurorah
On March 2, 2008
At 9:19 am
Comments : 5
 
 

Timeline

Feb 12 - admitted
Feb 15 - 1st bone marrow aspirate & lumbar puncture (99% leukemic cells / no cells in spinal fluid / intrathecal chemo given to prevent cells in central nervous system)
Feb 16 - chemo began
Feb 22 - 2nd bone marrow aspirate & lumbar puncture (12% leukemic cells / no cells / preventative intrathecal)
Feb 29 - 3rd BMA (no LP) (<1-2% leukemic cells)

Based on her response to the chemo, the doctor said she’s a “fast early responder” and that is a very good thing. We’re 2 weeks into the chemo, which is 2 weeks into the 4-week-long induction. The steroids are working well, and her cheeks and tummy being puffy are good signs. She’s moody, too, and has moments of pure rage, but I’m told these are all good signs. ;)

Filed under : Lauren, Leukemia, hospital
By aurorah
On
At 9:10 am
Comments : 2
 
 

2-26-08

Not much new to report.  Lauren’s ANC is still zero.  It went up to 18 yesterday, but it has an annoying tendency to go up and down as it begins to recover.   It’s okay that it’s down (it’s normal and expected), but I’m ready for the numbers to go up … and considerably, please.   250 is the magic number.

Filed under : Lauren, Leukemia, hospital
By aurorah
On February 26, 2008
At 8:42 pm
Comments : 5
 
 

New pictures.

I’ve posted some new pictures of Lauren playing in the playroom at the hospital, and a couple others.  Look at the flickr badge on the right and click to see more.

Filed under : Lauren, Leukemia, hospital
By aurorah
On February 24, 2008
At 5:44 pm
Comments : 8