Saturday, June 27, 2009

End of dex 2 in Delayed Intensification

"Where do babies come from?"asks Hayden as I start this blog. hehehehehe...Dad's on duty now.

By way of an update on Hayden's progress, the short version is that we've completed the second round of steroids (dex), spent 2 nights in the hospital, and he's neutropenic. And now (if you care to read on), the long version...

Hayden's chemo treatments became easier when we started giving him anti-nausea meds in the a.m. but either those drugs, the dex, or the combination made him very tired so most of that week passed in a fog for him. On the weekend, we made our first trip of the summer to Nutimik. Hayden's mood was less than jolly but he wanted to go and he's typically very active there so we thought it would be a good idea. We were getting a little worried about constipation (a common side-effect of his meds and a big problem during the first treatment phase) so we were trying to keep him active and hydrated. Unfortunately, the dex brought him down and he did not enjoy his lake experience. For me, this is the most difficult thing to deal with because it's so unlike him to be...I don't even know how to describe it....maybe sad...even resigned. So we came home early on Sunday and nothing really brought him out of his slump.

I worked from home on Monday so we went out for a walk to try to get things moving - no luck. The constipation was not helped by the fact that his favourite snack includes cheese. Right now his big thing is Rosemary & Olive Oil Triscuits, grated old cheddar cheese, and Vlasik pickles...also dill pickle popcorn....and ribs....and rice....chicken....and the list goes on.

By around 3:30 or 4:00 on Monday, he started complaining about back pain so we hit the streets again for another walk (thinking that constipation and laying around are causing the discomfort). The pain in his lower back quickly escalated so we phoned the on-call pediatric oncologist at the Children's Hospital. He feared an appendix problem or kidney stones so we raced to the hospital. By this time, Hayden was screaming in pain...and pretty much kept it up until the mophine was administered through his Iron Man port in the ER. They did blood work, a urine test, and (most importantly) an x-ray...turned out, he was full of poop...packed!

After several hours in the negative pressure room in the ER, we were admitted back into CK5. The next day and all of the following night were all about the laxatives (tastes bad!), hydration (means an IV pole), trips to the can (self explanatory), and soaking in a hot bath (soothes his sore little bottom). Despite very little sleep and a lot of discomfort, he was a real champ. Unbelievable really.

Hayden came home on Wednesday to a big surprise. As we pulled in the driveway, Grandpa Bennett, who is visiting from BC, walked out to meet us in the driveway. Hayden looked and said, "Hey, that guy looks like Grandpa!". It certainly did...was...and he was really happy.

He went to school on Thursday and Friday but we know from blood tests at the hospital that he's neutropenic (low on infection-fighting blood cells) so we're limiting his outings again. As soon as he's able, wants to see Transformers. His last day of school is Tuesday but he has appointments so Monday may mark the end of grade 2. It's been a crazy year (slight understatement) but despite the many days that he missed, he managed to keep up - both in terms of learning and friends. He's fortunate to have great classmates and teachers - all of the people at the school (principal, vice principal, office staff) are wonderful.

So we're done the dex and just waiting for his counts to rise again before we continue the Delayed Intensification chemo treatements. It's unlikely that he'll be ready to go for his next appointment on Tuesday, but we'll see. He said this morning that he feels like a normal kid again - like he doesn't have cancer anymore. That's probably because the we're done with the dex (hopefully for good!) but it's great to hear after what we just went through.

From a while back, here are some pics of Hayden at the finish line with Auntie Nadeen and cousin Chandler at the Walk for Life. A big thank you to Nadeen for supporting cancer research (raised more than $2k!) and everyone who walked, volunteered, and donated.

And finally, here's our moon-faced boy - he's still puffed up from the dex. Did I mention that his hair is falling out again? No matter...we already know that he's a good-lookin' bald dude.



Thursday, June 11, 2009

Not a happy camper...

...OK, still happy but not camping. The good folks at CancerCare canceled this weekend's camp even before the WHO made their alert level 6 announcement. At least one child at the clinic tested positive for swine flu and I suspect one or two campers had symptoms so they decided to be cautious (this is where I feign disappointment that my son isn't leaving home for the first time).

I actually am disappointed for the kids and the CancerCare staff who pour their hearts into programs like this. But it's just not worth the risk. So Dad and Uncle Shawn will find some fun things for the boys to do this weekend.

Hayden did a full day of school today - no barthiness. I suspect it's because of the anti-nausea meds I gave him this a.m. He didn't want to take it at first because that's how Elvis died...?

He also went to tae kwon do.

Watching WHO

We are closely watching the World Health Organization (WHO) to see if they move to an alert phase 6 today after an emergency meeting. That would mean that this weekend's camp is canceled. I'm not certain what it means for schools and daycares but we will seriously consider keeping Hayden home even if they remain open during this phase. His neutrophils (infection-fighting white blood cells) were at an all-time high on Tuesday but not for long.

Our next appointment is on Tuesday. The steroids keep his blood counts high but they're done for now so we expect the counts to drop next week, after he gets more chemo. He's at school today but he's come home early nearly every day. I think he's afraid of barthing at school (can't say I blame him). He was up sick in the middle of the night but it seems to come in waves for him. He's fine and eating like crazy, then after a little while he get all queasy. For the most part, he's doing well and he's happy. But is he a happy camper?

Monday, June 8, 2009

The DI roller coaster

Extremes of a dexamaniac:

From cuddly teddy bear to wet cat
From barth bucket to feed bag
From silent tears to wise-cracking prankster

Hayden started his Delayed Intensification (DI) treatment phase last Wednesday. This is big one - he received methotrexate by spinal injection while he was sleeping, and vincristine and doxorubicin through his Iron Man port. Plus, he started a 7-day run of steroids, called dexamethosone (aka dex), taken orally twice a day. Quite the cocktail...but he seemed unphased by it and even went to school in the afternoon. The next day though, he was feeling barthy, emotional, and tired. He tried to go to school…actually made it into the classroom but we immediately returned home. On Friday, he made it through most of the morning before heading to the office, where he napped while waiting to be picked up. By the evening we could see a dark cloud settling over his mood, which was right on time - we expected it about 3 days after the dex started. We told him that it would happen and that it would pass but the anger or sadness is so intense that he was confused by it (think PMS x 10). At least, though, it pretty much coincides with the end of the tummy pains and barthiness (I think he may have this word added to the dictionary).

So Saturday was tough. We went to the fishing derby put on by Kids Fishing for a Cure. It's an awesome event and we had the best captain (Rory) and co-captain (Carlos). The real Hayden would have loved it...but the dexamaniac Hayden...well...he was less than impressed. Rory and Carlos did their very best to make the day special for Hayden. He caught two fish but just couldn't buck up. He started quietly crying and wouldn't talk so we went back to shore after about 30 minutes. He later confided that he didn't want to say anything for fear that it would be mean. He napped, then woke up as the real Hayden...just in time to collect the very first trophy for the biggest bass. Yeah!!!! A mere 5 cm short of a master angler Silver Bass.

Then he started to eat and eat and eat. After 3 days of almost no calories our skinny little boy strapped on the feedbag on Sunday. Plus his spirits lifted and he's now very polite and affectionate (whew!).

Today is Monday and his appetite is still going strong but we often find that it's mis-guided. Hayden will beg for (OK demand) a certain food only to find that it's not at all what he wants when we put it in front of him. We, however, are not dex newbies so it really doesn't phase us.

He was back at the clinic today for asparaganese (peg) injections into his thighs. He was very anxious about it but, as always, the actual needles are not as bad as the thought of it. Regardless, we rented Goosebump movies as a treat (these are usually reserved for hospital stays).

Tomorrow is another clinic day...more chemo and a blood test. Next weekend is camp, which is organized through the kid's CancerCare Clinic. It's Hayden's first trip away from family and, while he's fine with it, I'm just not ready. But cousin Chandler will be with him and I'm sure they will have a blast. I'm still considering the chamo gear so I can hide out in the woods and watch over them (that's not creepy, is it?).

We're nearly a week into the 2-month DI treatment phase. So far, it's not too bad. Sorry for the long post but one more thing...thanks for following H's story and thanks for supporting cancer and Children's Hospital fundraisers. It's nice to know you're out there. Now go hug a kid.

Monday, June 1, 2009

Change of plans

Our next clinic visit was scheduled for Tuesday, June 2 but instead we went in last Friday. We wanted to get Hayden’s blood tested before the weekend to see if his neutrophil count was high enough to take him out in public places. The doctor was very doubtful but I’m so glad he agreed because, it turns out, Hayden has neutrophils to spare! YAY!!

You name it, we hit every germ-filled public place we could find. Friday after school was dinner at the food court and a movie. Saturday was shopping, shopping, shopping. Hayden spent his Survivor pool winnings + at Toys r Us, then we went on to Dollarama. On Sunday we did lunch at Big Guys, Hayden’s favourite restaurant, then went to Costco to get a trampoline. Good times, indeed...until we discovered the trampoline at the back of our neighbour's property after today's storm. But it's fine so balance is restored to the universe.

So we can skip the Tuesday clinic appointment and head straight to the pediatric day unit on Wednesday to start the delayed intensification (DI) treatment phase. We’re hoping to get at least a week into that round before his counts drop again…maybe more.

Next weekend is the Kids Fishing for a Cure derby out in Selkirk and we’ll be there. The following weekend, Auntie Nadeen is doing a 20-mile trek to raise money for CancerCare Manitoba. Yes, that's right...20 MILES! Now that's a good auntie. Although...on a good shopping day...nah. Donations for the 'Walk for Hayden' are gratefully accepted online: http://www.challengeforlife.ca/NetCommunity/Page.aspx?pid=345&frsid=1002