Thursday, May 27, 2010

Day + I'm not sure...

Clearly it's time for an update. The last couple of weeks have been kind of more difficult, although not too bad.

Saturday, May 15th: Max started working on the fever in the morning and by around 6pm he woke up from his nap with a fever of 38.5C. We went to the ER here in Louisville and while waiting for his antibiotics, Max took a dive, head first, into the wooden arm rest of the chair. He was fine, but he did chip his front tooth pretty badly and so we needed to get it removed on Tuesday. Finally, we got to our room and went to sleep around 2:30am.

Sunday, May 16th: Max's blood cultures came back positive for a gram positive bacteria, so I asked that we be transferred to Cincinnati Children's Hospital in case Max's situation was to get serious. We rode there in an ambulance, and I must say that it was pretty cool. Max watched the Clifford movie the whole way except for a brief time that he was napping and I read a book and chatted. When there was traffic on the highway, the driver turned on the siren and traffic split, no kidding, like the red sea. When an exit was closed because of an accident (no one was hurt) we were waved through. I think other than Max being sick, this was the best ride to Cincinnati ever. We got to Cincinnati and started another antibiotic, Vancomycin.

Monday, May 17th: We found out that Max's blood culture came back positive and were thinking that we may possibly have to remove his central line, something we were not looking forward to. We also consulted with the dentist who confirmed for us that Max's tooth had to be removed.

Tuesday, May 18th: Max's tooth was removed. Max's first negative blood culture!!! We also found out that the bacteria in Max's blood is sensitive to Vancomyocin.

Wednesday, May 19th: Another negative blood culture!

Thursday, May 20th: Another negative blood culture! This means we don't need to have the line removed and we can go ahead with the boost of donor cells on Friday.

Friday, May 21st: Max gets a boost of donor cells and Roman comes to take us home!!!! Finally I can have a quiet night...But not so fast, Max still needs fluids overnight and his antibiotics so at 5:30am we have to wake up and switch the fluids to Vancomyocin. Not Fun. But, this is MUCH better than being in the hospital 24/7.

Since then we've been doing well. Max has been walking everywhere and now he walks around with his bottle and rubs his belly, the sign for yummy. Really funny and thrilling to watch him thinking and growing into a real person.

Yesterday, we got some bad news about Max's engraftment; it went down to 19% and now we're worried. I wish there was something more we could do, it seems like we keep doing the same thing (giving Max extra donor cells) and expecting a different result. We used up the last bag of blood on the DLI and now the donor agreed to give more blood. Our donor is such an amazing and inspiring person and we are really blessed to have him in our lives, even though we haven't met him yet. I hope some day I will have the honor of donating my bone marrow. We emailed Dr. O at Univ. of Minnesota to see if he has any other suggestions as to what to do. We trust Dr. D and think she is brilliant, experienced and really knows her stuff, but maybe an extra brain couldn't hurt. We are just so worried because we want Max to live a long healthy, happy, and successful life and for that to happen Max's engraftment needs to go up. We need to know that we are doing everything. Tomorrow we're meeting with Dr. D again and hoping that we hear good things (and that they're true).

2 comments:

  1. Yana,

    I was happy to read that the infection cleared before Max needed a new central line placed. We went through that with Ethan last fall before his transplant. Of course, then the little guy pulled out his line himself about day T+20.

    I was sorry to read that Max's engraftment level is decreasing. Ethan's transplant was 10/28/09, and his engraftment has been decreasing steadily since then as well. He's now about 29%, and our doctors are starting a search for a second donor in case the graft fails entirely.

    Like you, we're also looking to consult with Dr. Orchard, and depending on the results of Ethan's June chimerism test, we may go out there for a consult.

    I'm really happy to know that Max's donor is such a generous soul. Unfortunately, Ethan's transplant came from a cord blood unit, so that's not an option for him. I hope that the additional cells help solve the problem!

    Peace, love and strength to all of you.
    Todd Waddell
    Portland, OR
    www.caringbridge.org/visit/ethanwaddell

    ReplyDelete
  2. Yana, Praying for Max's engraftment. Please let me know if you need anything at all.

    We will be praying for your meeting with Dr.D and that they have some good news for you.
    Love,E

    ReplyDelete