



The batteries in the camera died, so I don't have any shots of our clinic visit. Johnny still wasn't able to get any treatment today. His counts doubled (430) from last week (210), but he needs to be AT LEAST 750 for him to receive treatment. The doctors aren't too concerned, although this is not common. It could be the extra two weeks of the 6MP (chemo pill) I gave him, our doctor seems to think that it will take two weeks for his counts to come up. The rest of his numbers are "stable", still on the lower end of normal, they really haven't gone one way or another. He doesn't need a transfusion -- that's the good news. But I hope there is blood on the shelves when he does need a transfusion.
We were at the Blood Center last Wednesday (they wanted to use us for next year's campaign), and our friend Tricia gave Johnny, Sophie and I a tour. As we passed the shelves I noticed that there was no Type O to be found. NONE. Zero. Zip. Luckily, Johnny is A+, but I feel for the families who need Type "O". If you haven't donated in a while, now is the time. There is no substitute for blood, and it was the only thing that saved Johnny. Anyway, we shot a few pictures for next years calendar/website and video for commercials. I DOUBT seriously that we will be used for TV, it felt very unnatural for me, I don't think I did a very good job... Kind of the deer in the headlights look. I will keep you posted.
Back to today... Dr. Margolis and Dr. Pass are great. Normally, we would just see Dr. Pass, and once in a while see Dr. Margolis. Lately, because of Johnny's counts, we've been seeing both. They are very nice, answer all of our questions, and have a sense of humor about things (which I like). Dr Margolis seems to think that another week off ALL MEDS will do Johnny good and bring his counts up. He could have a viral infection that we don't know about (he doesn't have a runny nose, no fever, seems to be feeling fine). For the past three weeks he has had mouth sore after mouth sore. It makes it really hard to eat, and he has one on the tip of his tongue that just keeps going on and on. It could be that too. BUT, just in case, we are scheduled for a bone marrow aspirate on Wednesday of next week. The marrow is where Johnny's cancer is made -- IF he is making any. Even though they check for "blasts" or cancer, each time we go in, that is just in his peripheral blood. By the time it gets into his blood and we would see it in a CBC, it would be bad. Hence, the BMA, if he is making any cancer again, it will show up there. Both doctors feel pretty confident that it was just the extra two weeks of chemo I gave him that is making his counts so low.
They don't want to do a BMA this week, because we want to see if his counts will go up. Getting the BMA done is an all day procedure (what isn't), he can't eat before hand, and they have to knock him out pretty good -- none of us look forward to it. Our appointment is next Wednesday at 7:45AM. We probably won't be home until 5 or 6PM. We have taken him off everything, even his Bactrim that is used for pneumonia (kids with ALL are very susceptible to a certain kind of pneumonia), so now they are putting him on a special once a month inhaled antibiotic that has to be done at the clinic. That procedure isn't until 3p on Wednesday too. It will be a full day.
What do I think? I have no idea. We have great doctors, at a great hospital -- one of the best in the country for this, but who knows. I know that this is just a small bump in the road. I know. I 'think' I enjoy Johnny being his old self again. I know that starting any therapy right now would be hard for him to recover. It would just bring his counts even lower, possible transfusions, trips to the emergency room, and all sorts of scary things. I just want him to start. I didn't have a problem with only one week off, but now we are going on two. I'm just worried. Have Johnny's counts ever bounced back up in a week? Yes. They have gone from 500+ to well over 900. That's almost doubled. In a week. It's possible. It just may take him a while. I hope that it is just the extra 6MP I gave him and nothing more. The doctors said that if I hadn't given him the extra doses, and his counts were still this low, then they would be worried. I guess that is good news... The part that worries me is that he has the continuous mouth sores that won't go away, and the cells that the Dr's. Look at to see if his ANC is on the way up are stable. They haven't budged. He has been acting fine. Almost normal. Still on the quiet side, not the hard core player that he has been in the past, and sometimes he says he just doesn't feel well, but all could be because of the 6MP. Of course I can't remember what Johnny was like before all of this happened. He was a handful, but he is now. I see the symptoms he has and can only think more cancer. I think back to April and May and see some of the same signs. But, he does have cancer, and is being treated for cancer, so he will have the symptoms of cancer. It's all hard to tell.
Hopefully we will know the results by the time we go home next week. Because everyone has a small amount of blasts in their marrow at any given time, it may be difficult to tell one cell from another. Although leukemic cells are visually different than the rest, if there are only a few "possible" cells, they will send the marrow off for further testing (cytology reports). All of this is worse case senareo stuff (relapse). Best case senareo is that we go next Wednesday, and Johnny's counts are well past 750, we get our treatment, we are home that night and start the next round of treatment. If his counts are low, the BMA shows nothing, then we do further testing. What that looks like, I don't know at this point. I thought about Nuelata and mentioned it last week. I have seen the commercial on TV and they say it will boost the ANC or white counts up. It does. It RAPIDLY produces white blood cells. And we don't need that with leukemia, that's for sure! So there is nothing we can give him or he can do or eat that will boost his ANC.
On Saturday, Johnny and I met with his homebound teacher. We picked up LOADS of books, and workbooks. We are on our way to second grade. Our homebound teacher is Mrs. Hemmen, and if Johnny is able to go back to school this year, his teacher is Mrs. Holberg. Both are great. Our Principal gave Johnny the option of either teacher when he returns later in the year. Mrs. Holberg was Joey's 2nd grade teacher, and all of Johnny's friends are in that class. But if he builds a rapport with Mrs. Hemmen, who knows... Right now if I had to put money on it, I would say he goes with Mrs. Hemmen. Only because he will have had a relationship with her and will feel comfortable with her. Friends, or no Friends. But, as Johnny continues on with his treatment I really see him growing as a person. So later on, he might be confident enough to go in Mrs. Holberg's class with all of his friends. After talking to Mrs. Hemmen on Saturday, she seems to think that Johnny will be ahead of the class when he returns.
Today, Johnny was pretty cute. He got up early (8:30), came down and ate, then said "well, mom, ya ready?". I still haven't had my coffee yet, so I said "ready for what?". "School woman!". Alrighty then... We did eight pages of math, and a "spelling test". I called it our pretest -- like they do in school. He aced it. I was impressed. With both subjects. I had been very worried that I wouldn't be able to keep up with the rest of the class, but after this morning, I think he might be ahead or at least right with his class. After about 15 minutes of straight math, I could tell he was getting fidgety. I said "go upstairs and play your drums." He looked at me and kind of laughed like "ha ha, very funny...". Then I told him I was serious, and he had this look of like "what the hell..." -- it was so cool to see. I figured if I sent him to burn off some steam, then we could focus. He wasn't up there more than 3 minutes before he was down ready to study. He read every question to me, and did every problem with no hesitation. I was impressed. Of course, it was the first 8 pages of the book, just review stuff, but it made me feel good about the whole homebound thing none the less. When it gets to the hard stuff, that's when I will bring in the big guns -- I'll get Joey to help! Actually, Mrs. Hemmen will be here about 4 hours a week. We can do any days we like, she said Johnny is her priority. A lot will have to do with how he is feeling too. Now if I could just get rid of Sophie... I don't know how mom's do home schooling with all of the different age groups. I told Sophie that we will do puzzles while Johnny is doing school work. She started counting by 10's today... maybe Sophie will be the next Bill Gates.
The other day my friend asked me what have I learned about Johnny since this has all started. I learned a lot about the human spirit, and what courage and bravery mean. Johnny embodies all of those attributes. I have seen his confidence soar, and act with such maturity I can't believe it's him. He has insight and knowledge, things I wouldn't expect from a seven year old. His courage and bravery are off the charts, he is inspiring. I knew at some point, before all of this happened that because he was human (I was pretty sure of that -- I think), that, he would have these attributes. I saw glimpses of these traits from time to time, but to see them grow over a few short months has been incredible. His courage to me, is that he can go to sleep at night and know that he will wake up the next morning. His bravery is when he knows he is going to the clinic and asks what will happen, processes it, and then walks out the back door to the car, with his chin up. Or when he waves to the doctors and nurses that poke and prod him every week. His maturity is, the night before a clinic visit, he doesn't kick or scream or say he hates me for taking him there. His inspiration to me is that he has the best belly laugh around, and his drawings and sketches are always people with big smiles on their faces.
As for Joey, of course, he is incredible. We already knew that. But with big stuff like this, you can't tell what kids are really thinking. Even with Joey. Let's face it, the kid gets a paper cut and we hear about it all week. But your little brother having cancer is BIG. Luckily, I have a pretty good relationship with the school counselor, Dr. Quandal. When Mike's grandparents passed away, I told her, and she brought both of the boys in to talk to her. When I was having Johnny tested for ADD we talked extensively. And all the other times in between. I didn't even call her and she asked Joey to come and talk. She said he is doing fine and he is really proud of his brother. Joey talked about his feelings and that he knows what's going on, and the attention that Johnny is getting right now is only temporary. Like Dr. Quandal said "Joey is wise beyond his years". He knows that Johnny will get better some day too. Joey has shown courage as well. Courage is when Mike was cutting off Joey's mohawk and he didn't cry like a baby. He cried, don't get me wrong. He just didn't cry like a baby. As Mike described it to me "it was like the Indian from the "don't pollute" commercial back from the 70's, he just turned to me and a lone tear fell from his eye down his cheek", with Mike's finger going down his face, tracing a tear drop. The kid is amazing. Oh, by the way, he is selling cookie dough. Expect a phone call tomorrow afternoon. He already hit the neighbors. His goal is to sell 100 buckets, and then he will win an iPod mini.
Then there is Sophie, what have I learned from little Sophie... Pretty much, she's 3. I have learned that she is 3 and there isn't much else. I did learn, however, that she can turn a light switch on and off really fast, and that she doesn't have to stand on her tip toes to do it either. I see the mothering side of her come out when Johnny is feeling not-so-good. Of course she can't yet make the connection to cancer, but she gets him a blankie and holds his hand none the less. She is our comic relief, and after a summer of no naps, I need disaster relief for our house. The girl can make a mess in no time flat.
Our favorite nurse from the hospital is now in the clinic. Beth. I saw her today and stopped to say "hi!". Her first day in the clinic was last Wednesday. I told her that we will be here for the next four or five hours, so we will have time to catch up. Talk about service! Less than 10 minutes later she had Johnny's stuff ready to access his port. WOW! I felt bad after that, I hoped that she wasn't thinking that I was jabbing the nursing staff. They are, unfortunately, so busy there. I kind of look at it like a flight schedule when I worked at SWA. The morning flights (appointments) were on time, and as the day progressed the flights (appointments) inched farther and farther into delayed status. People showing up late, the usual stuff. Luckily, next Wednesday we have a early appointment. Things should be fairly on time. But it was cool seeing Beth there. I learned something new too, I am in charge of getting Johnny deaccessed when we leave. I didn't know that. We go to the infusion room and have a nurse yank out the port. I thought it was the nurse in the doctors office. Luckily, Johnny remembered as we were walking down the hall. It's so easy to forget for me. My mind is swirling with thoughts of next week and what will happen, how it will happen and IF it will happen. Johnny is the last thing on my mind -- or at least his port. Beth had his stuff all ready to go. We went into a procedure room and he hopped up on the bed. He and Beth were talking and Sophie whispered in my ear "Johnny has a girlfriend...". MAN she's cute!
I also got a call from someone at SWA. Her name is Cynthia and she works closely with Colleen. I can't remember exactly what Cynthia role is (sorry) but I know it's important because she works with Colleen. We talked on the phone about Johnny and how he is feeling and that she and everyone at SWA keeps him their thoughts and prayers. What a great Company! Actually, Cynthia is the one who has been sending all of the packages from Colleen, and wanted to know what his interests are. Talk about Customer Service! It was touching of her to call, it meant so much to us, I couldn't wait to tell Mike. We are touched by the thoughtfulness from our friends at SWA. Truly amazing. THIS is why you work at SWA, they ARE family. We also get a steady stream of cards from one of Mike's favorite boss', Cynthia (CY), that ALWAYS crack me up. I keep every card we get, but the funny ones have a special place next to the computer so I can always look at them and laugh. One of my favorites is "Wherever I go, whatever I do, I constantly shout "I know what's going on!" just in case I'm on some hidden camera or something", the inside says "you can't be too careful". I love that stuff. And tonight, we had a message from Sherry Perez letting us know that she and some other SWA friends wanted us to know that they were thinking about us. It's just a great place to be.
Then Mikey bought me a new bike. It is SO COOL. I love it. I will post a picture tomorrow. The local bike shop had a sale and I always go and check them out. I wanted a beach cruiser, the kind I don't have to bend over to ride (yes, I am old...). I have a very expensive mountain bike, but, since the horse incident, riding it kills me. So Mikey bought me a cruiser. Kind of a late birthday gift. It's light blue with flowers and white wall tires, fenders, the works. Like a girls Pee-Wee Herman bike. I LOVE it! It is a pretty good work out too. Since there are no speeds, you can't switch it to the easy ones. You have to pump it to make it go! I could use the exercise...
We also received a package from Joel and Crissy's sister in Washington State. What a nice suprise. I guess Joel has been telling his sister all about Johnny, and she sent something for all of the kids. T-shirts, stickers, Sophie got a Hello Kitty, and some Harry Potter Beans. You know, the Jelly Belly jelly beans that taste like boogers. Yes, boogers. Dirt and earthworms. Oh, and Johnny's favorite VOMIT. I am SO not making this up! It came with a guide of the beans, and what each flavor was. But they passed that right up. They wanted to find the "bacon" flavored jelly bean on their own. That is what I took pictures of. And yes, that is my little lady Sophie drinking right out of the milk container. Makes a mother proud!