This is one decision I hope you personally never have to make.
But what a blessing that Bill has the mental awareness to make the decision on his own. Bill has decided that he doesn’t want to fight the battle against cancer anymore. We are going home. This was Bill's 7th round of chemotherapy in seven months. He is tired. No more treatments. The doctors and nurses have been very supportive. Arrangements are being made for care at home and hospice will be available when needed.
We might be home on Friday, but that could change. There probably won’t be any news for a few days. We will be busy setting up the house for his homecoming. The family (children and grandchildren) will all be flying or driving in over the next several days.
Our prayers are for comfort and strength for all of us.
And if you are reading this, you are our closest of friends (and family), and I send you my prayer of comfort. I know you hurt too.
Wednesday, April 9, 2008
Monday, April 7, 2008
April 7th- Next round of Chemo
We did not get the results back on the bone marrow biopsy today. His white cell count is not good, way too high, so we are not anticipating an encouraging number on blasts in his bone marrow.
Bill's liver enzymes and bilirubin counts are continuing to improve, and he is not in any pain. The doctors decided to proceed with the chemo treatment as planned. That started at 6pm this evening and it will be given one hour a day for 5 days.
Bill is communicating again, now that he is not on vicodin. He is not eating, so we will work on that.
Please pray for him as we enter this new round of chemo. He is getting tired.
Bill's liver enzymes and bilirubin counts are continuing to improve, and he is not in any pain. The doctors decided to proceed with the chemo treatment as planned. That started at 6pm this evening and it will be given one hour a day for 5 days.
Bill is communicating again, now that he is not on vicodin. He is not eating, so we will work on that.
Please pray for him as we enter this new round of chemo. He is getting tired.
Sunday, April 6, 2008
April 6th- Improvement
Bill had a good day.
No pain at the catheter site, and no pain medication taken. His only discomfort was in his pelvis area. This is where Bill makes Neutrophils. When your body produces Neutrophils, the most common site is the breastbone, but the pelvis is the next most common area. His white cells have been rising, 6900, and Nurse Nancy predicts the Neutrophil count will take a big jump with the next blood draw. His hemoglobin is up to 12.4 without any transfusion. Which means to me that the cancer cells are not destroying his red cells. And, the blasts in his blood are holding steady at 24%. (Good news-bad news).
The liver is still a concern with his bilirubin counts being twice that of normal, and the SGOT is 161 and SGPT is 230. Both have come down considerably, but are 5 times normal. I will be anxious to hear what the doctors say on Monday. I think his catheter is no longer painful because now he is making the good white cells and they have helped to kill infection and heal the wound. That’s my take. We will see what tomorrow brings. Wouldn’t it be nice to have two good days in a row.
Not to pop our bubble here, but the bone marrow biopsy results should be available on Monday also.
Thank you for your prayers. It was an amazing turnaround over the weekend. We are back in the game again. All aboard. The next trip on the roller coaster is about to begin.
Please pray with me for healing powers directed to his liver. He has to have good enzyme and bilirubin counts to proceed towards a transplant. Amen
No pain at the catheter site, and no pain medication taken. His only discomfort was in his pelvis area. This is where Bill makes Neutrophils. When your body produces Neutrophils, the most common site is the breastbone, but the pelvis is the next most common area. His white cells have been rising, 6900, and Nurse Nancy predicts the Neutrophil count will take a big jump with the next blood draw. His hemoglobin is up to 12.4 without any transfusion. Which means to me that the cancer cells are not destroying his red cells. And, the blasts in his blood are holding steady at 24%. (Good news-bad news).
The liver is still a concern with his bilirubin counts being twice that of normal, and the SGOT is 161 and SGPT is 230. Both have come down considerably, but are 5 times normal. I will be anxious to hear what the doctors say on Monday. I think his catheter is no longer painful because now he is making the good white cells and they have helped to kill infection and heal the wound. That’s my take. We will see what tomorrow brings. Wouldn’t it be nice to have two good days in a row.
Not to pop our bubble here, but the bone marrow biopsy results should be available on Monday also.
Thank you for your prayers. It was an amazing turnaround over the weekend. We are back in the game again. All aboard. The next trip on the roller coaster is about to begin.
Please pray with me for healing powers directed to his liver. He has to have good enzyme and bilirubin counts to proceed towards a transplant. Amen
Saturday, April 5, 2008
April 5th- "Funky" is not a good thing
Beware. If a nurse ever uses the word “funky” to describe the results of a blood test, and they want to retest, it means something is wrong. This is the second time this has happened to Bill. The first was in the emergency room on the first day of his illness when his white cell count was over 100,000 and they wanted to draw another sample. This time it was the liver enzyme test and they wanted to redraw the blood. Both times the nurse described the blood work as “funky” and both times the outcome was not good. Therefore, my conclusion is, you don’t want to hear a nurse call a blood test “funky.”
Yes, his liver enzymes were over the top. Today he is doing better. Who would have thought? The numbers are already coming down, still in the high 200’s, but they are not getting worse. That is very good news.
The CT scan showed the catheter was still in place and no Leukemic masses around the liver, everything looked good. The doctor’s only conclusion for the high count is the newly formed white cells are working overtime to kill infection. These white cells must filter through the liver, and that is why there was a sudden rise in the enzyme counts.
All chemotherapy has been stopped until his liver recovers. The blasts have increased to 43% of his blood as of Friday. Without chemo, they will continue to multiply rapidly. The drug, Hydrea, will be given to Bill again. It controls the Leukemia blasts, but doesn’t eliminate it. It also is a little better for the liver and not hard on Bill.
Bill is not out of danger yet, but in much better shape then the doctors thought he would be. Preparation for the next step towards transplant has been delayed for a few days, but is still an option. We begin this new week a lot more optimistic then we finished last week.Our roller coaster ride continues
Yes, his liver enzymes were over the top. Today he is doing better. Who would have thought? The numbers are already coming down, still in the high 200’s, but they are not getting worse. That is very good news.
The CT scan showed the catheter was still in place and no Leukemic masses around the liver, everything looked good. The doctor’s only conclusion for the high count is the newly formed white cells are working overtime to kill infection. These white cells must filter through the liver, and that is why there was a sudden rise in the enzyme counts.
All chemotherapy has been stopped until his liver recovers. The blasts have increased to 43% of his blood as of Friday. Without chemo, they will continue to multiply rapidly. The drug, Hydrea, will be given to Bill again. It controls the Leukemia blasts, but doesn’t eliminate it. It also is a little better for the liver and not hard on Bill.
Bill is not out of danger yet, but in much better shape then the doctors thought he would be. Preparation for the next step towards transplant has been delayed for a few days, but is still an option. We begin this new week a lot more optimistic then we finished last week.Our roller coaster ride continues
Friday, April 4, 2008
April 4th- Prayers are needed
The Leukemia is back with a vengeance. Bill’s liver counts are 10 times above normal. For those who understand. SGOT is 340 and SGPT is 318. He is being sent for a CT scan this evening and I won’t have results until Saturday afternoon. It could be several things.
His white cells and Neutrophils are increasing, and they could be fighting an infection.
His catheter could be causing a problem.
His liver may be compromised
The only discomfort Bill has today is from the double bone marrow biopsy performed this morning. Two extractions were taken. One for the hospital, and one for the clinical study.
The catheter is not bothering him.
Bill is very much aware of what is happening and seeks your prayers and love at this time.
A bird doesn’t sing because it has an answer.
It sings because it has a song.
Maya Angelou
Bill always has a song to sing.
His white cells and Neutrophils are increasing, and they could be fighting an infection.
His catheter could be causing a problem.
His liver may be compromised
The only discomfort Bill has today is from the double bone marrow biopsy performed this morning. Two extractions were taken. One for the hospital, and one for the clinical study.
The catheter is not bothering him.
Bill is very much aware of what is happening and seeks your prayers and love at this time.
A bird doesn’t sing because it has an answer.
It sings because it has a song.
Maya Angelou
Bill always has a song to sing.
Wednesday, April 2, 2008
April 2nd- Matchmaker Matchmaker, make me a match
The University of Chicago Medical Center has accepted Bill for a bone marrow transplant. Yeah!!!! The doctors meet on Thursday, and official approval will be made then, but I think we are on our way. He is a candidate for the transplant that has been tried in Spain. With this procedure the patient receives stem cells from a related donor with a 50% match and cord blood stem cells that are also a 50% match. The doctors prefer a male donor over female because a female that has been pregnant can also have some of her baby’s stem cells in her bone marrow. This can complicate the recovery.
The first step is to see if our son, Jon, is eligible to be a donor. Over Christmas the family all did DNA testing, and from those results it appears Jon will be a 50% match. He will be sent a blood draw kit to take to a hospital in Knoxville. The blood samples will then be sent onto a lab that will analysis the antigens of his blood and we will pray for at least a 50% match. Loyola Hospital has already put a hold on a cord blood sample that is more then a 50% match. We pray that Loyola will release that hold to University of Chicago Hospital.
This first step will take about 2 weeks. During this time, Bill can continue to heal from the gall bladder surgery. He spent a couple of hours in a chair today, and played the Wii game with the recreational therapist. It seemed like he had a little less pain medication today, which is an improvement.
We are finally on our way to the next step. His cancer is returning. But the increase was only 16% blasts in his blood. It did not double as in previous days.
We pray for a 50% or better match with Jon’s blood test.
We pray that Loyola’s doctors will release the hold on the cord blood sample to U of C.
We pray that Bill’s biliary catheter continues to heal and the pain controlled.
The first step is to see if our son, Jon, is eligible to be a donor. Over Christmas the family all did DNA testing, and from those results it appears Jon will be a 50% match. He will be sent a blood draw kit to take to a hospital in Knoxville. The blood samples will then be sent onto a lab that will analysis the antigens of his blood and we will pray for at least a 50% match. Loyola Hospital has already put a hold on a cord blood sample that is more then a 50% match. We pray that Loyola will release that hold to University of Chicago Hospital.
This first step will take about 2 weeks. During this time, Bill can continue to heal from the gall bladder surgery. He spent a couple of hours in a chair today, and played the Wii game with the recreational therapist. It seemed like he had a little less pain medication today, which is an improvement.
We are finally on our way to the next step. His cancer is returning. But the increase was only 16% blasts in his blood. It did not double as in previous days.
We pray for a 50% or better match with Jon’s blood test.
We pray that Loyola’s doctors will release the hold on the cord blood sample to U of C.
We pray that Bill’s biliary catheter continues to heal and the pain controlled.
Tuesday, April 1, 2008
April 1st- Contolling the pain
Bill said this morning, “If it wasn’t for this pain in my side, I would feel good”. It is such a shame that the catheter to his gall bladder is so painful for him. But he is a trooper and is getting through it.
Two weekends ago a pump for pain medication was placed in the room. That worked great until last weekend when we had an issue where the nurses and “sitters” were pushing the button for him. (A huge no-no) Once again Bill was over medicated. He received 20 doses in 2 days. That is only 2 mg of Dilaudid in 2 days, and a healthy person would not even notice this dosage, but it is way too much for Bill. After bringing this to the attention of the doctors, the pump has been removed and the nurses will administer the pain killer when requested. Yesterday he requested medication just 3 times. Today he is conversational and eating well. Something I haven’t seen for 3 days.
Bill’s blood work is progressing in the right direction. Neutrophils (the good guys) are being produced every day and increasing in numbers. Amen. He didn’t have any blood products last night and still the numbers are good. For those who want to know. White cells are at 1400. Hemoglobin is at 9.3. Platelets are 51,000 (this means he can brush his teeth and not bleed). ANC is 1600.
More good news. There is no sign of Leukemia Cutis, the skin rash. At this point, post chemo, he would have been covered in a rash. Remember that the skin is the organ that Bill’s leukemia decided to attack. The ABT-869 drug is working here, as anticipated.
The bad news, the cancer in is blood is back, and is doubling each day. Today the blasts are at 16%. This is expected. His bone marrow biopsy showed that there were blasts remaining, and those blasts will reproduce. Blasts are immature white cells, which we all have, and some of those blasts could develop into good white cells, as they would in a healthy individual. But Bill’s track record is not good here, so we will see what happens.
No new news on the bone marrow transplant process. Hopefully in a few days we will move forward.
Again our prayers are for healing and pain relief for Bill. We are taking baby steps in the right direction.
Love you all. God Bless.
Two weekends ago a pump for pain medication was placed in the room. That worked great until last weekend when we had an issue where the nurses and “sitters” were pushing the button for him. (A huge no-no) Once again Bill was over medicated. He received 20 doses in 2 days. That is only 2 mg of Dilaudid in 2 days, and a healthy person would not even notice this dosage, but it is way too much for Bill. After bringing this to the attention of the doctors, the pump has been removed and the nurses will administer the pain killer when requested. Yesterday he requested medication just 3 times. Today he is conversational and eating well. Something I haven’t seen for 3 days.
Bill’s blood work is progressing in the right direction. Neutrophils (the good guys) are being produced every day and increasing in numbers. Amen. He didn’t have any blood products last night and still the numbers are good. For those who want to know. White cells are at 1400. Hemoglobin is at 9.3. Platelets are 51,000 (this means he can brush his teeth and not bleed). ANC is 1600.
More good news. There is no sign of Leukemia Cutis, the skin rash. At this point, post chemo, he would have been covered in a rash. Remember that the skin is the organ that Bill’s leukemia decided to attack. The ABT-869 drug is working here, as anticipated.
The bad news, the cancer in is blood is back, and is doubling each day. Today the blasts are at 16%. This is expected. His bone marrow biopsy showed that there were blasts remaining, and those blasts will reproduce. Blasts are immature white cells, which we all have, and some of those blasts could develop into good white cells, as they would in a healthy individual. But Bill’s track record is not good here, so we will see what happens.
No new news on the bone marrow transplant process. Hopefully in a few days we will move forward.
Again our prayers are for healing and pain relief for Bill. We are taking baby steps in the right direction.
Love you all. God Bless.
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