Friday, April 27, 2012

Day 99

Friday will be 99 days Madeleine has been inpatient - doesn't that seem like an eternity? Considering she is just over 200 days old, it puts things into perspective.
Two days of chemo on Monday and Tuesday nights, two days of rest on Wednesday and Thursday, and about  90 minutes Friday morning for the stem cell transplant make up this week. Madeleine has been doing really well, so far so good with just a little nausea that an added medication can't handle. Thursday morning the new resident MD came on and with good intentions listened to me describe Madeleine's symptoms and increased both the dosage and frequency of the dose; it was just too much for her, she looked drowsy all day until the evening after we discussed it with the resident and the dosage was adjusted back downward. The added med is controlling the nausea and she's still eating very well. The day was spent just a little irritable and a very light sleeper. Hopefully the weekend will be quiet and uneventful.
Annalise has not been able to come visit this week. Although none of us around her are sick, she came down with a cold on Wednesday. Because the conditioning chemo is so tough and Madeleine becomes immunocompromised (her immune system is completely wiped out) the smallest bit of anything can introduce infections so we have to safeguard her, even if that means one of us. It sucks. Plain and simple. So hopefully next week Annalise will be well enough to come, but at that point Madeleine's counts will be much lower than they are now. If last cycle is any indication we should be heading home around May 9th to be home again all of us together. Keeping our fingers crossed.

Wednesday, April 25, 2012

New baby doll

Fortunate to have wonderful friends who bring lovely gifts our girls love! Madeleine hugs her new soft baby =)

Tuesday, April 24, 2012

UCLA Welcomes Madeleine for Cycle 4 (Transplant #2)

April 13
Good Morning! For our loyal followers, I apologize for the online hiatus over the last two weeks, though I think you'll forgive us in knowing we got to spend 12 whole days at home as a family! Madeleine was discharged late in the afternoon Monday April 9 and she was admitted Sunday afternoon April 22. Coincidentally, she's beginning Chemo Cycle #4 on the same date as last month, the 23rd. I like this because my calendar-focused brain can very easily see when we could likely go home again. Monday Madeleine received both a blood transfusion and platelets to get her started off "with a full tank" in preparation for the chemo that began around 6pm and will run for 6 hours Monday and Tuesday evenings, a break on Wednesday and Thursday, and she will receive her stem cells late Thursday or likely Friday morning. There has to be sufficient time after the last chemo infusion and the stem cell transfusion to ensure the cells are able to do their job. So far she's exactly herself with no adverse effects; the only lasting effect has been some vomiting since the last cycle. She has been on an anti-nausea medication called Zofran since last month and had to stay on it while at home or she vomited without fail, it was very strange. But if every six hours she needs a little medication to keep her food in, so be it - it was very manageable.

So, the recap: Dr. Moore is the head of our Transplant Team (Madeleine has moved under the BMT group though her primary oncologist is still Dr. Davidson) and he has mentioned to us that autologous transplants are typically the easiest they see, where patients recover quietly and relatively easily considering everything else they've been through. There is still the conditioning chemotherapy where patients can have significant adverse reactions to; however, the stem cell rescue contributes wholly to the recovery. During the induction cycles, it took Madeleine about 9 days to really hit rock bottom with her counts and feel really crummy, and then another 10 days or so of being neutropenic before her counts began to rise, experiencing "easy" side effects like nausea/vomiting, to the really bad when she was septic. We felt as though after Cycle 2 she was really due for a good cycle. Cycle 3 came and went without a hitch! By day 14 she was really ready to go home, though we needed to stay for a few more days observation on her labs and for her follow up kidney function test (the kidney test is done every month to check the function of her kidneys that could be compromised as a result of the chemo). A few days after discharge we came back for an outpatient audiogram, which she also gets every month and requires her to be under sedation because little babies cannot hold still for the duration of the exam. To date, the doctors are amazed that she has yet to show any signs of hearing loss. This is truly AMAZING, considering they told us it was almost a certainty that she would have hearing loss in the speech range and likely need hearing aids throughout her lifetime. We're almost there... almost to the finish line where we can breathe a sign of relief that our baby girl is healed, is cured of this terrible disease and has won her most victorious battle! She is MY HERO.

The time at home was amazing =) the girls are so in love with each other that as a mother I can't express how much joy I feel to watch my daughters talk to one another, interact and play and LOVE each other. Annalise was SO HAPPY to be with all of us together. I burst into tears at random times just overwhelmed with emotions to reflect on how we have all sacrificed and endured this journey together at all expense, and Annalise is no exception to that. How I thank God that my children are young enough that they won't remember this hardest, darkest period of our life, yet will retain the love and adoration for each other that grows exponentially each time they are separated and reunited. Annalise wants so bad to help take care of her baby sister and she has those opportunities when we're home. Madeleine is incredibly captivated by Annalise that she follows her with her attention completely focused on her, she laughs at every little thing she does, and raises her baby voice and screams to express her own joy and happiness. It's nothing short of magical to witness.
Life, as it should be :) 4/11/12

So the days at home were spent relaxing as much as possible: we probably never turned off the TV! But it was great to have those lazy days in pj's together as a family. We had a few days of visitors, a few days at the Dr's office for follow up, lots of home cooking and baking, and plenty of play time on the floor learning to use our muscles. The days seem to fly right by especially with doctor visits sprinkled in, but we were all very happy to be home together, sleeping in our beds, and playing together.

Hope for Madeleine Benefit

Other updates: the Hope for Madeleine Benefit in Grass Valley was a HUGE success!! My mom, sister, grandparents and nephew all attended on our behalf on April 7th, and the amount of love and support within those walls for those 5 hours was tremendous. Over 60 businesses - yes, I mean SIXTY - businesses contributed to the silent auction and raffle. That's incredible!! I am so proud to be from the Gold Country, a place where the small town community still exists and children make get well cards for Madeleine and encouragement cards for Annalise. The event in total raised over $6,200 to help our family care for Madeleine. So humbly and graciously we thank the Grass Valley/Nevada City community and everyone who helped to make the event.
"Madeleine's March" turned into "Madeleine's March & April" at Cold Springs Middle School, and the administration has decided to hold a student assembly on May 8th to announce the fundraiser total and present my mother with the proceeds (they don't do this for every fundraiser the students organize and participate in so it's to be a very special event). I am so proud of my sister Jordyn, who has become very competitive with her classmates to see who can raise the most money, but at the heart of it, their intentions are good and we have received MANY get well cards from the students and even comments on the blog that they are thinking of and praying for our Madeleine.
Lastly, it seems that in the next couple of weeks we should be able to move forward with the labs for the genetic testing, thanks largely to the fundraising events organized on our behalf. Jeff and I will both have our blood drawn and sent to Philadelphia for the genetic testing experts for the INI1 gene deletion to hopefully make a determination that could change our lives. We're hoping that the testing will prove that Madeleine's gene deletion was a sporadic, random event and that neither of us carry any sort of genetic mutation or combination of our genes have caused the predisposition. Essentially we're hoping to hear that we can have more children if we desire that are not at any additional risk, and more importantly, that Annalise is at no risk at all. In due time we will have the information and Dr. Davidson has made it very clear that we have continued with Madeleine's therapy in the effort to ensure the disease CAN NEVER COME BACK; that is the goal, that is what we have been doing every single day since January - fighting the good fight so Madeleine will never have to endure this ever again. We appreciate all the continued prayers, at the very least until we can bring her home for good. But I have a very good feeling that this little girl that we have shared with the world will be in many people's prayers forever, like their own little angel who has made a difference in their life, one way or another.

Friday, April 6, 2012

Hope for Madeleine Benefit is THIS SATURDAY

Friends and family in Northern California, if you're within driving distance to Grass Valley and can still make it home for your Easter festivities, Saturday night is the Hope for Madeleine Benefit. I invite you to come and for no other reason than to see and experience the "wedding" style event! My wonderful, AMAZING girlfriend Shawn, whom I've known since I first moved to Nevada City in January 1994, has spearheaded this incredible event. She has gone above and beyond what I ever could have imagined or asked for. She has so graciously given up time with her own family, her own children and time on top of working 40+ hours a week to fund raise, collect donations, make phone calls, and countless perfect posters, flyers, Facebook posts and events ALL for Miss Madeleine. She somehow also managed to squeeze in organizing and working the Breakfast Benefit that took place two weeks ago in less than two weeks! Shawn has pulled together all of her resources and many dear friends of ours to volunteer their time, efforts, money and creativity to make the benefit "like a wedding" - we are expecting over 150 people, several tables complete with centerpieces, a photographer, a DJ, a band, AND performing arts! Definitely a social event of the season.

I am heartbroken that we cannot attend to see old friends and personally thank each and every person coming and those who donated. I am overwhelming proud to call Grass Valley my hometown and of this "small town" community that has so openly loved my daughter. My mother, sisters, grandparents, aunts and uncle will be attending on our behalf since Madeleine has not yet been released from the hospital. (Un)fortunately Madeleine is still an exclusively breastfed baby and usually refuses a bottle after 2 ounces, so Mama cannot be away for too long; ask any infant's mother and they will tell you to be separated from their baby for several hours much less overnight is near impossible emotionally as well. 
However, we are very pleased to inform that Madeleine is doing so good, and all the doctors are very happy with how this cycle is turning out. She did have platelets last week and a blood transfusion today; she could possibly require more platelets tomorrow [Friday] depending on her am labs. For the most part, her low count period is still hovering but seems to be short, and she could be discharged by about Wednesday of next week. We received the best update today too! With stem cell transplants, we MUST wait the full 28-days before beginning the next cycle (I guess we already knew this and I forgot or didn't retain it, so it was news to me!) So if Madeleine is discharged next week, we definitely will not be starting Cycle 4 until April 20th at the very earliest - that's over a week at home! Hallelujah!! We will be SO HAPPY to have the girls at home all of us together for more than just a few days. What a blessing!
We'll keep you posted. From our family we wish everyone a very blessed remaining Holy Week and Easter festivities, and hope everyone enjoys themselves at the Benefit. Looking forward to hearing all about it!! :)

Tuesday, April 3, 2012

11 Days Down, 17 to go

Jumping on her bed
Cycle 3 thank goodness is relatively uneventful, chemo wise. We chart her progress, procedures, transfusions and medications through each cycle to identify her trends and comparisons (remember we're not working; this is my "project") and since March 22 there hasn't been a whole lot to chart! Mama is very happy about that :) Based on my conversation with the doctors this morning, her counts should be improving already over this week. I don't want to jinx the possibility of us going home before the 28 days are up...Let's just say it could happen sooner than we expect.

The best part of this cycle has been watching her be a happy baby ~ she's playing with her feet, studying every face that she sees, smiles and talking to her regular nursing staff and doctors, wanting to look out the window and jumping! She's literally jumping when holding her up, I call her rubber legs. :) Her physical therapist has been very happy with her development and progress despite her chemo treatments and lack of weight gain. 
Sitting up watching Daddy
She prefers to stand and sit up where she can see your face,  though since this last discharge she's much more comfortable playing on the floor or in her bed rolling from side to side and over. Madeleine has been learning how to take her pacifier out of her mouth and half of the time can put it back; she's also finding new toys with random things: the blood pressure cuff and the kidney basin. :) It seems like getting out of the hospital the last time really opened her eyes to so much of the world she doesn't want to miss anything and she's absorbing everyone and everything around her. This explains now why she didn't nap during the day the last time we were home. Madeleine is such a smart baby! 
So, without further adieu, recent pictures of our angel!




Fell asleep playing with chipon


Playing with BP cuff




Twinkle Toes