Sean's Aug. - Sep. 03 Updates
 
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September 24, 2003
We finally got the good news!  There is no evidence of disease recurrence on last weeks MRI.  Thank God!  For once we actually got UCLA's reading before University Imaging's.  I was trying to be patient and see when someone would call with the results, but this morning I couldn't stand it and called UCLA myself and asked to speak with someone regarding the MRI results that should have been faxed last Friday.  If they were faxed, I wanted to know what they were, and if they weren't faxed I needed to know so I could have them re-faxed.  I got a call while I was out from Dr. Lansky stating that UCLA's pediatric neuro-radiologist read them and everything came out clear.  It was on the message machine so I wasn't able to ask what University Imaging's report said, or if he even had it, but at this point it doesn't matter because we have results.  Most importantly we have the results that we have been praying for.  We had a great weekend, so great that we forgot to take pictures.  We even stopped at Disneyland for the afternoon Sunday with our annual passes and had a blast.  Towards the end of the day the kids wanted to go on the Grizzly River Run at California Adventures.  I didn't really want to get wet, but figured it wouldn't be that bad.  Well, everyone got splashed, but I was sitting at the end of the intertube that went down a waterfall first and when it hit, a big wave came up, and then down, right on top of me.  I was soaked from head to toe.  I had to walk around like that the rest of the evening and it was starting to cool off too.  It was all worth it though, because as I was getting soaked I saw the kids faces and they were laughing so hard, I would probably do it again.  Yesterday, Tuesday, Sean had another appointment with his Neuro-psychologist to finish his cognitive testing.  He did really well and Dr. Kaleita wants Rich and I to come down alone next week and he will go over the results with us.  I don't think it's anything bad, I just think he wants us to understand everything because Sean will be having these tests for years to come and the more educated we are about them the better.  I will explain more as I learn more.  Thanks for checking in on Sean and for the continued prayers.  Love, Kelly  
 
 
September 19 2003
Well, it's Friday and we still don't have any "official" word on Sean's MRI. Kelly spoke with the folks at University Imaging to see if we could get a preliminary reading today. She was told that the scans had been read, but still needed to be transcribed and we could expect that they would be faxed to the Doctor at 5pm.  Kelly pointed out that everyone in the Doctors office would probably be long gone at 5pm and we wouldn't get a call until Monday.  We waited for a call and finally gave up when someone from the imaging office called.  She wanted to tell us to have a nice weekend.   While she couldn't tell us in so many words, Kelly believed she was giving us good news. We will probably get a call from the Doctor on Monday to confirm this . Of course, none of this will matter to UCLA. They only accept readings from their own radiologists. So regardless of what the doctors say on Monday, we won't truly be able to relax (at least as much as we ever do now) until we here from UCLA in two or three weeks. Onward and upward. Sean's MRI did go well. Our little trooper layed in that tube for over two hours. He is getting very good at it. We had labs taken before the MRI, and we recieved the numbers later on that Tuesday afternoon. Seans ANC has shot up to 2500 and his plateletes zoomed to 111. This is very strong evidence that his bone marrow is producing just fine. Dr. Moore called us on Tuesday to let us know he had seen the labs and that it was a very good sign that Sean is recovering so strongly. I also spoke with Dr. Siegel from Children's Hospital LA. He said he had finally heard back from Doctor Packer (the Dr. who designed the protocol Sean has been on) and he told Dr. Seigel that about 50% of kids on this protocol only get through 5 to 6 cycles. He said that the other 50% finish 7 to 8 cycles. Dr. Packer said there has been no data to indicate that there is any difference in the outcome between the two groups. Besides, even if they wanted to give Sean more chemo, it is too late now. Luckily, they don't think he needs anymore. Dr. Seigel finished his call by saying that for the most part, Medulloblastoma cells either get killed by the treatment or become resistant and return. He said it was a great sign that Sean was doing well with no indication of regrowth. This coupled with the hint of our MRI results, has us feeling pretty thankful right now. Thats pretty much it for now. We are planning to drive down to Vista for the weekend.  I will try to take some photos to post on the site. Thank you again for all of your prayers. We love you all....Rich
 
September 14 2003
Hello everyone, long time no update, at least not by me. Hopefully you are all doing well. You may have already read what we have been dealing with this week. Sean's counts were a lot lower than they should have been and thanks to a distinct lack of communication from our Doctors, we were having a tough time dealing with it. Kelly finally got the chance to speak with Doctor Ted Moore from UCLA and he made us feel a little better. He said that it appeared that Seans' counts had dropped due to a virus Sean was fighting at the time the labs were taken. The virus was suppressing the bone marrow's ability to produce white and red blood cells and plateletes. He said that the new labs reflect a huge jump in counts and it is obvious that Sean's bone marrow is working. He also said we don't need a bone marrow biopsy yet, but if the counts don't continue to improve, we might have to think about it. We are focusing on the fact that his counts came back so well and we are confident that we won't need the biopsy. We wanted to say thank you to everyone who has been praying for Sean regarding this issue. We couldn't have made it through without you (again!!!). OK change of subject, I have finally posted some new pictures. If you haven't already done so, please go to the Photo Page and take a peek at the new pics. I have been working a lot and so haven't really kept up in the picture posting department. I will try to take and post more pictures in the future. Sean's next MRI is still scheduled for this Tuesday. Sean is actually resigned to it now and doesn't seem to be getting as upset when we talk about it. We have promised him a "Pokeman" pinball game that he wanted, so I guess we have kind of bought his acceptance, but hey, whatever works!!! That is about it for now. Thank you for checking back with us. We love you all......Rich  
 
September 12, 2003
After being upset the last couple days over a possible bone marrow biopsy and wondering if Sean's counts were still dropping, we asked if we could have labs yesterday instead of waiting until next Tuesday.  Well they were faxed late last night and I'm not getting too excited until I speak with Dr. Moore tonight, but...his ANC went up to 1740 and his platelets went up to 95.  I'm not a Doctor but I would think that that if his counts went up his bone marrow must be working.  Thank God!  I have been promised a call from Dr. Moore this evening so he can give his opinion and see what the next step is.  I'll do another update once we talk, but for now we are thankful that things are moving in the right direction.  Thanks for all your prayers and support.  Love, Kelly
 
 

Here is Sean at the Irwindale Speedway on Saturday August 30th. The Michael Hoefflin Foundation was given the use of a VIP suite for the evening. We had a great time. I will be getting more pictures of the races and other stuff up on the page by this time next week. Thanks....Rich

September 9, 2003
I finally have a free minute and wanted to do a quick update.  First off, I called Dr. Siegel's office on Friday the 5th and still have not received a call back.  I hate to be a pain, but this is getting downright ridiculous.  That same day Sean came down with a sore throat so I requested that labs be drawn and I took him to the pediatrician for a strep test.  The strep test was negative, but his labs have actually dropped.  His ANC went from 1500 on August 11th to 650 on September 5th.  His platelets have also dropped from 82 to 76.  I was concerned about Sean being able to attend school with an ANC under 1000, but I am told he can continue to go.  If he catches anything, such as a cold or flu it will take his body a little longer to fight it, but they are saying he can still attend unless they go under 500.  Which led to my next question about why they are dropping.  Apparently this is something that his Dr's have already discussed and are concerned about.  When he has his MRI on the 16th, Blanche will also draw labs and if his counts are still dropping he will have to have a bone marrow biopsy.  The biopsy will tell if there is any and/or how much activity is going on in the bone marrow.  It is a possibility that the whole reason chemo was stopped early, the bone marrow not recovering and him getting some type of bleeding disorder, may have already happened.  I just got off the phone with Lavette so we haven't had time to absorb it all yet, but we refuse to panic.  It's in God's hands and I know we didn't go through all this for nothing.  We will continue to pray that this is not the case, it is possible that his fighting a cold could have lowered his counts as well.  We thank God every day that Sean is doing so well, and we have faith that this will all turn out OK.  As a parent and human being though, I can't help but remember the last time he took his CCNU (that's the chemo that's mostly responsible for suppressing the bone marrow).  There were seven pills he had to take at home, and he kept putting it off and putting it off and there we were at midnight, May 9th in the kitchen trying to give him his first pill.  He was so upset about having to take it,he threw it up in the sink almost immediately and we had to rinse it off and dry it on a paper towel so he could take it later.  We were so worried that it was the middle of the night and a weekend, we probably wouldn't be able to get another one.  We then spent the next 4 hours trying to get him to take the rest of the pills.  We laid in bed with him crying and begging not to have to take any more, trying to watch the cartoon channel with him to take his mind off of it and keep him calm so he didn't throw any more up.  The deal was one every half-hour until they were gone.  Even though I know we were doing what we thought was best for him, I can't help but feel guilty and wonder what might have happened if we didn't make him take them.  Whatever happens now is in God's hands and all we can do is pray that his bone marrow can recover.  We knew that the chemo being over didn't mean "it was over" but we didn't expect this. Please continue to pray for him, he is very upset about his MRI, he hates having to go through them, especially the long ones where they do the brain and spine.  And also please pray that his bone marrow recovers and he is able to keep getting back to life as a seven year old should.  Love, Kelly  

 

August 26, 2003
Hi everyone!  It's been a while since the last update, so I figured it was about time.  I am still waiting to hear back from Dr. Siegel regarding additional data on kids who have stopped this protocol early.  He is going the extra mile, so I don't want to bug him too much, but I will leave a message for him within the next day or two if I don't hear anything.  In the meantime everyone started school last week, even Sean.  Chris started last Monday morning, I started last Monday night, and Sean and Brianna started last Thursday.  I anticipated Sean starting off going half-days, but he has been staying the whole day.  His teacher says he is doing great.  He doesn't know anyone in his class because we went from a year-round schedule to a traditional schedule and all the kids were mixed up into different classes.  He was a little disappointed at first, but on his first day he came home and told me he made a friend named Holly.  I know he will continue to make friends, it just takes time.  In the meantime he can see his old friends at recess, but he  gets kind of discouraged because of his coordination.  He tries to play foursquare but he has trouble with his timing kicking the ball when it comes to him, so when he misses it he's out.  I know it's frustrating for him, but hopefully with practice he'll get it.  It breaks my heart, but he takes it all in stride.  He fell going into school yesterday and ended up in the nurses office for a band-aid.  When I found out, I felt so bad that I wasn't there and told him next time to have the nurse call me.  He just looked up and said "It's OK mom, that's what the nurse is there for."  He might actually be doing better than I am handling all of this.  We are very proud of him and thankful that he is doing so well.  His MRI is still scheduled for September 16th so please please please pray that everything goes well.  He still has his port-a-cath so Blanche is coming with us and Rich is going to take the morning off of work to go too.  It's going to be a long one, it's the brain and the spine this time, so it should be at least 2 to 3 hours.  I will continue to bug Rich to get some new pictures on the site. It's been a crazy couple of weeks,especially with me at school at night he's busy with the kids, but he'll get them up soon.  Love, Kelly    

August 13, 2003
Sorry it's been so long since we've done an update.  We still don't have our "final answer" from CHLA.  Sean's GFR was 79, and Dr. Siegel said that was "decent kidney function."  There doesn't appear to be too much damage to his kidneys from the chemo, but he hasn't recommended any more cysplatin yet either.  The last I heard, he was going to check with Dr. Roger Packer.  From what I understand, Dr. Packer helped design the protocol that Sean was on.  Dr. Siegel wants to see if there is any data on kids who have stopped chemo early on this protocol, or if there is another type of chemo recommended for kids who do stop early.  I got the impression that he won't be recommending any more chemo for Sean, but he wanted to look into it thorougly before saying for sure.  I really appreciate all the time and effort Dr. Siegel has put into this second opinion.  I feel like he is going above and beyond what he needs to do to put my mind at ease.  In the meantime, I told Seans school that he will be returning next week and everyone is very excited.  I'm not sure if he will need half days at first or not, we are going to play it by ear and see how he does. He put on some more weight, he is now 53.5lbs.  He started out at 62lbs last year, and during chemo he bottomed out at 47, so we are excited that it is finally going in the right direction.  We had a great time at Lake San Antonio last week.  It was a nice break to get away and relax.  I'm waiting for my Aunt to send me some pictures so Rich can post them.  I was terrible about taking pictures, so Thank God for family.  She has a cute one of him feeding a deer.  Sean also took pictures last week with some other kids from the Michael Hoefflin Foundation.  They will be on the cover of the Magazine of Santa Clarita again this September.  He also "made his wish!"  He wished for a Disney Cruise.  Hopefully we will be able to go in January, when we are all out of school.  So it's been a pretty busy month so far, but in a good way, I guess.  His next MRI is scheduled for September 16th, so we continue to pray that all goes well with that.  Blanche is coming with us again, so we are very grateful.  Rich is also going to try and get a half day off of work to go too.  This one is a brain and spine MRI, so it will be pretty long, about 2-3 hours.  Needless to say, that's a long time to lay still for a 7 year old, so the more support he has the better.  Thanks again for all the prayers, and I'll do another update as soon as I hear anything.  Love, Kelly

 

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