I came on to share an update and realized I never hit publish on my draft of the entry below-woops! I have been sharing updates and photos on Instagram so to some of you this post is way old news ;). Even though this was 2 months ago - I want to have it documented here for us to look back on. Stay tuned for a current update later today ;). xo
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October 18, 2017
The last 5 days have been CRAZY! I guess we will start with some back information we were told a few weeks ago. Due to a couple of the Chemo drugs (one specifically, but when mixed with another its a worse effect), the docs told us to expect Addie's counts (ANC, Hemoglobin, Platelets, etc.) to drop 10 days from when she received the chemo. That put us right around our Wedding weekend (10/13/17). Dan and I asked all 3 doctors if they recommended we postpone the wedding due to this and all 3 of her doctors encouraged us to move on with it, especially for Addie's sake as she was so excited and looking forward to it - non-stop talking about the Chocolate Fountain and the songs she wanted to dance to! Addie, as I said in my last post has been feeling and acting amazing, has been in great spirits and we have just been living "normal life", so it was crazy to think her counts would even be effected. On Thursday she was great all day, having more dance parties and playing non-stop. While we were at the Rehearsal dinner she started to get tired, she felt a little warm but we took her temperature and she didn't have a fever. A couple hours later she felt warmer and sure enough spiked a fever. We put some numbing cream on her port (so it doesn't hurt when they access it to take blood and give antibiotics) and headed off to the hospital (standard protocol). Her doctor called me on the way and explained that if her ANC was below 500 she would have to be admitted, but if it was above 500 they would just give her an antibiotic and send us on our way. Her ANC turned out to be 1100 (God and prayers, I'm telling you!), so they gave her an antibiotic that lasts in her system for 24 hours and some Tylenol which immediately took her fever away (they do not want us giving her Tylenol at home to mask a fever if its going to happen). Her platelets were a little low so they gave her some more of those, too. It was all standard protocol, but in typical ER fashion, we sat around and waited 2 hours just for them to send up the Platelets from the Pharmacy. We walked out of the ER at 4:30am on the day of our Wedding. I honestly didn't think the wedding was going to happen...and I really didn't want to put Addie through it if she wasn't feeling well. As soon as we got to the ER, my mind was pretty much made up that we would be postponing our day and we were OK with that. As soon as we got in the car she started asking if we could still have the wedding, how many minutes before it happens and explained where she put the lollipops she had for all her cousins when we saw them. I breathed a sigh of relief and kept asking over and over if she was sure she still wanted to go and not stay home and rest, but she insisted! The Wedding went off without a hitch and Addie had a BLAST. She was on the dance floor the ENTIRE time and running around with her cousins as if we didn't just get discharged from the ER hours prior! She thoroughly enjoyed the chocolate fountain and the make your own sundae bar, too - Oh and the Shirley Temples were flowing all night! I fully expected to be back in the hospital after midnight when the Antibiotic wore off but to our surprise she didn't have a temperature! The next morning though when she woke up she was warm and sure enough had a fever again...so it was back to the Hospital we went-only this time we got admitted because her ANC was now at 56 (down from 1100 the night before), like I said, God & prayers.
They haven't been able to explain what caused the fevers (blood and urine cultures, as well as her respiratory panel, all came back negative) but it was definitely due to her counts being low and her being Neutropenic. It could have been any spec of germ that got on her, or piece of bacteria. When her immune system is at 0 her body has no way of fighting any kind of infection - scary stuff, none-the-less. They warned us well in advance (from Day 1) that this would happen and to expect it - not often, but once in a while, so we weren't in panic mode, we were all actually quite calm. Unfortunately, this is just all part of it and now that we have a better understanding of ALL and what all comes with it, it definitely makes for much less scary situations. The only frustrating thing is just spending our days in the hospital waiting on her counts to go back up - especially when she looks great and is acting her crazy self. We would obviously much rather be at home where its comfortable. She will receive her last Spinal this week for an entire month as well as Chemo, before we start Part 2 of the Consolidation phase. Because we repeat the same chemo treatment as Part 1 of this phase, we fully expect to be here again when her counts drop in the middle of this next phase. Its very reassuring to hear from everyone, docs, nurses, child life, etc. that this is all "standard". Not normal per say, but normal for someone fighting ALL. So here we wait in the hospital just waiting for her counts to go back up so we can go home. As of today she has been fever free for 48 hours which is awesome! She's acting herself, wanting to wear clothes and PJs and not the hospital gown, is hungry and she keeps complaining that she is still hooked up to her IV (fluids) because she wants to get up and dance, LOL.
Prayers please that we will be able to get out of here by the weekend so we can have some fun with Fall festivities! Thanks for reading and for all the wedding well-wishes! I'm just so happy that Addie enjoyed herself so much and our families and friends all got to celebrate something some good and positive for a change!
With Love,
Always thinking about your family and sending prayers
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