"Fever after 10th Chemo "

 

Grab a candy, this will be long. Sorry if we've kept you waiting for so long, it took me three days to complete this update and that's because I've been REALLY spending a lot of my time with my kids now. I'll do my best to relate what happened cos our entire stay there was kinda blurred together to me now. The only thing that's clear to me is that I've had crazy days in that building.

August 17th, We've returned from Chang Gung Pedia after our 9-days stay there. Ok, here's how it started... It was 4:30something am of August 8th (father's day in taiwan) when we decided to bring our dear Jasem to ER due to his fever that remained 38°C for hours. We were so lucky that there was one available bed at the 6th floor of Pedia because Jasem really needed to be attended by the nurses from the division of pedia hematology/oncology. Jasem's blood counts and platelets were down and we don't want him catching any virus from the ER... you know how worse it will get in case he catch one right? It was really terrible in the er, even the doctor and the nurse who attended to jasem didn't know how to put the IV through his port-a-cath, grrrrr! FYI, the port-a-cath is the port inserted on Jasem's right chest to make chemotherapy easier. Fortunately, we were admitted at the 6th floor by 7am... we asked the nurse to check on Jasem's port-a-cath. She was surprised seeing that they (dr and nurse @ the er) used a big needle on Jasem's portacath. Jasem's nurses are the best! Their the friendliest and most caring nurses at Chang Gung Pedia (yeah, i really think so. Big thanks to them. They're angels). So, after redoing jasem's portacath that day, they injected antibiotics to handle whatever bug that's causing Jasem's fever. By afternoon, Jasem received some platelets because his blood counts are low and platelet count was zero. Another bag of platelets have been given on day 2, August 9th. During our stay there, they gave antibiotics every four hours, ouch, that's a lot right? Jasem'S fever didn't diminish until friday, instead... it got worse on Saturday.

Saturday, August 12th, 14:41... "I have never been that scared in my life" that's exactly what I felt on that exact day and time. 6am that day I got the thermometer to check Jasem's temperature to see if I will need to wake him up to give the acetaminophen that the night-shift-nurse left on our table. Due to on-and-off-fever for the previous days, I always have the thermometer beside me on our bed so that I can check his temperature everytime I wake up in the middle of the night. I always sleep with him to let him rests in my arms every night. I make sure that he feels safe with me so I've got to check on him even while he's asleep. Ok, back to 6am... I got a 39°C on the reading of our digital thermometer. It didn't scare me because he was having that same temp from the previous days. I gave him the acetaminophen, stuck a cold pad (the one with cold gel that can be bought over the counter) then tried to get some sleep again. 6 to 9am (until Dr. Hung came to visit us)... his fever fluctuated between from 38°C and 39.9°C. We tried every possible way to lower his temp, except a suppository due to some reasons. I asked the nurse to give us alternates of ibuprofen and acetaminophen every 4 hours (info I get from the internet, i tried it on Jasem at home and it worked, but not this time). Wiped him with a lukewarm washcloth. Laid a wet towel on his head even if there's a cold pad there already. Just like that from morning to noon, but the fever got worse... from 11am to 1, his temp fluctuated from 39°C to 40.4°C. It was 1pm when I decided to force him to use the "pillow of ice" (stuff he'd never let us put under his head). 'Twas 2pm when he agreed to use the pillow... few minutes while his head's on it... he went to sleep. We've been on our bed watching tv and sleeping for some time since 6am 'til 2pm... a thing that's so unusual because Jasem's the kid who loves to stroll around and hates watching tv if it's not the wiggles. 2:41pm (14:41), I was watching him sleep, his eyes suddenly opened and it was rolled upwards while his saliva built up in the mouth. Seizure. I was so frightened, I screamed his name and patted his back but he was so unresponsive. I got confused who to call first, the nurse or my husband who went downstairs for a moment. I can't remember how I did it, but I was able to call them at the same time.... dialled my husband's number and push the call-nurse-button. Thanks to our neighbor (mom of patient with leukemia) who headed fast to the nurse station when she heard me panicking. Without her help... I don't think the four nurses and the dr will come running to check on us. I can't remember how long his seizure lasted. I thought it only took place for about 5 minutes, but the nurses and my husband said that it lasted for 10 minutes. It's true that seeing your child's first seizure is one of life's most frightening moments for parents. I thought I was gonna lose him right there. I really have never been that scared in my life.

(Jasem and me taking a good afternoon nap... taken by rod on Aug 13th, 14:45... exactly 24 hours after the thought of losing him)

 

Fever after 10th Chemo

After the seizure that day, the nurse took cc's of Jasem's blood to check what kind of antibiotics they can give him. By 3:30 pm, the new antibiotic arrrived and that made Jasem go back to normal. It was near 5pm when Jasem finally wanted to go for a walk, his fever already went down to 36.5°C.

Sunday and Monday went great. Jasem was feeling better and we we're just waiting for Tuesday for his MRI scan. After the 4 additional chemotherapies, Dr. Hung arranged a scan for Jasem to check on any progress (i'm talking about the possibility of resection).

Tuesday, August 15th, we (me, jasem and his yeye) were waiting for whoever who will call us to go to the MRI room. They didn't give us a specific time that Jasem is expected at the MRI room. By 11am, we stopped giving him any intakes (food and liquids) so that Jasem's tummy will be empty anytime they call us for his scan. Actually, it requires no intake 4 hours before ct or mri scanning. It was 3pm when they called us, just right because it was exactly 4 hours since Jasem didn't eat or drink, but not too good because Jasem just woke up after 2 hours of sleep. The scan was not successful that afternoon because they can't tame him... i mean... our dear boy was so hard to sedate that they needed to inject the sedation and contrast drug twice but still failed to get clear images. Scanning failed until 5pm so we were asked to come back 9am the next day, wednesday.

Wednesday, to prepare my boy for the mri scan that was scheduled again this morning, I woke him up by 5am hoping that he'll be able to sleep when 9'oclock comes. 15 minutes before 9, he was already drowsy. Before the nurse came, he was already in deep sleep until we reach the mri room. When I was about to transfer him from his stroller to the "patient couch" of the mri scan machine... he opened his eyes up and from then on... scenes from yesterday were replayed... Jasem was wide awake and they injected the contrast fluid twice again. They tried to sedate him but it didn't work.... what a super boy I have, lol. After an hour of trial and error, they finally got clear pictures of cross-sections of Jasem's lungs down to his liver. We were not sent home that day. Dr. Hung wanted us to hear the initial report of the scan.

(August 16th, 7am... while waiting for the mri scan time (9am) to come... this cat ate my NT$30! Jasem knows how to insert the coins by himself now :)

Thursday morning, August 17th, we headed home along with a sad news. The 4 additional chemo sessions didn't work out. The tumors on Jasem's liver didn't shrink as expected. The scan revealed tumors that are the same of that scan they took before they added chemo sessions to Jasem's protocol. That means that the 4 chemotherapies after the 6 inital ones were useless leaving us with the same options: liver transplant or a risky resection. They both sound risky to me, but I think transplant will be the best option. We are scheduled to meet Dr. Lai (liver surgeon at Chang Gung Pediatrics) on August 22nd to discuss on what's our next step.

I prayed for couple of months that the additional chemo will make the tumors shrink more so that Jasem can only have resection and avoid the transplant. I felt my prayers have floundered this time. But I'm not losing hope and faith in God. I guess our Heavenly Father just want to prove our faithfulness a little longer. This is just another bump in the road.

With our frequent long stays in the hospital, I have been missing my other child (Daisy) so much. I know the time will come when everything will be alright... it's just that... It's really hard waiting for things to get back to "normal".

I like to share this link to you http://www.thesurvivormovie.com. It's been sent to us by a friend and I was truly inspired by it.

Our deepest thanks to all who keep us in their thoughts and prayers. You're all in my family's prayer as well. We're so thankful to have you. May God bless you abundantly.

P.S: Forgive my spellings and grammar... I don't have time to proofread anymore.

~quely

Sunday, August 20th 2006, 09:36 PM