Category Archives: clinic

I Come Home, Tanner Goes to the Hospital

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November 17, 2010

As I was on my knees fastidiously de-radiating my friend, Kim’s house so I could go home to my family, John and Tanner were on their way to the hospital with a fever. The cough she had been fighting all week finally peaked and she was up to 102 degrees. John was able to skip the ER and go straight to clinic (much faster). Fortunately, her fever came down and her counts were high enough that they were able to come home after an IV round of Rocefin (a broad-range antibiotic).

She took a big nap yesterday afternoon, but was feeling fine by bedtime, despite some coughing during the night. We kept her home from school today, but we all went in for her Thanksgiving play and Thanksgiving lunch (I didn’t stay for lunch as I am still not clear to use regular non-throwaway utensils). The play was cute and she is feeling fine. I think she will be able to return to school tomorrow.

The bumped up chemo has done it’s job. Her neutraphils were at 1,150, which is about perfect for maintenance. Her hemoglobin and platelets, however, are holding strong, which is all great. Hopefully, they won’t drop any more and she can just stay at this perfect spot.

While she and John were at the hospital, they met some Titans – Mark Mariani (L) and Robert Johnson (R) – who were visiting kids in the infusion room. Tanner looks like a little sapling between two mighty oaks, huh?

I’m feeling just fine… a little tiny bit fatigued, but otherwise back to my normal self. I can be around the kids, but can’t touch them much. No more than 30 minutes of contact a day until the day after Thanksgiving. I get quick hugs to try to sustain me.

John’s Mom is on duty and has been a great help. She’ll get Jake to school tomorrow while I go into Vanderbilt for my body scan. This should tell us whether the cancer had spread anywhere beyond the thyroid. I have to lie still for an hour-and-a-half. Let’s hope I can listen to an ipod… otherwise it’s going to be a very long scan. Maybe I’ll nod off…

Speaking of nodding off…

Love,
Beth

Clinic Day #43

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November 3, 2010

I don’t know why it surprised me. It shouldn’t have. It’s not like we have not known all along how kind the people at Vandy Children’s are. I think it was just stunning to look at all the kids who were in the hospital today and realize that the comfort and peace of mind of just one of those children was so important to them.

Today, when we went down to the surgery waiting area for Tanner’s LP, both the Childlife Specialist, Sara, and the music therapist, Jenny, came with us. Then they accompanied us to the pre-op room and, finally, to the operating room itself. They played music, dealt a hand of UNO, and generally, were engaging enough to distract Tanner from the impending, dreaded sleepy milk.

It was a vast improvement over the past few times. There were no anti-anxiety drugs, no tricks, no deceit. She did cry and get scared at the very end, but the lead up was so much better. She was just having too much fun to get so worked up.

In the end, I carried her to the operating room and held her while they pushed the sleepy milk into her port. She buried her head in my neck and cried, then finally went to sleep. I laid her down on the gurney and we left to spend another ½ hour in a waiting room we now know like the backs of our hands. It was the best it could be, but let’s face it… it still sucks.

So, four kinds of chemo delivered three different ways… plus steroids… in one day. Anytime I start to feel a little nervous about the radiation next week, I remember all she endures.

Her counts were good… too good at 2,600, so they upped her chemo again. I suspect she will feel pretty bad tomorrow, but you would have never known it this afternoon. She danced and sang and she and Jake put on a superhero show for Aunt Beth. And, unbelievably, had trouble going to sleep tonight because of the “nap” she had at the hospital.

Heard about yet another little girl from Franklin diagnosed with leukemia this week. Please pray for her family as they struggle to comprehend the incomprehensible and for this little girl that the chemo begins to heal her quickly and her body responds as the doctors hope it will.

Love,
Beth

Clinic Day #42

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October 20, 2010

Anytime Tanner’s chemo gets increased, we have to go in for a counts check two weeks later to see what effect the increase has had. Today her neutraphils were at 2,700, up from 1,100 two weeks ago and her hemoglobin remained unchanged at 11.2 (a normal level). Both of these things surprised me greatly, in a good way!

It’s very possible her neutraphils are up due to the virus she had last week and they may come down in the next week or so. Her hemoglobin level doesn’t really explain her lack of energy recently, but maybe the higher dose of chemo is just harder on her. I’m trying to tell my Mommy Radar to trust the numbers and calm down, but it just won’t listen.

Tanner, Leah and Elise at the Zoo yesterday

She also got a flu shot today… it was the first time ever that Tanner got a shot of any kind without screaming and crying. I bribed her with silly bandz… who knew? She is participating in a study to determine whether giving kids with ALL an increased flu vaccine dosage will increase their immunity to the flu. Apparently, they have done a similar study with the elderly and a higher dose did improve immunity, so they figured it might work for anyone who is immuno-compromised.

Riding the carousel at the zoo

We agreed to do the study and then they told us that there is a $40 payment for study — $20 when you get the shot and $20 when we go back for a blood draw in a month. Tanner was ecstatic! “I’m going to waste it all on silly bandz!!!” she screamed. So, we went directly for Silly Bandz after clinic. Happy girl.

Love, Beth

Clinic Day #41

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October 6, 2010

Seems like I’ll never really understand counts. Tanner’s neutraphils were at 1,100 today, which is the low side of where they want them (1,000 to 1,500). But, her monocytes were very strong and they eventually become neutraphils, so they assumed she was about to go up to about 1,300. So they raised her chemo. Huh?

I’m going to be surprised if this little chemo bump doesn’t mean Tanner has to be pulled out of school for a month. Her counts do not recover quickly these days. It will be a devastating set back for her if it happens.

All her other counts looked great. Her hemoglobin and red counts have been very strong lately, which equals lots of energy and means she has been feeling pretty good.

The Tennessean ran a very cool article on Tanner’s lemonade stands today. Tanner took a copy into school to show her classmates. I’m hoping it results in more donations to Team Tanner. Click here to see a copy of the article LLS_Tennessean_Oct. 6

Light the Night is tomorrow night. We are ready!

Love,
Beth

Clinic Day #40

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September 8, 2010

Today was Tanner’s monthly clinic visit for Vincristine and counts. Her neutraphil counts were about where we expected them after having raised her chemo two weeks ago to 75% — 1,500, which is the high side of where they like them to be. If they are still up next month, they will raise her chemo again. I’m hoping that’s not the case as the last 2 or 3 times they have tried to raise her methotrexate level to 100%, her counts have crashed and it takes 3-4 weeks for them to come back up above 1,000. That would mean her missing a lot of school and be so disheartening for her. She’s doing so well.

It was the fastest clinic visit we have ever had. We were in an out in 1 ½ hours thanks to a new method of ordering chemo. Love Vanderbilt. She was back at school in time for lunch.

The weather cooperated enough for us to have a very successful lemonade stand! We don’t have an official count yet, because we have lots of coins to count, but we raised somewhere in the neighborhood of $170!!! Wow! She is so excited and can’t wait to tell Corinne at school tomorrow. Thanks to Corinne, Laurel and Ashley for being our lemonade stand partners.

We had some special visitors at our lemonade stand – Madelyn and her mom, Amy, and brother, Hudson! Madelyn is a little four-year-old girl who lives in our neighborhood and also has ALL. It was fun to see them and always great to be able to chat with Amy.

Started another 5-day pulse of steroids tonight. She is on the same increased dosage that she had such a hard time with last month. I hope she can hold it together enough to make it to her Alice in Wonderland rehearsal on Friday night. She has been counting the days down until this first rehearsal for two weeks.

Thanks to all the sweet former neighbors who were so generous to Tanner’s Lemonade for Leukemia stand today. We miss y’all!

Love,
Beth

Clinic Day #39 — Just a Counts Check

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August 25, 2010

Jake and I picked up Tanner early from school today so we could go to clinic for a counts check. We loaded her in the car, slapped some EMLA (numbing cream) on her port, and headed to Sonic for some ice cream and to give the EMLA time to do it’s job.

Her counts were still very high, as we expected they would be. They were 4,700. They’ve upped her 6MP and methotrexate dosage to nearly 75% and we’ll see what happens in two more weeks.

Clinic was very quiet, so the kids spread out with legos and Barbies while we waited. We played a new paper electric guitar with Sara, the childlife specialist, danced in infusion room and generally got a little crazy. It is amazing how like family these people who care for your child will become. It is actually possible to have fun while we are there for such serious business. I had to promise Jake we would come back soon so we could leave.

Believe it or not, we are already past the half-way mark to our goal of $10,000 for Tanner’s Light the Night team… you have no idea how we are humbled by this outpouring of support for our family.

Love,
Beth

Clinic Day #38 – What a Day

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August 11, 2010

I had such high hopes for Ativan easing Tanner through the LP today, but it did not turn out the way I had hoped at all.

The day started at about 2 am when Tanner woke with a nasty headache. I gave her some painkiller and she went back to sleep, but woke at 6 am screaming and clutching her head. I had a moment when I was right back to the night of her bactrim reaction; screaming and clutching her head was the last thing she did before going unconscious. I had to fight the impulse to throw her in the car and race to the hospital. But, then I remembered Cari saying something about headache being a possible side effect of the IVig transfusion. The on-call doctor confirmed my suspicions and told us to give her a full dose of oxycodone. If that wasn’t enough, they could give her morphine in the clinic.

Poor Tanner spent all morning with a horrible headache and nauseated. She slept in the car on the way to clinic with a trash can in her lap, and I carried her into the hospital. But, she started to feel a little better… until we gave her the ativan. Oh my.

So, ativan is an anti-anxiety med that has the added benefit of easing nausea as well. It seemed like the perfect choice to use for the LP. We have given it to Tanner before in a pill form and she did great on it. Just knocked the edge off of her. Apparently, the IV version works a little too well on her.

First, I noticed slurring and stumbling. Then, the silliness started. And, finally, the agitation and complete lack of impulse control set in.

By the time we got to the pre-op waiting area, she was just as silly as she could be. When I went up to register her, I noticed someone running… fast… out of the corner of my eye. I turned and it was… Tanner. She was bolting, running from a surgery she desperately did not want to have. She looked crazily gleeful, but turned panic-stricken and terrified when I caught her and tried to get her to let the nice lady put an armband on her. I knew when I heard the woman calling for help for the “child having an anxiety attack” in the lobby, that we were in trouble.

Usually, John and I do LP together. We both like to be there. But, today, John stayed home with Jake and I was solo, which made running down my little runaway, bogged down with a computer bag, purse and a bum neck, darn near impossible. We ended up putting me in a wheelchair with a vice grip around Tanner in my lap as the nurse pushed us to the pre-op area. She was totally disconnected from reality.

Sadly, being disconnected from reality didn’t change the way it all came down in the end. It happened the way it always does, no matter what we do. At the very end, she yelled, “Is that the sleepy milk?” and begged me to hold onto her and not leave her. So pitiful.

The doctors and nurses and I convened afterwards and just decided to give up on the anti-anxiety approach and just go straight at it from now on. If we have to hold her down, so be it; it’s what we end up doing anyway despite all efforts otherwise. They said she is smart enough to figure out every way we try to disguise it.

After she fell asleep in my arms on the table, I laid her down and kissed her and reminded myself that we just have four more of these before August 6, 2011. Just four more.

All the agitation was gone after she woke up from surgery. In fact, when I went to recovery she had the nurses totally cracking up because she was talking a mile-a-minute and being really funny. It took that damn ativan until about 4 pm to really wear off. Never again.

The good news is that she didn’t get sick from the methotrexate injected into her spine this time. She still has the headache though; it hasn’t gone away yet.

Tomorrow is the first day of school. Earlier today, it seemed impossible to think she would make it, but as always, Tanner’s will astounds me. We spent the last half hour before bed packing up her backpack, sharpening pencils and painting her fingernails. She’s ready.

In the retelling, today’s story seemed somewhat funny, but as is most often the case, it didn’t seem that way at the time. It occurred to me this afternoon, that the only difference between today and every other day Tanner has had an LP is that she didn’t have any impulse control today. The impulse to run away must be there every single time for her. Today, she was able to indulge herself and run wildly through the lobby, trying to escape a disease she never asked to get and a fate I would never wish upon anyone, much less a seven-year-old.

Love,
Beth

One Down, One to Go

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August 9, 2010

A little IV pole never stopped anyone from playing legos

All finished with the IVig transfusion. It didn’t take as long as we expected. Apparently, the first time they give the infusion, they have to do it slowly in case the child has a reaction. But, the next time, they can infuse faster since they know she didn’t have a reaction last time. So, it was a shorter visit than we expected, which was a great surprise.

Still, we were there for about three hours, but actually had a pretty good time. The kids were so into playing legos that they didn’t want to leave. They also had a good time with Guy Gilchrist, the man who draws the Nancy cartoon from the newspaper. He was at clinic teaching kids to draw. He also drew the Muppets cartoon for years and taught Tanner to draw Kermit. He was funny and entertaining and helped pass the time.

Tomorrow is Tanner’s last day of summer vacation. Wednesday, she goes to clinic and Thursday is the first day of school. We’re going to see a movie in the morning, registering for school in the afternoon and then, hopefully, swimming with friends.

Wednesday morning is the dreaded lumbar puncture. Tanner is very worried about it. We’re going to give her ativan in the morning, an anti-anxiety medication, and hope that helps her get through it with the minimum amount of trauma. Please pray for her. It’s wrong for a child to have to worry so much about something.

Love,
Beth

Girl Time

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August 3, 2010

Tanner at Lookout Mountain

We miss Jake… we do. It’s so quiet and calm and girly around here. But, there’s something nice about it, too. It’s a little more grown up and less chaotic, and Tanner and I are soaking up our time together. Jake is in heaven at my parents’ house where they bought him his own set of golf clubs and take him to the golf course every day to hit balls on the range. Dad said he hit seventy-five balls the other night!

It has been so cute to watch Jake and Tanner miss each other these last few days. I forget how much time they have spent over the past year and, despite normal sibling squabbling, how close they are. Jake told my Mom and Dad that Tanner was his “fweind… and my sister.” And, today when we skyped him, he said, “when I get home I am going to give you a motorcycle… a purple one!”

Then, today, at quiet time, Tanner took a little create-a-book kit and wrote him a whole book that told him she loves him and that he is “the best brother” and he is going to be a race car driver when he grows up. It is adorable and something I will keep for him for the rest of his life.

I’m feeling stronger and better every day. I’m still turning my whole body to look to the right or left, but I’m driving and not in real pain anymore.

Yesterday, Tanner and I went to buy all her school supplies then laid on the sofa and watched movies. Today, we went to the movies with friends, had lunch out with Aunt Kim and bought some sneakers at the mall. After a rest at home, we did a late afternoon swim at the neighborhood pool (I sat, she swam) and ran into some friends. Tomorrow, Tanner has requested to go to Sweet and Sassy for a pedicure, but we may have to settle for a manicure. She has an open cut on her toe and soaking in one of those tubs might not be the best idea germ-wise.

She’s been feeling pretty good these days. Some sporadic stomach upset, but lots of energy and no leg pain. That will all change next week. Wednesday is dreaded Lumbar Puncture day. We are switching clinic days from Thursday to Wednesday to follow our doctor. Wednesday she will get her Vincristine through her port, start her five-day pulse of steroids and get methotrexate injected into her spinal column. She has already started worrying about it and is asking every day how many days until then. The next morning after all this chemo, she will have her first day of school. Yeah… it sucks, but what are you going to do? Hopefully, we can be proactive with the anti-nausea medicine this time and she won’t get so sick. I just think it seems unfair that it should be such a joy for her to be able to be there for the first day of school this year after missing the first seven months of school last year, but she may feel like crap and it will be ruined by this rotten disease… again. This, in a nutshell, is cancer… unfair on so many levels.

Jake comes home on Thursday with my parents who will stay a few days (Happy Anniversary tomorrow, Mom and Dad!) to help out before they go back home. Last chance for all things girly tomorrow…

Love,
Beth

Clinic Day #37

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July 15, 2010

Hurray for counts above 1,000!!!! Finally!!! Tanner’s neutraphils were at 1,500 today, which means she can have salad and go to a restaurant again! She was very happy.

Mercifully, we had a pretty quick visit today and got her back to theater camp by noon. She is so excited about tomorrow’s performance. I keep trying to fend off the bad thoughts that keep creeping into my head when I remember that she was super excited last time as well and woke up sick that morning. I can’t shake the feeling that we are not quite home free yet. I’m trying to let hope win, though, and think positively.

Today at clinic, we were once again accompanied by Ms. Donna, who is videotaping Tanner’s clinic visits for a fundraising video for the hospital. It’s sort of like being on a reality show. Tanner had a little bit of a hard time acting like herself today with the camera there, but forgot about them long enough to sing “Day by Day” with the music therapist in the infusion room. She asked me to sing with her at first, then got confident and asked me to stop singing with her (lol) so she could take her act solo. She is singing that song in her performance tomorrow and she has a solo at the beginning of the song.

We had a sobering moment in the waiting room before being taken back. A little boy, maybe 5 years old, walked through the waiting room. His hair was gone and he had that familiar gray look kids get when they are taking a ton of chemo. He also had a feeding tube taped to his cheek and I detected a familiar little limp that told me the chemo was affecting his legs. Tanner watched him walk through and then looked at me and said, “That boy is taking everything.” I nodded and watched a look pass over her face that a 7-year-old shouldn’t have. In that fleeting moment, I knew she understood the seriousness of this cancer business, the gravity of the potential consequences of this disease and it’s treatment. I pulled her to me and hugged her tight with tears in my eyes. And then it was gone. She giggled and said, “Stop squeezing me!” The child was back.

Love,
Beth