{"id":1172,"date":"2010-07-25T12:03:11","date_gmt":"2010-07-25T19:03:11","guid":{"rendered":"http:\/\/xangelle.com\/dailygrind\/?p=1172"},"modified":"2010-07-26T21:22:11","modified_gmt":"2010-07-27T04:22:11","slug":"what-is-and-what-will-be","status":"publish","type":"post","link":"https:\/\/xangelle.com\/dailygrind\/what-is-and-what-will-be\/","title":{"rendered":"What is and what will be"},"content":{"rendered":"<p>When we first sat down with our doctors and nurses and coordinators and the social worker all assigned to us at the first diagnosis, they talked in detail about what we were about to face.\u00c2\u00a0 They talked a lot about the first phase of treatment and that there were four (or more) phases. To be completely honest, I kind of blanked out when they finished off the first phase.\u00c2\u00a0 It was all I could do to focus on the next hurdle; the next goal. As we made it through that phase, it was very much like they prepared us for (except they said most kids experience at least one side-effect; they didn&#8217;t say we get to try them all).<\/p>\n<p><strong>Thank you for praying:<\/strong><br \/>\nWe made it through the first stage (Induction), and met all the bench  marks.\u00c2\u00a0 Angelica has stopped the steroid that was causing the diabetes, and has also stopped having diabetes, she finished induction with 0.0% leukemia cells in her marrow, and her blood counts have come up enough to start phase 2, and most importantly her numbers are up enough that she can tackle a few public outings.<\/p>\n<p><strong>2 Days of Summer:<\/strong><br \/>\nWith Gelica spending most of the first month in the hospital and starting phase 2 (Consolidation) on Monday, she effectively gets to enjoy summer for 2 days. We&#8217;ve gone to a movie that we were supposed to do for Alexandra&#8217;s birthday with her friends (which still hasn&#8217;t happened) and today we are going to a pool and having a BBQ.\u00c2\u00a0 When Angelica was at her weakest, I told her that she would be feeling better and that there would still be some summer left to enjoy, and she replied that if she could go do Rick and Linda&#8217;s pool just once, then it would be ok.\u00c2\u00a0 It&#8217;s now or never (probably).<\/p>\n<p><strong>Consolidation:<\/strong><br \/>\nWhere induction is aimed specifically at the marrow, consolidation is aimed at eliminating leukemia cells throughout the whole body. Leukemia cells can hide in the body at levels that are currently undetectable. So it is a treatment based on theory and years of statistics. There are no actual benchmarks to aim for, as there is nothing big enough to test for, but nonetheless, it is an intense therapy.<\/p>\n<p>Consolidation consists of several drugs, most of which are various forms of chemotherapy.\u00c2\u00a0 It will bring her marrow and her blood counts down again, which is why Angelica needs to have reasonably good counts to start with (they are not up to normal, but are just considered low as opposed to very low).\u00c2\u00a0 The main side effects to look for are mouth sores; diabetes is not a side-effect of these drugs. The biggest issue we will face is the practicality of driving in and out of the hospital with this treatment.\u00c2\u00a0 There are a lot of visits scheduled, most are in the middle of the day and there are four other kids (one of which is a new-born) and work and such that have to be worked in and around.<\/p>\n<p>We have to go into the hospital for a full day, then three hour-long visits over four days for two weeks, then two weeks off, then two weeks on, then two weeks off&#8230;\u00c2\u00a0 This phase is scheduled on a calendar over 57 days, bringing us to September 20th.\u00c2\u00a0 Angelica will likely not get to school at all in September, and this is her first year of high-school, so she&#8217;s a bit disappointed about that.\u00c2\u00a0 She will likely have blood counts that are low enough through this time to keep her and our family for the most part in isolation.\u00c2\u00a0 This is not a fun road.<\/p>\n<p><strong>Please pray:<\/strong><br \/>\nWe need prayer for the treatments to go well, and for Gelica to not get any sores. We need to really pray again that she doesn&#8217;t get any infections during the course of treatment so she doesn&#8217;t have to stay in the hospital. Pray for peace and good communication in our home. Pray for schedules to coordinate and for there to be enough hours in the day to get everything done that needs to get done.<\/p>\n<p>Thanks, Jon.<\/p>\n<p><em>PS: A special thanks to the <a href=\"https:\/\/xangelle.com\/dailygrind\/?p=1117#comments\" target=\"_blank\">Tulloch family.<\/a> Even though I haven&#8217;t gotten to meet you yet, knowing that we are in some way connected to a family that has gone through this not that long ago, and successfully is a great encouragement.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>When we first sat down with our doctors and nurses and coordinators and the social worker all assigned to us at the first diagnosis, they talked in detail about what we were about to face.\u00c2\u00a0 They talked a lot about the first phase of treatment and that there were four (or more) phases. To be &hellip; <a href=\"https:\/\/xangelle.com\/dailygrind\/what-is-and-what-will-be\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;What is and what will be&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[12,19,8,10],"tags":[],"class_list":["post-1172","post","type-post","status-publish","format-standard","hentry","category-family","category-gelica","category-health","category-jon"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/xangelle.com\/dailygrind\/wp-json\/wp\/v2\/posts\/1172","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/xangelle.com\/dailygrind\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/xangelle.com\/dailygrind\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/xangelle.com\/dailygrind\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/xangelle.com\/dailygrind\/wp-json\/wp\/v2\/comments?post=1172"}],"version-history":[{"count":3,"href":"https:\/\/xangelle.com\/dailygrind\/wp-json\/wp\/v2\/posts\/1172\/revisions"}],"predecessor-version":[{"id":1175,"href":"https:\/\/xangelle.com\/dailygrind\/wp-json\/wp\/v2\/posts\/1172\/revisions\/1175"}],"wp:attachment":[{"href":"https:\/\/xangelle.com\/dailygrind\/wp-json\/wp\/v2\/media?parent=1172"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/xangelle.com\/dailygrind\/wp-json\/wp\/v2\/categories?post=1172"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/xangelle.com\/dailygrind\/wp-json\/wp\/v2\/tags?post=1172"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}