I didn’t realize it has been so long since the last update, sorry everyone! The past few months have flown by and a lot has been going on with Noah, but I’m happy to report that as of right now he is doing quite well and still on track. Noah still goes to the clinic about once or twice a week and is still on constant chemotherapy and steroid treatments, but he is used to it. As usual the chemo doesn’t seem to affect him very much, luckily, but the steroids still do unfortunately.
For the longest time we had to keep Noah fairly isolated as many of you know but we’ve started getting him out more and more as his immune system has grown stronger. This summer however Noah caught a pretty severe waterborne virus and we still don’t know exactly how. Probably from touching a water source outside somewhere and putting a hand in his mouth. Just that quick he got extremely sick and ran a dangerously high fever for several days (even more dangerous for leukemia patients), but we were able to get it under control after about a week. This sent his treatment off-track though for about 6 weeks or so, which is risky. We had to stop all of his chemo due to very low counts. He did however stay on his steroids. Things finally got back to normal of course. We still take him out but we just have to keep an extra eye on the little things.
About a month ago Noah’s doctors suggested a treatment which he didn’t get last year, due to the more intense treatment he was on. They asked for us to give Noah an IVIG infusion which helps protect against certain types of infections. Side effects however can be pretty severe including a lot of pain and nausea for a few days post-treatment. We went ahead with the cold season coming up as we didn’t want a repeat of what happened this summer accidentally. The first day after the treatment (~8 hour infusion) Noah seemed fine but the next two days he looked and felt pretty rough. During those days he had to come home with IV fluids so he couldn’t move around much. He had a slight fever the second day so they kept him attached to the IV fluids for another day. By then he was feeling better and wanting to jump around again like a normal 2-year old. Unfortunately he bent and pulled the needle out of his port that his IV was connected to and we couldn’t flush it properly. This led to another chain of events… While at the doctor the next day, they were working to flush his portacath and his line (catheter) blew out up in the vein that carries it down hear his heart. While not a major issue in itself, it did require Noah to have surgery to replace his portacath and catheter. This was probably not a bad thing in the long-run since he has grown so much and it might have needed to be replaced either way eventually with a unit that had a longer catheter. He’ll have to have this port for several more years at least and there is a lot of growing to do yet. The surgery was the other week and everything went smooth so nothing to worry about there. His scars are healed up and he didn’t seem to care about them much even a few days after. That is about it for the medical side of things.
Besides all of that Noah had a blast this year on Halloween. He dressed up in a really nice astronaut outfit and did some trick-or-treating with his Mom and Grandma, but his favorite part was handing out the candy believe it or not. He wanted to stand by the door and see all the “monsters coming” and then open and give out some candy. He was pretty good at it too I might add. I also noticed that the last set of pictures don’t really show off his crazy curly hair so take a look below. We don’t know exactly where this came from but everyone seems to love it and we don’t know what to do with it so we’ve just left it alone for now. We’ll let him enjoy it for a bit since we’re not sure what will happen. That’s about it for now. Noah seems really excited for Christmas this year now that he knows what’s going on, so it should be fun. We’ll post another update either during or right after the holidays. If not before then, have a great Thanksgiving, a very Merry Christmas and a Happy New Year!
For several months now not much has changed in terms of Noah’s condition aside from minor tweaks in his therapy, which is what we want. These past 1-2 months have been a little different however.
Shortly after the last update, about mid-April, Noah woke up one morning with some severe swelling and pain in one of his testicles. The moment he woke up he was immediately complaining, refused to walk and kept telling us that something hurt. The swelling and discoloration was clear and we immediately took him to the clinic.
The thought was that he could have a hernia and I believe this is what his doctor was hoping it would be. After a day full of x-rays and ultrasounds this was ruled out. The main concern here was that Noah could be potentially relapsing with symptoms resembling testicular relapse which is a know occurrence in children with childhood acute lymphoblastic leukemia.
His doctors also started noticing some significant changes (drops) in his granulocyte count and elevated liver enzymes. It was clear that something was going on but not 100% what. His blood itself didn’t show any specific signs so the decision was made to keep an eye on him closely for a few days and see what happened (swelling, pain, counts, etc). After 1-2 days the swelling was gone and Noah was bouncing around as usual but about a week later the swelling came back, this time for less than a day. No signs of swelling since.
Long story short, his granulocyte counts continued to drop to a very low number which was still a concern but everything else seemed to clear up on it’s own over a few week period. No more swelling, liver counts came back down, etc…everything but this one particular count. Last week Noah’s doctors went ahead and did a bone marrow biopsy along with his scheduled lumbar puncture to rule out anything serious and these tests came back clean/negative
We’re still not sure what caused the swelling/pain but we’ll just have to keep a close eye on him for a while. He seems to be feeling great however and is learning countless new things every day. He is talking in complete sentences most of the time and running circles around us, so we’re not too worried.
If anything changes I’ll be sure to update everyone here but it’s simply back to his regularly scheduled treatments with some minor adjustments to his chemotherapy.
Here are some recent pictures (check out the hair) and a video of him listening to his new favorite song on the piano:
New train set and table
Noah trying to pull off a Steve Jobs outfit or something :)
Not much has changed over the past few months, which is a good thing! Noah is still in the early stages of his maintenance therapy but we’re finally getting used to the schedule: 1 week of steroids followed by 3 weeks of various chemotherapy treatments with a spinal tap/lumbar puncture every other month or so. He is taking it very well and rarely seems to be affected by the drugs so we’re very happy about that.
His doctor mentioned to us the other day that in a few more months he will be able to be around more people on a regular basis. We’ll still have to be careful but he won’t have to be quite so isolated like he is now. We just have to wait for the rest of the flu season to pass…can’t wait!
Noah has had a lot going on outside of his treatments in the past few months and he did made it onto the news for the second time. Click here to see him having a blast at the Little Heros Prom earlier this month. Keep an eye out for the little guy in a Captain America outfit showing off some moves.
We hope that everyone had a very Merry Christmas, New Years or anything else you might celebrate We certainly did and it was good to have Noah at home this time (last year he was admitted right after Christmas before his birthday and New Years).
2012 was a bit of a rough year as you might have guessed but we made it through what seemed to be the tough parts and now Noah has officially transitioned into the “maintenance therapy” portion of his treatment. This is very exciting as he is making slow but steady progress, however there is still a long road ahead. During his maintenance phase he will still be on a considerable amount of medication and still has to see his doctor at least 3 days per week but the schedule itself is a little more consistent. One week of chemo at the clinic plus a regiment of steroids, then various chemo at home for 3 weeks, rinse and repeat. Plus the occasional spinal to make sure everything there looks good. We’ve been doing this now for about six weeks and getting the hang of it. Noah may end up puffing/swelling back up a bit for a long period due to the steroids but we can’t do anything about that unfortunately.
We had a small scare during the holidays after Noah had been around a few too many people. He caught something and very quickly came down with a very dangerous fever for him, spiking up to almost 103 (they usually admit kids on chemo like this at 100.5), but his doctor was able to get it under control pretty quickly after some antibiotics and fluids at the clinic right after we noticed…phew! Other than that he has been really good and a happy camper as usual.
In early December Noah attended the Kory Kubecka Santa Run breakfast which is a wonderful fundraiser in memory of one of his doctors former patients. There he received several gifts that he really wanted and got to be with Santa on stage. Noah ended up in several clips on the news and I was hoping to post the video here but the news website took it down for some reason. I’ll track it down somehow and post it later as soon as I find it.
Noah also had a great 2nd birthday this year. When he spiked that high fever we thought me might end up in the hospital for his second birthday in a row but luckily that didn’t happen. He was practicing blowing out candles in preparation (video below) and his mom baked him a homemade banana and chocolate chip cake which he and everyone else loved.
I’ll check in after a few weeks and post another update and of course some more pictures. There probably won’t be much to report, but no news is good news most of the time. Thanks for continuing to check in!
Well it’s been quite a while since the last update…a lot has been going on. I had mentioned that Noah was almost done with his consolidation therapy but not as close as we thought. He has been on constant chemotherapy since then both at home and some high-dose treatments in the clinic without a break. His blood counts overall were high enough so his doctor just moved forward with his treatment without a break to stay agressive against the cancer.
Overall Noah has been doing very well with the occasional day where you can tell he is really tired or just not feeling great but those are rare for him. He had also grown out a lot of his hair recently but this just started falling out right after Halloween. Now he’ll have to start fresh again but that’s ok
He got to enjoy Halloween and had a great costume that his Grandma and Zahra pieced together. Can you guess? Woody from Toy Story (see the pictures below).
What’s next? Noah just finished up a long regiment of chemotherapy at home and will get a few days off this week and will be straight back to the clinic all week next week for more high-dose treatment. If everything goes well for a few more weeks I believe he will be moving into the next phase which is a still a lot of chemo but spread out every other week.
I’ll make sure we post some more regular updates here for everyone. Noah is doing very well though and thank you for continuing to check in on him and as always, thank you for the ongoing support!
Took him for an early breakfast at Cracker Barrel before everyone got there
Here are a few new videos we thought everyone might like.
When they do a lumbar puncture he is given something to knock him out for about 10-15 minutes but this time around he never really went all the way to sleep. This is just a few minutes after the procedure and he didn’t want to rest so Zahra gave him a cookie while he was still a little loopy.
We took Noah out to Target the other night right before closing when the place was dead to look at their Halloween decorations this year. They have some neat stuff and a few scary items but all Noah would do is laugh at them. This was his first time at a store since getting diagnosed and he loves riding in a shopping cart so needless to say, he really enjoyed it but it probably won’t happen again for a while
Noah looking at Cookie Monster and obviously wishing he had a cookie too!
We have some good news to share! Noah finished the 3 week regiment of chemo that I mentioned in my last update and all went well. He then had to do another small regiment of steroids and is on one more 3 week round of the same treatment (methotrexate + a different drug in pill form daily). Once these next few weeks are done and assuming all goes well again this will likely mark the end of Noah’s consolidation therapy phase! He is doing extremely well so far aside from some random odd fluctuations with his blood counts but nothing that was major enough to set him back or that wasn’t expected due to the medication.
The other great thing is that he will get about a 1 month break after this regiment of drugs before the maintenance therapy begins which will be really nice. Of course we have to keep an extra close eye on him and he will still have to be at the doctor at least 3 days a week for blood tests but it’s better than nothing.
All that said, Noah is technically in remission due to how the cancer and drugs are reacting but he is no nearly out of the woods yet. Maintenance therapy can last for another few years and we just have to stay positive and hope that the cancer does not try to rear it’s ugly head again.
As promised, here are some more recent pictures we’ve been wanting to share. I’m about to post some videos as well, we hope you all enjoy them.
Chilling on the couch
Noah showing his friends at the doctor how to use the computer
The past few weeks have been relatively quiet without much to report. Noah’s treatment in the hospital in late July went relatively smooth but that particular chemo really had some long lasting effects on him and his blood counts. He was scheduled to start the next part of his treatment about 1-2 weeks after but it kept getting delayed due to his counts being off. After a few more weeks of rest and a few blood transfusions Noah is back on track, for the most part.
The week before last he started another regiment of steroids just for one week (the roid rage is always fun!) and this past week he had a spinal tap which came back clear plus some methotrexate. For the next few weeks he is getting a low-dose injection of methotrexate every Monday and then he is taking another chemo drug by pill every day for 3 weeks. We are one week in and so far so good. Will report on how things are looking in a few weeks.
And as you might expect, Noah is keeping a big smile on through it all! We are lucky to have such a happy kid who doesn’t seem to be phased by anything Some pictures and video coming soon!
It’s been a while again since the last update (sorry)…so much has been going on!
After a few weeks of rest and waiting for his counts to recover Noah was admitted last week for another high-dose chemo treatment, but this time he received ara-c which can be quite dangerous in high-dose form. All went well and he was out in just three days which is a very good sign. We’ve had to keep a close eye on him and restrict who he can see due to how low his counts are however. The chemo is still in his system and wreaking a bit of havoc on his immune system (but that is the plan).
Today Noah received another blood transfusion to help get his white blood cell and hemoglobin counts back up. He certainly seemed a bit refreshed afterwards and tomorrow we will get another update on what the next steps are. I’m assuming it’s more chemo at the clinic as usual. The next high-dose treatment shouldn’t be for a while, at least I hope not.
Noah is getting close to the end of his consolidation phase of therapy if all continues to go well (a few more months). After this he will go into maintenance therapy while can last for 2-3 years as long as there is no relapse.
Consolidation therapy, the second phase of chemotherapy, is also intense. It lasts about four to eight months. The goal of consolidation therapy is to reduce the number of disease cells left in the body. The drugs and doses used during consolidation therapy depend on the patient’s risk factors.
If a patient stays in remission after induction and consolidation therapy, maintenance therapy begins. The goal is to destroy any disease cells that remain so that the leukemia is completely gone. Maintenance therapy is less intense than the other two phases. It may last two to three years.
I usually post a few new pictures with each update but I think I’m going to post a gallery soon so stay tuned. Thank you everyone for all the continued support, we really appreciate it!