Wednesday, November 19, 2014

Birthday update!

Poor Joshua got to begin his birthday celebration today by getting up well before the crack of dawn (after his day of no sleep!) and heading down to MD Anderson for a checkup this morning! I felt bad for him.  But he did at least get to eat birthday cake for breakfast at 5:30 AM.  :)

I can't believe it has been so long since we have updated - sorry, you guys!  Josh has moved to yearly bone marrow aspirations so we really don't get as many updates ourselves.  He continues to go every three months to have a general blood check but we don't get PCR results at that time usually.  He found out today that evidently he will get a PCR test done at the six month mark since his last BMA (which was today) so we should have those results in a couple of weeks.  They told us the PCR test is super pricey so they don't do it every time, and also my understanding is that it isn't as accurate with blood as it is with bone marrow. 

  • April 2011     91.43 %
  • July 2011         5.19 %
  • October 2011     .09 %
  • January 2012      .08% 
  • April 2012          .02% 
  • November 2012  less than .01%
  • May 2013            .01% 
  • May 2014          less than .01%

He has gotten a new doctor (Dr. Borthakur) we have already met with a couple of times and we are very happy with him.  He is a bit more informative in our meetings and seemed super pleased with Josh's progress.  They said his results are exactly what they want to see.  So that was exciting.  The most thrilling part for us was that his liver counts were all normal today!  For the first time in 4 years!  The last time we were there they seemed concerned about it and mentioned it could become a problem for him so this was super great news. 

He is continuing in his drug trial for Nilotinib, but they told him today that the trial will be closing after getting just 3 more patients.  This doesn't mean that the trial ends, but just that they are at capacity and won't allow new patients.  This shouldn't change anything for us and we are beyond grateful that we will continue receiving his Tasigna for free. 



They other exciting news (that I'm sure all of you know) is that we had another baby!  Such a surprise to us because we were pretty certain we were done!  Our very first appointment with the doctors at MD Anderson they told us to make sure to use birth control and to not get pregnant.   So we took that to heart and made the mental switch to the idea that we were done having babies.  We didn't really know if we were going to want anymore four years ago, but I so vividly remember crying and crying knowing that it wouldn't even be a possibility.  They didn't have a real reason to advise against it, but they just didn't have enough data to say that it was safe.   Understandable since most of the people who have this cancer are well over childbearing age.  God had a plan, though,  and we had a beautiful baby boy, Owen Reid,  in September.  We  are all in love with him, even though is a handful!

Tuesday, May 21, 2013

2 Year Bone Marrow Results

We just had our official 2 year checkup a couple of weeks ago and the results are already in!  We are certainly becoming pros at the MD Anderson/bone marrow thing!  We were sitting there in the office waiting and I was looking around and you can pick the new people out in a heartbeat.... so scared, so confused, not sure what is going on or what to expect.  Those are the people who always ask you what kind of blood cancer your husband has and want to talk about it.  The long timers are cool with reading the paper, LOL.  :)  I always love to talk to the new folks and try to give them a reassuring word.  Learning the ropes at MDA definitely takes a while!

When Dr. Quintas came in to see us he immediately asked, "So, why are you here today??!  I look at your numbers and they look great and I'm thinking why is this man here to see me?"  He cracks me up.  You just have to hear him with his spanish accent.  Adorable.  Anyways, he had a bone marrow aspiration and got some PCR results.  Remember last time when the results were "less than .01%"?  Well this time they just left off the less than part.  So his 2 year PCR is .01%.  We would have liked to have seen a repeat of the "less than", but, well, its beyond my control so what can we even say about that?!  I asked Josh what he thought about it and his response was, "Honestly, I do my best not to think about it at all."  And then he winked at me.  :)  He has a thousand opinions about everything in the world but none about this, evidently!  I'll be anxious to see Dr. Quintas in a few months and get his opinion on this bumpy ride at the bottom of the PCR results.

  • April 2011     91.43 %
  • July 2011         5.19 %
  • October 2011     .09 %
  • January 2012      .08% 
  • April 2012          .02% 
  • November 2012  less than .01%
  • May 2013            .01%

So shockingly he doesn't have to go back for another BMA for an entire year!!  Isn't that exciting?  Since he can't drink alcohol anymore I think he's kinda gonna miss that post-Propofol drunk feeling!  But he definitely won't miss being sore.  I was a bit nervous about not having a PCR result for a whole year but they told us they will now be using his blood to test PCR levels.  Why on earth they haven't done that all along I don't know.  I have read so many blogs/message boards where folks have talked about getting PCR results from blood and I was a bit frustrated Josh couldn't do that.  I understand that the number of bone marrows was dictated by the drug trial protocol, but still wanted to get more PCR results.  I'm just nosy like that!  Now we don't go back till August and then get to meet with Dr. Quintas in November. 

Thanks so much for keeping up with us, friends!  It really means a lot to get those emails/calls/texts checking on Joshua and seeing how we are doing.  We love you guys!

Monday, April 1, 2013

Two year cancerversary!!

Did everybody wish Josh a happy cancerversary today?  I seriously forgot until I saw something on FB about April Fools!  I just looked back at our 1 year cancerversary post and realize that we still feel the exact same way.... every single little detail about that day is still etched into our brains!  I guess its just not something that you forget. 

We haven't had much to post cause we haven't been back to MD Anderson since November.  We were maybe supposed to have an appointment a couple of months ago, but we did not make it.  They scheduled it on a Saturday (it was just bloodwork) which was really weird, since he has never had one on the weekend before.  We didn't go to it and nobody called or wrote, so I guess it was maybe a mistake on our schedule.  This is officially the longest we have been without having his levels checked.  I would say that is kind of scary, but we feel oddly OK with it.  I think we have kind of accepted that he is going to feel super crappy off an on and its OK.  It doesn't have to mean something awful, it is just part of the journey. 

So here are the big PCR results we haven't shared with anybody.  We've been sitting on them for 3 months now.  :)

  • April 2011     91.43 %
  • July 2011         5.19 %
  • October 2011     .09 %
  • January 2012      .08% 
  • April 2012          .02% 
  • November 2012  less than .01%
YES, they used the words "less than .01%".  Isn't that great?!  He will go in for his 2 year checkup in May where he will have another bone marrow test, bloodwork, and get to meet with Dr. Quintas.   I am looking forward to it, although the scary part is that from here the numbers either go up or stay the same basically.  I have seen for many people that their PCR bounces around a bit at the bottom of the scale.  I can imagine that is a little bit difficult to mentally deal with, so I'm praying his results stay the same!

Those of you who still take the time to purchase all of your Amazon stuff through our link, it is so much appreciated!!  The return rate for us is actually quite large... it adds up very quickly.  I say that cause I am a person who thinks $20 is a lot!  :)  We are able to take whatever we get from Amazon and pay that much more towards our growing MD Anderson bills.  So thank you friends!!


Monday, November 19, 2012

18 month checkup!

Have ya'll been wondering what happened to us?!  I have been a bad blogger.  I had been waiting to get the results from this checkup, but unfortunately they are not in yet!  We went in almost 2 weeks ago for his 18 month bone marrow testing and are still waiting on the results.

The good news is that the doctor seems very happy with how things have been going.  We are praying that the results from this month come back as 0%!!  We'll just have to wait and see.

We were anxious to meet with the doctors this month cause Josh has been struggling a bit recently.  A couple of months ago he actually got taken to the ER in the middle of the night.  They came and picked him up from work... it was just a mess.  Hours and tons of tests later they decided that he probably had an anxiety attack.  I literally laughed out loud when the woman asked if he had anything to be anxious about!  ;)  Obviously, he does!!  I'm pretty sure my response was, "Well, he DOES have cancer, so there's that..."  He came home with a bottle of pills to use in case it happens again. 

My heart just breaks for him cause I can see how stressed and exhausted he is all the time.  Last month he actually voiced to me that he feels so bad every day that he would go on disability if we could afford it.  :(  It makes me so sad for him.  I know he is SO grateful so simply be alive that he doesn't voice his issues too often.  But it is starting to wear on him.

His main issues have been not being able to sleep and  stomach pains/cramps after eating.  Even after staying up for his first night back to work he has only been able to sleep for about 5 hours each day.  So five hours each day, plus losing sleep on his first days off and first days back to work AND fatigue as a side effect of the medicine are all just piling up to make him miserable.   And there has not been a day in the past 6 months that he hasn't complained of feeling sick to his stomach.  The doctor said neither of these are usually related to his Tasigna.  But I have no doubt in my mind it has to do with his CML cause he has never had these issues before he started taking chemo.  Josh lost about 30 pounds over this past year so I had thought that might have something to do with it, but Dr. Quintas did not.  His diagnosis for all the issues he is experiencing is sleep deprivation.  Who would have thought?! They gave him some Ambien to try.  So far it hasn't been amazing.  Even on two pills he still hasn't been able to sleep a full 8 hours.  They made him an appointment in December to talk to another doctor at MD Anderson to try and get this sleeping issue taken care of.  I am looking forward to seeing if it will actually fix his other issues as well. 

The not bothersome side affects he is still experiencing are head to toe rash (which thankfully no longer itches) and the weird hair loss.  The other thing we know is going on with him is some off counts with his liver.  In the past 18 months there hasn't been a single test that had all normal liver counts, so this isn't really a surprise.  But specifically his bilirubin has been high this entire time.  It was bouncing up and down a bit (all higher than normal) but this month we looked and you can see that overall it is trending up, which is not good.  The nurse told us that next time if it is any higher they might want to hold his chemo for a bit till it normalizes.  And that scares me to death!!  He does not want to miss any pills, so please pray for his liver to get its act together!!!  :)

I have hesitated to share all of these things before today cause I don't want to seem like we are complaining or are not grateful that he is still here with us.  But at the same time I think transparency is important, and the this is the real picture of what is going on with him.  Your prayers are still needed and appreciated!

Today is Joshua's birthday... he is now officially on the down side of his 30s!!  So thankful that he is still here by my side, silly jacket and all!!!  Love ya, JP!!


Saturday, June 16, 2012

One year PCR results!

So it has taken me forever to write about this!  We did finally get Josh's one year test results back.   The results were good.
  • April 2011  91.43 %
  • July 2011     5.19 %
  • October 2011  .09 %
  • January 2012   .08% 
  • April 2012   .02%
If I don't seem ecstatic it is because I am not.  I am just a serious Negative Nelly when it comes to this stuff.  I really wanted to see 0.  It's like I had that built up into my head and anything less (I guess I should really say more) is just not acceptable to me!  ;)   And really, folks, this PCR test is just one number.  And totally not indicative of what his future with the disease will be.  These tests can show when things are going wrong, but really aren't great at predicting whose disease will progress or mutate.  BUT, they are numbers.  And numbers are something that our puny little brains can understand.  I can read/hear a hundred times that this number is not the most important thing, and yet I still cling to it.  And the more I read I realize that many people NEVER hit 0.  And that the testing isn't exactly perfectly reliable, so even a 0 result doesn't really mean a 0 result.  But he is continuing to improve, so that is exciting!

So one year out things are going well.  Josh's main side effects are fatigue, nausea, rash, and hair loss. The hair loss is pretty funny!  He has lost tons on his head, but his legs are pretty hysterical.  He has huge areas with not a single hair and then other spots on the same leg that look normal.  I don't know if I will ever get used to seeing his shiny "looks like they've just been shaved" calves walking around.  :)

Dr. Quintas and I agreed that the rash seems to be worsening, but since it is not itching too much they aren't going to do anything about it.  It is slowly moving down to cover his whole body.  Six months ago it was just his head and torso, then his arms too, and now finally his legs are covered in red dots.

We really think that eating paleo/primal has helped him in the fatigue department.  At least as related to his shift work... he thinks it might be a bit easier to stay awake in the morning hours.  He's been eating paleo for six months now and lost a good chunk of weight.  He loves it and wants to eat that way forever.  I'm the one holding us back in that department!  :)

We have officially made the transition to bloodwork every three months, and bone marrow testing every 6 months.  This makes me crazy nervous!  But it has been 2 months since we have been to MD Anderson and things are OK.  That being said, I am anxious for July to come so we can get him checked out. 

The MD Anderson bills are still slowly rolling in.  Every single month we owe more than the month before.  It is kind of depressing to see the bill going up and up.  We are hoping to make some big changes in the next year to help us out in that department, possibly downsizing to free up some funds.  We appreciate those of you who continue to use our Amazon link to purchase your Amazon stuff.

And speaking of bills I really want to talk about a friend of ours that is going through a difficult time.  God brought Gretchen into my life through our homeschool co-op.  She is an amazing lady and her husband was diagnosed with stage 3 colon cancer not long ago.  He had been laid off before his diagnosis and now they are in a difficult financial situation.   He can no longer receive unemployment benefits and they need help with their household bills.  We set up a Give Forward account for them, just like our friends did for us a year ago.  I know how overwhelmingly suffocating the fear of bills can be.  Your world is crumbling around you and yet you are worried about paying your electricity bill.  It is just not how it is supposed to be.  She needs to focus on Robert getting better.  They need to focus on the emotional health of their kids.  They don't need to be focusing on paying their mortgage.  Please prayerfully consider giving to this family.  Even small gifts add up.  Take a leap of faith to help this family you don't know.  You will bless them in ways you can't imagine.  The tangible results of giving to them are obvious.  We can't see the emotional and mental results of helping them in this way, but they are there, and they are oh so powerful.  Thank you, friends!

Tuesday, April 24, 2012

Our one year appointment!

Howdy all!

We are busy bees around the house tonight getting ready for Josh's appointment at MD Anderson in the morning.  We are going for his official one year bone marrow aspiration as well as meetings with the doctor and the trial nurse.   So Josh is showering since he won't be able to for a couple of days, filling out chemo logs, and gathering up empty pill boxes.

Of course we know now not to take his meds in the morning (even though they tell us to) so I'm pretty certain I won't have to have a smack down with anybody.  Although I will prepare myself just in case!  ;) 

I know we're only gonna see the doc for a few minutes so it's not anything major, but I'm still excited to hear what he has to say about how Josh is doing.  Our very first appointment with Dr. Quintas was VERY long when he went into detail about survival rates based upon the one year test results.  Of course we won't have the one year results for another couple of weeks, but I still want to hear what he thinks about Josh's numbers.  AND Josh has lost all the weight he had gained (plus more!  Yay Josh!!), so this time Dr. Quintas will not pat him on the belly while making remarks about his size!  :) 

At this point this is all routine,  but we would still appreciate your prayers! 


Sunday, April 1, 2012

One Year Cancerversary!!

Can you guys believe it has been one year already?  We really can't!  It honestly seems just like yesterday.  I asked Josh tonight if he could remember last April 1st and he said he remembered every detail.  Me too!  I had thought that emotions and feelings would have faded by now, but they definitely have not. 

Josh has had one more bone marrow test and another blood work appointment since I blogged last, both with good results.  Although I was a bit disappointed with the bone marrow results, hence my lack of blogging.  It can be hard to stay positive when you have your hopes up for something and I guess I just didn't want to be a downer!  :)  If you remember the main number we are looking at is his PCR score:

  • April 2011 -       91.43 %
  •  July 2011 -          5.19 %
  • October 2011 -     .09 %
  • January 2012 -      .08%
Do you see why I was kind of disappointed?  I had really expected it to be not detectable this time around.  Obviously we are thrilled that it is staying low, but I just had this great dream that he was going to be this perfectly responding patient like they had never seen before.  He goes in for another bone marrow at the end of this month. 

We did have great results just this week with his bloodwork though.  For the first time in an entire year there were no abnormal components in his blood!!  Even the nurse was pretty pumped about it on Wednesday.  At MD Anderson they give you these lab results that have all abnormal things printed in bold, so when she printed it out and there was nothing in boldface we were pretty pumped!!!!  Just one short month ago his platelets and neutrophils were still off, so this was actually unexpected.  We are praying that he can maintain these levels.


We are would appreciate prayer for us now that we are entering a new phase in Josh's treatment.  We have been at MD Anderson every 4 weeks for the last 10 months or so, but now we are only going to visit every 12 weeks.  It is truly scary for us to not have the reassurance that things are still OK.  Even now whenever Josh feels off or sick  we immediately let our brains start wandering to the thought that he has stopped responding to the chemo.  The thought of not going for three months is terrifying! 

We want to thank everyone for continuing to do their Amazon shopping through our link!  As we started the new year all of our deductibles started over and each month we owe more than the month before, so those checks have really helped us with those bills.  It really adds up very quickly and we appreciate people taking the time to think of us before making purchases!

This year we were really blown away by the generosity of our friends and family.  And it still hasn't ended.  Just this week one of Josh's friends from work GAVE us a car.  Yes, GAVE us a car.  It's not as if they just passed over the keys either - they bought parts and fixed it up for us.  I still don't even believe it.  We have been a one car family since Josh's car was totaled over a year ago.  And that has meant lots of missing out on stuff cause it isn't logistically possible.  This is such a tremendous blessing to us.  It is moments like this when I am overwhelmed with God's love for me, providing in ways that I wouldn't even imagine. 

I'll post again last this month when we go back to MD Anderson! 

Thursday, January 5, 2012

December test results

Oh my, I have really fallen down on the job!  It only has taken me 3 weeks to write about Josh's December labs.  Christmas was so super crazy this year with Josh working the whole time I feel like this week is the first time I've had a chance to breathe!

Josh went for labs the week before Christmas and everything looked good.  The liver numbers were back down this time, although still not normal.  We were happy to see that they really are just bouncing around.  Hopefully when his body gets used to the constant chemo he will level out. 


In other news we will be making a few changes to try and help Josh deal with the one and only major side effect he has experienced - fatigue!  Seriously, the man is just so tired.  In the months before he was diagnosed he was getting increasingly fatigued, although we didn't really realize how severe it was.  After his blood levels stabilized after getting on Tasigna he was feeling so much better.  And really he still is, but at the same time is so exhausted compared to how he felt five years ago.  Of course there are many things that factor into that, between the night time working schedule and 3 demanding kiddos.  But it is very obvious to me what he is experiencing is not normal.  He had a week off at the beginning of December and we kept basically the same hours that same week.  That is when I realized how much the chemo must be affecting his sleepiness, cause I did not experience anywhere near the same amount of sleepiness as he did.

And really I think the bulk of the problem is that he is struggling to sleep during the day.  He wakes up at the six hour mark and just can't sleep any more.  So I've been reading up on it and we are going to make a few dietary changes that I hope will help him!  I'll keep everyone posted!

We go back for another bone marrow test on the 18th.  Hard to believe it has been three months since the last one! 

Thursday, November 24, 2011

Elevated Liver and PCR results!

So it feels like years since I've posted any updates!  So sorry for that.  I don't know why but sometimes it is harder to put into words than other times.  Even when it is good news!  And trying to get Josh to write it is like pulling teeth!  :)

Josh went for his regular labwork this month and everything was good, other than some elevated liver enzymes.  Since he started the Tasigna treatments his numbers have been bouncing around, and this month they just happened to be up.  They didn't want to treat it or change his Tasigna dosage, but they did say it is important to keep an eye that it is just bouncing up and down and not trending upward.  I just got on the MD Anderson site and looked at all of his labs from the last year to get a real idea of what is going on.  I know it seems from the outside that not much is going on with Josh's body but on the inside things are constantly changing!  Not a month goes by where his numbers are staying the same - one month a certain thing is up, the next month it's down. 

Despite this changes, overall he is doing phenomenally well!  As a matter of fact, his bone marrow results came back with some amazing results!  Mostly it is a lot of technical mumbo jumbo, but his PCR results are a bit easier to understand.  So far his results have been:
  •  April 2011 -     91.43 %
  •  July 2011 -         5.19 %
  • October 2011 -     .09 %
Great, right?  The goal is to get down to 0!!  So incredibly close, right?  It is super encouraging! 

I know most of you don't care about this, but for strangers coming to the blog dealing with your own diagnosis I want to show what the MDA lab report says about how they measure PCR.  I have seen on other blogs when it is reported differently and it can be confusing.  This is what the report says:

Coexpression of b3a2 and b2a2 BCR-ABL fusion transcripts is detected byreal-time PCR.
The percentage of BCR-ABL to ABL transcripts is 91.43.
COMMENT: Quantitative real-time PCR analysis performed on RNA from thissample for the BCR-ABL fusion transcript resulting from the t(9;22) inleukemia. BCR-ABL and ABL transcript levels are detected simultaneouslyand quantitative results expressed as the ratio of BCR-ABL to ABL levels.This ratio may vary up to one-log because of methodological reasons.  Asof 8/2/07, the assay has shifted to a new platform.

Hopefully that explains it to those of you looking for specifics.  I have gotten so many emails from strangers and fellow CML sufferers and caregivers as a result of this blog.  I sincerely hope that you all find something of use here in what we have written.   Even if it is just to have the comfort of knowing you are not alone on this path!

We appreciate your continued prayers, especially for Josh's liver!  We also have another prayer request that I will hopefully blog about later this week.  We have REALLY appreciated those of you taking the time to shop Amazon through our link!  I have no idea who it is, but we have already made enough to pay off one of the 30 MD Anderson bills sitting on our desk!  Thank you, thank you!!



Tuesday, October 25, 2011

Security?!?

I have been falling behind on my blogging duties!  We did finally make it to Josh's bone marrow test last week!  If you remember we had a mess trying to get it scheduled, but finally we were healthy enough to go.

It was kind of a fiasco - there was a moment where an employee actually used the phrase "Do I need to call security?" Yeah, that kind of day.  If you know Josh and me then you know we're rule followers.  There's not much that makes Josh angrier than people who try to bend the rules cause they don't want to put the effort forth to do it the right way.  Well, before you get sedated for a bone marrow test they tell you not to eat or drink after midnight the night before.  Technically I guess, nobody told us that.  When you look at your appointment online there is a link that says "click here for special instructions".  So we read them and knew that he shouldn't eat or drink.  Well, there is also a line that says:

You may take your other medications as you normally do, but only with small sips of water to swallow
your medications.

Simple enough, right?  The first time we had this done we didn't believe it and he did not take his meds.  So then in the operating room minutes before he was put under they told him, ohhhh, go ahead and take it.  So he drank a mouthful of water with pills.  So this time we were trying to keep him on a good schedule as far as timing of the chemo so he went ahead and took his pills with a sip of water.

So we get upstairs and are filling out the forms in the anesthesia services center.  It asks if you ate or drank and he said no.  And then it asks if you took your scheduled medication.  Josh circled yes.  And then it asks you how much water did you drink with it.  And then there is a blank line to write the answer on.  So Josh looks at me and asks what he should put there.  I'm all, "ummmm, a swallow?" Well Josh thought he should be more accurate in his guess.  So he wrote the amount 1.5 ounces.  A complete RANDOM guess of how much water it takes to swallow two large pills.  No big deal, right?

Well next thing we know they call him up there and tell him they can't do the surgery cause he drank water.  We explained that the form THEY provide us says to take your meds.  And that last time he took them while standing outside the operating room.  They told us the problem wasn't that he took them, it was cause he drank too much water.  We explained that it was a tiny regular swallow of water and because the form didn't specifically state what kind of answer they wanted we guessed and wrote ounces.  So I told them to just give me the form back and I will change it to whatever they needed us to say.  WELL, they wouldn't let us see the form again.  And that's when things got ugly.  I was FURIOUS!!  It took everything I had in me not to yell.

Josh just about choked down those nasty pills with the tiniest amount of water possible, and because I did not know their secret code word "swallow" we were going to be delayed by hours.  We just about moved mountains to get us there while the doctor was in, while we weren't sick, while Josh wasn't working.  On top of that my mom took off work to watch the kids and Wyatt was still sick and was puking that morning without his mommy.  ALL we wanted to do was get out of there and get home.

SO I talk to the lady at the front desk and tell her it would be super polite and helpful to let people know that if they took their medication the write term they are looking for is how many "swallows" of water you had.  If that is what they wanted they should have written a little blank like this:

 ______________ swallows

Easy enough, right?  Nope.  They said they can't tell people what to write on the form.  So I ask her if a gulp would have been too much.  A sip?  A teaspoon?  Hmmm.  Nobody knows the answers to these questions.  Isn't this the most absurd thing ever?

I mean, people who are there getting this done are going through HELL.  No matter what cancer it is, how old the person is, or whatever - you can pretty much guarantee that this is the worst time of their life.  To have to deal with such stupidity is just absurd.  They should really be more professional than this.

And the problem was this one woman - she was HORRIBLE.  Just so condescending and rude.  She even has the nerve to claim that they didn't tell us to take the medicine and that the anesthesia people are separate from MD Anderson.  So we walk away and the woman started talking about me with another customer.  That was when Josh lost it.  He got up and literally yelled at the woman.  That was when she asked if she needed to call security.  I was happy my man stood up for me, though!  :)  I went and talked to the patient advocacy people and they were pretty outraged about the whole situation.

The instructions to take you medicine should be removed.  AND the people who work in that office should know what information if being mailed to patients.  AND the form you fill out should give a clear expectation of what they are looking for.  I felt like I was playing a game of Password and they want you to guess what the secret word is to describe the amount of water in one swallow.  So ridiculous!

So we sat for hours pushing our doctors appointment late resulting in us not getting home till late in the day.  It was really maddening.  We only met with the doc for a few minutes, but he told us that he thought Josh's three month BMA results were "outstanding."  So that was exciting to hear.  Of course we won't know about this next round of tests for a couple more weeks.  Praying for good results!

We have already started getting funds deposited into our Amazon account from people shopping through our link, so THANK YOU!!  Every penny makes a difference for us.  Josh went to the Light the Night walk so I will have him write about it later this week!

Thanks for listening to my ramblings about our horrible MD Anderson day!  I know it was something REALLY not important in the scheme of things, but it was important to us at the time! Here's a pic of Josh with Noah after he taught him how to ride his bike without training wheels.  So thankful he was here to do it!

Thursday, October 6, 2011

Help us pay MD Anderson!

So we finally took the plunge and signed up for an Amazon Associates account!  This week we got this CRAZY stack of bills in the mail..... ALL from MD Anderson.  We have known what we owe and what we will continue to owe each year, but trying to figure out how to make it work is still keeping us awake at night.

So Amazon to the rescue!  All you have to do to help us out, is click on the widget on the right side of the screen to take you to the Amazon site to make the purchases you normally would.  You don't have to buy anything special, or a certain amount, but they give us  tiny percentage of all purchases that come through this blog. 

We figure a few pennies is better than nothing, right?  And if any of you are Amazon addicts like myself, then maybe we could actually pay a few bills this way over the course of the year.  Last year we did ALL of our Christmas shopping via Amazon!  Nothing says convenience like delivered to your doorstep!

This was not meant as an advertisement, but simply to say we would appreciate your help!  Thanks in advance!  :)

Wednesday, October 5, 2011

Sick as dogs!

So we are soooo sick over here!  Annie started with a runny nose, and then it turned into a cough, and then I got it along with a fever, then Josh got a fever and cough, now Noah is coughing.......... well, you get the idea!

Sadly we had appointments at MD Anderson this morning, including a bone marrow aspiration for Josh.  If you remember Josh does not want to do the test again without sedation, and they won't sedate if you are sick.  So we sadly had to cancel.  Which, really, I'm glad cause the last thing I would want to do is go hang out for hours around people with no immune systems.

Of course when we talked to them they told us they wanted us to bring him into the ER to get checked out.  Evidently that is their standard care for people with leukemia with a fever.  I explained how this is obviously a virus the whole family has, so they then told us to go see a local doc.  Well that just seems silly, cause we still have to pay out of pocket for that, and for what?  For them to say he has a virus?  And they wouldn't even know what to be concerned about for a patient with CML.  It just seems silly.  Obviously if he gets worse or whatever we will take him in, but for now I'm not worried about it.

But of course we have had a mess rescheduling.  Dr. Quintas is out of town next week, and well, we just still haven't gotten it all figured out. 

This will be the first time in six months that we have gone longer than 4 weeks without bloodwork!  Scary!!  We could use prayers for a quick recovery for the WHOLE family.  I will be so thankful when this is done!  The house is SUCH a mess and I haven't cooked in days.  At least we're so miserable we generally don't care about it!  :)   

We'll keep everyone updated when we find out more!

Wednesday, September 7, 2011

Best blood yet!

We are very happy to announce that Josh had his best labs since he was diagnosed!  Very excited over here.  Everything important was in the normal range this time - even his platelets!  They finally inched up to the normal range, so we are thrilled.

This month has been crazy, and Josh experienced his first illness since his CML diagnosis.  We weren't sure how he would deal with it - some sort of cold/virus the kids picked up and brought into the house.  It seemed to hit him quite a bit harder than the rest of us, but within a week he was feeling better.  It was a relief - I was worried it would really knock him down longer than that.  He even went into work completely miserable!  Which I guess is no good, but I'm saying at least he felt like he could handle that.  :) 

We have such a weird situation.  Exactly a year ago we were in the hospital.  A year ago to the day.  Of course last year we were delivering our baby girl, and this year we were checking up on Josh's leukemia.  To say we never would have dreamed that in a billion years is an understatement.  Last night I was laying in bed thinking about how surreal this whole situation is.  I remember the night before Annie was born - I was so nervous knowing I was going in for my third cesarean.  Nervous that the baby would be OK.  Fast forward one year and I was so nervous about this cancer staying suppressed.  This was our first appointment where we just really had to maintain healthiness, and I was more than a bit worried about it.

We even had planned a birthday party for Annie this same evening, but at the last minute canceled inviting all our friends.  I just had this horrible feeling of "what if the bloodwork comes back bad?"  I didn't think I could handle entertaining a whole crowd.  Instead we just had family over and had a really fantastic night at home celebrating our precious angel. 

I keep thinking about how long it took us to get pregnant with Annie (which didn't happen with the boys) and I just know God brought her at the exact time we needed her.  He knew that Josh would experience his very first cancer symptom just minutes after she was born.  He knew we would be in a hospital where people would take care of Josh.  Not many people can tell you the exact day and time they had their first symptom.  But we have it seared into our memory that day Annie Rose was born.  Heck, we even have a picture.  Of course at the time we had no idea what it meant, and I seriously just thought Josh was being more than a bit of a drama queen.  Of course now we know that they exact same repeated symptom is the ONLY reason we made that appointment for the doctor in March.  And really is there ANYTHING better in this world than a tiny baby to melt all your cares away?  I truly believe she is the best medicine Josh can get!

I'm not sure if we have mentioned it before on this blog, but this cancer has essentially limited us from having any more children.  We were told from our very first appointment at MDA that it is important for us to not get pregnant while Josh is taking the chemotherapy. Well, he will be taking it forever.  They told us that some patients, after stabilizing, go off the pills for a few months in order to conceive safely.  At this point that is just not a risk we are willing to take - it is not as if we don't have kids yet, which is probably the only thing that would be worthy of that risk. 

On the other hand, it has also put an end to our dream of adopting.  It would be very difficult for us to get past the physical health part of qualifying - they are looking for a doctor to say that you "have a normal life expectancy."  When we ask the docs about this they say they don't know what Josh's is (since he is so young and the drugs are so new).  And even if we could qualify in that manner the financial situation is just not getting any better.  Those few dollars we had planned on saving specifically for adoption are now going straight to MDA, and will be for as long as we can see.

 I just wanted to explain this so people will understand why Annie is so precious to us.  We know she will be our last baby, even though our hearts long for more.  And our hearts break for those sweet babies that are waiting for forever families, knowing that we will not be able to bring one home.  So please excuse our sappy lovefest we have when discussing our baby girl! 

So to sum it up we spent the day giving thanks for Josh's continued improvement and for our little girl.  Two amazing things worth celebrating, don't ya think?  Next up for Josh is another round of bone marrow testing at the beginning of October.  Please join with us in praying for a complete cytogenetic response!

Friday, August 5, 2011

An upward trend?!

Can you believe it has been a month already since Josh's last bone marrow test?  We were surprised as well!  We went for bloodwork and review this Wednesday, and we were please with the results.  Remember that Josh's platelets had been falling?  Well they were up a bit this month, so that was very exciting for us.  Hopefully that is the start of a trend and next month maybe they will be back up to the normal range.  They were 113 this week and normal is 140-440 for those of you interested in numbers.  His white blood cell count was also a bit higher this time, and I consider that good.  He was at the bottom of the normal range, and there is the possibility of going too low, so we were happy to see it right in the midrange of normal.

Other than that things have been fine.  They got the other test results from the bone marrow back, but they told us they didn't have a good sample to test with.  They were only able to test a small portion of it, but what they did test looked great.  They were looking for the Philadelphia chromosome and they didn't find any, so that is good.  It would have been nice to have a complete test, though!  They said for some reason sometimes the cultures just don't grow like they are supposed to and there was no real reason for it.

Please pray for Joshua to have continued rest!  Besides the crazy rash and itching it is his only other major complaint.  He has started taking his meds at a different time to hopefully enable him to get some coffee to drink on the way home.  He was taking them at 9:30 AM and PM, but now he has switched to taking them as soon as he wakes in the evening around 5 and then again at 5AM.   That is a little tricky cause he has to take them at work, and his desk is so very busy it can be hard to time things like that.  But we did splurge and get him a fancy watch that he can set alarms on and that has been helping (you know, when he remembers to put it on and bring it with him). 

And ya'll, this is just from me, but please pray for him to not feel so burdened all the responsibilities he has.  He has the weight of the world on his shoulders, and then to add in a difficult job, managing leukemia, and our ever dwindling finances, well, it has been hard.  Please pray peace for him and that he can learn to truly relax when he has the opportunity.  He took a couple of vacation days and we spent them together at the state homeschool convention and it was a really nice escape.  And it really helped for us to be reminded of why we do what we do!  I know it encouraged both of us, so we're praying that this encouragement pushes us through this next hard period.  We appreciate your prayers joining ours!  :)  Thanks, friends!

Thursday, July 14, 2011

Some bone marrow results....

So our lovely trial nurse emailed us earlier this week to let us know that they had some partial test results!  Yes, early!  They completed part of the test in house and sent the other part to the Mayo Clinic to be processed, so we will have to wait on those a bit longer.

The news is GOOD!  Josh's PCR test came back with good results.  Obviously we are looking for a number of 0.  But that is going to take time to achieve if we ever hit it.   But until they see zero they are looking for a 3-log reduction as the goal.  So I was right in reading Josh's chart for his original PCR test - he had 91.43%.   So to lay out the numbers....
91.43     - 0 log reduction (base count)
9.143    - 1 log reduction
.9143   -  2 log reduction
.09143  - 3 log reduction

So this most recent test result came back with a result of 5.19.  So you can see we got a 1 log reduction, but we've got quite a ways to go to hit 3 log, if I am figuring this whole thing out correctly.  I know people see these results and think that means everything is completely hunky dory, but I just have to keep it in perspective that yes, things got better, but he has a long way to go. I found this transcript of Dr. Druker explaining the meaning of these tests.  I thought it might help others cause he explains it really well, so here is the important part (warning, this is long and the formatting copied poorly!)....

How do we monitor CML?
Clearly, we can monitor blood counts. We can also test for the presence of the abnormal chromosome that marks leukemia cells, the Philadelphia chromosome.
We can look for the Philadelphia chromosome either through cytogenetics, it can be done on bone marrow, or we’ll look at 20 dividing cells.
We can also use FISH (fluorescence in situ hybridization), either on blood or bone marrow, where we look at 200 cells, either dividing or non-dividing, or a polymerase chain reaction (PCR) where we can look for traces of leukemia in as many as a million cells.
So, let’s talk about this in a slightly different way, and let’s think about this in terms of numbers of leukemia cells. The ideal would be not to have any leukemia cells.
If you didn’t have any leukemia cells, you don’t have leukemia, and if we can ever get you to that point, we can say that you’re cured.
At diagnosis, most people with CML will have a white count of 50,000 to 500,000. A normal white count should be 5,000 to 10,000.
That’s anywhere between 5 to 50 times the upper limit of normal. In a normal bone marrow, there are 1 trillion cells.
Now that sounds like a big number, but that’s how many normal cells are in a normal bone marrow. If the bone marrow’s been taken over by leukemia, you have as many as 1 trillion leukemia cells. That may sound like a huge number, but that’s how many cells a normal bone marrow has, and now your bone marrow has leukemia.
The first goal of therapy is to get your white count down to normal. If you have a normal white count, we would call that a complete hematologic response. So a complete hematologic response simply means a normal white blood count.
Now the problem with that is that we really don’t know how much lower you’ve gone, how close you are to zero. We’ve only reduced the number of leukemia cells by maybe 10-fold, perhaps down only to 100 billion leukemia cells. So we’ve got to do much more sensitive testing, and this is where cytogenetics comes in.
This looks for the abnormal chromosome. This abnormal chromosome, which marks the leukemia cells, comes about because 2 chromosomes, chromosomes 9 and 22, exchange pieces, and you end up with a short chromosome 22, which is called the Philadelphia chromosome, and a longer chromosome 9.
It’s this short Philadelphia chromosome that we can look for in the bone marrow that marks leukemia cells and is actually what causes leukemia. This is what we look for in cytogenetics. We look for the presence of the Philadelphia chromosome.
As I mentioned, we look at 20 cells. Typically, when someone is diagnosed, all 20 of their bone marrow cells will have the Philadelphia chromosome. So it’ll be 20 out of 20 Philadelphia chromosome positive.
Now when somebody has a normal white blood count, what if they still were 20 out of 20 Philadelphia chromosome positive?
What that tells us is that most of their blood cells are still leukemic despite having a normal white blood count, and our estimates would be that that patient has 100 billion leukemia cells left.
Now, the reality is it’s better to have a normal white count than a white count of 500,000, but you could still be left with a lot of leukemia cells.
So the next goal of therapy would be to try to get somebody down to 0 out of 20 Philadelphia chromosome positive, also called Philadelphia chromosome negative, or a complete cytogenetic response. All those terms mean the same thing. It just means we’ve gotten you to Philadelphia chromosome negative.
In reality, we’ve only looked at 20 cells. A normal bone marrow has a trillion. We’ve just looked at a drop in the bucket. We’ve got to get much more sensitive tests if we’re going to figure out how well controlled somebody’s disease is.
Again, however, it’s far better to be Philadelphia chromosome negative than Philadelphia chromosome positive. So we need a more sensitive test known as PCR.
PCR testing is, for those of you that follow some of these crime scene dramas, the cops go to the scene of the crime, they scrape a piece of blood and figure out who did it. We can sort of do the same thing with a test tube, a vial of blood.
We can look for a trace of leukemia in that vial of blood. So with PCR testing, we can amplify a signal, and we can see 1 leukemia cell in between 1,000 to 1 million normal cells.
Now this PCR testing can be qualitative. It simply gives you a positive or negative. It tells you if this Philadelphia chromosome abnormality, which we’ll now call BCR-ABL, is present or not present. We can also do a quantitative test where it gives us an estimate of the number of leukemia cells.
So if we put this back on our graph, the reality is that we now can go from 1 trillion cells down to 1 million leukemia cells, but we have to make a couple of points here.
First, if you do an equivalence ratio, 1 in 1 million is equivalent to 1 million in 1 trillion. So PCR undetectable could still mean you have 1 million leukemia cells left. It doesn’t mean cured, and it also means that we can’t do anything more sensitive to look for lower levels of leukemia.
So PCR undetectable or PCR negative doesn’t mean cured. It just means the lowest level we can identify.
The second point is that about 80% of patients treated with imatinib will be between Philadelphia chromosome negative or complete cytogenetic response and PCR undetectable.
Most people will be there. The only way we can monitor patients in this range, where the majority of people are, is through PCR testing.
So let’s look at this graph, looking at PCR values, and here I’ve taken what’s now known, on the left-hand side, something called the International Scale where newly diagnosed patients arbitrarily would have a value of 100, and I’ve done 10-fold reductions, and you can see on the very far right we have a 3-log reduction. That just means 1,000-fold reduction in the number of leukemia cells, and that has some prognostic importance.
We can make a couple of other points.
First, I’ve shown this on a quantitative scale, meaning the quantitative PCR that gives us a number. If we did a qualitative PCRthat just said present or absent, all of these values would be positive. You couldn’t tell the difference between a newly diagnosed patient who would have a value of 100 and a very, very well-controlled patient, who would have a value of 1, which would likely be a complete cytogenetic response, 0.1 or even lower. So the reality is this quantitative PCR gives us a far better insight into how well controlled people’s leukemia is.
Second, clearly quantitative monitoring is preferred. It gives us an indication of where people are. The problem, though, is that different labs will give you different results. If you come to my hospital in Oregon or Dr. Neil Shah’s hospital in San Francisco, we’ll give you different results. We are working on standardization so that you can go anywhere in the world and have the same testing done and the same results done, but unfortunately we don’t yet have a standardized test. Until then, my
recommendation is that you send your samples to the same lab so that you can follow a trend.

For those of you who are interested, Novartis has set up a program called the CML Alliance™ and they currently use 2 labs. If you’re currently not being done at one of these labs, I would urge you to think about working with your physician through the CML Alliance, to have your testing done routinely at a standardized testing laboratory.
A third point about monitoring is that negative results also depend on the quality of the lab and the quality of the sample. The sensitivities vary from lab to lab, from 1 in 1,000 to 1 in 1 million, and so negative at 1 in 1,000 is not as good as negative at 1 in 1 million. Different labs, again, will have different results.
What do I consider a good response?
There’s a 3-log reduction. Any time you get it, it is a great place to be. (That’s me – Harvey)
Six months, 1 year, 2 years, that’s a great place to be.
The risk of relapse is a half percent per year, and it decreases over time. So at a half percent per year, that means that at 10 years, 5% of people in that category would relapse.
With a complete cytogenetic response to Philadelphia chromosome negative, there is a 2% risk of relapse per year, and by year 4 of maintaining that response, it declines to a half percent per year. So my view is that a stable complete cytogenetic response is equal to this 3-log reduction.

So if you are still reading this then I am way impressed.  It is pretty sad that I now find all this stuff interesting!  It feels good, though, to know what we are up against.  We are feeling encouraged with these results!  We will keep everyone updated when we get the rest of the results next week. We're still waiting on the cytogenetics to come back, which will tell us about those pesky chromosomes!

Saturday, July 9, 2011

Twelve years!

It's so hard to imagine, but today is our twelve year anniversary!  Craziness, right?  I know without a doubt that twelve years ago we couldn't even imagine what was in store for us in the coming years.  But I do know that all my dreams came true when I married this man - the one and only person that God created for me to do life with. 

We did not have a wedding, cause there were no funds for it.  For a while we were engaged and just kind of thought that somehow, magically, a wedding would happen.  But when we realized that was out of the picture we picked a random day a few weeks away and made an appointment with the Justice of the Peace in College Station.  Not exactly the most romantic thing ever, but I am over it now! ;)  Back then I was pretty sad about missing out on the wedding hoopla.  We even had dreams of renewing our vows with an actual wedding 5 or 10 years down the road.  But when we hit those milestones it was already SO unimportant to me it didn't even cross my mind.  :)

Josh and I have never had the funds for extravagant gifts, and today is no exception to that.  I can honestly say the best gift I could have been given is the two months Josh was home with us after his diagnosis.  It was so amazingly nice to get to spend so much time with him.  All day, all night.  Every shopping trip, errand, and playdate.  As he was getting ready to go back to work last month we discussed that this was the most time we have spent together in the last 12 years.  It reminded me very much of the first few months after we started dating my freshman year at A&M.  We were so hopelessly head over heals we spent every single moment together, much to the detriment of our grades and other friendships.  It was an unexpected gift to get to have that much time together again, which we probably won't ever have again while we are young.

I have loved Josh since I was 16 years old and we met working at Oshman's Super Sports.  I got that job because I figured it was a good place to meet guys, and I was right!  I liked 2 guys there - Josh and the boy I dubbed "fine guy in bikes."  Luckily Josh won out!  I was pretty persistent - even though I told him I liked him the next year, he told me he didn't feel the same way.  But I wasn't to be turned away - I followed him to A&M.  Luckily I was able to convince Corrie to go with me so I didn't look like too much of a stalker! ;)  And I snared him and he didn't even know what happened!!  LOL

Anyways, I love thinking about how we fell in love and how wonderful it was, and it always makes me realize that it still is wonderful.  He is truly the only person that would put up with me for this long, and I am well aware that I am not an easy person to love.  He talks me down when I get worked up about things and knocks the sense into me that I almost always need.  He even makes me laugh when I'm furiously angry, and he's the only person who can get away with such shenanigans.  I got him a father's day card that explains exactly how I feel.  It reads, "I love you, I love us, I love our family."  Perfectly said.

Wednesday, July 6, 2011

More waiting!! (of course!)

So, after all our anticipation, we are still waiting on results.  And instead of getting them on Friday like we thought might happen they told us it will be 2-3 weeks!  Isn't that craziness!?!

When you have appointments at MDACC they schedule each little thing out for you and give you this printed schedule each day.  Cause you end up roaming all over the huge complex just to get everything done.  So you can print it at home or you can go to the front desk and have a nurse print it for you when you get there.  So I just figured we would have the nurse do it, cause I didn't want to mess with it last night.  And can you imagine that we were there so early there wasn't a single person at any of the desks yet?  So I had to call my mom and guide her through the process of finding it online just so we knew what floor and desk to go to!  I guess I learned my lesson about being prepared! :)

So Josh gave blood, which was nice and easy.  And then we made our way to the other side of the complex for the BMA.  If you remember Josh was REALLY worked up about this, even though it would be with sedation this time.  He couldn't eat after midnight, which if a big deal for Joshua - I have never met a person so intent on eating immediately when he wakes.  He drives me crazy with it at times!  So we go there at 7:00 and they told us that they had to change the times and he wouldn't be able to go in till 8:00.  So we waited and waited and finally they took us in and got him all hooked up to the IV and all the other gadgets.  So she tells us they will be giving him Propofol, and it seemed familiar but I was so intent on listening to her I didn't really think much about it till later in the waiting room.  Does it sound familiar to you?  If you are thinking Michael Jackson then give yourself a gold star cause you are right!  Josh now says he completely understands why MJ liked it so much!  LOL 

He said that the anesthesiologist told him "you'll feel some pain in your hand and then the next thing you'll remember is me saying Josh, Josh, wake up".  And sure enough he says that is exactly how it happened!  They wheeled him out in a wheelchair and I just wish I had my camera with me cause he just looked GONE!  So very confused and drunk looking!  And he just kept talking to me with slurred speech - it was really funny.  He kept talking about giving the thumbs up and then while we were waiting for the next appointment he likened himself to a robot in the wheelchair.  He was cracking me up!  And he wasn't the slightest bit concerned about eating for quite some time after the test.  I'm really tickled with his goofiness after the procedure! He says it was absolutely perfect and it is the only way he will do the bone marrow tests from now on.  I am so glad!  Especially since he will have to have another one in October.

The nurse that processed Josh for the BMA was so funny - the discharge instructions are pretty normal, like not operating heavy machinery or drinking alcohol.  But then they stress don't make any major purchases or important decisions.  She did clarify though, to ignore those instructions if he felt like buying me some jewelry today! :)

We waited for an hour for the five minute EKG and finally gave up and made our way upstairs to see Dr. Quintas.  And we were able to visit for a long time with the super sweet trial nurse, whom we love.  So that was really nice.  Only saw Dr. Quintas for a few minutes, but he said Josh is doing great.  Remember there are three responses they are looking for?  You can read about them here on this site.  The first response is a hematologic response, which he has achieved.  His platelets did fall some more in the last month, though.  They were at 99 today and normal is considered 140-440.  He said that his low count is from the nilotonib, and not from the leukemia, so they are not worried about it.  They did say they will keep an eye on it but that it is very normal for platelets to fall in the first few months and then level out as your body gets used to the drugs.

The next response is the cytogenetic response, and he is hoping that Josh has already hit that.  They won't know this until the results from the BMA are in.  You can see that they want this within 6 months, but he says that being on such a high dose of the stronger drug should bring that response already.  So we are very hopeful that is what he will get!  He did stress over and over that three months is extremely early into treatment, and that the treatment of CML takes time.  If he is doing over the top well he would already have a molecular response, so we will anxiously await those results as well.

So basically the responses are just a blood response, then a chromosomal response, and then finally a molecular response.  Of course these are all tied to the fact that he takes his chemo every single day.  If he were to stop taking it at any point, even ten years from now the leukemia would come back.  They did stress today that mutations are very rare which I think made Josh feel a lot better.  It is just scary, though, cause we know that it does happen.  I was asking Dr. Quintas about specific numbers that we should see with these results and he gave me some figures but then told me to not really worry about it.  I had to look at him straight in the eyes and inform him that I WOULD be worrying about it.  This is my man we're talking about!!  Dr. Quintas made us laugh cause he then made some sort of joke about how he didn't know how Josh could forget his pills with a wife like me!  ha ha ha  He has me all figured out in a few short visits!  I like it!

So all in all, today went well.  As crazy as MDACC makes me, I really love Josh's trial nurse and his doctor.  It is always nice to actually get to see them when we go in.  We did get a refill of meds, so we are good to go for the next three months.  Josh will go in monthly for blood tests until October when we will once again have bone marrow tests.  We will let everyone know when we get the test results back.  Isn't it just mean to make us wait that long??!  :)

Tuesday, July 5, 2011

Getting ready!!

So tomorrow is the big day!!!  Our first appointment is bright and early at 6:15!  Seriously already feel like crying just thinking about getting up early enough to get there on time!

Josh has a blood draw, bone marrow aspiration w/sedation, EKG, and a visit with the doctor.  So I'm fairly certain that will take ALL day, even though we are starting at the crack of dawn.

Hopefully he will get another prescription filled while we are there to restock his meds.  It is so strange to me but you have to keep the bottles for the trial and return them to the trial nurse.  Isn't that weird?  I snapped a pic of Josh's before we packed them up to go.  It is crazy to think that those few bottles of pills are what is keeping him alive!

And check out this other part - I think it is so funny that they treat it as though it is so very dangerous and you must dispose of properly.  So glad Josh is swallowing four of these daily! ;)  If we walk out with another bag of pills I will once again feel like we are stealing - I am still so amazed that they are giving them to us for free! 





And this is what the pills actually look like.  The NVR is for Novaris, the manufacturer.  And TKI is for tyrosine kinase inhibitor - the class of drug that Tasigna is. 






And the last thing we are returning is his medication diary, where he has recorded the time of every single pill he has taken over the last three months.  We keep it conveniently attached to the fridge!

Josh just got out of the shower since he won't be able to bathe for 2 days after his BMA and we're packing up the bag for the hospital right now.  We're feeling quite anxious about tomorrow - Josh mostly for the bone marrow test itself, and me mostly for the outcome.  We never got the situation with the nurses worked out about when we will get the results, so we're not even certain we will have anything to report tomorrow at all.  Josh's job allowed him to take a vacation day Thursday night, so we are pleased with that.  He didn't want to have to sit up in an uncomfortable chair all night with the pain he will have in his back from the tests.  That also allows us to meet with the doctors again on Friday if need be.

It seems that the way that they measure your success with the meds is through a test called a PCR.  If I am reading his test results correctly from the first test, he had 91.43% as his PCR results.  The goal is to get as close to 0% as possible.  Want to see why we are a bit confused?  Here is a copy of just the top quarter of this test result page....
REAL TIME BCR INTERP PB                          
BCR-ABL qRT-PCR:

Coexpression of b3a2 and b2a2 BCR-ABL fusion transcripts is detected by
real-time PCR.

The percentage of BCR-ABL to ABL transcripts is 91.43.

COMMENT: Quantitative real-time PCR analysis performed on RNA from this
sample for the BCR-ABL fusion transcript resulting from the t(9;22) in
leukemia. BCR-ABL and ABL transcript levels are detected simultaneously
and quantitative results expressed as the ratio of BCR-ABL to ABL levels.
This ratio may vary up to one-log because of methodological reasons.  As
of 8/2/07, the assay has shifted to a new platform.
And the font is half as large as the one here, and then there are about 40 more pages of test results from that same day.  See why we are confused?  I will be glad to see the doctor tomorrow and get to talk to someone about all this!

We'll post again tomorrow night after we have time to process everything that happens tomorrows.  Prayers are appreciated - especially for Josh to be calm for his procedure.  Thanks guys!

Sunday, July 3, 2011

Sunday Scripture!

I am a dreamer.  Nearly every single night I have long, detailed dreams.  About once a month I dream that I did not actually graduate from A&M and my degree is taken away from me.  And it seriously takes me 2-3 minutes when I wake up to realize that it is not true.  And I feel such a sense of relief.  Now I also have GREAT dreams that take me a few minutes to realize are not true.  And when it hits me I feel so horribly sad.  But last night I had an amazing dream - all about my sweet Joshua.  And I can't remember the details, but it was just this overwhelming, wonderful feeling that he loves me and I love him.  Just pure joy.  And when I woke up I laid there and realized I was dreaming and started to feel sad for a second, and then it hit me that my dream was true!!!  I know it sounds so silly but it was really just the most fantastic feeling in the world.  And it just made me feel so thankful, before my feet ever touched the floor.  God has just lavished me with His love through this man. So thankful!!

Ephesians 5:19-20

19 speaking to one another with psalms, hymns, and songs from the Spirit. Sing and make music from your heart to the Lord, 20 always giving thanks to God the Father for everything, in the name of our Lord Jesus Christ.



And amazingly this verse lead right into the other thing I wanted to share today - a song Josh and I are loving right now.  It is an old hymn that Casting Crowns has on their newest album.  It is AMAZING!!!  I could just listen to it over and over again, and I suggest you do too! :)  I love how it shows Christ's whole life - living, dying, buried, rising, and the glorious day when He comes again. I'm so thankful for this amazing plan God has for saving us!




GLORIOUS DAY
Artist: CASTING CROWNS.
Album: Until the Whole World Hears


One day when Heaven was filled with His praises
One day when sin was as black as could be
Jesus came forth to be born of a virgin
Dwelt among men, my example is He
Word became flesh and the light shined among us
His glory revealed

Living, He loved me
Dying, He saved me
Buried, He carried my sins far away
Rising, He justified freely forever
One day He’s coming
Oh glorious day, oh glorious day

One day they led Him up Calvary’s mountain
One day they nailed Him to die on a tree
Suffering anguish, despised and rejected
Bearing our sins, my Redeemer is He
Hands that healed nations, stretched out on a tree
And took the nails for me

One day the grave could conceal Him no longer
One day the stone rolled away from the door
Then He arose, over death He had conquered
Now He’s ascended, my Lord evermore
Death could not hold Him, the grave could not keep Him
From rising again

One day the trumpet will sound for His coming
One day the skies with His glories will shine
Wonderful day, my Beloved One, bringing
My Savior, Jesus, is mine

Oh, glorious day

Thursday, June 30, 2011

3 Month Cancerversary!

I know when most people celebrate anniversaries they also say "I can't believe it has been that long already!".  But you know, the last three months have been the LONGEST of our lives.  It seriously feels like Josh has had cancer for a year at least.  But nope, just three months to the day.  At least he did it on April Fools Day so we have an easy date to remember! ;)

We have kind of really built up this 3 month check in, cause this is when we finally get to meet with the doctor again to check in.  Josh goes for his bone marrow tests on Wednesday, and he is pretty worked up about it.  I tried to talk about it in the car yesterday and he was quick to cut me off cause he just does not want to think about it at all.  My poor guy.  I know how worked up I got about all three c-sections (since I knew about them in advance) so while I don't know the physical pain of bone marrow testing, I completely understand the mental aspect of preparing for something of the sort.  We're also not even sure they will have the results at the appointment next week, so we could be getting worked up over nothing.  I can't imagine they will process the bone marrow tests before then. Although the PCR test can be done with blood, so perhaps they will have that test result available.

We are having a bit of confusion about whether or now Josh needs to go in for bloodwork before Wednesday.  I downloaded this pamphlet from MDACC about BMA with sedation and at the end of it there was this highlighted section that said to make sure you have bloodwork done 48 hours before and not the day of or results will be delayed.  Not really sure if that is accurate for Josh's situation, but we emailed the Leukemia center to find out.  Still waiting on that - hopefully not cause it is a long trip for just a ten minute blood draw!

Things have been pretty intense emotionally this last week or so preparing for next week's visit.  All the what ifs and concerns just never seem to leave my brain.  I think the hardest part is that next week we still won't really have a clear picture if the meds are working.  CML is so crazy cause when you look at the early test results of people who three years down the road are doing well, they often look exactly the same as the people who are dead three years down the road.  The percentages and reductions are so very drastic at first it always seems like good news, but in reality just .1% on some of these tests is the difference between someone who is responding well and someone who is not. 

We took the kids to the beach this week and it was a nice diversion.  But at the same time I couldn't help but to watch Josh play with the kids and wonder how many more times we will get to do this together.  My brain has been doing that with nearly everything we do lately.  CML has given us this urgent desire to spend every single moment we can with the people that matter most to us.  We really enjoyed every moment having fun - watching the kids delight in the simple joy of the ocean. 

Everything that has gone on in the last 90 days has really made us ponder those big life questions.  You know, looking at what we do with our time.  How we live our life.  What we choose to do.  What we need to do to feel satisfied and fulfilled.  It is definitely not something that was on my radar a few months ago, at least not seriously.  We definitely had some very superficial answers to those questions because they weren't really a concern for us.  You know, it seemed like we just had so much time.  The realization that time is not guaranteed has been extremely difficult to stomach.  It was tough 90 days ago and it is still tough today.  We have been praying for God's direction in many areas that used to seem so very cut and dry.

I don't even know how this post got so down - just really trying to keep it real and honestly portray what is going on with us right now.  I have been asked why I am doing this blog, and really it is help me.  I don't know why but it just makes me feel better to get this all out "on paper".  And my hope is that someone else who is going through this exact situation can find some sense of comfort in what I have written.  Even if it is just to know that somebody else has been through the exact same emotions they have.  I have already gotten a couple of amazing emails from strangers dealing with CMl, and it has definitely made even the few posts I have written worth while.

And I know this is a blog about Josh and I sure seem to write about myself a lot.  You can rest assured, though, that when I'm writing about what I am going through, Josh is also experiencing.  We are so very similar with our emotions and reactions to things I often find myself saying to him, "I know this is crazy, but lately I have been feeling...." only to have him respond "I was just thinking the same thing last night."  So peeking into my brain gives you a peek into his as well! :)  Happy Three Month Cancerversary, honey!