Our clinic visit on Monday was kinda rough. In addition to the usual port access, Carter had to get two shots in his legs. The Aspariginase medicine has to be injected into a muscle. He was not a happy camper. He also got Vincristine through his port. His counts are really low. The nurse even did a second sample to make sure it was right. White cell count of 700 and ANC of 400. Hemoglobin 5.8 and platelets 18,000. So the doctor set up an appointment for the next morning to get blood (just red cells) and platelets. I knew that appointment would be rough because of the extra pokes so I told Carter that morning that if he was really brave at the hospital then we would get him some fishies. He really loves fish. So that night he got 3 fish since he had 3 pokes. He really is such a brave boy!
So yesterday morning we headed back to the hospital. We didn't get off to a great start - he threw up in the parking lot. And to the family who walked by us, sorry you had to see that. Once we got in, I asked the nurse to give him some zofran (anti-nausea) through his port, since he refuses to take the oral form at home. He was fine the rest of the day, thank goodness. His port was still accessed from the previous day, so yesterday was easy and fun. His counts were even lower than Monday. White cells 400 and ANC of 0. Yikes. Hemoglobin 5.3 and platelets 13,000. The blood takes about 3 hours to infuse then the platelets take another hour. We ended up being there for about 7 hours all together. There's usually volunteers in the playroom who do crafts and play games with the kids. The girl who was there yesterday was amazing. She played with Carter a lot. She even helped him make this crown:
He had a lot of fun. I was so glad to have a easy fun day at the hospital finally! Maybe I won't have to drag him out the door to go back next week. :) And today, after getting blood, he's got all sorts of energy. He and Jude are racing around the house. And Carter's winning!
Monday, I also got a little more information about his next round that starts April 7th. I'm not looking forward to it. It will start with a clinic visit with a sedation for a lumbar puncture. From there, he will be admitted to the hospital and receive a drug that's called something like "high dose methotrexate". I don't remember the exact name, but I'll tell you next week after I meet with Carter's doctor. Anyways, the drug is very intense. A day or two after it's given, he will be given a "rescue drug" to stop the first one from, well, killing him. Once the toxicity level in his blood goes down enough (usually about 4-5 days total in the hospital), we will get to go home for whatever is left of two weeks. Then we'll do it again, 4 times total.
Sounds fun, huh?