The Rest of the Story
And now, as Paul Harvey used to say…the rest of the story. Evan’s counts doubled yesterday to 443 and thus he gained discharge from CHLA after 17 days for neutropenic fever and three pneumonias. He needs to be in the 700s to afford him minimal infection fighting power, but the trend, from 20 on admission, is now upward. He was able to tolerate his oral meds and drink enough fluids not to require infusions. His anemia is under control and he has enough platelets to fight any bleeds. He remains on an antifungal antibiotic until such time as he is re CT scanned, in two to three weeks, to check his lung nodules for growth. So far he is tolerating this antifungal dose, although it was doubled upon discharge and causes dizziness. For those wishing to read about his hospital course, the Carepages contain a daily accounting.
Evan is scheduled for an LP and the start of Phase Five chemo next week, but this process is count dependent. His numbers, both platelets and ANC must be in the 750 range. If they are low, he will be given another week to recuperate. In any event, he will return to Clinic/Day Hospital. Obviously, if he fevers in the meantime, we must go to the ER straightaway. Because Evan has a central IV line, any fever must be treated as soon as possible and as strongly as possible, because the source of the infection can and most probably is in his bloodstream.
He is at home visiting with his grandparents and Ryan and resting. He is very much in tune with his body and he quiets himself and rests when he feels the need. It’s going to take him some time to recover. I would imagine this admission has taken its toll on him and the aftereffects will be felt for quite some time. His request on the drive home yesterday was for Weinerschnitzel and a root beer and for dinner, spaghetti and apple pie. R U Kidding me??? Needless to say, he received and lo and behold, he ate! A few more meals like this and he will feel stronger, no doubt.
It is going to take me some time to personally shed the weight of this admission. While I am exceedingly, down on my knees, grateful for Evan’s course, and for your support, I am heavier now with the tonnage of great sadness that comes from day after day life in the bedside trenches and the snapshots that are plastered inside my mind of these valiant and heroic and heroically struggling champion children. The deeply frightening course Evan took and the families and their stories that we lived and left behind will need to be sorted out and sifted through in the days to come. Reentry into a world bigger than my child’s bedside and the cubicles of new friends will take some time. The world outside the hospital was just too big and too bright and spinning too fast for me to comprehend yesterday. Layer after layer of the brutal reality of childhood cancer blankets me now. I think I might just need some rest, a shower, a long walk in prayer and maybe even a root beer and a hot dog, too.
Look for pictures and posts in the days to come. There were so many moving and touching moments and stories that I would like to share. While some stories will lighten your heart, other stories will not be meant to entertain. But, I would invite you to entertain the idea of reading them, however sad, so as to honor the struggles and the champions that are these children. I had an amazing opportunity to truly step inside the world of hospitalized children fighting pediatric cancer…for too long, really, for me, and yet there… they are there, today- they remain, fighting. My gift basket of words and stories about these precious children is my way of staying close to them and honoring their fight, in whatever way is possible. If we turn our heads the other way, it could happen to us. Knowledge is power and we need great strides in powerful knowledge to defeat cancer.
Once again, thank you immensely for your posts and prayers and continuing support. I hope to see many of you soon…maybe in line at Weinershntzel!



















