Monday, January 13, 2014

Induction Day Four: Going Home!!

Monday, January 13, 2014

Jaxsen woke up around 4am and started vomiting. The nurse came in right away to make sure he was okay and to help us give him a sponge bath. When the nurse was cleaning the back of Jaxsen's legs, she said, "Don't fart on me, Jax!" Jax immediately farted and then started laughing. Thankfully the nurse thought it was funny too! He went back to sleep after he was cleaned up and then woke up around 8:30am. We were very excited when we woke up because we knew that we were going home later that day! We were originally scheduled to go home on Friday the 17th, but Jax was doing so well that we were able to go home 4 days early.  We spent the morning lounging in our room. The nurse came in around 11am to give Jax his 3rd dose of chemo. It took about an hour for the chemo to be infused into Jaxsen's port. Immediately after the chemo infusion was complete, Jax took a nap. This was convenient, because the nurse needed to monitor Jax to see if he had any reactions to the treatment. We were told that as soon as Jax woke up we would be able to go home. Nick and I quickly packed everything up and then Nick took all of our bags down to the car. I talked to Mary, the social worker, during this time and she told me that she was so happy to see that Nick and I still held Jax up to certain behavioral expectations and she then complimented us on co-parenting so well. What a great feeling! As soon as Jax woke up, we called the nurse in to see if we were able to leave. She ended up giving him a flu shot, which Jax HATED. He got more upset over the flu shot than he did for any other procedure. We wanted to cheer Jax up, so we gave him the option of either going home or playing in the playroom. He chose the playroom, so we headed there for one last trip. After spending some time there, we headed back to our room to grab our jackets. We put Jaxsen's cape on him and then watched as he ran up and down the hallway of the Pediatric Oncology floor. The nurses thought he was so adorable (for good reason). We said our goodbyes and then made our way downstairs. We left the hospital around 6pm. We were so thankful for all of the wonderful nurses, doctors, and other staff members we met. Jax felt right at home during our stay and we know that the awesome members of Sinai made that possible!

Sunday, January 12, 2014

Induction Day Three

Sunday, January 12, 2014
Sunday was another relaxing day for us because we did not have any procedures scheduled. Once again, we spent the day playing and watching movies. Nana, Grandpa, Uncle Mike, and Lia came to visit around lunch time. Uncle Mike made a rice pizza which we all gobbled up. After nap, Nicole and Ms. Debbie came for a visit. To help Jax feel better, they bought him a Mickey Mouse shirt and a Thomas the Train coloring book. They stayed and chatted for about an hour before leaving. Luke was the next visitor to come. Luke, Nick, Jax, and I took a few laps around the Oncology floor again, but this time, Daddy got in the wagon! Jax pulled him around in the wagon for a few minutes but he then decided to lay in there with him. The nurses thought it was the funniest thing. We then went back into our room to eat dinner and watch The Polar Express. Nick must have been exhausted because he fell asleep halfway through the movie! Luke had to sneak out after the movie was over so that he didn't wake Nick up. Jax and I went to bed shortly after.

Saturday, January 11, 2014

Induction Day Two

Saturday, January 11, 2014
Saturday was a very relaxing day for us. Jax did not have any procedures scheduled so we spent the day watching movies, racing Matchbox Cars, coloring in his Dinosaur and Rocketship coloring books, and playing in the playroom. We also spent a lot of time working on Play Doh creations, which were promptly destroyed with the monster trucks that were given to him by Aunt Angie and Ms.Yvette the day before. Along with his toys, they brought us clothes, a ton of yummy food, and other supplies to make our stay a little easier. Grandpa, Uncle Mike, and Lia came around lunchtime and brought us 2 pizzas from Seasons Pizza. Jax had 4 slices! After our mini pizza party, our visitors went home and then Jax took a little nap. When he woke up, he had a play date with his friend Casey. Casey and Jax spent about an hour and a half playing in the playroom and going on laps in the wagon around the Oncology floor at the Children's Hospital. All of the nurses asked Jax who his little friend was and Jax just giggled each time. They all thought it was so cute! After Kelly and Casey left, Nick, Jax, and I ate some dinner, watched The Polar Express, and then called it a night.

Friday, January 10, 2014

Induction Day One: The First Day of Chemo

Friday, January 10, 2014
Today marked the first day of Round One, or as it's known in the medical world, the first day of Induction. The goal of Induction is to achieve remission. This means that Leukemia cells are no longer found in bone marrow samples, the normal cells return, and the blood counts become normal. The first step in Induction is having a port-a-cath implanted into the chest. This port allows repeated access to the venous system for the purpose of delivering Vincristine, a type of chemotherapy, and drawing blood. Jaxsen wasn't allowed to eat breakfast or lunch in preparation for the surgery to implant the port into hid chest.

The surgery was scheduled at 2pm. To pass the time, we watched The Polar Express, for the hundredth time, and played in the fish-themed playroom. At 1pm, our nurse informed us that it was time to head down to the pre-op area. Jaxsen and I laid on the bed as the transporter and Nick wheeled the bed down to our pre-op room. While Nick and I were talking to the doctor and the anesthesiologist about the upcoming procedure, Jaxsen laid on his bed and watched a show called Peppa Pig.  Apparently he liked the show because as Nick and I were answering questions, we heard Jax snort like a little piggy! A few minutes later, he tried picking his nose with his right arm, the one that had the cast on it (he needed a cast on the arm that had the IV in it to prevent him from bending it). He got very frustrated and yelled, "I can't pick my nose!" Jax fell asleep shortly after while holding onto the stuffed snowman that the nurses in pre-op gave him. We were glad he fell asleep because then he didn't get upset when they rolled him away to the operation room. It was very upsetting watching a team of doctors roll our baby away, but we knew he was in safe hands.

The surgery took about 2 hours. After the port was inserted, the doctor did a lumbar puncture to see if Leukemia cells were present in the spinal column (spoiler alert... there weren't any!). They also gave Jax his first dose of chemo in his spine. After the two procedures were complete, Jax was rolled into a recovery room, which is where we were able to see him. He was still asleep when we saw him. He slept for about an hour, since the surgery overlapped with his naptime once again. When he woke up, we were able to get rolled back up to his room.

Along the way, we ran into a narcotic-carrying robot (TUG) named Herbie. Herbie was able to navigate the hallways of the hospital completely on it's own. When we crossed paths with Herbie, we moved to the side to let him pass. However, when Herbie got close to us, he paused for a moment, turned to face us, and then ran directly into the foot of Jaxsen's bed. Jaxsen laughed and said, "Silly robot." The rest of us got a kick out of it too! Right after Herbie ran into the bed, he got himself back on track, continued moving foward for a few feet, and then made a bee-line right toward me! It really lightened our mood after dealing with the stress of the surgery.

When we got back into the room, Jaxsen was able to get the IV taken out of his arm, since he now had an IV that was attached to the port in his chest. He fussed when the cast and bandages were taken off and said that he didn't want the IV out. We spent the rest of the evening relaxing with our families and enjoying each others company.


Thursday, January 9, 2014

The Official Diagnosis

Thursday, January 9, 2014
In order to determine whether or not Jaxsen had Leukemia, Dr. Fixler needed to extract some bone marrow from Jax's left hip. The procedure took place at 11am. Jaxsen was able to take a wagon ride all the way down to the room where the procedure was going to take place. When we got into the room, we looked onto the bed and saw a special pillow, a toy phone, and a stuffed sea turtle. Jax was excited! He climbed onto the bed and started playing with the turtle. The nurse gave him some bandaids to put on the sea turtle to help him pass the time since the doctors were running a little behind.  The doctors all arrived around noon. The anesthesiologist gave Jax some medicine through his IV to help him fall asleep. Within 15 seconds, Jaxsen started to feel it's effects. He suddenly plopped forward which scared us all. When the doctors plopped him back onto the pillow, I noticed that Jax had red blotches all over his face, neck, and chest. The doctors assured me that was normal, but that didn't stop me from breaking down. I had plans to stay in the room with Jaxsen during the procedure since I was given the option, but Nick and Nana pulled me outside when they saw how upset I was. We all gave Jax a kiss before being escorted to the waiting room. About an hour later, the procedure was finished and we were allowed back into the room. 

Jax was still asleep when we saw him, and we were shocked to see that he was bubbling around the mouth. The nurse told us that he should be awake within 15 minutes, but the procedure took place around his naptime, so he slept a little longer. After about 45 minutes of waiting in the procedure room, Dr. Fixler came in to discuss what he discovered after examining the bone marrow. When he informed us that he found evidence of Leukemia in Jaxsen's bone marrow, Nick and I both broke down. He explained to us that he examined the blood cells under the microscope and that he had reason to believe that the type of Leukemia that Jax had was Acute Lymphoblastic Leukemia. He explained that ALL was not as aggressive as other types of Leukemia, so we were relieved, although still terribly sad. We talked for a while longer until Jax woke up from the anesthesia. We then put Jax back into the wagon and rolled him back to his room. We played in the room for a few more hours until it was time for Jax's X-ray. He needed an X-ray done of his heart because the drugs that are given to cancer patients can sometimes have an impact on the heart, so they wanted to take a "before" picture so they had something to refer to after he started taking the drugs. We were taken to the Radiation department in a wheelchair, which Jax loved. He got to sit on my lap so he wasn't scared at all. 

When we got to the room, Jax was asked to lay flat on his back under the X-ray machine. He did so well! He laid perfectly still. I wasn't allowed to stay in the room with him because they were concerned about the radiation's effect on my reproductive organs, but Nick was able to stay next to Jax the whole time. I was sad I wasn't able to be there for Jax, but it was so cool being able to see his X-rays on the machine! Jax was then asked by the technician to lay on his side. Again, he did so well. After the two X-rays, we got rolled back up to the room. 
Nick and I went home for a few hours after Jax fell asleep to grab some items from home. Nana and Aunt Gail stayed in the room with Jaxsen. When we came back at 11pm, Aunt Gail told us that Jaxsen decided to name his IV machine Goofy. He said he did not want to name it Mickey because Mickey does not have wheels :)

Wednesday, January 8, 2014

Getting Admitted

Wednesday, January 8, 2014
Dr. Salihi left me a voice mail saying that the results of the blood work came back and they weren't good. I called Nick right away to tell him the news. Right after I got off the phone with Nick, Nick's mom, Debbie (Nana) called me and said that Dr. Salihi told her that we need to bring Jax in to his office to see him right away. Jaxsen was at daycare at the time, but Nick left work right away to pick him up. The boys then met Nana at their house and drove together to talk with Dr. Salihi at his office. They were told that Jaxsen's results were abnormal and that it was possible he had either severe anemia or Leukemia. Dr. Salihi said that he wanted us to go to Sinai hospital immediately for further testing and to get an official diagnosis. Nick, Jax, Nana, and I all drove to Sinai together.
When we got to Sinai, we met a few nurses who helped draw some blood from Jaxsen's finger and insert an IV into his right arm. He told the nurse that his favorite color was green, so she came back with a bright green bandage to cover up the IV on his arm. Jaxsen wasn't happy to have the IV or the bandage on his arm so Nana, Nick, and I all wrapped green bandages around our arms too. That made him feel a little better. We also saw another little boy who was getting his blood drawn, and he had the same exact blue shirt on! It had little cars all over the front. Both boys got a kick out of it.
While we were waiting to hear back from the hematologist about the results from the blood lab, we spent time in the play area. We did puzzles, watched Dora, colored with crayons, and built towers with poker chips. The nurses in this area were very accommodating and considerate. One nurse gave Jax a brand new pack of Matchbox cars and another nurse overheard him say that he liked rocket ships, so she gave him a large coloring book about space. Jax also got to keep the Dinosaurs coloring book and pack of colored pencils that he used in the playroom. When Jaxsen was playing with a toy cash register, he frantically jumped back and let out high-pitched scream. Nana, Nick, and I all jumped up to see what was wrong, and then burst out in laughter when we saw that there was a little spider on the counter in front of the register! Nana picked Jax up and I grabbed two cups to capture the spider. Jax started laughing when he saw that the spider was captured inside the cup, but he still didn't want to look at it.  After about an hour, and after talking to numerous doctors and nurses, Dr. Fixler, our oncologist,  sat us down in the playroom and told us that he had reason to believe that there could be Leukemia cells in Jaxsen's blood. We were all devastated. He told us that we would be admitted into the hospital for further tests.
We went up to the third floor of the Children's Hospital which is where the Pediatric Oncology unit is. When we walked into our room, we were shocked to see some goodies waiting for Jax on his hospital bed. He had a few more cars, a puppy dog beanie baby (which Jax named Clifford), a pair of Cars pajamas from the Casey Cares Foundation, and a small Jake and the Neverland Pirates coloring book. He also had a large blue fireman blanket that someone made for the children in the hospital. Needless to say, we were beyond grateful. The social worker, Mary, also gave us a bag of goodies that was prepared by the Friends school of Baltimore. Inside was a little note, some paper and pens, a big box of tissues, some toothbrushes and toothpaste, and chapstick. I teared up after opening the goodie bag and reading the note because it was such a thoughtful thing to do. The note explained that the students prepared the bag as part of a community service project in honor of a young person who went through a similar experience as Jax. I immediately made a mental note to send the Friends School a thank you note and to let them know that their kind gesture was definitely appreciated.
The only procedure that Jax had done on Wednesday evening was a blood infusion. He received the blood in two parts because it was his first infusion and they didn't want him to get a reaction. They monitored Jax every 15 minutes for the first hour, and then every hour throughout the night. He had a rough time adjusting at first, but once Jax was asleep, he stayed asleep. I, however, woke up every hour in order to check in with the nurse to see how Jax was doing. Thankfully, Jaxsen did not get a fever and his body accepted the blood.

Tuesday, January 7, 2014

Just a Routine Visit with his Pediatrician...

Tuesday, January 7, 2014
Nick and I wanted to keep a spare Epipen at daycare for Jaxsen (for his peanut allergy), so I made an appointment to get the prescription filled out by his pediatrician, Dr. Salihi. As soon as the doctor walked into the room, he noticed that Jax looked paler than normal. He told me to take Jax to Quest Diagnostics immediately for blood work because he was really concerned with how pale Jaxsen looked. This was a shock to me because I didn't think that Jax looked any paler than he normally did. Nonetheless, Jax and I left his office and headed over to get the blood work done. Jax didn't even flinch when the blood was drawn from his arm! Now all we had to do was wait until Thursday to hear back about the results of the labs.

Monday, January 6, 2014

Meet Jaxsen!

This is Jaxsen, the little man behind  this project! He is the reason why we (Megan and Nick) will be posting to document his journey through leukemia treatment and recovery. We will share updates and major milestones with all our friends and family to show what progress he is making and how he's doing.