Date Night!

When we were young(er)

When we were young(er)

Thank you to Ellen for watching Cutler and Aunt Pat for watch Mason to give us a few hours to get out and enjoy a nice dinner together.  It was a much needed break to spend some alone time together without the sound of a monitor or a nurse constantly walking into the room.  We had a nice relaxing dinner at a little Spanish place where Melanie battled me for every last tapas on the table and then proceeded to drink too much sangria where I then had to hold her hair while she paid for the sangria.  Ok, made that last part up, but the food was great and the glass of wine was good, but the company was incredible.  And no, the picture above is not from tonight, but from when we first started dating several years ago and I thought I would show how little Melanie has aged compared to how much I have.

As for Cutler, all is still going well.  No more chemo meds and so now it is just time to hang out in the hospital and play with mom during the day and hopefully sleep through the night.  He must be going through a growth spurt as he never seems to be full and is always wanting more milk, which is good.  His weight is almost back to his pre hospital admittance weight and I swear he looks taller to me in just the two weeks we have been there.  He is definitely teething and based on the amount of slobber, I expect he will have his full set of teeth by Monday morning.

Big soccer game for Mason, let’s hope he scores some more goals and crushes the other team  has fun.  Updates and up to date photos tomorrow.

The Team

So happy together

So happy together

Cutler’s final spinal tap labs came back and unfortunately they weren’t completely clean so we are in line for another one next week.  The doctor said there is nothing to worry about as we are still going in the direction we need to be heading and that there were so few.  So no big concerns right now other than the fact that Cutler has to get stuck again, but at least he is asleep when it happens.

Now that Cutler is finished with this round of chemo he finally is going to get a mostly undisturbed evening of sleep, which hopefully means I will get the same if work can settle down.  Last night was a pretty rough night for me emotionally.  I think it is all starting to settle in that the family will be split up for a bit and that is starting to become harder and harder to accept.  I miss being able to lay on the floor with both of my boys.  I miss the smile on Cutler’s face when Melanie walks around the corner with him in the mornings after getting him out of bed.  I miss playing with Mason a little extra more to avoid changing a dirty diaper :), I miss a very large number of things about how simple our life was with all of us in the same house, but I realize that in the long run this is just a minor blip on the radar so we build on Culter’s strength and push on.

All I Want For Christmas

Check out this set!

Check out this set!

Aside from a succesful bone marrow transplant, Cutler’s Christmas wish has already come true…his two front teeth are in!  If you look close enough, his two bottom teeth are right there and based on the amount of slobber he has many more quickly on the way.  Ironically we noticed the first one poking through on the dreaded Sept 11th when this whole madness started…also the same time that my watch stopped.  I am thinking I will just get a new watch, been wanting a new one for a while anyway.  🙂

The spinal tap went well.  This time around it actually occurred at 9 am and wasn’t delayed so we didn’t have to deal with his hunger pains.  He went right to sleep and continued to sleep for a little while after, which was long overdue.  I think this one finally caused some soreness in the back as he was consistently rolling to his side.  The doctor did come back and said that the initial look under the microscope was clean, but that we are still waiting for the test from the lab.  Apparently the initial look is done with just a sample of the fluid whereas the lab runs it through the centrifuge to push all of the cells together, so that is the real test, but he expects it to be clean.

Today was also Cutler’s last day of chemo for the initial round.  This is the time that he is most susceptible to infection, so we are doing our best to limit the visitors and are no longer giving him the number of kisses he deserves.  We had hoped that he might be able to come home for a few days before starting the next round of chemo, but the doctor believes that it would be best to just keep him in the hospital where he can be observed and treated quickly if an infection occurs and so we quickly agreed that if it is best for him there is no reason to take a chance and so he will be in the hospital at least through the next round as well.  Initial talks are that he will undergo two more rounds and that perhaps after the third round we will be ready for a transplant. 

Mason was able to pay a visit today and Cutler’s eyes really open up and smile when he sees Mason walk through the door.  As you can see from the pictures, he is already a very happy boy but it really does elevate when he sees big brother come bouncing through the door calling out his name.  He loves his robot and funky chicken dances and all of the silly faces he makes for him.  We really miss having both of the boys at home, but patience will help us win this battle.

Shout Out For More Attention

Little Dooneret

Little Dooneret

So I have a very good friend in LA, Jason Muldoon, who had a baby girl born back on June 9th, Samantha Lynn.  Samantha was born with a very rare disease called Auto Recessive Polycystic Kidney Disease.  So rare in fact, Southern California has had only three cases this year.  The disease causes calcified cysts to form on the filtration duct of the kidney, thus not allowing normal functioning of the kidney.

Samantha has been through quite a bit in her short life.  When she was born the medical team was providing oxygen and burst one of her lungs.  She then had one kidney removed to allow room for the stomach to grow, unfortunately the second kidney took up this space and when it was removed it had grown to one pound (1/9 of her total weight).  Samantha had since progressed quite rapidly through her recovery until about two weeks ago when seizures started to occur, but after further inquiry the tests proved that they were actually little strokes.  She should fully recover, but the concern is avoiding the next one, which should be possible by closely monitoring the blood pressure.

The good news of this story is that Samantha was supposed to be moved last night out of the NICU and into regular care on “the floor”.  If all goes well, Samantha should be able to go home for the first time in four weeks, but Jason and Trisha still have a long road ahead of them having to watch her closely and take on the activities that the hospital has been doing for the past several months.  She should be eligible for a kidney transplant once she hits 33 lbs. 

I post all of this not to tug at your heart strings for yet another baby, but because Jason has been so generously there for me with his time over my past two weeks and being inspired by so many messages from everyone out there I wanted to ask that you add one more baby to your list of prayers.

If you want updates, and are a facebook member, please add Samantha Lynn Muldoon.  They are posting daily updates and photos.  Thanks in advance for your support.

A Big Thank You & Updated Blood Donor Details

Thanks to a couple of friends we learned that it might not be as easy to just head down to a local Carter bloodcare center and give them Cutler’s name and date of birth.  So, today we reached out to Carter and created a sponsor account.  So now, if you happen to stop by or donate blood at any Carter site or sponsored blood drive you can just give them this sponsor #:  SPON 048570.  Also, we are under the belief that now that we have set up the account you should be able to just give them Cutler’s name and they will be able to track it down.

While setting up the account, the rep at Carter did happen to mention that there were several donations already in his name waiting for the account to be opened so Cutler asked that I post the video above to help him thank everyone for their donations, but also to thank everyone that follows the updates and supports us with their thoughts and prayers.  We have heard from many many many people from all over, people we know, and people we don’t know and one of the main things we have learned from this whole experience is that there is a ton of good in this world and that even a mention of “hey, we are thinking of you” goes a tremendously long way to support our spirits.  So thanks again to everyone for their thoughts and prayers.  We are completely overwhelmed with the support we have and continue to receive.

4 AM Is The New 8 AM

Morning y'all

Morning y'all

So it would appear that Cutler now thinks that the 4am medicine call is also the time to wake up and start playing.  He slept quite well throughout the night, even including the wonderful force feeding of ambigel.  This medicine usually irritates him so much that he won’t back to sleep, but this morning it was not an issue.  However, come 4am when they started the chemo he was more than happy to get up and talk and play (see above photo) and even eat.  Should be fun to break him of this habit once he gets back home.

Got to meet the fourth and final doctor from the practice today as he came in for a visit earlier than any other doctor so far.  He actually was in the room by 8:15 and he had the usual good news.  But even better is that Cutler’s blast count is not detectable.  Blast cells would be the immature bad white cells, so that is a very good thing.  His white cell count continues to drop, which is customary for the chemo treatment and his blood count hovered near the same as yesterday.  Platelets dropped almost in half, but the doctor is not concerned.

Cutler is scheduled to undergo another spinal tap tomorrow morning.  This will hopefully be the last one for a bit as the previous tap showed that for all intents and purposes the leukemia was no longer present in the spinal fluid.  So this tap is to draw fluid one more time to validate as well as shoot just a bit more chemo in for good measure.  Not sure if we have mentioned before, but all of the bumps/lesions on Cutler do appear to be gone, yet another sign of the chemo working away.

Another Day, Another Positive Note From The Doctor

Dyanmic Duo

Dyanmic Duo

Unfortunately this photo is not from the hospital, but today has been a long day and so I haven’t had time to take any good pictures to post.  First of all, it was more of a long day for dad than for Cutler.  Cutler had another uneventful day and even woke without a swollen eye despite his mother staying with him last night.  The doctor is still happy with the way Cutler is reacting to the medicine and in fact his platelets were in the 60’s, the highest they have been, and the target is 75 so Cutler is continuing to prove that he is a tough little fighter.  It’s Cutler’s toughness that helps both Melanie and I draw our own strength.

So other than Cutler’s continuing improvement, not much else is going on.  I did start back at work today and it was a bit more difficult getting moving than I had expected, but once I got back it was actually good to focus on work as a break from reality.  At first it was harder to actually talk to people about what is going on instead of just typing about it in the blog, but after talking to several people it became easier and the “speech” was a lot easier to work through.  Unfortunately, because I was at work, I missed the visit from the doctor who also provided a road map to help us understand further the days expected for treatment, rounds of chemo, and eventually the transplant.  I do have the paperwork, but haven’t had a chance to review but from what Melanie explained to me we are probably looking at Christmas in the hospital.  Perhaps Santa will be gracious enough to visit with a successful transplant.  Once I get a chance to look it over in more detail I will definitely put together a quick post about it.

A funny story about our doctor that just slipped into my head is his accent.  Well to be clear, the Oncology group here has four doctors and they rotate weeks with us while the other three work in the office.  The doctor that we have had for the past week is Dr Ghisoli and I am sure that I completely butchered the spelling, so my apologies if you are reading this.  As it turns out, he just moved into our neighborhood just around the corner from our house and was kind enough to throw out his address.  I have already done several walkbys and am confident we can make it there in under two minutes and probably under one minute in case of emergency.  Anyway, our good doctor is originally from Italy and then I believe he grew up in Venezuela.  He has this wonderful accent that every time he discusses the blood results I picture dracula.  I swear he sounds just like him every time he says blood and it is so hard to keep a straight face.  Probably funnier to me, but if you are ever here visiting and he comes in I will be sure to work the word blood into the conversation.  🙂

CPS Not Called…Yet

Last night was a bit of a rough night for Melanie.  Cutler woke several times throughout the night crying out and this is rather unusual for him as he has always been a sound sleeper.  Then when he finally woke for the morning, Melanie “noticed” the swollen right eye.  She swears that she didn’t have anything to do with it, so we will just go with the story that it must be the way he slept on it.  But fear not, the swelling is gone.

Mommy says she didn't poke my eye
Mommy says she didn’t poke my eye

Despite the lack of sleep he has continued on to a mostly good day.  He continues to eat a ton and is still keeping it all in.  The doctor’s visit went well.  As part of the chemo effort Cutler has been receiving a medicine called lasix to help clean out his system of excess fluids and help push out the dead cells that the chemo is eliminating.  The doctor has decided that since his intake and output is remaining equal that it was time to stop using the lasix.  So one less medicine to be taken.

On the down side, since I have been in the room with Cutler I have noticed a considerable more amount of coughing and it sounds like he is getting a bit congested in the nose again.  The nurse just checked his vitals and listened to his lungs and everything looks and sounds normal, so lets hope it is nothing more than a little congestion in the nose and an itchy throat.  No infections please!
One other thing that I noticed after his last batch of medicine is that his face was turning very red, almost like a rash.  The nurse believes it might be a reaction to some of the medicine he just received, so she gave him some Benadryl and so far it looks like it is working AND it has helped him go to sleep as his sleep for me this afternoon has been a bit fitful, but he is now sleeping soundly.

Mason’s First Soccer Game

Master dribbler

Master dribbler

Not a lot of time to write it up, but Mason had his first soccer game today.  It was quite an interesting experience, but he did manage to score two goals, one of which was assisted by his good buddy Brody Hobbs.

Membership Has It’s Priviledges

Arrrr, Go Vols!

Arrrr, Go Vols!

Just moved again, but fortunately not to the PICU.  We moved next door into a much larger room.  It feels like the penthouse compared to all of the other rooms we have had the pleasure of occupying.  This one actually has an entire wall of windows, unfortunately they face east, but with all of the rain we are having here that shouldn’t be much of an issue. 

Apparently this room is reserved for those that will be here a long time.  Hopefully long time means only a few more weeks until we can get Cutler home for a few days before starting the next round of chemo.  What’s good about this room becoming available is that it means that a little girl got to go home today!  I look forward to the opportunity to pass the room along to the next survivor after Cutler finishes this battle.

By the way, did you know that September is Child Cancer Awareness month?  Irony really stinks sometimes.  On that note, we have been blessed to have such a tremendous network of support on all avenues and we are still getting offers of “let me know what we can do to help”.  What we have recently discovered, is that for the locals, if you make a blood donation in Cutler’s name, we get a credit with the blood bank.  So, from what we have been told if you go to any Carter location and provide them with Cutler’s name and dob (3/14/09) we will receive a credit which will help go a long way at the pace he is going.  Their web site is http://www.carterbloodcare.org/.  For those that don’t live in the local area, donating in his name won’t help us in the same manner, BUT it will help someone else.  So in recognition of Cutler and the Child Cancer Awareness month I would recommend donating blood if you have the time and ability.

I have been touched by cancer a few times in my life and have lost some loved ones very close to me, but it is only now that I am really seeing what cancer is all about.  I had no idea how much blood and platelets come into play and so be prepared for a soap box occasionally about the importance of supporting via donations of both blood and to cancer charities.  I only wish I had been more proactive before now, but I am quite certain we will be heavily involved going forward.   You don’t have to be a Vols fan to be a Volunteer, but it doesn’t hurt…just ask Mason. (Please refrain from any Gator taunting after tomorrow’s game)