Delayed Intensification Update

It's been a tough, tough week for Chase & us too. He started DI last Monday, August 10. We were in the main hospital at 9am and checked-in at surgical admitting. We were once again isolated due to his VRE. We stayed in the admitting room up to about 3pm then was transferred to the Pre-Op. I managed to keep him busy. He did not scream for milk just like the last time. The procedure was really quick this time. It usually takes them more than 30 minutes before we are called to the recovery room. I guess they were in a rush because we are heading straight to the clinic afterwards. We got to the outpatient clinic just after 4pm. Dr. Freyer gave us an overview of this Phase & told us what to expect. The Delayed Inetnsification is divided in 2 phases. 21 days for each phase. Here is his chemo schedule for the first 21 days.

August 10, 2009
Vincristine (VCR)
Doxorubicin (DOXO)
Methotrexate (MTX) by lumbar puncture Dex

August 11-16
Dex

August 14
Peg Asparaginase - shot in each leg

August 17
Vincristine
Doxorubicin
Dex

August 24
Vincristine
Docorubicin
Dex

August 25-30
Dex

We left he hospital at 7:30 pm. The latest time so far.


We had a hard time giving his Dex. He was able to taste it in his milk & does not want to even hold his bottle. During Induction, He took Dex twice a day, 3-1/2 tablets. We did not have a problem because the milk masked the taste. Right now, since we have to give him 6 tablets in the Morning & 5 tablets at night. The taste of the meds is stronger. He managed to drink it but in several small doses in the morning & at night. (Just found out from the Doctor last Monday that we can't do that. He has to take full dose in AM & PM and not spread around in the AM or PM.)

Steroids started to kick in on Wednesday. Suddenly, a different Chase we saw. He was very irritable, cranky & was crying non-stop. He was not smiling & was very tired. He does not like anybody else except for me. Not even his dad. He was not as hungry as the last time and did not each much as expected. He slept several times during the day & was awake in the middle of the night. That means I am awake too.

We went back to the clinic on 8/14 for his Peg Shots. Chase was very unhappy that we were in the hospital. He was crying non-stop. Same scenario yesterday 8/17 for our clinic appt. Just when we got to the 5th floor, he started yelling and was crying so hard. You can hear his voice throughout the 5th floor.

We discussed our problem with the oral meds with Dr. Freyer. We are suggesting to put back his NG tube. But, he really wants him to learn. Everyone was asking us to speak with Child Life. But, we have. We've tried their suggestions & techniques. One big problem is that his choice of food is very limited. No juice, jello, ice cream, yogurt, pudding, etc. Several nurses also offered to help give his meds in the hospital & no one succeeded. He is really stubborn. We'll have to wait & see how next week is.