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Nicholas NY

June 12

Nicholas is still in ICU, feeling a little better, not so much pain anymore and no more fevers. Blood pressure is back to normal but still not eating and has some diarrhea which they need to get under control before he can get out of ICU, they are worried about dehydration and blood pressure drops if that happens. Nicholas had a GI test on Friday which the biopsy results show no cancer there. They did say he has a mild case of colitis which with the antibiotics he is on and time will heal itself, also a lot of inflammation in there that is also why he is not eating as this is all very painful. He also has traces of an infection due to becoming immune to antibiotics (I believe it is VRE but I am not definate on that as I am drawing a blank right now), so they are giving him a super antibiotic to help cleared that up for 7 to 10 days. They are also talking about a CT scan tomorrow as his bilirubin is a little high and the ultrasound yesterday did not show anything funny. They are talking about giving him a low dose of chemo tomorrow to cover him as his second cycle was suppose to start June 4th and with everything going on it has not happened yet and they do not want the cancer to take control.

We have also talked with a doctor over there who does stents and we might be having that done as soon as Nicholas' Hemmoc doctors say it is ok up in Albany, as the rate we are going he is not making to Sinai anytime soon. We are hoping it clears up a lot of issues with his stomach. They also did an echo up in Albany on Sunday and his heart function is perfect.

Not sure how long he will be in the hospital but he is starting to feel a little better each day so hopefully soon. He needs to also build his strength up again as his legs are shaking and weak, also got those tremors back from the chemo which he is back on his Neurotin medication to help with this.

May 27

Nicholas is home. Came home yesterday evening. He is doing well. His doctor told us his liver numbers are the best she has seen from him yet, so by this she believes the treatment is working!! First cycle is over but we are waiting on the stent issue, we will go to Mount Sinai this Friday to see when this is going to be done as his hemmoc doctor wants this complete before his 2nd cycle begins. Right now he is taking a much needed rest, we all are!!

May 23

David,

Nicholas first cycle is over. Chemo went well and he tolerated all medications like a warrior. He came home on May 11th, best birthday present and mothers day gift for me. Went back in on Monday the 14th for his in clinic chemo and also found out his white count is zero. Unfortunately, on Wednesday the 16th he spiked a fever so admitted into the hospital on that day. By that night he felt better and didn't run any more fevers as he was put on antibiotics. He is still there as he ran a fever again on Sunday night with a new infection and we also had an issue with his blood pressure dropping. He is doing much better now and hopefully will be home soon as his white count is starting to come up now and his blood pressure is back to normal. His next cycle is supposed to be around June 4th as long as all his numbers are good or unless his cardiologist decides to do the stent; still waiting on what is going on with that.

May 10

We now have a roadmap of treatment. Unfortunately, his doctor has been talking with John Hopkins and they believe this is a relapse and not something that was hiding. Relapse with t-cell is very serious and dangerous. I do not know if I agree with them as this child has not been on chemo for a month and nothing has changed with his numbers. I still believe this was something hiding just like I believe my son will beat this horrible sickness.

He is on a 6 cycle treatment, after the first cycle he will most likely has his shunt put in. After the 2nd cycle he will go and have bone marrow harvested. After the third cycle a biopsy and then continue until the 6th cycle where after this they will go back and give him a high dose of chemo and then transplant his own bone marrow back into him and this is suppose to cure this t-cell lymphoma. They used this treatment on a liver transplant who survived this cancer after relapse.

Right now we just have to continue to pray Nicholas will get better and not sick, as if he falls sick that will not be a good sign. Please keep Nicholas in all of your prayers.

Your friend,
Michelle

May 8

Nicholas took the news well on Sunday, as you can see with his new haircut. We told him about getting sick and having to be away from people again when his counts are low and possible hair loss. He is truly one of the toughest young men out there and I am so proud of his courage, he teaching me so much about life that I never really knew or understood until I had him. Children are just the best thing in life!!

Everything is going well. Nicholas had his marrow and spinal tap yesterday and everything looks clean as can be. He started his chemo last night at 5 pm and has tolerated it like a champ. He will get three more days of 3 chemos and if everything continues to go well he will be home on Friday. He will then go back on Monday for a 2 hour in clinic chemo and once his numbers (white count as that will go down) are good he will go into Mount Sinai for the shunt in the vein going to his liver from his heart so that is fixed and working properly, we believe Dr Love will be doing the procedure, he does all of Nicholas' catherization and is a brillant doctor.

Not sure on the total road map of treatment at this point, should have it tomorrow. But they are talking more like this is not really a relapse but minimal amounts of the original cancer that just needs to be wiped out, it is really a small amount. We believe so far the plan is 2 or 3 cycles then a biopsy. We are just hoping this time around it is a lot easier on him as he is more healthy than last year.

Please continue to pray for our little man.

Your friend,
Michelle

May 3, 2007

We are preparing for Monday and trying to keep it together but I find myself turning into another room so Nicholas does not see me cry. We will tell Nicholas on Sunday what is going on, we want him to enjoy his weekend at his grandparents house riding his quad. We were notified yesterday that the chemo is going to be intense and his doctor has told us that she was told there is only one survivor who relapsed with this cancer, she is hoping Nicholas will tolerate the treatment at this point. He continues to not look sick and we are just praying that since is he more healthy today than he was last year that this will not be too hard for him and he will again beat this horrible sickness.

I will try to keep in touch and let you know how next week goes, he is supposed to have a 5 day chemo course in the hospital. We will find out all the details on Monday.

Michelle

May 1st 2007

David,

Unfortunately, I am writing you with an urgent prayer request. We just found out today that the cancer is back. His biopsy showed a 10% sign of the T-cell lymphoma in his liver. It is nothing like what he had but it's there. Will are going in on Monday for a bone marrow test to make sure nothing is there and then he will start a high dose of chemotherapy again but a different kind. We are very upset and confused and scared with everything that is going on with his liver and pancreas. Nicholas just finally started to recover from everything and now he has to go through all these toxic medications again. We have not told him and we are not sure if we are just yet; right now he thinks he is just going in for test and some chemo.

Please keep Nicholas in your prayers.

Your friend,
Michelle

April 18

Sorry I didn't get to you sooner. Nicholas is home, he got home yesterday and is doing great. He is still on IV antibiotics until Friday which we do at home (My husband is great with the IV's). He had two issues going on last week, a pneumonia and an infection, which both should be gone now. We still have no results, just praying we do not hear the word cancer again. We do know there is something going on with his pancreas, it might be damged or he could be a clogged duct somewhere, tests are being done with the biopsies and the GI doctors are involved and hopefully we should have some answers soon. We go to clinic on Monday morning for blood work and hopefully answers, so I will email you next week.

Through all this we found out that the immunosuppressant drugs can damage your pancreas, and prograf almost always damages your kidneys (which is why I guess they do not use this drug on kidney transplant patients). So the kidney doctors in Albany are now looking into how much prograf he was on and if it caused any issues with his kidneys since his kidney levels get elevated sometimes when he has procedures. The good thing is if it did do any damage he is off of this drug now and his kidneys will get better with time. We knew prograf can cause issues with the kidneys prior to transplant but didn't really know it happens a lot. There is so much information that is left untold about transplant and I guess some people find out the hard way, but what other choice do you really have. I just hope Nicholas is finally going to get a break and start enjoying his childhood.

Dealing with doctors is exhausting and mind boggling. This whole transplant journey (which I wish on nobody but I am glad my son has his second chance in life due to it) gets more and more confusing and I wish they could just come up with better medications that do not cause so many bad side effects.

Talk to you soon,
Michelle

APRIL 10

Nicholas could all really use the prayers right now. His surgery went well yesterday but he is in a lot of pain in the hospital. He ran a fever of 103 this morning, which broke, and his 02 stats were a little weak so they have an oxygen mask on him. We are awaiting biopsy results, his liver looked a little greenish and he had a few hard white bumps on his pancreas that are being biopsied. His stomach looked fine and they fixed his hernia as well. We found out his last attack was a pancreatitis attack which he no longer shows signs of but they are keeping an eye on that. His blood work is coming back fine but we are very nervous at this point and just want to know what is going on. Hopefully we will have some answers tomorrow. Nicholas just wants to come home.

Michelle

April 8, 2007

Nicholas has not been feeling too good lately with his stomach so we cancelled going down to the Bronx to be with the whole family. Last weekend we tried to go out to dinner for my Mother's birthday and a half hour into being there Nicholas had extremely bad pain so we rushed out of there. He spent Sunday night in Albany Medical Center as he ran a fever of 103 on Saturday night so we rushed home at 5:30 in the morning and my husband brought him up to the hospital. They believe it might of just been a bug as he also could not hold anything down that night of the fever.

Tomorrow is a big day. Nicholas is having his surgery and will be in the hospital for at least three days. They are doing a liver and spleen biopsy and also looking at his stomach as the CT scan on Thursday showed his stomach lining was red and thickened, they are also pulling out the hernia. The doctor pulled him off of his at home chemo pills last Tuesday and he also got his last dose of Vincristine a week and a half ago. We are a bit nervous about tomorrow and we are praying for good news as well as finding out what is causing all his stomach pain.

Please keep Nicholas in your prayers tomorrow.

Happy Easter and I hope your day is filled with happiness.

Your friend,
Michelle

March 10, 2007

Nicholas had his IVIG transfusion yesterday, the second of six. He always gets a reaction of a severe headache and chills half way through, but the doctor says he needs these to help him get rid of infections. She believes these will help as Nicholas keeps getting sinus infections and his antibodies are low due to all the chemo drugs. He also had another ultrasound to view the sack of fluid that is back. They noticed that his liver is a little enlarged as well as his spleen, but she does not believe it is the lymphoma again as all of his numbers are getting back to normal. We tried to go for a ct scan but Nicholas after the long day and his transfusion could not keep down the contrast for the scan. He drank half of it before he threw it up, so we had the scan cancelled and rescheduled for Monday morning. I knew all these tests were going to be too much on him yesterday but we had to try as they are very important. Once the CT scan is done she will decide what steps to take next, she believes this is happening due to medication toxicity (not sure if I spelled that right), all the medications he has been on might be becoming to toxic to his body now. If this is the case she said we will have to stop the at home chemo pills. She is probably going to order a liver biopsy soon as well. He has one more dose of Vincristine this month so a biopsy was suppose to be done after this but might get done sooner. We also go on the 16th for his cardiology checkup, so Nicholas has another busy week of doctors and therapy.

Skylar is also sick, she has an slight ear infection and is on antibiotics. We are so lucky to have children that take medicine so good. I think watching her brother shows her how important medicines are too take. She is already feeling better, not that you could really tell she was sick, it never stops her.

Drew and I are just exhausted, but Nicholas and Skylar are the important ones so we will get some rest eventually. Take care of yourself and we will talk again soon.

Your friend,
Michelle

January 27, 2007

Nicholas is doing well considering everything he has been through since Christmas.

Well, he started running fevers during Christmas time, we found out he had a sinus infection and those chicken poxs were coming back, so back on antibiotics. We also found out about a staff infection which they try to treat with antibiotics (iv at home for 7 days) but unfortunately this did not work. They had to pull his broviac line as it was bad, everything went well with that surgery. He was scheduled to get his port-a-cath on the 22nd, which they want to put in due to his vincristine pushes in clinic and also because it is so hard to get blood from him, this line is under the skin so no exposure and less chance of infection, people live with these lines for years. But this was cancelled as we saw cardiology on the 19th for his checkup as they saw some double heart beats on his echo. So on the 22nd he went in for his annual cardiac catherization (2 months early), everything went fine. All the pressures where great, no signs of double heart beats the whole 1 1/2 hrs he was under and the best of all NO REJECTION. So they cannot explain what happened with his echo, but we will go back on the 9th of February. He is scheduled for his port-a-cath now on the 5th, they pushed his vincristine treatment a week back to that day but he will go to clinic on the 1st for blood work and a checkup. He needs a break - a well deserved one!!!!!!!

With everything going on he has been a litttle moody but yet extremely good about it all. He is asking a lot of questions about his medications and why he goes to so many doctors (especially his heart medicines) and will Skylar ever have to take the same medicines. We try to explain but now he is getting older and we are going to have to figure a way to explain it to him where he truly can understand a little bit better on what happened to him when he was younger.

He is doing wonderful with his therapy. His therapists are so thrilled with his progress. We go to his school this Friday to discuss the Section 504 which he is classified under as he is limited to one or more major life activities. Not too thrilled at the way his school has been acting but we are definately people who do not back down on anything to do with our children. So this meeting should be interesting, at least his home tutor will be there with us. We are also looking into getting a neuropsychological testing done, this is very important to do with children that are on chemo (especially vincristine and methrotrexate, which he is on both). This will evaluate his brain and make sure the medications are not slowing his learning down. They usually do this testing within the first year of diagnosis and a few years later. He has not been showing any signs of not being able to keep up to where he should be, but it is important to do.

I hope all is well with you and your family. We think about you often and are thankful everyday that we found such wonderful friends in 2hearts.

Take care and please keep Nicholas in your prayers, especially on the 5th when he is in surgery.

Your friend,
Michelle

December 28, 2006

He is starting to feel better. Unfortunately, he has a double sinus infection and the chicken pox were coming back, so he is on some heavy duty antibiotics. We had to take him up to his Hemmoc doctor in Albany yesterday as he was running a 103 fever and we found out about the infection and the poxs. Then today we got called as one of his cultures came back positive, so up there again for more antibiotics. Hopefully, we do not hear from them again and all is okay with these blood cultures. It has been a crazy two days and we are all exhausted.

With all that said and done he did enjoy his Christmas and got lots of stuff. We have a plan to go through all his old toys this weekend and get the good stuff together and give them to children who do not have any toys.

Hope you are feeling well and your holidays were good. Let's all have Happy & Healthy New Year this coming 2007.

December 26

Unfortunately, Nicholas is not feeling too good today and we will be taking him to his Hemmoc doctor in the morning. He is running a fever of 101.7 which is the second time today. So hopefully this is nothing serious but I will let you know once we find out.

November 18

Nicholas' preliminary results from his MRI are normal. His EKG is almost back to normal so cardiology is not too concerned but he will see them again December 15th for a checkup. He goes back to Hemmoc on November 30th, every two weeks with them now. Finally started PT today, the gentleman Andrew is wonderful and Nicholas clicked right away with him, another person will come for the OT part of his therapy so hopefully that will start next week.

Unfornuately, we are having some issues with his school. They tried to cut his learning down to 3 days instead of five.

November 14

Nicholas is doing well. Some pains here and there due to his maintenance chemo's which he started almost 2 weeks ago. We also brought him to a neurologist who told us why he has tremors. Seems the chemo destroys the barrier around your nerves and he is slower recovering from this which can also be painful but they should fade in time and with PT/OT which we finally got approved from his insurance for in home treatment, which should be starting any day now.

He is also going in for an MRI of the brain on Thursday. He was complaining about burning on the back of his head so the neurologist wants to make sure everything is okay. He has his checkup with Hemmoc as well this day. And also we need to have his EKG redone. We went to his cardiologist checkup on Friday and his echo looks great but the EKG did not look the same, could just be messed up leads so we will have a cardiologist up in Albany just redo the EKG and fax it down to NYC. So we will have a very busy day this Thursday.

October 28

Nicholas spent a lot of time in the hospital this past month. First with a bout of the chicken poxs which only localized itself to his right arm, which is where he got the vaccine when his was 15 months old. It has been clearing up with the help of antibiotics which he is off of now. Being that it could be very dangerous for an immuned suppressed person he spent a fews days in the hospital. About a week after that he was back in for the weekend due to fevers which was most likely due to the fluid in that sack.
Another 3 days after that he was back in for surgery, which went extremely well. The sack of fluid was removed and a liver biopsy was done. And what wonderful news we received on october 24th. NICHOLAS IS IN REMISSION!! Our baby has beat the worst, oops cannot call him a baby he yells at me, our LITTLE MAN!! He will be on a year maintenance, chemo medications in pill form taken at home and once in awhile an IV push in clinic. Once he does not have to get the pushes anymore they will remove the broviac line. He is slowly coming off of some medications, the prednizone is gone finally so we are now trying to get him PT/OT to help with his strength building.

Thank you all for the prayers, they truly work!!!

Michelle

September 29

Daivd,

How are you doing? Nicholas is doing ok, clinical wonderful, but having some really bad joint pains for the last three days most likely due to long term use of prednizone. He seems better today and hopefully we do not hear him scream anymore as it is just horrible to hear your 6 year old son scream in pain and you cannot do anything but console him.

He finished his 5th cycle on the 21st and also that was our farewell to Mount Sinai, he is now up at Albany Medical Center for his Hemmoc care and we will see the Cardiology team on Oct 6. We also just learned that the cardiologist at Albany learned from Dr Gelb, who is Nicholas current cardiologist, and was also an Echo specialist at Mount Sinai years ago and he now heads up the Albany transplant cardiology team. So depending on how the first visit goes we might eventually move his care for cardiology up there as well. We will miss Dr Bhojwani (his Hemmoc doctor) as we love her and if we leave Dr Gelb we will miss him as well but the hospital itself is not what it used to be and we feel Nicholas is best up at a cancer care hospital/transplant hospital we trust.

October 12 we will meet with the surgeon as the fluid in Nicholas gall bladder area needs to be removed surgurical and should of been done awhile ago, draining did not do much. So he will most likely be going in for surgery the week of the 16th and they will also do a liver biopsy as well, they are all thinking the way his labs and scans look he might already be in remission. If this is so he will be put on a maintenance schedule and slowly be taken off the prednizone. He will not go another cycle until after surgery, if surgery does not happen for awhile he might be put on some maintenance oral medicines until his surgery.

It has been quite hectic with doctor appointments and everything else. He goes to the doctor anywhere from 2 to 3 days a week for blood draws and we have a nurse come to the house 2 days a week to change his dressing on his broviac line. He is now getting tutoring from his school, so the teacher comes right now 3 days a week. It is crazy but he is holding up well.

Please continue to pray all goes well with his surgery and his biopsy, it would be wonderful to hear the words 'REMISSION' just like it was wonderful to hear we have a 'HEART' for your son.

Your friend,
Michelle

 

September 17th

David,

Sorry it has been awhile, it has been crazy. Also, my computer is just about ready for the garbage. I think it is going to be time for a new one as I cannot do anything on this one anymore.

Nicholas was suppose to start chemo on the 7th but one of his liver function levels was a little elevated (back to normal now), so they did not start him. On the 7th they took blood and on the 8th they did what you call an 'Indian scan', but his blood back in him with some sort of nuclear medicine and did his scan. This scan showed some fluid, which he has had there for awhile, which looked like it was infected. They admitted him to the hospital on the 10th and on the 11th they drained this fluid and put a new broviac in as his old one was failing. Everything went great with the procedure but 72 hours after they drained the fluid something started to grow, but it seems they got it before it became a major infection, so he is on antibiotics until Wednesday. He did start his 5th cycle on the 13th while in the hospital and was discharged on the 14th, he will go again this week for more chemo then rest.

We had a party for him on the 9th, he had a blast with his friends and cousins. It was small but fun. His benefit was on the 16th and it was just incredible, the whole community is very caring and generous. There were so many people who donated there time and gifts to help our son out, we will truly never forget this day. Rhinebeck Ford even gave him a REAL QUAD and it is blue, he rode it all around the lot and he took a small spill at the end of the benefit as he was going too fast but thankfully he only scratched up his finger. He was quite scared and said he would never go on it again, but as soon as it showed up to my house he came outside with his helmet on and started riding but this time much slower.

We also might be switching his care to Albany after this cycle, we are in discussion about this might being in Nicholas' best interest. We have already spoke with Dr Pearce in Albany and she is more than happy to have Nicholas; in fact her associates always say she talks about him often. We will talk with his doctor at Mount Sinai on Thursday, we love her but the rest of her associates and the hospital itself is not to pleasing to us anymore- too many mishaps.

Hope all is well with you and your family.

Your friends,
Michelle, Drew, Nicholas and Skylar.

September 4, 2006

It has been awhile and it has been quiet, thank heavens! Nicholas did very well during his 4th cycle. Did not get admitted at all, all chemo was given in clinic and he got to go home afterward. We start the 5th cycle this coming Thursday and if everything goes as planned at the end of the 6th cycle he will go in for a biopsy.

We have planned a small birthday party this Saturday, doctor said go ahead and do it as he deserves it. Will be at our house and in the backyard so no germs floating around in the house. He decided to share his birthday with Skylar being she missed a 1st birthday party in June. So we will have a Disney Cars theme but also have a cake for Skylar with Tinkerbell on it and a Cars cake for Nicholas.

Take care,
Michelle

August 19, 2006
Nicholas is doing very well. We went for the CT scan on Wednesday and most of the results were back and with wonderful news. Nicholas liver is back to normal size as well as his lymph nodes, liver function is a little bad due to all the chemo and that should go back to normal once he is all done with treatment. They do believe the tumor is gone but with this being such a rare and smart cancer will give him another cycle or two before his biopsy.

If the biopsy shows everything is good he will be put on a maintenance schedule for about a year. His blood work has also not shown any abnormalities for awhile now which is also a wonderful sign.
His fourth cycle started Thursday and went perfect. He also did not get admitted this time for the two days. We went home Wednesday after the scan and got him to drink alot of water at night and in the morning, so when he went in Thursday to clinic he was well hydrated and ready for chemo. Since he got all his chemo in clinic and was totally fine they said go home. He goes in next Thursday just for one medication in clinic, about an hour run and will then rest for 2 weeks. His spirits are much better and he laughs and smiles so much it is the greatest thing to see.
His birthday is just around the corner but this year will be quiet at home due his treatments. One wonderful thing though is that a local Ford dealership is having a benefit for him the day after his birthday, it will be a family day with a carnival, food and all sorts of fun, so I guess he will probably have the GREATEST birthday party ever!! His numbers should be good then so his doctor does not see a problem with him going and since it is outside we will bring him for awhile so he can see his friends and family.

Michelle

 

August 14, 2006
Transfusion at Albany Medical went well on Monday. Nicholas also met some other children while waiting for transfusion to be over. He seems to like Albany medical, guess it is also new to him.
Nicholas' clinic visit on Thursday went somewhat well, his potassium was low so he had to get some fluids in him. Unfortunately, they found this out just as we left the parking lot to go home, we were called on our cell to return so Nicholas was not too happy. They sent us home with a supplement and I am also trying to get him to eat more bananas. Blood work was good except for the potassium, white count was still down but we continue giving him his neupogin (hope I spelled right) shots up until yesterday, his doctor called and said to stop as he will go into the pediatrician tomorrow for a CBC. The doctor also said his liver feels smaller than last week!! We will return on Wednesday to Mount Sinai for a CT scan for his liver and be admitted for chemo for two days as long as his numbers are good, so this will start a new cycle.
I will let you know how everything goes this week. Please continue to keep him in all of your prays.
Your friend,
Michelle

 

August 5
Nicholas' cycle of Chemo is over. Tuesday went well and he was home Wednesday evening. We visited Albany Medical Center on Friday and he will go back Monday for a blood transfusion as his count was a little low and cardiology does not like him to be below 9 and he is at 8.8. So levels will be run again on Monday and if they are still low he will be transfused. It is a nice hospital and the doctor was very nice and great. He will use this as a back up in an emergency and for transfusions, eventually if we like it better we will switch his care there, we found out that day they did handle a PTLD T-cell patient but it was a kidney transplant so they are familiar with this rare cancer.
We go back to clinic at Mount Sinai on August 10th and on August 16th he will start his next cycle. He will be admitted this day also for a scan and 2 days of treatment. He is doing well and is looking better each day.

Your friend,
Michelle

 

July 29
We are finally home!!!
Nicholas was officially discharged on July 14th but wind up back in on July 16th due to fevers, he was back out on the 20th and we officially came home as a family on July 26th after his 2 day stay for chemo. He will continue to go to clinic and have some hospital stays for chemo for the next few months, we need to watch for any fevers as if anything above 100.4 twice in a half hour he is to be brought to the ER. He actually goes back in for the night this coming Tuesday. He will have a biopsy sometime in November of his liver to see if the tumor is gone, his liver is almost back to normal size and they did not see any abnormalities in is blood work so this is all a good sign but we are still not out of the woods yet. He is very frail, getting back his strength and trying to walk straight is tough but he is truly amazing! He is on a lot of medication, which usually he is good with meds and he is being a sport, but he hates taking so many, but he knows he has to until he is better. We are also montioring his blood pressure at home, he is on 2 meds for this ever since his seizure and being on prednizone we need to make sure it does not elevate again. He wanted to know when he goes back to school so we had to explain he will have a tutor coming to the house for the first few months, if I can I am making it for the whole school year so I make sure he doesn't get any type of school sicknesses.
When he came home he went straight for his swingset, a wonderful anonymous gift from a gentlemen that Mount Sinai child life specialist know. He also brought Nicholas a gas powered RC monster truck. It is wonderful to see him smile again.
I will let you know how this Tuesday goes, most likely a weekend email.
Please continue to keep Nicholas in all of your prays and thank you all for the support!!

Michelle, Drew, Nicholas & Skylar.

 

July 9, 2006
Nicholas is doing well. He started his cycle of Chemo on Thursday and will finish tonight. Was a little sick Friday but that has passed.
Another problem though is he now has the shakes, his feet are shaking and they are trying to figure out what is causing it. First we thought the weaning off the methadone, but that does not seem to be it. Then they are thinking anitbodies that sometimes happens with cancer that attack your nerves, so he is on high dose steroids to see if this is it, but the shaking is still the same. They will give the steroids another 2 days and then see where we go from there as it could also be the Chemo doing it. He had both a CT scan and MRI and everything was fine, they might do an EEG tomorrow. Through all of this his heart is still perfect!
He might be coming home soon!!

Michelle

 

June 30, 2006
David,
Nicholas had been moved out of the ICU and to the regular pediatric floor. There is even now discussion of when he will be coming home, most likely not for another 3 weeks at least, but soon. We want him to definitely stay for his next cycle which would be next week sometime after the holiday. Also, he needs to stop running fevers, he gets one every morning, which could most likely be the Chemo or the cancer itself, no tests coming back with any type of infections. He is responding nicely to the medication and all the doctors are pleased.

He looks wonderful, sitting up and walking around and playing. We are so pleased and happy!! Please keep all those prays coming as they are truly helping our little brave man!!!
We are so sorry to hear about Corbin. My families prays are with the family.

Your friend,
Michelle

 

June 16th
Nicholas has started his second cycle of Chemo today. Higher doses and he is doing well. He is getting a little depressed later so we are having the psychologist come in on Monday to just talk to him and see if he is okay. With everything that is going on depression is possible.
They did a lung biopsy on Monday, his lungs are a little damaged but getting better. They believe a virus could of been the issue. The chest tube was removed on Tuesday from this procedure and the broviac was also put in. His kidneys are totally back to normal, so no more tube, he is peeing on his own and is happy that the tube is gone.
I will let you know more as this cycle continues; sorry for the quick note but Nicholas is sleeping and I am sitting here in the dark trying to type.

Michelle

 

June 11, 2006
David,
Nicholas is doing well, no more seizures, he is currently on blood pressure medicine which he will probably be on when he comes home as well. He kidneys are totally recovered and his bilirubin went from 29 to 9.4 in a week!
But we have another obstacle, he started running fevers again a few days ago and breathing a little heavy. There is a possible lung infection going on. They are going to do a lung biopsy tomorrow as well as put a broviac line in as his pick line is going bad, this line is a longer lasting one which is good for him, he had this when he was waiting for his heart. We are a little nervous of this surgical procedure as they will put him on a respirator and have a chest tube after, we just hope he comes of the respirator in a short time as it was a little more difficult last time. We just hope they find out what this is and treat it as he was due for his next Chemo cycle on Wednesday but this will not happen until any infection is gone.
He class made him a video last week, if we had a camera and you saw his face, it was worth a million bucks!! I have not heard him laugh and smile that big in a long time - it was wonderful!!!
Thanks you all for the prays, they are truly working!!
Michelle
June 2, 2006
We had a bad night last night, Nicholas had a seizure. We went for a MRI today and it was due to extremely high blood pressure that is now under control. He is now alert and feeling better, they still have the breathing tube in from last night and will remove it tomorrow. It was put there as a precaution but he is breathing on his own, he hates this tube and cannot wait until tomorrow until it is out so he can eat. We also got some very good news from the MRI besides the above, the lymph nodes that were enlarged around the liver area are shrinking and the liver also is going down in size, the Chemo (and a low dose he has started on) is working!!!!!
He has also got rid of a lot of the fluid in his body and looks so much better, and I am sure he feels so much better.

Please continue to pray for our brave little man!!!!!

 

May 26
Thank you David, we need all the praying we can get.
The doctors are so far happy with Nicholas' accepting the first 2 days of Chemo, he has responded so far nicely. But we still have quite a hurdle to get over as they still need to give him 2 other medications of Chemo but need to wait until his liver can accept them as they can be quite toxic to the liver. We will see what happens in the next 2 weeks with his progress and the adding of these medications.

 

May 24, 2006

Some bad news. Nicholas has cancer. It is caused by his Prograf and very very rare. It is a Lymphoma but t-cell - a post transplant type of cancer. There has only been less than 15 cases in the US and only 3 survivals. He has started Chemo today and we are praying this works.

We are very scared as there is not much information on this cancer. Mount Sinai has called all over even St Judes. They are doing what any other hospital would do to handle this. Please all pray and if there is anyone out there with more information on this type of cancer please let us know.

 

May 20, 2006

We should have some news on Monday or Tuesday but it might not be good. This unfortunately is looking like either something auto immune or viral, unfortunately a side effect of transplant. They found dilated lymph nodes in an MRI yesterday around his liver area, he is very jaundice and his kidneys function is not so good. The bone marrow quick glance was fine. Hopefully the biopsy of the liver and gall bladder show something or they will need to go in again and get a specimen of the lymph nodes which we want to avoid as he is weak and sick. This is truly becoming a nightmare and I am praying that whatever it is can be treated, we are very scared at this point in time. Please pray for our little man, he is being so brave.

 

May 13

Nicholas is definitely going for surgery on Monday to remove g bladder. Might be sooner. They still are not sure if liver is being affected by this and will do a liver biopsy as well. We are praying that once surgery is done everything inside him goes back to normal. He had a visit from his baby sister today which made him very happy, otherwise, he is very blah. I gave him your hug from you - thank you!!

 

May 12

David,
Still no answers on Nick, he seems to be a mystery. Hopefully we will get some answers today as my husband is going above everyone's head to get some. Right now we are still in the hospital since Wednesday and Nick is on antibiotics, his liver is enlarged but they do not know why.
We will let you know what's going on as soon as we can. Please keep Nicholas in your prayers.
Michelle

 

May 8, 2006
Some good but also some bad news. Nicholas went for his checkup on May 5th and his heart is fine but unfortunately his liver is enlarged. He was hospitalised on Friday night and he came home Sunday. They got his kidney levels back down and his Prograf level back to a right dosage, it was extremely high. They still do not know what is causing this enlarged liver and have put him on another medication for now.

We will bring him on Tuesday for blood work and another sonogram as the first one was not too good, the cardiologist still believe it has something to do with his gall bladder. On Wednesday we will see the liver specialist and hopefully have some answers as to what needs to be done. Right now Nicholas is fine, no fevers tonight so far still keeping our fingers crossed and he is acting like himself. Please keep Nicholas in your prayers and I will let you know what is happening as soon as we have some answers.
Your friends,
Michelle, Drew, Nicholas & Skylar
March 4
I have an update on Nicholas. We decided to schedule his catherization for March 2nd instead of waiting until April 11th. We did this as the medicine they put him on for his migraines (Propranolol) was making him weird, his headaches went away but everything else was happening to him as we were extremely worried. First, he started vomiting at least 2 to 3 times a week, then he started to become flush at nighttime (I believe it was messy with his blood pressure, as this is also what the medication is used for), he was always complaining about his stomach and he was not as active as always. We took him off of this last Saturday and HOORAY Nicholas is back, hopefully his headaches will not come back too but we will bring him to a neurologist on March 6th.
On to the catherization, what a day it turned out to be. We were so proud of Nicholas this day, he actually sat on the table at his 'Test Doctor' and he put the mask on himself, of course with the doctor there, and his fears seem to be going away with his age. He was a little nervous going in but I think next year he will be okay. My little baby is turning into a braver little man! Everything with his heart is perfect and they did not do a biopsy due to this so our worries are gone. Unfortunately, 3 hours after the procedure he spiked a 102.8 fever so they admitted him into the hospital to keep an eye on him overnight. At around 5 p.m. fever was gone and no others fevers since, so we were out of the hospital at 8 a.m. All the time in the hospital he was more concerned about what his little sister was doing, so of course we had to call Nanny's a few times that night.
Next checkup will be on May 5th.
Nicholas is currently counting day the days until March 11th for his Disney Cruise. We will definitely send you pictures when they are all downloaded to my computer.
Take care and hope you and your family are all doing well!
Your friends,
Michelle, Drew, Nicholas & Skylar.

 

January 20, 2006

Everything went great. Nicholas' labs came back good, kidney levels are fine. They have put him on a new medication for his headaches, which prograf has been having issues with some of the transplant children at his doctors office. He hasn't had a headache in 2 weeks now! He goes for another appointment on March 24 the week after we return from his Disney Cruise and then on April 11th for his annual catherization. He has also slimmed down a bit, all that exercise at school, so they are happy about his weight, he was getting chunky!
Skylar has no heart issues, she will go back around the age of 3 to 3 1/2 years old for a recheck, but her heart is perfectly fine, thank God!!
Take care,
Your Friends
Michelle, Drew, Nicholas and Skylar
December 9
Nicholas will go for his checkup on January 6th. His kidney level in is blood work was still a little elevated at .08 instead of his normal range of .03 to .06 (since transplant). So they will redo the levels again on this day and if they are still elevated then they will worry that the Prograf is affecting his kidneys and put him on another medication to help stop this. I am just hoping it is due to him getting sick so much, he is catching something every other week from school. Skylar will also go and be rechecked and hopefully she will never have to see them again.
October 22, 2005
Nicholas is doing fine heart wise, kidney levels in blood work were a little higher than normal but he keeps getting sick from school. One level is back to normal and the other is 0.8 needs to be 0.3 to 0.6 went to 1.1. His prograf level was high to so they went down on his dose at night. Growing tall and his weight has remained the same. He is currently getting over strep throat and ringworm - UGH I am going crazy with these school sicknesses, 3rd sickness since school started, but cannot keep him bottled up anymore. He loves school!
So I take him November 10th to pediatrician just to redo blood so hopefully everything is back to normal. January 6th is his next appointment. March 11th we go on his disney "Make A Wish' cruise or as he call it 'The Mickey Mouse Boat', so he will be on the sea for his 3rd year out.
Anyway, we are still here and doing well. Hope all is well with you and your family. Take care!
Your friends,
Michelle, Drew, Nicholas and Skylar
P.S. Nicholas will be Dracula again this year for Halloween and Skylar will be a bat. I will take pictures and hopefully get them on email to send out. I think he is going to be Darth Vader in school for the Halloween party and parade - easier for him to deal with this custome in school. Sorry, I will stop rambling now..................

 

July 3, 2005

Hello,
Nicholas' 3 month checkup went wonderful. He is getting very big, would not believe he is only going to be 5 in September. He does not have to be held back from anything when he starts school in September.
Skylar was also checked out the same day. Her EKG and Echo showed her heart to be of a healthy baby girl! She will just go back at 6 months old and if nothing is found she will never see Nicholas' doctors again as a patient.
Sorry, if I am not in touch for awhile but two children now keep me very busy! Hope to talk soon and hope everyone is well!!
Michelle
April 16, 2004
Nicholas catherization went well yesterday. Everything looks perfect, his pressures are great and so are his arteries, blood work all came back great as well, no biopsy this time around.

He actually remembered the floor his 'Test Doctor' was on as soon as we got off the elevator he screamed his head off, my husband and I had to calm him down and tell him that it would be okay. The doctors were all great with him talking to him like he was a little man, they cannot believe how big he has gotten in a year, all the
nurses were lined up at his bed watching him tape himself in with all the tape he could get his hands on (he has always been a hit with the nurses). He has had a fascination with tape ever since he was hospitalized, and it keeps him occupied for a long time.

His next appointment is July 8 at which time his baby sister will be here already, we will also be taking her to see his cardiologist just as a precaution.
Take care,
Michelle

 

April 1, 2005
Just to let you know Nicholas' catherization was postponed until April 15th. They had to postpone as he is sick right now with a cold and has a runny nose and cough. Otherwise, all is well here. He is getting better and of course nothing slows him down. I will let you know when his results are in, please keep him in your prayers, this procedure makes us very nervous.

 

Feb 18, 2005

David,
Nicholas is doing wonderful. He went for his 3 month checkup on Friday the 11th and everything was great. The only problem was that the lab lost his blood work so we had to go back today for a blood draw. Unfortunately, they stuck him 5 times and nothing wanted to come out, so they are going to wait until he has his annual catherization during the week of March 29th. Keep
you fingers crossed as Nicholas hates this procedure, known to him as 'The Test', gets very upset at the mention of this so that day is not going to be a delightful one. I do not like these days either makes me very nervous!
He also went with me to my doctor today to check the baby and actually helped my doctor with the monitor to hear the babies heart beat, but when everybody talks too much about the baby he gets upset and turns away, but  he'll talk about her all day at home with no problems.
Hope everything is going well with you and you are feeling great!
Your friends,
Michelle, Drew & Nicholas

15th November 2004
Hello,
Nicholas went in for his three month checkup on Friday and everything is wonderful. Dr Gelb is very pleased with his progress so hopefully not another visit until three months from now. We are just waiting on his Prograf level (his medication) and as long as that is at a good level the visit will wait three months (which will be the norm).

We were also so happy his vein came back on his hand as they were able to draw his blood quickly: he screams his head off as he hates needles, so this time it was better than usual.
Drew, Michelle & Nicholas
16th August 2004
Results are in and nothing is wrong with the MRI, it is either the medicine or just a case of headaches. But thankfully all is okay with him!

Michelle

15th August 2004
..... Nicholas went for his checkup on August 13 and his echo, as his doctor put it, is 'AWESOME'. He said he is doing great. He lost 2lbs, so he is 50lbs., they are happy with that as he weight has been a concern, and he has shotup in height (getting very tall).

He also had to have an MRI done as he has been having headaches, and when he gets them they hurt really bad and only sleep helps most of the time. Other times he vomits.
They think it is the Prograf but they want to make sure. So we brought him to the Neurologist on August 9 and he said let's do the MRI just as a precaution. So hopefully we will know the results tomorrow. It was a long day in the hospital on Friday with his appointment then this procedure which they had to put him to sleep for - he screamed and fought as he hates that mask. He goes back in November. I cannot believe it has finally come down to once every three months.
He is getting ready to have his 4th birthday party, has to be a monstertruck party. He loves Gravedigger.
Keep feeling well and enjoy yourself.
Your friends,
Michelle, Drew, & Nicholas
31st  March 2004

Nicholas had his cardiac catherization yesterday and he had 0% rejection - hooray! They said everything looks great. He is off the pepcid now (he threw the bottle in the garbage himself), so he is only on prograf and aspirin which he will remain on for the rest of his life. His next appointment is on May 21 just before we go away to Florida for a 2 week vacation which we all need.

Thank you all for the prayers!

Michelle, Drew & Nicholas

 

14th  March 2004

Nicholas went for his checkup on March 12 (1 year out!) and everything looks perfect. He is doing extremely well. They have taken him off of 2 more medicines, his bactrim and nystatin. So he is currently on 3 medications and he will be coming off of one more within another 2 to 3 weeks. He will stay on the Prograf and aspirin for the rest of his life.

He is going for his annual catherization/biopsy on March 29, so everybody keep those fingers crossed that everything goes well (this proccedure always makes us nervous). I'll let you all know the results.

Michelle, Drew & Nicholas.

 

25th February 2004

Nicholas is doing well. He is currently getting over what they say is a slight pneumonia. He is on antibiotics and only has the cough now, the fever finally stopped on Friday after 4 days. He will have his cardiologist checkup on March 12 (his 1 year out).

 

16th January 2004

Hello,

Nicholas went for his monthly checkup today and everything is perfect. He is coming off the steroids totally as of February 27, then he is scheduled for his next visit on March 12 (which is the 1 year anniversary for his new heart). He then goes for his biopsy on March 29 and hopefully they will take him off of the bactrim and nystatin after that. Doctors are pleased with his progress and we are happy with the good news every time.

Bye,
Michelle & Drew
13th October
Hi All,

Just wanted to let you all know that Nicholas' 7 month biopsy results on 10/10 came back with 0% rejection (Hooray!). He is doing wonderful and is now only going to the doctor once a month. Next time we go back on 11/7 they will review his labs and medicine and most likely be taking him off of the steroids for good. His doctor is very pleased with Nicholas' test results and checkups everytime he sees him.

Michelle

 

18 August

Everything is going great. Nicholas' doctor is pleased with his progress and he will probably be going to see him every 3 or 4 weeks soon instead of every two weeks.
28th July
Hello,

We got great news from Nicholas' biopsy from Friday, July 25. His rejection is totally gone - it came back '0'. He is almost totally off of the steroids, down to 1 cc once a day (this makes him moody and gain weight). We are so happy! He is doing wonderful!

Michelle

 

15th June

Hello,

Here are some recent pictures of Nicholas. He is doing great. We go for a checkup on June 20 and the doctors are pleased with his progress. He is getting over a little bit of rejection. He was at a level 2 in May and on June 2 we found it is going away at a level 1a. The doctor does not seem to be worried, everything looks great by echo and he looks fantastic.

Happy Father's Day to all you Father's out there.

Bye,
Michelle, Drew and Nicholas

 

19th March

Hello all
Well it's Wednesday March 19 .........and guess what !! Nicholas is HOME..... he is doing great with his new heart. We have to go down once a week for a check up, for about 3 months. The doctors are saying that his heart is at 100% and as long as he takes all of his med's he will be fine. We have to watch him for rejection and infection so NO one that is sick or was sick can come around him.
So all is good and thank you all for praying for him.

Drew, Michelle & Nicholas.


14th March

"Nicholas has finally received his new heart. On March 12 our son finally had his surgery and is doing great. They are talking about taking the breathing tube out tomorrow. Today he looked up at me and my husband and grabbed our noses (it a game he plays) and his nose and threw them across the room. He has been heavily sedated now as they want him to rest up but is doing wonderful. I'll let you know when we are home!!!!!!!!!!!!!
I want to thank everyone for all the prays and I especially want to thank the family of the child who saved our son's life, God rest his/her soul and God bless the parents."

Michelle & Drew

 

4th February 2003

Nicholas is doing good. Finally just got over a bad fever, it was running 104 for 2 days. Finally on Sunday his temperature was normal again. He had a small infection they think was from his engrown nail. Thankfully he is back to himself. He is the King of the Pediatric ICU, they all love him.

Unfortunately no news of transplant yet; it was 3 weeks yesterday he has been in the hospital.

I will give him a hug from you and tell him you are still praying. He loves when I go and give him hugs and tell him they are from his friends who are praying for him. He loves people!

 

30th January 2003

Nicholas is 2 years old. He is awaiting a heart transplant in the hospital. He has been there for 2 weeks now and is getting very moody. He needs a heart soon.

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