Ben February 2009,
the day before he was finally discharged from the hospital to come home.
In an earlier post I'd mentioned Ben has been struggling but haven't had much time to post details. Here's the last few months of Ben's health, in a nutshell--
--In February he had a huge sinus surgery, adenoidectomy and had tubes put in his ears. He'd been sick for a whole year and we'd tried lots of other treatments leading up to this surgery. The adenoids were sent for biopsy because they were large and CANCER, specifically PTLD (post-transplant lymphoproliferative disorder), was found.
--By the beginning of March lots, and I mean lots, of tests were done including a full body CT which showed the cancer was indeed all over his body but seemed to still be in the early stages. His dr's decided to not rush right to chemotherapy (chemotherapy and transplant patients are not a great combination) but to just reduce his immune suppression meds to bring back his immune system to fight it (it's essentially cancer of the immune system after all). So that's been the plan and things were good for a few weeks, the numbers were going down. We were happy.
--In April Jocelyn had bladder reconstructive surgery and got terribly sick and was more often inpatient at Primary's than she was out for two weeks. During that time Ben had a heart catheterization and biopsy. The concern with lowering immune suppression meds is that the heart may reject, but the biopsy looked ok, a few small issues, but overall, pretty good. We were hopeful. We also found out in April that Ben is allergic to all milk products, so we put him on a milk-free diet hoping that would cure his TERRIBLE diaper issues. Cody left for his deployment and we were blissfully ignorant thinking all our crazy hospital time was behind us for the present.
--Well, that was a crazy thought! And it has been crazy ever since. We are still at the hospital tons. In May we had super long clinic visits with oncology, cardiology, gastroenterology, and nutrition all in one week! Not to mention that same week we also had to go up for four days of stool samples! Poor Ben has been losing weight like crazy, he really is so tiny, and the diarrhea just wouldn't quit. We were all set to do an endoscopy and colonoscopy/biopsy when the stool tests came back that he has C.diff (like the worst bacteria EVER, seriously, it's like the equivalent of the Black Plague at the hospital because it is so catchy and SO hard for kids like Ben to get over). He's been on two weeks of crazy strong antibiotics to help with that and has just finished his dose. Another stool test will tell if it's gone or if we have to continue.
So we didn't do the intestine biopsy because he had active infection, plus his blood test had shown his platelets were low (he usually runs between 220-275, normal is 150-400) and Ben's were 75. A week later, after dr's chose to stop another immune suppression med to see if that would help out, the platelets had dropped even further to like 50 something. Then today after 2 weeks on the antibiotic and with the anti-rejection meds as low as we can go the platelets still dropped further-- to 42! He is covered in tiny, and not so tiny, bruises all over his body and he seems pretty dizzy too. He's also had some EBV tests (cancer blood test) which look like the cancer is on the rise. How much and where it is exactly we don't know.
On a side note, they had started a new medicine to increase his appetite and I think that is improving, it's just that, now that he's hungry, he doesn't want to eat milk-free stuff anymore. (I agree, in my mind it doesn't take long for that diet to be super "un-fun".)
So Cardiology was nervous today, symptomatically, he seems so much better--the diarrhea is beginning to improve and he is eating more and is quite a bit happier it seems. So in some ways he's so much better that if it weren't for these crazy platelet results and the fact that the cancer tests are on the rise I wouldn't feel so concerned, but cancer, as you know, often doesn't have a lot of loud crazy symptoms that are easy to recognize (like profuse diarrhea or a bad cough that let you know you are pretty sick). Cancer can be silent while wreaking havoc on a fragile little body. That is why it's absolutely imperative we rely on the blood tests and other tests to help us know what's going on that we can't see.
Ben this February.
Ben's oncologist has ordered a bone marrow biopsy for tomorrow hoping that will tell us what is going on and what can be done about it. I am feeling a little terrified. Ben's never had one of these before so that makes me nervous, but also I am worried about what the results might show. Where is the cancer hiding out? Will they start chemo? Is his body strong enough to deal with that? I can't see the future, I don't know how this will all play out. But in the meantime I will keep doing my best to take care of him and our other three kiddos and put it in the Lord's hands and hope for the best. Please keep him in your prayers if you can. Please don't underestimate what a help that really is for Ben and for us as a family. He is a living miracle and we are tremendously blessed to have him.

