Friday, March 26, 2010

That's what I'm talking about! (Day +11)

Max was in a lot of pain last night, why does it always seem that Max has his rough nights when I’m on duty?? I had another teary moment last night – feeling so helpless having to listen to my precious little boy groaning in pain throughout the night and not being able to do a thing about it. Consequently the morphine was increased again today – I much prefer seeing a happy, but groggy Max as opposed to a silent groaning Max.

There were a number of magnificent bowel eruptions during the night – not so much of a chocolate fountain, instead due to the mucositis, it was more like the sauce on a sticky date pudding (hmmm pardon the pun there…). As a result, my fab night nurse suggested that Max wear not just one nappy – but also an adult nappy to catch any escaping splodges….it was quite a sight….Sumo Max – we had to laugh!

We have recently come to discover a wonder drug – Lignocane-Xylocaine a topical local anaesthetic used for relief of pain associated with irritated or inflamed mucous membranes of the mouth, throat, and upper gastrointestinal tract. Within a couple of minutes of being squirted into Max’s mouth – voi la! – Max is speaking!




Some other pretty awesome news today…..we learned that Max’s White Cell Count (WCC) has risen to 0.6 (and his neutrophil count – one type of White Cell – was 0.16). This means that his immune system has now restarted!  We have been told that this is likely to fluctuate for some time, go back to zero for a day or so, but slowly trend upwards and it will be a while before they reach 'normal' levels. For example, for him to be considered not severely neutropenic his neutrophil count needs to be above 0.5 for three consecutive days. Each day we will now include his blood count numbers along with the normal ranges to give you an indication of what we're aiming for.

White cell count: 0.6 (6.0-17.0)
Neutrophils:  0.17 (1.5-8.5)
Haemoglobin: 80 (110-140) *
Platelets: <10 (150-400) *

* transfusions are topping these levels up at the moment, so they are not a true indication of where he is at.

Thankyous
  • To the many blog comments, personal emails and text messages received - we love getting them so much.
  • To Aunty Jo, Uncle Andy, Poppy and Digby for the PJ’s and clothes – despite the kafuffle in getting them to the posting stage – they arrived safely and unharmed! 
  • To Lyndal, Saleem and Jordan for the assortment of goodies – all super choices.
  • We also had a surprise visit from Mapa this morning which made Max oh so happy!
Tim's night tonight - I'm sure it'll be a 'boring' one!
Bee x

    7 comments:

    1. You guys are so technologically gifted - a talking Max! Now I have met him (well, almost!). I was amazed to read his counts, he is doing brilliantly. Those neutrophils are the tough ones, just like Max so hope they bounce straight up and stay there. You should start planning a lovely holiday somewhere when you are all freed - dreaming of a lovely tropical beach and an icey cocktail with a little umbrella while Max builds sandcastles and paddles in the water. Mmmm, just what neutrophils need. You go Max, your neutrophils are the strong ones too. Hope you all sleep well and wake feeling refreshed.
      Sue xxx
      PS sorry to delete - found a major typo - shame there is no "edit" function (as in life!)

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    2. What exciting news today brought. After last night's experience at seeing Maxi so sick we had to really focus on his parents brave optimism. Today however, 'Goodbye to rockbottom and hello to his growing family of white cells, platelets, neutrofils & haemoglobin'. Thanks Maxi for your debut 'You Tube' performance, you're a star.

      Much love Mawa & Marpa xxxx

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    3. Bee, Tim and Max,

      GREAT NEWS on the Neotrophils. Give it a few more days and the mucositis should quiet down as well, once the whites start to come in. Isn't it amazing how much of a difference it makes when you have a good nurse. Sometimes, they can really help you out with good ideas.

      Thoughts and prayers are with you.

      Jay and Evan Sivigny

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    4. So delighted to hear that the counts are on their way up! You go, Max!

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    5. Max - you beautiful, beautiful little boy!! Griffin has just been waving madly at our computer screen and shouting 'I love you Max' and 'You're my best friend Max'. Evie has also been waving and I swear that she just said 'Max' (at least that is what it sounded like to me!). Evie has woken this morning with signs of her first tooth popping through (it has only taken nearly 14 months!!), and so in honour of you, I think we will call it 'Max der tooth'! Griffin has also refused to take off his Royal Children's Hospital art smock since Thursday as he wants to look like he is in hospital with his cousin and best friend Max (and as it is a blue art smock, he actually looks like he is about to scrub in for surgery). You keep up the great work beautiful boy, and your Uncle and Aunty think you are the greatest!!

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    6. Good corners are being turned...fantastic.perhaps we can now have
      hose
      nose
      andWNHP(tried thinking up something..acronym will have to do!)
      So wnhp...onwards and upwards

      xxxxxxxxxxxxxxsandra andPeter

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    7. He is so beautiful and what a strong, strong boy. You are all amazing. I am excited by the counts go Max go!

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