Brenan's doctor came by to see him today around 2:00. He said that their diagnosis for Brenan continues to be acute lymphoblastic leukemia (ALL) and non-Hodgkins lymphoma, a combination of the two cancers. Today is his fourth day of chemotherapy treatment. He is feeling very tired and nauseous, with pressure in his head, headaches, and fatigue. These side effects are all very typical of chemotherapy. Aunt Viv suggested the use of Sea Bands to help with the nausea. Dad went to the store yesterday and Brenan is wearing them now.
Because of his fatigue, we had to turn away some visitors today, and we apologize. Although Brenan greatly appreciates every person who comes to see him and is so grateful for the support, sometimes he is unable to handle too much conversation or visiting. Don't be surprised if visiting for a few minutes turns out to be a session of just sitting quietly near Brenan while he rests. In lieu of swinging by the hospital, Brenan asks that you donate blood. Even if the blood doesn't get to him, just being involved in this experience has made us all realize how needed blood donations are and that every little bit helps all who are stricken with cancer.
On Day 15 of chemotherapy, the doctors will perform another bone marrow biopsy and lumbar puncture to evaluate the progress of the treatment. We are still waiting for the results of the Mayo Clinic evaluation of the samples and we should hear more about that on Tuesday.
Here are some "what if" scenarios:
If the induction period of chemo (what he is going through now) appears to be working, they will finish this session in the hospital then he would be released for a week or two until his white blood cell count builds back up again. Then Brenan will need to begin a second round of chemotherapy treatment. This second session will take place at either Mayo Clinic in Phoenix or Scottsdale, or at Good Samaritan in Phoenix, or possibly in Tucson at a specialty clinic.
If the chemotherapy treatments are not as effective as the doctors want them to be, there is a possibility that Brenan may need a bone marrow transplant. I will be the first tested because siblings have the best chance of being a match. More to follow on that avenue later, if it develops into more than a "what if."
Brenan wants me to thank everyone who has sent cards, money, text messages, and has visited - so thank you very, very much! While I was typing this blog entry, I turned to Brenan and asked how he was feeling so I could write about it and he said faintly, with his eyes closed, "Stupendous." So there you have it. :)