Monday, April 01, 2013

Evie Update #14

Hi friends,

It's starting to look like Spring has Sprung......and we're thrilled!  Spring is a new beginning....and after this past winter, our family is totally ready for that. 

As far as the medical goes, the past few months have actually been fairly quiet....which is fantastic.  Evie has started her 4th cycle of this chemotherapy protocol, which has a total of 8 cycles.  She is still tolerating it well, though we have started to notice some things; Evie's hair is thinning (on this protocol thinning is quite normal, and she is not expected to lose her hair completely), and she is suffering the effects of her 4 day at home meds a bit more, on a slight delay.  Evie is able to take her meds at home with ease, it really is incredible how cooperative she is about it, even when being woken up at midnight and constantly commenting "this medicine tastes yucky",  however the week afterwards, she is a bit grumpy, a bit tired.  She seems to get through it, and she makes it easier for us to as well. 

We had an unsettling appointment a few weeks ago with a new SickKids clinic.  Upon careful review of her last MRI (Jan. 24th), it was discovered that Evelyn suffered a small "silent" stroke.  As you can imagine, this was not easy to hear.  Everyone has had so many questions, mostly along the lines of "when?" and "how did it go unnoticed?"  I'm going to say it right now - tread lightly here people.  Paul and I were devastated to learn this news, and there have been many feelings of incompetence and guilt that have followed.  Just try and think about this, nobody knew.  The time frame we have been given, is "sometime between MRI scans" - because the stroke didnt show up in November, but did in January.  During this time period, Evie was under the care of many health professionals, and I have talked to all of them.  The signs we would have perhaps noticed were simply weakness in her left arm, specifically in regards to muscle tone.  Well, as many of you will remember, when Evie came home from the hospital in November she was so weak she couldnt sit up unsupported, and had to essentially re-learn everything.  I have gone over her records with her therapists at Holland Bloorview as she was in therapy every day, and never once did any of them note a weakness in her left arm, at least not any more than in her right.  This is precisely what makes it "silent".  Really, it's kind of incredible that this has happened and we really arent seeing any effects.  Moving forward, it does mean we have more to watch out for.  Evie now takes aspirin daily to thin her blood and reduce the chance of another stroke.  We now also check in with the SickKids Stroke clinic.

We are now waiting on follow ups with Opthamology (April), Endocrinology, NeuroSurgery, Stroke Clinic (all in June), and her 11th MRI (hopefully in April or May).  With therapy, Evie sees Physical Therapy twice a month, but has graduated to once a month for her Occupational Therapy - incredible.  Chemo is still every two weeks.  In between all of this, Evie has started swimming lessons, and in a few weeks will celebrate her 3rd birthday!  Pretty crazy how time flies. 

I will leave this email by again reaching out to you, our amazing friends and family by reminding you that Evie's Team is participating in Meagans Walk 2013.  We invite you to join our team and support a great event - it really is a lot of fun. 
You can join in the fun, or make a donation here:
 Join Evie's Team
Support Evie's Team

As always, thanks for the love and support,

Paul & Kristine