Saturday, December 26, 2015

Evie Update #22

Hey gang,
Still there?  Who knew I neglected updates this long...eesh.  I'll try and make this one a quickie....but I must say this explains why I was getting so many questions!
Where we left things last March after Evie had surgery, we knew Evie needed to start more treatment but her team definitely took their time deciding what the best decision was going to be.  Given Evie had previously tried 4 other protocols, it was time to maybe think outside the box a little bit.  After much discussion, we agreed to a new line of treatment on a trial basis, which started in May.  The chemo itself is meant to be very low impact on her daily life: its a liquid that we give her orally at home every morning.  It does not compromise her immune system, and it has maintained a fairly normal quality of life. 
Now being eight months since she started, I can say that Evie being on this drug has not been all roses and sunshine.  It's true, she has been able to go to school and her activities, she attended camp and even went to her first full weekend at Camp Ooch in the fall (!!!) but there have been difficulties.  As this drug is very new, it is very closely monitored.  This means I'm at the hospital a lot with Evie, and she is being monitored with a whole bunch of tests to see how the drug is working including x-rays, ECG's, and Echo cardiograms - all part of her new routine.  This would be on top of the other regular follow ups with her other departments.  There have also been side effects.  Most notably, Evie developed a skin rash.  It started over the summer, and gradually got worse throughout the fall.  We had been treating it with a few different creams as it got worse, but eventually it was decided that the best course of action would be to "pause" the chemo to give the rash a chance to clear up.  The long and the short of it is, even though the rash cleared up off treatment, she still needs to be on chemo, so after a few weeks we restarted the chemo.  As expected, the rash is returning, but at least we have some measures in place already, and don't need to wait to treat it with topical creams.  Hopefully we can keep it to a minimum.

Last week Evie had her 21st MRI.  The results may be a bit skewed because she was technically off treatment for 4 weeks leading up to the scan, it's hard to know really.  The team has let us know that it looks like there has been slight tumour growth since her last scan in October.  They are encouraging us to stick to the course with this new drug, at least until we can scan again in April.  By then we'll have a better idea if this is the right course of treatment....so, it's not the best news, not what we are hoping to hear, and as often is the case, it's a bit of a waiting game. 
There are really no other changes or updates about Evie - she's doing well, she's in SK, she loves being a Spark, and is currently in ballet and swimming....both of which make me busy weekend mornings but are very fun to watch. Isabelle has hit her stride this year and is doing really well at school, and at cheerleading (yes, this is totally a thing, and it's pretty fun to watch) - and she loves it. 
One last thing I'd like to share.  A few weeks ago I was asked to speak at a Neuro Science Conference at SickKids.  I was on a panel about Optic Pathway Tumours, alongside a surgeon, Evie's Ophthamologist, and Evie's RN on the NeuroOnc team (she has been our main point person for the new protocol Evie is on).  I was asked to shed light on the patient experience, our family's journey...so I refer to my roll as the "fluff piece"....cause really, when you're surrounded by this bunch...ha.  The conference was today, and I did my thing.  As a part of my speech I showed a video, and I thought I'd include the link and share it with you (so click that).  The full speech can also be found on my blog if you're so inclined. 
That's it for now.  The next few weeks are bound to be busy, but we'll be sure to keep you posted!
Paul, Kristine
Isabelle and Evie
"and though she be but little, she is fierce"
#fightlikeagirl
#runwithrockstar
#eviesteam