Still no answers either way as to whether Leo has relapsed. His eye sight is worse than it was 6 weeks ago, and so is a cause for concern. As is the eyelid droop which is worse than 3 weeks ago. Both things could point to a relapse but noone is pointing us in that direction until they know for sure, which would be if a scan then shows the mass left behind growing or changing shape. We're back at the Eye Hospital again tomorrow to see if we can do another eye sight test and take a look at the back of his right eye and see if it's damage to the eye itself, or behind the eye and thus tumour related.
And so onwards we go...
Wednesday, November 19, 2008
Monday, November 17, 2008
Neither Here Nor There
Leo was so good at the hospital today and fine about going tomorrow also, but probably because he knows he is going to school again as soon as we're done with the doctors. It's weird but all of a sudden, he seems to have grown up a little. His sentences are better formed, his speech much clearer and every now and then, he absolutely sounds like an adult!
Leo's MRI was today and it's the first one since he's finished treatment. If he had not had one planned, then the doctors would have ordered one anyway to find out why his eyelid is drooping, and why he is squinting and pointing at distances.
So the result of the MRI is neither here nor there, although we had no real commitment from his doctor as to what we or he should have expected. The initial MRI after 5 sessions of chemo and prior to Leo starting radiotherapy showed a reduction of the mass on his brain and behind his eye by about 50%. His doc was pleased with that, and his words and body language showed this at the time.
Today was a different story as the MRI showed no changes in shape or size of the mass from the MRI scan done in July. No clear answers were given about whether this was expected, good, bad or ugly; although he did request a swift radiologist review of the scans which illustrates he takes our concerns seriously, as we were not meant to have any results before next week's clinic appointment.
We've always known that the tumour was inoperable due to where it is in Leo's head, and so we've always known that there would be some mass left behind. We can only guess and fear what that mass actually is; it could be dead matter / dead cancer cells, live cancer cells, dormant cancer cells and / or scar tissue, or a combination of all of the above. But to say that both PJ and I are surprised the mass has not reduced even a slight amount again after such intensive radiotherapy and four further chemotherapy treatments, we're disappointed and a little lost. I guess our expectation was that it would reduce further and leave behind scar tissue. However it's exactly the same.
The one positive is that it's not grown at this stage but then that would be highly unlikely given he's only just finished chemo etc.
Upon asking the docs what we should look for in terms of relapse, unfortunately the symptoms are exactly what Leo has developed over a short time, these past few weeks; eyelid droop, squint and double vision (pointing whilst squinting could be indicative of this). So the scan did not show relapse right now, but sometimes symptoms show relapse ahead of scans.
This therefore means we're in the hands of the eye doctors on Wednesday right now; they will hopefully know how to test what is going on with Leo's right eye. It may be that there minute cancer cells which have either never been killed or have decided to already re-ignite and are causing a few problems on his optic nerve, and so will only show on an MRI in a few weeks. Or it could be something else...what that is, we don't know. But we're meeting with his oncology consultant again on Thursday once we've had some more tests and info from the eye specialists.
Urgh. Patience is a virtue but unfortunately not something I have ever been blessed with. Not knowing is not a good place to be, but we need to get used to it. The ups and downs of life will now be governed by the in-betweens from doctor's appointment to doctor's appointment and the next MRI scan. In a way, it's good to know we can somehow protect Leo from this fear and worry as he can settle into school and be as normal a child as possible i.e. play, learn, live and love. It's our duty as his parents to ensure we protect him from our fears; if we ever knew he felt as scared as us, I think he'd be nearly as paralysed as we are from time to time.
People keep telling us we're doing a great job and that they could never do what we're doing. Well, let me set the record straight. You can only do what you can do. Anyone in our position would be the same. Children like Leo have a lovely way of keeping your feet firmly on the ground and in the present. And so any person, you, would also be the same. Yes, of course, we collapse from time to time, but fortunately, PJ and I do this at different times and in different ways.
There is no other feeling on earth than seeing and knowing your child, your only child, has a life threatening illness, and we've met many parents in the exact same position. But that's the thing; he's our only child and so we have to do what we must. And that's do what we're doing. Cope, literally from day to day, and not expect too much from ourselves! Give, every day without fail, to our only child and ensure he is happy and content, and when he says he's scared, tell him it's fine to be scared.
In fact, we're nearly lucky, if you think about it; although lucky is not quite the right word. But here's the thing...any one of us could get knocked over by a bus, be killed in an accident tomorrow etc etc etc. Our lives are only in the present anyway, but we're fortunate to have been kicked up the backside that life is here for the living. And so we can do what we can, in the present day, now, to live life, love life and ensure Leo has the best life ever. The other option is perhaps to be a bit lazy and complacent and think that we'll do x, y and z next year or next decade!
Gosh, sorry for the 'War and Peace' posting but sometimes it's quite useful to brain-dump here to clarify thoughts, so please forgive me!!
Tomorrow's a lovely, new day (that's me trying to be positive, again!!!) Am I that transparent?
Leo's MRI was today and it's the first one since he's finished treatment. If he had not had one planned, then the doctors would have ordered one anyway to find out why his eyelid is drooping, and why he is squinting and pointing at distances.
So the result of the MRI is neither here nor there, although we had no real commitment from his doctor as to what we or he should have expected. The initial MRI after 5 sessions of chemo and prior to Leo starting radiotherapy showed a reduction of the mass on his brain and behind his eye by about 50%. His doc was pleased with that, and his words and body language showed this at the time.
Today was a different story as the MRI showed no changes in shape or size of the mass from the MRI scan done in July. No clear answers were given about whether this was expected, good, bad or ugly; although he did request a swift radiologist review of the scans which illustrates he takes our concerns seriously, as we were not meant to have any results before next week's clinic appointment.
We've always known that the tumour was inoperable due to where it is in Leo's head, and so we've always known that there would be some mass left behind. We can only guess and fear what that mass actually is; it could be dead matter / dead cancer cells, live cancer cells, dormant cancer cells and / or scar tissue, or a combination of all of the above. But to say that both PJ and I are surprised the mass has not reduced even a slight amount again after such intensive radiotherapy and four further chemotherapy treatments, we're disappointed and a little lost. I guess our expectation was that it would reduce further and leave behind scar tissue. However it's exactly the same.
The one positive is that it's not grown at this stage but then that would be highly unlikely given he's only just finished chemo etc.
Upon asking the docs what we should look for in terms of relapse, unfortunately the symptoms are exactly what Leo has developed over a short time, these past few weeks; eyelid droop, squint and double vision (pointing whilst squinting could be indicative of this). So the scan did not show relapse right now, but sometimes symptoms show relapse ahead of scans.
This therefore means we're in the hands of the eye doctors on Wednesday right now; they will hopefully know how to test what is going on with Leo's right eye. It may be that there minute cancer cells which have either never been killed or have decided to already re-ignite and are causing a few problems on his optic nerve, and so will only show on an MRI in a few weeks. Or it could be something else...what that is, we don't know. But we're meeting with his oncology consultant again on Thursday once we've had some more tests and info from the eye specialists.
Urgh. Patience is a virtue but unfortunately not something I have ever been blessed with. Not knowing is not a good place to be, but we need to get used to it. The ups and downs of life will now be governed by the in-betweens from doctor's appointment to doctor's appointment and the next MRI scan. In a way, it's good to know we can somehow protect Leo from this fear and worry as he can settle into school and be as normal a child as possible i.e. play, learn, live and love. It's our duty as his parents to ensure we protect him from our fears; if we ever knew he felt as scared as us, I think he'd be nearly as paralysed as we are from time to time.
People keep telling us we're doing a great job and that they could never do what we're doing. Well, let me set the record straight. You can only do what you can do. Anyone in our position would be the same. Children like Leo have a lovely way of keeping your feet firmly on the ground and in the present. And so any person, you, would also be the same. Yes, of course, we collapse from time to time, but fortunately, PJ and I do this at different times and in different ways.
There is no other feeling on earth than seeing and knowing your child, your only child, has a life threatening illness, and we've met many parents in the exact same position. But that's the thing; he's our only child and so we have to do what we must. And that's do what we're doing. Cope, literally from day to day, and not expect too much from ourselves! Give, every day without fail, to our only child and ensure he is happy and content, and when he says he's scared, tell him it's fine to be scared.
In fact, we're nearly lucky, if you think about it; although lucky is not quite the right word. But here's the thing...any one of us could get knocked over by a bus, be killed in an accident tomorrow etc etc etc. Our lives are only in the present anyway, but we're fortunate to have been kicked up the backside that life is here for the living. And so we can do what we can, in the present day, now, to live life, love life and ensure Leo has the best life ever. The other option is perhaps to be a bit lazy and complacent and think that we'll do x, y and z next year or next decade!
Gosh, sorry for the 'War and Peace' posting but sometimes it's quite useful to brain-dump here to clarify thoughts, so please forgive me!!
Tomorrow's a lovely, new day (that's me trying to be positive, again!!!) Am I that transparent?
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