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A BLOG FROM KELCEYS MUM........
Update on Kelcey Roberts #1 (19 December 2009)
This is the first update on my daughter Kelcey and her journey through her cancer treatment. I have resisted setting up an email update system as I did it with my breast cancer treatment experience in 2007 and I thought our family had ticked that box and that we were getting on with our lives. But we’re here again. Only this time it’s Kelcey and her treatment is going to make mine look like a walk in the park. It is every parent’s worst nightmare. It’s unfair and we can’t believe it’s happening to our daughter. She can’t believe it either. Prior to Thursday 3 December, she was a busy, happy, ‘healthy’ 9 year old who had just got back from a family holiday in Fiji. Five weeks prior, I had taken her to the GP with one swollen gland on the side of her neck. As she was well, he said to come back if more appeared or if she became unwell. Regardless, I was to return to the doctors 6 weeks later if it hadn’t disappeared.
On the 3rd of December, I was taking her and Maclain to swimming lessons and I asked her if the gland was still swollen. She told me that morning she had noticed she had more of them. I wasn’t alarmed, she still did her 45 minute swimming lesson and then her and Maclain went on the hydro-slide. We then went to the Accident and Emergency Clinic at the local hospital. They did a blood test for glandular fever and then a chest x-ray. That showed a large mass of swollen lymph nodes in her chest. We were told to go the Starship Children’s Hospital and by Friday afternoon we were in the Paediatric Oncology Ward. Unbelievable. She has been diagnosed with T-cell Acute Lymphoblastic Leukaemia. The first week in hospital was awful, because of the mass on her chest she wasn’t allowed a central line so she had lots of iv lines and blood tests. Lots of needles, lots of oral meds, lots of general anaesthetics for lumbar punctures and bone marrow aspirates. She has had two nasal gastric tubes put in because she stopped eating and drinking and we were having difficulty getting her oral meds into her. But the nasal gastric tube felt so awful for her that she stopped speaking and communicating and had a horrible ‘dead’ look in her eyes. It was heartbreaking. She had to cope with going into hospital feeling well and becoming very unwell from the procedures and treatments. Hard stuff for a 9 year old to understand. Chemo started on the Monday and is being repeated weekly. She will lose her hair soon.
We are currently in the ‘Induction’ phase of her treatment. There are still lots of question marks over exactly what type of cancer we are dealing with. Each week we get more information. Kelvin and I are struggling to cope with all the information but are supporting each other and Kelcey and Maclain the best we can. They are our priority. As we are getting in excess of 50 messages a day, it is honestly impossible for us to contact you all and update you. We are full on with both our kids. There is no down time and we are not happy to have anyone else look after Kelcey at this stage other than the two of us. She doesn’t want anyone else. We came home on the 16th of December and although she is still vomiting a lot and feeling very unwell, I think it is a better environment for her. We will spend lots of time in hospital over the next few months. Although the treatment plan is not confirmed yet we are looking at two years plus regardless. I have resigned from work and will not work again until Kelcey is back at school. Kelvin is not working at the moment either, the Police have been awesome. I’m lucky to be a school teacher so home schooling isn’t daunting at all. Kelcey is a bright little girl and we will have lots of support from the correspondence school system until she is able to go back to school.
Updates: I will send them when I’m able. No need to reply to the updates, we honestly ‘feel the love’. The support we have received has been incredible. I know it’s frustrating for many of you who want to help and don’t know how. In my next update I will think creatively of what we need. I’m not proud this time, I’ll be honest and ask for help. We need all the support we can get. Can you please update my contact details too. I will update you all next week. Thanks for all the messages, I’ve read/listened to them all. A big thanks to all the fab people who have dropped off meals and everyone who has given Kelcey gifts and cards. Tracey
Update on Kelcey Roberts #2 (27 December 2009)
Hi everyone, hope you all had a great Christmas. We are still at home. Kelcey is definitely more comfortable and able to have more options at home. She is still extremely tired and still has bouts of nausea. She lost nearly 4 kg in hospital and we’re trying to get her to put that weight back on. Today she is having lots of back pain. She spends most of her time sitting on the couch or lying on her bed. She is not able to walk far and isn’t up to leaving the house for anything non essential. She hasn’t been keen for visitors and is still feeling very unhappy about being sick. She wants to know why this is happening to her and just wants to get back to having a normal life. I asked her what she misses the most. It is school, dancing and her friends and just being normal.
She had her third lot of chemo on Monday 21st of December along with a general anaesthetic for another bone marrow aspirate. We got the results back on Thursday and they are looking good. In healthy adults, bone marrow contains less than 5% of blast cells. When Kelcey first went into hospital, tests showed her levels of blast cells were at 30% in her bone marrow. The chemo has reduced that to under 5% at this stage. You are probably thinking ‘great’, all fixed. If only it were that easy. She has to have two more lots of chemo (next one on Tuesday 29th of December) and they hope the % will get lower still. That will be the end of the remission induction phase of her treatment. She will then need more treatment to help destroy any left over disease in her body. This is important because it helps to prevent the disease from relapsing or spreading. This second phase of treatment is called consolidation therapy. We will find out more about what it involves soon. We are taking one step at a time.
In my first update (which is below) I spoke about how people can help us. This is difficult for us to do. I like to think of our family as fairly self sufficient and to admit we are in need of support is not easy. But we are under pressure and due to the long-term degree of change in our lives, we will need help to get through it in the best possible shape. Below are some ways that those of you who are able could help out. No pressure to do anything, especially if you have already!! We have lots of support, Kelvin and I know a lot of people which in tough times is reassuring and comforting. There is a recession on AND you’re in the expensive busy holiday season so don’t do anything unless you’re totally able, please. Otherwise, I won’t sleep at night!!!!! Kelcey has incredibly received a lap top and the latest iPod technology so she is covered on the computer/music/gaming/dvd side of things. We have access to friends DVD’s and am borrowing lots of CD’s to download onto the iPod.
Meals: Cooking meals takes time and often the evenings are chaotic. Kelcey is really fussy but any meals for Kelvin and I would be super helpful. Meals that can be frozen are best. We eat anything!
Random stuff: There are different products we will be using lots of: hand sanitizer, cleaning products, natural moisturisers for Kelcey (she loves foot and hand massages).
Prayers: For those of you with direct lines to JC, we would appreciate any prayers. Specifically, if people could pray for the treatment to work and for Kelcey to be brave about taking meds and looking forward to positive things happening in the future.
Letters and emails: Kelcey loves receiving emails and letters.
Petrol vouchers: As we will be going back and forth to the hospital a lot in the future, petrol vouchers are worth their weight in gold.
Stationary vouchers: Kelcey got a digital camera from family for Christmas. She did an enrichment digital photography programme at school in Term 3 and loved it. I am hoping to ‘encourage’ her into the visual arts while she is at home during the coming year. Vouchers for somewhere like Warehouse Stationary would be used to get supplies to print off photo’s and maybe do some scrapbooking.
Entertainment for Maclain!! I should have put this TOP of the list. It’s the holidays and we have a six year old who starts each day with ‘What are we doing today?’ Obviously all our holiday plans are not happening. Keeping him home every day is not ideal. It would be awesome if anyone who already has a connection with our son would be able to take him out for a few hours. You don’t need to do anything flash or expensive with him. He just loves playing with other kids, playgrounds, swimming etc.
Charities: For those of you here and overseas, if you have the opportunity to donate to any Child Cancer organisation, do it. The local Child Cancer Society have been really supportive. They offer a fantastic service to the whole family. In NZ around 40 children are diagnosed with Leukaemia each year. That’s 40 families who are going through what we are.
Kelvin and I are hanging in there. It’s going to be a hard slog. I’m tired just thinking about it but the smiles from our daughter we get (albeit infrequent) are motivating and raise our spirits. She got Tyra Banks autograph and was thrilled (I almost wet myself! TYRA!!!). She is blown away by the generosity of people. We are too. Kelvin’s brother Lance wants to have a ‘Shave-off’ event early next year. I am not sure of the details but will let you know more in the future.
Happy New Year to you all. Here’s hoping that 2010 will help us get closer to our wish. No prizes for guessing what it is!
Update on Kelcey Roberts #3 (5 January 2010)
Hi everyone, happy new year. Shortish update this time and it’s good you received it ,as Telecom have identified me as a possible spammer and as a result quite a few of you haven’t received the previous two updates.... I’ve had to break the email group into two and have applied to xtra/yahoo to plead for non-spammer status... FRUSTRATING!!!. Anyway, Kelcey is still at home. We were at the hospital for our clinic visit all day today. Today clinic consisted of a blood test, then a meeting with the oncologist. That was followed with a general anaesthetic for a lumbar puncture, bone marrow aspirate and chemo directly into the spinal column, no IV chemo today, which was good. Got there at 11am and left at 4.45pm so it was a long day. She was also on nil by mouth from 7.30am and no water from 11am till 4pm which is a right pain in the ass when you’re as skinny as Kelcey. She was STARVING all day, poor thing.
Clinic is an interesting place. There are lots of children and teenagers at various stages of cancer treatment. It’s an affirming place for Kelcey, she takes it all in and watches the other kids. She notices lots and comments on different kids for days after. We are getting to know lots of the families as now the holidays are over our regular clinic day will be Monday. Her weight got down to 24kg last week but has come back up to 25.3 thanks to Kelvin’s special meatballs and mashed potatoes. Unfortunately tonight she managed to vomit up her entire dinner but fingers crossed we manage to get some more weight on her this week.
Her hair is almost gone which is extremely upsetting for her.
On a positive note we are adopting two kittens on Thursday. Hmmmm, yes we are doing this for the emotional gains for Kelcey, certainly not for the extra duties involved in kitten rearing. She is very, very excited and as it will probably coincide with the total loss of her hair -I think the kittens will be worth their weight in kitty litter. The next update will be an important one as we will find out what direction her treatment will be taking. She will receive a ‘risk’ rating which scares the cr*p out of Kelvin and I – low, medium or high risk. Obviously the survival rates that are attached to this and the intensity of the treatment will have a huge effect in more ways than we can imagine. Big breath..... We want to thank everyone who is supporting us. We are so grateful. We will update you when we have more news.
Update on Kelcey Roberts #4 (19 January 2010)
We are still waiting on one result but I thought I would let you all know that everything is going OK and Kelcey is definitely a lot happier. She is slowly putting weight back on (up to 26 kg now – she was originally 29kg). At the moment she is neutropenic. This means her white blood cell count is really low, she’s not sick as a result but it does mean that she has very little immunity. We have therefore put up the ‘No visitors’ sign on the door. It is a precaution for Kelcey because if she got sick the potential for her to get really sick, really quickly is huge. We don’t want to take chances so it’s easier to say no visitors, that way we’re not having to ‘screen’ people. Neutropenia is pretty much a given at this stage in her treatment. Yesterday we were at the hospital all day and her red blood cell count was too low so she had her first blood transfusion as well as another general anaesthetic, lumbar puncture and intrathecal chemo (into the spinal column). For the next three days the District Nurse will visit us at home and she will have daily subcutaneous chemo (injection in her thigh). She is also taking oral medication. So as you can see, it’s a veritable cocktail of drugs administered in a variety of ways: oral; intravenous (vein); intrathecal (spine); intramuscular (muscle in her leg); subcutaneous (injection in leg). This will continue for months. Her hair has completely gone, she has a wig but isn’t wearing it much. She has lots of cool hats. The kittens we got are AWESOME!!!!!!!!!!!!!! They were a great success and I’m so glad we got them. Again we want to say a big thank you to all the great people who have been supporting us. Kelcey and Maclain want to say a special thanks to their ‘special friend’..... (you know who you are!) and thanks to Jeremy who gave blood on Kelcey’s behalf. Which brings me to my final request: please give BLOOD if you are able. Oncology kids use lots of blood products so dust off those veins and donate!! (Auckland’s call Ph 5235733 to check for location and eligibility). We will send out another update next week.
A PERSONAL MESSAGE FROM KELCEY TO ALL THE CONTESTANTS (AND SPONSORS)-22JANUARY.
Hi everyone from Kelcey. Keep losing weight. I am not trying to lose weight. I am doing the opposite!! It's true. Here are some things you could try: do a run in the mornings and eat healthy food like vegetables and fruit and protein shakes and good museli bars that make you lose weight. Eat Special K for breakfast and put lots of fruit in your breakfast. Banana on toast is good. Make juice, with beetroot, broccoli sprouts, carrot, strawberries, blueberries and apple. Do aerobics and work your abs!!!! Good luck and bye from Kelcey
PS Big thanks to you all from Tracey too!! Outstanding results for the first week guys
Update on Kelcey Roberts #5 (26 January 2010)
Hi everyone, we got the test result back and it showed no blasts in the bone marrow which is great news. (Medical explanation: Acute lymphoblastic leukaemia (ALL) is a fast-growing cancer of the white blood cells. Lymphocytes are a type of white blood cell that the body uses to fight infections. In ALL, the bone marrow makes lots of unformed cells called blasts that normally would develop into lymphocytes. However, the blasts are abnormal. They do not develop and cannot fight infections. The number of abnormal cells (or leukaemia cells) grows quickly. They crowd out the normal red blood cells, white blood cells and platelets the body needs. End of medical explanation!!). This test result means that Kelcey responded well to the induction phase of her treatment and that the treatment has put her into remission. The challenge now is to keep her in remission. When we got the bone marrow result back we thought that sounded freaking fantastic but our Oncologist is a cautious, non-excitable individual. He reminded us that she has T-cell ALL and that it is early in her treatment. Things can change quickly but Kelvin and I are really pleased with how things have gone to date. The treatment remains intensive but Kelcey is adjusting to her ‘new life’. Taking oral medication is getting easier (some easier than others). The chemo is still tough on her and yesterday she had two intramuscular chemo injections into her thigh. Awful things, one nurse on each leg injecting at the same time. She is very tired and a bit nauseous today. As expected, the chemo is destroying lots of good cells aswell as bad cells so her blood levels are really low, for those of you up for more medical detail: platelets (48), neutrophils (0.13 – so she basically has no immunity), white blood cells (0.42) and haemoglobin at 86. I asked about school and it is probable that she won’t return to school until August at the earliest. This is really frustrating for Kelcey as she LOVES school and will be in Room 17 with the awesome Mrs Bartlett. Ironically Maclain would like to quit school now and join the workforce, typical. So next week we will start correspondence school and I will work in with her teacher at Oratia School to keep up with what her class is doing. Emotionally Kelcey is happier and accepting of what is happening. She’s doing incredibly well, I know many adults who would find it hard to cope with this treatment regime. Two days in hospital next week so I’ll report back after that. Cheers everyone. Good luck to all the kids starting back at school next week.
Update on Kelcey Roberts #6 (1 February 2010)
Kelcey is back in Starship Hospital with high temperatures and extremely low blood counts. She felt unwell all day Saturday and eventually starting vomiting and her temperature went up into the 38 degrees. So we were admitted about 10pm and she will stay there until her temperatures have been normal for at least 24 hours. They are treating it aggressively with antibiotics and are awaiting the lab results to see what sort of infection it is. It could end up being viral but they treat it with antibiotics to be safe. Her blood counts are also bottoming out so it may be an extended stay, it’s assessed daily. She had two blood transfusions yesterday and is tired with no appetite. So, no visitors at the hospital please. We need to keep her isolated and get her well. Kelvin and I will continue to spend alternate nights at the hospital. The rooms all have a comfortable pull down bed for one parent and Kelcey has her own bathroom and a lovely view of the Sky Tower (not that she cares!!). The oncology ward at Starship Hospital was recently refurbished and it is lovely. All children have their own rooms, in each room there is a plasma flat screen tv with all the kids’s sky tv channels (Kelvin was disappointed that the sports channels weren’t included....) and a PS3. There is a parents kitchen, dining room and even a teen lounge for the older kids. The kids tend to stay in their rooms as they are too unwell to socialise but the parents get to know each other in the kitchen, which is good. Anyway, I will update you all when she is home from the hospital.
Update on Kelcey Roberts #7 (5 February 2010)
Kelcey came home from hospital last night. Her temperature finally stabilised on Wednesday after three different types of antibiotics were used. One of them gave her an all over itchy body rash and swollen lips which was scary but they adjusted how it was given and she was ok. We are continuing at home with IV antibiotics administered by a community district nurse daily and have three hospital visits scheduled for next week. Kelcey stopped eating again for the first four days in hospital so we are back to getting her weight up again. She is severely neutropenic now which means she has virtually no immunity and has a substantially increased risk of serious infection. So we are home and continuing with total isolation and no visitors at all other than Kelvin, Maclain and myself. Tough for Kelcey but she is happy to be home with her kittens and is doing lots of school work to keep her occupied!! Thanks for all the best wishes, she will end up in hospital again sooner or later as it goes with the territory, but we’re glad to be home.
Message from Kelcey to all the losers (18 February 2010)
Wazzap guys, I'm doing great. Yesterday I went to Radio NZ to record an advert for the Child Cancer Foundation. I will attach it to this email so you can listen to it. Last Thursday I had a portocath put in and I felt so sick and sore that I didn't really eat for 4 days but I need to gain weight not lose it. And you all need to lose not gain weight. Funny that it's opposites. Are you losing lots of weight? Remember to exercise every morning and eat healthy. Good luck and keep your cool and lose some more weight. Great job and bye from Kelcey
(audio is on this page)
Update on Kelcey Roberts #8 (20 February 2010)
Hi everyone, I have attached a radio advertisement that Kelcey recorded last week at Radio NZ for the Child Cancer Appeal next month (8th – 14th March). Kelcey and Kavahn (cute 6 year old boy with leukaemia) recorded a few different versions so you may hear one of them on the Radio NZ Network (ZM, Hauraki, 1ZB etc). It was an exciting day for Kelcey as her and Kavahn got to go into a recording studio then look around the ZM radio station. They got lots of freebies and everyone made a fuss of them. Following the radio experience she went to hospital for her clinic visit and her blood counts were up so we are trying to do lots while her immunity and energy levels are OK. We popped into her lyrical dance class and she joined in for 10 minutes which she loved. She wasn’t really able to dance properly as she has lost most of her muscle strength and is still very frail. She’d also had a port-o-cath put in the week before (11/2/10). That was a nightmare. We were told to be at the hospital at 7.30am and she was on nil by mouth. She was on the acute list (which I have renamed the crap list) and was unable to eat or drink anything all day. She didn’t get into theatre until 3.45pm which was horrendous. She was so weak and upset by that stage. The surgery to remove the PICC line (port coming out of her arm) and to insert the port-o-cath (port which sits under the skin on her chest and will be used for administering the iv drugs for the next 2 years) took 2 hours and we weren’t allowed home until 9.30pm. Huge day and she felt really unwell and sore. We got home at 10pm and had to be back at the hospital the next morning at 7.30am for all day chemo. It was brutal, she basically felt sore and sick for the next few days. She couldn’t eat and was vomiting a lot so her weight dropped back down to 24 kgs. Not good. Luckily her little body is recovering and her blood counts are OK at the moment so we are busy doing ‘normalish’ stuff while we can. She is still having daily chemo injections and oral chemo drugs and more IV chemo next week so these energy levels won’t last too long. She did get to go to Waiheke Island on Thursday with the Child Cancer Foundation and Camp Quality and Kelcey and 8 other children with cancer were presented with a new bike each. Her bike was blue and green and Kelcey decided to give it to Maclain which is super cool of her. So it’s been a fortnight of feeling awful and great for Kelcey. She has a friend over at the moment and I’m hearing them talking rubbish and giggling their heads off.... so life is good!!
Update on Kelcey Roberts #9 (11 March 2010)
Not a great update to write this time unfortunately. Kelcey has been in Starship Hospital for a week now with an infection. Well actually two infections. We first went in with a temperature and she was admitted and the antibiotics worked well. The temperatures were stabilised and we were simply staying in hospital to finish the iv antibiotics before going home. Unfortunately on Tuesday night her temperature spiked again and her heart rate was high also. Kelvin was staying over with her that night so he had a harrowing night with doctors and nurses coming in and out of the room doing examinations and deciding what to do. At one stage the Intensive Care people came down to assess her. It was decided that the next morning she would go to theatre and have the port-o-cath removed that had only been in for 3 weeks (and we’d had such dramas getting done). The infection was concentrated on the port inside her body so it needed to be removed. That occurred on Wednesday and she is now on three different types of antibiotics. Because of how crappy she feels with lots of vomiting, she hasn’t been eating so her weight has dropped more. A decision was made to put in a nasal gastric tube this afternoon. Kelcey HATED it last time she had one and withdrew and wouldn’t speak or communicate. It felt like it was choking her and she hated the sensation. Unfortunately she has been unable to keep on any weight and each time she gets nauseous or has an infection she is unable to eat and loses more weight. She has been mildly sedated tonight to get her calm and sleeping. Kelvin and I are exhausted and really worried. Until her temperatures come down and the infection is gone we cannot continue with chemo treatment and we have the added stress of dealing with the emotional issues created with the nasal gastric feeding tube. Hard work for us both. I will email you all another update when she improves.
Update on Kelcey to BIggest Loser contestants with two weeks to go (16th March 2010)
Hi guys, plateau time - always a challenge.
Kelcey is still in hospital, she now has pneumonia which is the third infection in the 12 days she has been in hospital. Loads of challenges for her, all, blood counts are rock bottom so no immunity still. Her temperatures are in the 39's and 40's. Heart rate between 140 and 160. Weight loss continues and not eating so nasal gastric feeding tube put in last week. Not talking as a result. Very upset, silent and pissed off basically. She's losing confidence in her body and her health. Had her port-o-cath removed in surgery and the iv lure in her hand needs replacing all the time which is painful and sometimes takes a while as lots of veins are now unusable. She is on oxygen and is breathless without it. Basically means she has three tubes coming out of her with food, antibiotics and oxygen going in. Makes it difficult to move around. She has diarrhoea so she is in isolation and cannot leave her room. She is woken 2 hourly through the night with observations and the giving of food into the tube and antiobiotics into the iv. It's crap, she is so sick of it and we don't know when we will be home. This is a brutal update sorry, but it's the truth and it truly sucks. Kelvin and I are coping but it is really difficult and emotional.
Good luck guys, hang in there
Update on Kelcey Roberts #10 (17 March 2010)
Right, I think we have turned a corner. Her temps have been mainly normal with the occasional spike. When the body temperature goes back to normal so does the heart rate. That is definitely a step in the right direction. She is still in isolation due to the diarrhoea, which is severe. She is getting food through the nasal gastric tube 24 hours a day but at this stage it is largely fuelling the diarrhoea and not resulting in any weight gain. However, yesterday she ate some ‘real’ food which is the first time since last Tuesday. On Monday she had a chest xray which showed a chest infection, in other words pneumonia!! Unreal. That explains why she is on oxygen, her cough and the shortness of breath. She remains on antibiotics. Although we feel things are improving, we still have a ways to go. She is really unhappy about being in hospital, being in isolation doesn’t help. She did start talking a bit yesterday but she is a long way from her normal self. I believe she has lost confidence in her body and her health. It’s heart breaking. We are now into our longest hospital stay with no end in sight yet. We will be there for at least another week. Kelvin and I continue to alternate nights, as it is exhausting being up there all the time. Splitting our time is better for Kelcey and Maclain. We don’t see much of each other but we are texting and speaking on the phone constantly with updates. I’m gaining weight, Kelvin’s going grey and Maclain is growing up a bit quicker than he would of but we are being supported really well by friends and family – thanks everyone so much.
I did get a night out on Friday the 12th of March. Lots of you saw me on TV on ‘Close Up’. Myself and 12 other mums with kids with cancer were pampered at TVNZ with our hair and makeup being done. We had a tour of the TV studio then we went to a restaurant and they filmed Close Up live while three of the NZ Masterchef contestants cooked us an incredible meal. We had the TVNZ presenters serving us drinks and we all got taxi’s home. If you want to check it out online try this hyperlink: http://tvnz.co.nz/close-up/s2010-03-12-video-3397990 (otherwise just go to tvnz.co.nz and click On Demand then Close Up and go to the show on 12/3/10). Towards the end I get to say hi to Kelcey, Kelvin and Maclain. Very cool night. I will send another update when there is news to report
Update on Kelcey Roberts #12 (2 April 2010)
Happy Easter to everyone. Since our last update, Kelcey had her port-o-cath put in on Thursday 25th of March. She went back to hospital yesterday and had a general anaesthetic, lumbar puncture and two types of chemo. She was then admitted into the ward for her first high dose methotrexate treatment. She will be in hospital for about 5 days and we will repeat this treatment a further three times in this cycle (called Interim Maintenance). There are lots of side effects that could occur so we are keeping a close eye on her. She has optimistically reasoned that being in Starship Hospital for Easter could actually be quite handy.... she figures there could be an abundance of chocolate eggs around (and she will probably be right!). It’s lucky, as chocolate is one of the foods she is eating. Her weight is nearly at 28kgs which is fantastic. She has put on close to 6 kgs in the last few weeks thanks to the nasal gastric tube and a diet of scrambled eggs on toast and caramello chocolate...
Kelvin and I want to thank everyone who has been involved in any way with the fundraising events over the last week. Words cannot express how totally blown away we have been. Dog Section, Biggest Loser and Auction night, Oratia School Shave off and Kelcey’s friend Jakob. To everyone involved, thank you so so much. Our daughter and our family are lucky to have such incredible support. Happy Easter everyone, take care.
Update on Kelcey Roberts #13 (14 April 2010)
Hi everyone. Kelcey’s last treatment in hospital over Easter was ‘eventful’. There were a number of stuff-ups, with the biggest one being serious enough for an ‘incident’ report to be filled in. Very, very frustrating and upsetting. The short version (and I’m not known for my short versions!) was that Kelcey had the high dose methatrexate treatment on Thursday night and exactly 42, 48 and 54 hours later she should have been given a drug called leucovorin which is a vitamin which stops the methotrexate from harming normal cells. The first dose at 42 hours was given but the other doses through the night were not. I was woken at 6am and told about the omission by the then stressed nurse who had obviously just realised her mistake. Unreal. Luckily for Kelcey her body had expelled most of the methatrexate thanks to the high volume of fluids and the first dose of leucovorin. We were actually only in hospital for three nights which was great, we thought it would be longer. But this has been a wake-up call for Kelvin and I. Mistakably we were letting the nurses ‘do their job’ and were being ‘Mum’ or ‘Dad’ in hospital. Now we realise that human error happens and that we actually do need to know exactly what is going on. Kelcey is going back into hospital tomorrow for her second methotrexate treatment. We are confident this one will go better. Funny that. She also vomited up her nasal gastric tube on the second day in hospital but they replaced it before we came home. Her weight is still looking good and has certainly been aided by the deep fryer we purchased.... a deep fryer, we feel like a fish’n’chip shop. She is now eating chips and chicken nuggets all the time.
Kelcey’s school had a huge assembly and fundraiser day on the last day of the term for Kelcey. Kelcey and I were unfortunately in hospital and couldn’t go but Kelvin went in police uniform with his work BFF. The hall was packed out with kids at 2pm for the assembly with loads of parents and Kelvin and Za turned up in their two police dog wagons with lights and sirens going. Great start to what was a fantastic assembly, with dancing from Kelcey’s dance school ‘ Waitakere School of Dance’, a slide show of Kelcey and her favourite songs playing, six students got their heads shaved!!! And our good friend Glen, two teachers and the Principal Sherilee Swanepoel had their heads shaved on stage. The article that appeared in the local Western Leader paper is below:
http://www.stuff.co.nz/auckland/local-news/western-leader/3561197/Big-shave-for-Kelcey
I will email you all and let you know how this next treatment goes. We go into hospital tomorrow. She is unfortunately having problems with the second port-o-cath that they put in. It isn’t working properly so they will tell us what the plan is tomorrow. Moodwise Kelcey has been happy and positive. Cheers to you all.
Update on Kelcey Roberts #14 (22 April 2010)
Kelcey’s second methotrexate went according to plan, funny that! Needless to say, the staff were determined to get this treatment right and it went perfectly. We went in on Thursday the 15th of April and were home in time for dinner on Sunday the 18th. We are back for the third treatment next Thursday. Her port-o-cath is still not working properly but it looks like they are going to ‘see what happens’ as fluid does in but blood doesn’t come back easily. As a result the blood tests cannot be taken from her line so she needs to have finger pricks instead. Faced with another surgery to replace the port-o-cath – Kelcey would rather stick with the one she has and endure the finger pricks. Who knows, it may start behaving itself. It needs to last for the next two years so we will see.
Her weight was improving nicely but unfortunately she vomited up her nasal gastric feeding tube on Tuesday. We have made a ‘deal’ with her to not have it replaced until she goes back to hospital next Thursday. But if she loses more than one kg we will go back sooner and have it put back in. Having a nasal gastric tube put in is awful. They feed the tube down her nostril and keep feeding it down her throat and into her stomach. It’s a traumatic procedure, she has had sedatives to help her but they haven’t really helped a lot. She prefers to have them put in when she has a general anaesthetic (which she will be having on Thursday). So we’ll see how she does. It’s a lot of pressure for everyone to get her eating enough.
On a high note she did get a signed Dane Rumble CD last week AND while in hospital she got a movie poster with an autograph from Mylie Cyrus!! (Explanation: Dane Rumble is a kiwi singer with lots of hit songs at the moment and Mylie Cyrus (aka Hannah Montana) is Kelcey’s ultimate favourite tv/movie star). She is still in high spirits. I will email you all after the third methotrexate treatment. Bye!
Update on Kelcey Roberts #15 (6 May 2010)
Hi everyone. Kelcey’s third methotrexate treatment went well and we have one more of these to go on the 12th of May. This cycle has been OK so far (touch wood). She has had mild nausea the whole way through but her blood counts haven’t been as badly affected like they were in the previous 8 week cycle and so far, we have had no infections. Once this cycle has finished she will start an 8 week cycle called ‘Delayed Intensification’ which (on paper) looks AWFUL. Not looking forward to it at all.
In my last update I mentioned that Kelcey’s nasal gastric tube had come out when she threw up. We ended up at the hospital a few days later as she had an upset tummy. We talked into clinic and the nurses ‘noticed’ the tube was missing. Her tummy came right but the tube was replaced before we left (much to her disappointment).
A few of you found out about my recent tv appearance..... I have attached the link (not sure if it works for people overseas?). If you want a laugh (at my expense!!) then feel free to watch me on the Good Morning Show. It’s about 6 minutes long. Please note that I do get the last word.... and remember that it is LIVE television.
Kelcey is utilising technology and spends a lot of her day skyping, emailing, gaming and now, facebooking. It helps with the boredom and enables her to communicate with the outside world which is cool. I will email again after the final methotrexate treatment. Happy Mother’s Day for Sunday to all the long-suffering mums out there!
http://tvnz.co.nz/good-morning/s2010-e280410-traceyrichardson-video-3499530
Update on Kelcey Roberts #16 (30 May 2010)
Greetings to you all. Kelcey has finished the 8 week cycle of high dose methotrexate chemo called ‘Interim Maintenance’. Now it’s over, I can say that it was the best cycle we have had to date. She tolerated the combination of chemo drugs well and although the four hospital based treatments were obtrusive, all in all it went well.
On Thursday 27th of May we started another 8 week cycle called ‘Delayed Intensification’. It looked nasty on paper and the first 24 hours were fairly awful for Kelcey. She had a general anaesthetic and a lumbar puncture on Thursday morning and three different types of chemo plus she started oral steroids (dex). Big hit for one day. Left hospital feeling nauseous after lunch and she was vomiting on and off for the next 24 hours. Her nasal gastric feeding tube came out with the first vomit. At this stage we are not going to have it replaced unless she is unable to eat enough and starts losing weight. Her hair had starting growing back but we’ve been told it will fall out again from all the chemo she will be having in this cycle.
She has improved since Thursday/Friday but we are due back tomorrow for another dreaded Pegg injection. They are the two intramuscular injections of chemo into her thighs. Huge needles, awful - so she will wake up in a foul mood tomorrow. This 8 week cycle is intense but all the treatment is clinic based and we will not have to stay overnight at the hospital for treatment which is good. We will be at hospital every week, for at least one visit a week, if not two. However her counts will continue to drop, which will lower her immunity and so we will soon be back in total isolation. If she gets a temperature or looks unwell then she will be admitted to hospital and treated. So we’ll take one day at a time and be as careful as we can. In her good moments she has managed to write cheerful messages on Facebook and skype numerous friends around the world (the Awatere family in Dubai, Brooke in Sydney and Tamara in Glen Eden!!). God bless the internet is all I can say. It has enabled Kelcey to keep in touch with people and certainly alleviates her boredom. Next week she is off to the ‘Sticky TV’ house (kids tv programme on TV3) to watch the filming and have lunch with the crew. That’s Wednesday and she is EXCITED!! Last month we took Maclain out of school for the day and went as a family to Rainbow’s End. It was so much fun!!! Other than that, we don’t get out much besides the hospital. And after the Wednesday trip to Sticky TV we will be clamping down on outings again unfortunately. I will email you all in a couple of weeks.
Update on Kelcey Roberts #17 (10 June 2010)
Hi everyone, unfortunately Kelcey is back in Starship with another bloody temperature. She woke up this morning feeling crusty and I could see she wasn’t going to improve. I took her temperature and it was 37 degrees, an hour later it was 38. We were due in hospital today for chemo anyway so by the time we got in there her temperature was 38.5
She was put on iv antibiotics and we were admitted to the ward. The ward is full to capacity and we were lucky to get a room (otherwise we would have been on another floor – but we like being in ‘our’ special ward). I stayed and settled her in, Kelvin came up with supplies at 8pm and he is staying tonight. I’ll go back in the morning and change over. When I left she was very uphappy, very hot and very nauseous. Her chemo went ahead and she started on steroids today, aswell as the antibiotics. It’s so much for a little body to handle. There are lots of new families (newly diagnosed) up on the ward at the moment. That was us six months ago. New families have a horrible bewildered look about them. Kelvin and I now know so many of the regulars up on Ward 27B. It’s like a family reunion everytime you go to the oncology ward or clinic. We all catch up on how the treatments are going and how much further to go. Most of the time it’s good to catch up and we’ve made a lot of good friends. Sometimes it’s sad and scary to hear what’s happening with the other families.
Anyway, Kelvin and I are back into the world of beeps and nurses and ward rounds and communal kitchens. I am going to hook Kelcey up with mobile broadband on her laptop in the hospital so if she is up to it, she will Facebook those of you who are on it (I think she’s worried about her farm on Farmville!!). I will email you all when she is out of hospital and home with her kittens.
Update on Kelcey Roberts #18 (13 June 2010)
She’s home after three nights in hospital. She responded to the antibiotics almost immediately which was good. Her blood counts were low and she was severely neutropenic (no immunity). Unfortunately she has lost a couple kgs so the nasal gastric feeding tube went back in before she was discharged this afternoon. The local District Health Nurses (child team) will be visiting us at home to give her iv antibiotics and we are back in hospital on Wednesday. We still have another few weeks to get her through so will be quarantining her at home till she finishes the ‘Delayed Intensification’ cycle. The NO VISITORS sign is back on the door. Please keep the facebooking, emailing and skyping going as the contact with the ‘outside world’ will help get her through the next few weeks. The rollercoaster ride continues...... Thanks to everyone who has been looking after us – you guys are awesome!!
Update on Kelcey Roberts #19 (26 June 2010)
Bugger, bugger, she spiked another temperature yesterday and is back in hospital. They took blood cultures as usual and also did a chest xray as there are lots of bugs circulating at the moment. She is back on antibiotics and her temperature came down overnight which was good. Her treatment had been delayed for a week anyway due to low blood counts. All going well she will resume chemo on Thursday if her counts have recovered.
Kelvin stayed with her last night so I’m heading in at lunchtime today for my ‘shift’. I’m loaded up with garlic bread and dancing dvds. I will email you all when she is home again.
Update on Kelcey Roberts #20 (28 June 2010)
Home again, which is great. Just a quick two night stay. I am thinking this is going to be a regular occurrence over the next few weeks. We are hopefully resuming treatment on Thursday which will definitely keep her counts very low plus we will have the nausea/eating issues to deal with. Kelvin and I have decided to extend our ‘isolation’ status for the next month at the very least. We simply cannot take any risks with Kelcey and am only allowing the teacher and district nurses in the house. In the perfect world we would relocate our son Maclain, who has a terrible cough but this is his home.
The hospital stay was short but the 24 hour shift that I did made a big impact on me. One of the families that has been on the ward with their beautiful one year old daughter for the last few months (she has a different type of leukaemia to Kelcey) has been told that she has a couple of weeks left to live. I have got to know her Mum really well and needless to say, I am totally devastated for them. I told Kelcey because she always looks forward to seeing them when we are on the ward. No words really, just that cancer is so unfair. No family should have to experience what they are going through.
So my girl is home. On a positive note, she had a bedroom makeover care of the ‘Make-a-Wish Foundation’ of NZ. It grants wishes to children with life threatening conditions. Her original wish was to meet Mylie Cyrus and go to Disneyland. The folks at MAKE-A-WISH are good but not that good! Due to all the insurance issues they only grant wishes to Australia (as having medical trouble in the States would be horrendous). So she got talking to a few other kids in clinic about what they had got for their wishes. All the boys had huge flat screen TV’s with surround sound and gaming gear, very typical. A few had met All Blacks. She heard about another girl who had had a bedroom makeover and decided it was what she wanted. Very wise I thought as she is so isolated at home. So she now has an AMAZING room. New wallpaper with a purple feature wall, a 29inch plasma TV, PS3, new dressing table and bedside table, a purple rug, duvet cover, bedside table lamp, lightshade, purple curtains and a groovy purple vinyl chair. It is beautiful and she loves it and we even got SKY in her room (which will end when she is well!). If you’re on Facebook you can check out the photos on my page. And a big thanks to all you FB friends who are chatting, meeping and farming big time with Kelcey, she LOVES it!!!!!!!!!!!! Should have done it sooner.
Back to hospital on Wednesday and if her counts are OK, chemo will resume on Thursday. Talk soon, T.
Update on Kelcey Roberts #21 (12 July 2010)
Hi everyone. Unfortunately Kelcey is back in hospital with another infection. Her counts did recover enough to resume chemo on the 1st of July but that treatment and the one on the following Thursday (8th July) really wiped out her blood counts. I ended up driving back into Starship at a chilly 3.30am with her this morning. Her temperature was 40.2 and the culture they took off her line has shown it is a ‘gram negative bacilli’. She is on antibiotics and had three blood transfusions today. She had lots of tiny bruises all over (from low platelets) called petechiae and has basically zero immunity. She was really unwell for the first few hours in hospital with a high heart rate that made it hard for her to breathe normally plus uncontrollable shivering and vomiting. But the barrage of drugs and blood products seem to be helping and her temperature/heart rate went down during the day to almost normal levels. Kelvin is staying at the hospital tonight and I just spoke with him, it seems her temp may be spiking again. Hmmmm. Anyway, I am not sure how long we will be in hospital. I will email you when we are home. And sadly, little Ruby (who I mentioned in the previous update) passed away on the 30th of June. A beautiful little 14 month old angel. Cancer is awful.
Update on Kelcey Roberts #22 (22 July 2010)
Unfortunately she is still in hospital. Today was the 11th day and she is still fighting an infection. She has had platelet blood transfusions everyday (as platelets in your blood are heat sensitive and temperatures chew through them). All her blood counts are still rock bottom so every day has usually included an additional blood transfusion on top of the platelets. Lots of problems with constant vomiting, chronic diarrhoea, leg cramps, stomach pain, nausea and the bloody temperatures. She can sometimes go for 5 or 6 hours without spiking a temperature but unfortunately she has lots of them everyday, up as high as 41.6. She is on huge amounts of medication ranging from three antibiotics to different anti-nausea meds, pain meds aswell as pamol. The gastric feeds have been changed to a feed that has already been broken down for her but she can only tolerate 20mls an hour so she isn’t getting a lot of nutrition as she hasn’t eaten for the entire 11 days. She had a CT scan and that showed a slight thickening in her bowel wall which is probably where the e coli infection is. We had hoped she would have responded to the antiobiotics by now but it’s taking a long time and is not helped by the low blood counts.
She had her final vincristine chemotheraphy treatment today. Today’s chemo was hugely symbolic. It is the final intensive chemo treatment and shuts the books on the gruelling near 8 months of chemo she has endured. What happens now is we play the waiting game. We wait for the infection to go, we wait for the counts to go up and once those things have happened (which could be weeks away) she will start on Maintenance. Maintenance involves daily oral medication plus monthly hospital visits until mid way through 2012. She will still be at risk of infections but the reduction in the sheer intensity of the chemo means her blood counts should improve enough for her to go back to school in the near future. Her hair will also start growing back. Obviously we would like to be freaking overjoyed about this but at the moment we still have a very sick little girl in Starship. She is still in isolation and is often feeling very ill and hopeless. Trying to keep her spirits up is hard work for Kelvin and I. Some days are better than others. Today was a good day, she appeared as a ‘covergirl’ for ‘The Aucklander’ (a supplement magazine in the NZ Herald). There were photo’s and quotes of hers and a story written by me.
For those of you who missed it, here is the link which unfortunately doesn’t included all the photos:
http://www.theaucklander.co.nz/local/news/star-light-star-bright/3917492/
Overall, I’m happy with the article HOWEVER (in other words I’m not totally happy....) they did miss out my deep and meaningful final paragraph which I worked on for AGES and it appears that I am now Tracey Roberts happily married to a guy called Kevin
I’m hoping my next update will be when she is home.
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