Showing posts with label surgery. Show all posts
Showing posts with label surgery. Show all posts

Monday, February 25, 2019

HUGE Day

Monumental steps today!

Caroline was discharged today after finishing her 5th cycle (of 6) of Antibody Immunotherapy!  This was her last inpatient round of treatment...hopefully forever.  She also had surgery this morning to remove her Double-Lumen Hickman Central Line (heart bandage below in picture is where her line was connected).  She's had a central line since November 30, 2017, so this is really exciting - she will finally be able to shower and swim again soon!  This procedure was moved up a week, after they discovered a small hole in one of the lines over the weekend.  Because Caroline received her last dose of intravenous chemo treatment this round, and will hopefully no longer need a central line, they went ahead and removed it while we were still admitted today, instead of repairing it, or having her come back next week to get it removed.

Remaining treatment protocol timeline as follows:
  • Weekly outpatient Vanderbilt clinic visits for blood work/labs and check-ups
  • Cycle 6 (an final) of Immunotherapy in March (oral medication at home)
  • End of treatment CT and MIBG scans in mid-April 
  • DFMO clinical trial drug for 2 years (assuming No Evidence of Disease at end of treatment scan)
Huge shout out to the incredible staff at Vanderbilt Children's Hospital, who have been so amazing to Caroline and our family throughout this process of inpatient stays.  We appreciate all of you more than words can ever adequately express, and we are very grateful that we chose to stay local for her treatment plan.  Many thanks to Dr. Maggie (surgeon) for taking such awesome care of Caroline today, on what we hope will be her final operation/procedure!

We will continue to keep the blog updated as we have new information or treatment results.

Tired, but happy and hopeful!
The Lantz Family
#carolinestrong
#ftgf
                                                     
Loading up car to come home from Vandy (hopefully the last time)

Heart bandage over Hickman line scar

Walking back from surgery

Pop-Pop heading home

Visit from 6A BFF Molly 

Monday, July 16, 2018

Day 1: High-Dose Chemo

Today at 7am, we were admitted for Caroline's first day of high-dose chemo.  We had a very stressful and adventurous start to the day...to summarize:
  1. Last night, we got a call that Friday's echo-cardiogram showed that her central line may have moved internally, and would require an early morning X-ray to confirm; if it had moved, it would require surgery to repair.  Caroline wasn't able to eat/drink after midnight last night, just in case.  We were extremely worried about her having to endure another surgical procedure right before high-dose chemo, which is already rough enough.  Thankfully, the X-ray showed that all is normal, and we were able to start chemo on time.
  2. Unrelated to the scare above, during the first full hour of chemo, we noticed that Caroline's central line was leaking blood onto her bed.  We immediately called the nurses. ..they paused her chemo, and moved both chemos to one line.  They found a cut in her left-side line, and luckily, the surgery team was able to fix it bedside...fascinating to watch (kind of like fix-a-flat tire patch, with super glue).
  3. FUN NEWS: Caroline lost her first tooth today at exactly 2:30pm (aka: toof hurty...haha...dad joke)!!!  She was so proud and excited, and has been telling anyone and everyone that passes by!
Caroline will receive 3 different types of chemo for the next 3 days, and then 2 types of chemo on the 4th day (Thursday), followed by a stem cell transplant on Monday (7/23).  We expect to be here for the next 30 days or so, recovering from this sub-lethal dose of chemo.

Thank you very much to everyone that donated Postmates gift cards for hospital meals - they are a huge help!  We appreciate all of the generosity and prayers you've sent our way!

Much Love,
The Lantz Family
#carolinestrong #ftgf

Chemo cocktail...

 Waiting for the X-Ray

Hug the X-Ray Machine!

Slice in central line.

Bedside line repair.

Playing babies while getting chemo!

Lost her 1st Tooth!!!

Monday, April 30, 2018

Surgery Recovery Update / What's Next...

Surgery Update:
Yesterday we got a visit from Caroline’s surgeon, Dr. Chung. He was super impressed with her progress, determination and great attitude!  So much so, that barring any unforeseen complications tonight, she will be going home TOMORROW!!!  That's at least 3 days earlier than planned!  She's rocking it!

To put this amazing recovery time in perspective, over the last 36 hours, Caroline has bounced back from 8+ hours of surgery (and all that goes with that), plus:
- removal of 2 catheters on Saturday
- removal of 2 IV lines (one in each hand) on Saturday
- disconnecting from fluids yesterday and maintaining her own hydration
- moved quickly from NPO (no food/drink), to a clear liquid diet yesterday, then to a regular diet today (she's eating a loaded baked potato right now!)
- her epidural was removed today, which administered continuous pain medication, and she has be able to maintain pain control with oral medication

These are all huge wins!

Thank you for the support near and afar...clearly the prayers are working!

What's Next:
Assuming we go home tomorrow, Caroline will relax and recover at home for the rest of the week.  We will go back and forth to the Vanderbilt Clinic all next week for a multitude of tests required for the next phase (high-dose chemo and stem cell transplant).  Some of the appointments include:
- EKG
- Echocardiogram
- Kidney Function Test (to determine the max amount of high-chemo her body can withstand)
- Hearing Test
- Various Ultrasounds
- General labs and various blood tests
- Radioactive Injection (which requires 2 days of prescription prep to protect her thyroid)
- Bone Marrow Biopsy - to see if there is still cancer in her bone marrow (at the last check, there was about 25%)
- And the biggest...the MIBG scan, which will show us how much, if any, active cancer cells are left in her body

Thank you for the visits this week, messages, meals, thoughts and prayers.  We are continuously amazed and humbled.  

Hope you're all having as great of a day as we are,
The Lantz Family
#carolinestrong
#ftgf


 


We were able to get outside for a few minutes to enjoy the Children's Garden and Koi Pond!

Friday, April 27, 2018

"Wow, that was a difficult one..."

Prayer warriors: THANK YOU!!! Thank you for your constant stream of support today. You carried the burden for our family!

Caroline’s surgery was a success! When her surgeon met with us after the surgery, he walked in and said "wow, that was a difficult one."  He thinks he got over 90% of the tumor out, from what he could see and feel.  He had to leave some around her pancreas (removal was too risky), but the hope is that the next two rounds of high-dose chemo will kill off whatever cancer he couldn’t remove today. Caroline’s tumor was so intricately intertwined throughout her organs, that he had to take it out in pieces. We will get the pathology of the tumor next week, but the surgeon is pleased with the result.

The resection surgery took exactly 6 hours.  Prior to the tumor removal, there were 2.5 additional hours of surgery prep, anesthesia prep, port-a-cath removal and Hickman line placement.

Caroline is currently recovering with 2 catheters and an epidural, which will remain for a few days. We expect the overall inpatient recovery to be about a week.

It was a VERY long day of waiting, as you can imagine, but we had amazing friends in and out all day to keep us company!  We appreciate everyone that came out to visit, sit and chat with us-  it meant the world to us!

Words cannot express how truly thankful we are for every.single.person. THANK YOU for your thoughts, prayers, texts, wearing #carolinestrong gear/purple/yellow, sharing messages...just everything.

With overflowing thanks,
The Lantz Family
#carolinestrong
#ftgf


Walking herself back to surgery!

First time seeing her after surgery...



"Watching" the Preds game in recovery!

Finally resting in her own room.

Sunday, April 22, 2018

How We're Feeling / Surgery Info

With Caroline's pending surgery on Friday, we wanted to give everyone an update on how we're doing as a family.  We've had almost 2 months without intense treatment, fever or sickness, and unless God has other plans, we have 5 more days together as a family before we get back into the thick of treatment...we're facing 70+ nights in the hospital over the next few months.

From Mark:
Five months in and I'm not "ok" - as I often get asked- no one could be in this situation.  I struggle every day.  I am able to stay busy during the day and I don't really slow down enough to think about what's going on.  I stay mostly positive around the kids, friends, and family...that's my job.  Things are often different when I am alone. I'm awake in the middle of the night most of the time...thinking about how this all could play out. I often focus on the sadness of the situation itself.  I have anxiety about what Caroline (and Margaret/our family) is/are about to experience over the coming months (surgery, 2 rounds of high-dose chemo, 2 transplants, radiation, immunotherapy).  I am not looking forward to being 30 minutes away from Margaret and Caroline for weeks at a time.  I'm sad that Andrew won't be able to see his whole family every day.  I'm upset that Margaret and Caroline will most likely be quarantined to a small hospital room for days or weeks at a time.  This whole thing is awful really, but we can't focus on that all the time - we have to be productive and keep moving forward like #carolinestrong does. Caroline is a warrior and an angel, and Margaret should qualify for sainthood for what she is doing for our family.  I appreciate their hard work and sacrifices every day.  I appreciate the care and love the Vanderbilt team gives to our daughter.  Those folks are amazing and always go above and beyond for our family. We have received an enormous amount of support from family (all who live out of town), friends, neighbors, strangers and co-workers - we appreciate every one of you.  We have a long way to go, and this upcoming stretch over the summer is going to be the hardest to date.  We will need a lot more help, so a BIG Thank You in advance for your continued support. #FTGF

From Margaret:
In one day, my life literally, completely changed.  Not only did I find out that our daughter - my walking heartbeat - had cancer with a statistically terrible prognosis, but I also instantly knew that the care she needed would mean I had to step away from my career -- something that has defined me and has been a source of fulfillment my entire adult life.  I lost my "life plan," my job, and my children's innocence...all in one fell swoop.  Over the last 5 months, I have had all the typical emotions people would expect with this sort of news, but most consistently I feel three things: sad, grateful, and humbled.  I cry almost every morning at the gym so that I can stay positive the rest of the day for the kids, and then let it back out again at night when they're in bed.  This morning I heard a song with a line in it that I can't stop thinking about: "better than I used to be."  As crazy as it sounds, I feel "better than I used to be," before she was diagnosed.  I feel lucky that I get to take care of Caroline...I feel lucky that Mark was supportive of me instantly walking away from my job, taking on the burden of providing for our family alone, while he's coping with the diagnosis as well.  He has been a rock for our family, and we are in a good place.  I've had lots of time to reflect, and I truly feel like God has been preparing me for this diagnosis since she was born (and probably even before).  Caroline and I have always had a special connection, but this has taken us beyond.  Her spirit inspires me every minute of every day...she's my light.  Every morning I wake up and remember she has cancer...it's like a nightmare groundhog day situation...but then she wakes up with a smile on her face, and I have a reason to fight through the sadness.  I feel more gratitude in my heart than ever before.  I cherish family time and friendships more than ever before.  I also feel so humbled by everyone that has shown up for us: family, friends, friends of friends, neighbors, co-workers, complete strangers!  My eyes are open, and my heart is forever changed.  I have had a lot of anxiety recently, probably because I am trying to mentally prepare myself for what is ahead.  I've already spent so many nights holding my daughter in the middle of the night in the hospital bed, as poison is pumping into her little body, aching and wishing I could take her place...I'm not looking forward to more nights of that, and we haven't even gotten to the hard part yet.  Thank you, thank you, thank you, for holding us up and walking us through this devastating time...I can't say that enough.  Thank you. 

From Andrew:
To quote him directly..."I'm good."  You don't get too much out of this 10-year-old boy, but we think he is doing as well as we can expect.  His routine has stayed relatively normal with school and sports.  He plays with his friends every chance he gets and does all of the usual "stuff" kids do at his age.  He's very protective and loving to Caroline, but they still annoy each other like typical siblings!


From Caroline:
(We asked her if she had anything to say to everyone who is praying for her)



Caroline's surgery is scheduled for 8am on Friday (4/27).  The surgery is expected to last about 6 hours.  The tumor will be removed, and she will also have a Hickman line placed (in addition to the port-a-cath she already has).  We are going to lay low for the rest of the week and just spend time together as a family.  Mark will post an immediate update on Facebook when she is out of surgery, and a blog post will follow later that day.  Thank you in advance for all of the prayers and thoughts that will be lifted in her name on Friday.  We have faith in God, confidence in her surgery team, and comfort in all of your thoughts and prayers.

***If you have any #carolinestrong gear, please wear it on Friday and think of her.  If you don't have any, please wear yellow/gold, which is the awareness color for childhood cancer.

Words will never be able to adequately express our gratitude,
The Lantz Family
#carolinestrong
#ftgf