Welcome to our blog

I have been be overwhelmed by the prayer, love, kindness, support & generousity of everybody since Charlotte's diagnosis. Thank you so much!
Charlotte is under a shared care scheme with her minor chemo & general health looked after Poole General Hospital and the stronger chemo, procedures & overall treatment plan managed by the Piam Brown Ward at Southampton General Hospital. The ward is 1 of 22 specialist wards in the UK treating cancer in children.
If there is anything else you would like to know please don't hesitate ask or click on of the links below to find out more.
Charlotte's treatment is continual over 2 years & 2 months so its a long tough road ahead but through my faith I gather strength and remain positive (most of the time!)

2 Cor 12:9

Saturday 25 February 2012

Poorly girl


Poorly in hospital
Lots of blood tests this last 2 weeks










Well this last part of Charlotte's intensive treatment over the last 3 weeks have been really hard; Charlotte been very sick from her General Anaesthetic & Lumbar Puncture each time & then twice had throat infections. Charlotte's a lot better in herself now but I must admit all the hospital trips for chemo or stays when unwell have left me pretty drained & exhausted. Charlotte's blood counts dropped much lower after this intensive phase second time round and she was close to needing transfusions this week but thankfully Friday's bloods showed a nice increase, so another week & she should be on top of that more. Being in hospital meant Charlotte missed the Princess & Pirates Party at Hamleys on Sunday organised by Meg & Jean at Believe in Magic, Charlotte was so disappointed as she'd chosen a 'Rapunzel' Princess dress to go in. But she got a lovely surprise a few days later when a massive Snow White Helium Balloon arrived from them as she'd missed the party.

'Rapunzel'
With the balloon sent by Believe in Magic as Charlotte








 




She managed 2 hours in school Wednesday, 10-3 Thursday & then a full day on Friday. She has been really tired & needed a sleep after school but then that's to be expected, especially as she was anaemic. She's missed 2 weeks of school which apart from the Christmas Holidays is the longest she's been off in one go, so she was for the first time hesitant in going back, but was really pleased to see her best friend & I'm sure she's back into it now.
Its been nice to have some 'normality' back Friday & over the weekend. We went shopping this morning & will be at Church in the morning. Now we're getting ready to watch our football team Manchester City on TV!
We went on a camping holiday at the end of August after Charlotte had picked up from her first few months of treatment & before she started school. Since then we had the first 8 week intensive block of treatment, a house move, Christmas and have just finish the 2nd (& hopefully last) intensive treatment and I thought it would be really nice for us now to get a break somewhere, away from home, hospital, routine & just have some fun & relax and thanks soo much to the amazing Charity Leaf ~ Leukaemia Educating & Fundraising we're going to Centre Parcs in 3 weeks time for a Mon-Fri break. My Mum's coming with us as she helps a lot with Charlotte and has been back & forth to the hospital a lot or having Charlotte for some time to give me a break, so I thought she could really do with a break as well.  

                         

Wednesday 22 February 2012

Significant moments Wednesday, 8 February 2012 at 11:52

Taken from my original diary on Facebook

Charlotte's currently in week 6 of an 8 week intensive block of treatment. This is the 2nd time she has done this intensive block the last being just after she started school, in between she's had interim chemo. Its week 36 of her 112 week treatment schedule and all being well this is the last intensive treatment she will need to have! :-)

So its been good to pass little milestones thru this phase of treatment. The first part of her intensive treatment over 3 weeks included a drug which can damage her heart muscles, in fact she had to have a heart scan before she first had the drug to check that she had a completely healthy heart to start with...YAY, she won't have this drug again. It also included a week on, week off, week on of 8.7ml twice a day of the dreaded steroids...YAY, thankfully she won't have to have such a high dose again. During the remainder of her treatment she will just have 5ml twice a day for 5 days every 4 weeks...so the moods & hunger won't be as extreme & by the time they really kick she'll be towards the end of the 5 days anyway. YAY, she also had the last chemo injection into her thigh muscle.
She then had a 2 week 'rest' in the middle as the first part of the treatment wiped out her white cell & neutraphil (immune system) counts. They have to wait until her bone marrow picks up again and the neutraphil count gets back to 0.75 (normal is 2-6). She scraped in with her neutraphils reaching 0.8 on Monday this week...and so we started this last 2 weeks. When her count is below 0.75 she is what they call neutrapenic, and means she's very vulnerable to infection..she's been at school when neutrapenic many times, including when its been zero & done so well not picking anything up.
This last 2 weeks of treatment includes a lumbar puncture with chemo which is done at Southamtpon. Yesterday was her 13th lumbar puncture in 8.5 months since diagnosis, and unfortunately she's been very sick after the last 3. She gets hysterical when I'm taking her in the room for it now as she nows that when they put the general anaesthetic in her line she gets the taste of it in her throat & it tastes awful. Unfortunatley yesterday instead of her stomach settling she continued to be unwel and we ended up having to stay in overnighl. This could be down to the other 2 chemo drugs she was given yesterday. One she willl have daily the rest of this week, into her line & at home the community nurse comes out & does it. She will then have this drug Tues-Fri next week as well. The other chemo drug she had yesterday can irritate the bladder, so they put it in IV over an hour, with 3 hours of IV fluids to help 'flush' it though her bladder as quickly as possible, YAY she doesn't have to have this drug again. Unfortunately as Charlotte didn't keep down much other fluid yesterday & therefore didn't go to the toilet much this has caused her some problems. They've had her on IV fluid & dextrose overnight to help her make up for yesterday, but when the fluids eventually took effect she kept needing the toilet and was in agony when actually going. They did a dip test & she has blood & protein in her water. The blood can be because harshness of the chemo drug & but they don't normally see protein. So its been sent to the lab to see if she has a urine infection. She's been having different anti-sickness drugs and finally kept down some tea last night. She was however sick at 1.30am just as she was due some more anti-sickness med. So we're now waiting to see her consultant this morning to find out if we can go home.
After this phase she goes onto what they call maintenance treatment & I'll write about that another time.
Its been quite strange staying overnight in Southampton as we normally stay in our local hospital at Poole, but in the last 6 months we've only had one night in there anyway. I was given the news of Charlotte's diagnosis in the evening of 18/5/11 at Poole Hospital, at 1am on the 19th we we're transferred to Southampton. At 9am I was sat down with a consultant being told about all what was going to happen. We we're only in here for 8 days as we then transferred back to Poole for the last 2 weeks of our initial stay. In that 8 days Charlotte had 2 bone marrow biopsies, 2 lumbar punctures & 1 operation to insert a central line into her chest...it seem a lot longer than 8 days, but then in some ways it went quick.
I've spoken before about how different it is to actually be on an oncology ward & not just a general ward at Poole. There are pluses & minuses to being in at S'ton. For a start the staff are specialised so are really on the ball with the diagnosis, the treatment & managing the side effects well. The staff are lovely at Poole & if its a straightforward infection etc they're ok, but when Charlotte went there in October as she was being sick so much, once they were happy she didn't have an infection they weren't concerned at all about trying to help manage the nausea & vomitting and we we're left to struggle. This time Southampton have tried a different drug & are keeping us here until they're sure its managed better.
When we we're first admitted to Southampton one of the parents described the ward as a family, albeit a family that no-one wanted to be in. When your child is diagnosed your thrown into a different 'world'. The first thing that struck me was that having heard about other childrens diagnoses, treatment & prognosis I was so relieved that Charlotte has the type of Leukaemia she has with the best cure rates. At the same time its scary as she could have been one of those other children and we could have been thru far worse. When you stay in at Poole you're on a general ward and usually there's no other oncology patients, the other children usually have infections, asthma, accidents etc & their parents don't usually talk to each other as hospital isn't part of their lives normally, not like it is ours. So you feel a bit isolated, but actually you're also 'protected' from the world of 'cancer'. I almost think of Charlotte just having this illness, that needs treatment for a long time & then she'll be better, so I've detached myself from the 'what ifs'. Whenever we visit S'ton & even more so staying on the ward you're reminded of the 'C' word, you're seeing poorly children, its like being put back in that world. I don't want to sound hard but you almost don't want to see it. It is so hard seeing such poorly children, some who have a poor prognosis, agressive treatment, surgery, left with disabilities & worse, I feel so much for them & its awful that they have to go thru this. You can understand people asking why? How can God let this happen.
I've spoken before about the fact I don't know how families cope without a faith. I can't answer why God lets children become ill, but know he doesn't make them ill & he can heal. I have drawn so much strength from my faith & belief in God. I thank him so much that Charlotte has responded to the level of chemo she's been on & not needed to go onto a more agressive regime, that she's stayed so well in herself for the last 6 months & that on the whole she has tolerated the chemo reasonable well.
So our next 2 big moments are going onto maintenance chemo in 3 weeks time on week 39 & a bone marrow biopsy at week 41 to check Charlotte is still in remission

Anniversary of 'suspected Leukaemia' & Alopecia treatment Monday, 30 January 2012 at 20:57



Taken from my original diary on Facebook
I've been wanting to write for a couple of days as 27th-31st January are dates now ingrained in my memory (along with a few others in the last year or so!).
Charlotte started being ill at Christmas 2010 & after countless trips to the GP, out of hours & casualty we we're back at the GP's in an emergency appointment on Wednesday 26th at 5.30pm. I explained that Charlotte had never been so poorly, that all she was doing was lying on the sofa not doing anything and had been since we saw another GP on the Monday. But now she was complaining that her bottom was so sore that she couldn't sit on it....and yet there was nothing there? The GP examined her & said she thought the sore bottom was a red herring but said she actually thought she was a very sick little girl, she had pinched her finger & the refill was slow, she explained that this could mean her body was shutting down. So she rang the hospital while we were still there & said she wanted Charlotte admitting. We went home to pack a bag & a friend took us into hospital. We we're on the assessment ward, they examined her & said they we couldn't find anything & the crucial refill test is when they press on her chest & that was ok. They ended up sending us home as they closed at midnight & they thought she probably just had a virus (which is what all the Dr's had kept saying for weeks), they told us to come back in the morning & they would look at her again & take some bloods.
The day before on the Tuesday I had been given the 2nd treatment on my scalp for Alopecia, which consisted of having a chemical painted on my scalp. The idea of the treatment was that it would cause a reaction like mild eczema. This is what happened with the first application, but the idea was each week to very slightly increase the strength of the chemical & apply to different areas of your scalp. This time they applied right around the back under my hairline (which is much higher than it should be due to the alopecia). This was done at 10am on the Tuesday, at 2am Wednesday morning I woke in agony & didn't get much sleep, I kept applying the steroid cream they gave me to use if it got bad, in between cold wet compress & some aloe vera gele. On the Wednesday it was really painful but Charlotte was so ill, my Mum was ill with a bad chest infection so I couldn't leave Charlotte and go & see a Dr about it.
We got back to the hospital Thursday morning they took bloods & a urine sample from Charlotte, 2 more Dr's examined her. They decided she probably had a virus, but because of her earache to give us stronger antibiotics (just in case), at midday they sent us home & said that if anything did show up in the bloods they would ring us. By the time we left, the staff knew I was in agony with the back of my head/neck & a paediatric Dr who saw it said I needed to see someone about it. It was my intention that as soon as we got back home I was going to be on the phone to the GP. We got home and 10 minutes later the phone rang. It was a nurse from the hospital, she said, I was not to panic, but that Charlotte's blood tests showed a lots of things low in her blood, so I needed to pack a bag & get back there a.s.a.p & she would be staying in for a few days. Don't panic? Well of course you do when they say that & that there was a problem with her blood. Some friends collected us (as Mum was still ill) & took us in.
When we got back there the staff asked if I'd had chance to get my head checked & I explained I hadn't had time, so they arranged for me to go down & be seen straight away by a Dr in Casualty & that by the time I got back up the Dr would be free to see me with Charlotte. The Dr in Casualty asked me loads of questions, they knew nothing of the chemical on my head as it turns out its not licenced to be dispensed in the UK but is being used just by Dermatology to treat Alopecia?? He gave me some piriton tablets and said that's all they could do really as it was a bad reaction to the chemical. I had info given to me about possible rare reactions inc flu symptoms, severe rash etc....and I was suffering with both of these.
So I went back up to the children's ward. We we're taken into a side room & a Dr came in & pulled up a chair near me and had pen & paper...I knew straight away this must be serious. My friends offered to leave, but I wanted them there with me in case it was bad news. The Dr. an African lady called Mildred told me that Charlotte's red cell count was virtually non existent, & also that her white count was as well, and explained that within her white cells are neutraphils which fight infection. This meant Charlotte was anaemic & neutropenic. She explained that this meant her bone marrow wasn't working properly and that I should be aware that cancer was the possible cause. The shock hit me instantly, this was 8 weeks since my Dad's funeral after he died with cancer.....my thoughts were no this can't be really be happening. I was in pieces & she said it was important I try to calm down & take in everything she was saying. She said the positive at that time was that Charlotte's platelet count was ok & usually in cancer that would be low as well. So they had spoken to Southampton about doing a bone marrow test but because of the platelet count being ok they wanted to wait and watch first to see what happened. They then explained that she had loads of signs in her bloods of infection including a high CRP (which indicates infection) & because she couldn't fight it she was actually suffering from Sepsis & very poorly. So she was being put on strong IV antibiotics. We we're wiating to be moved to ward, my head was still killing me, I was completely shell-shocked by what I'd heard and kept getting really hot along with the flu like symptoms. So I went to sit on a seat out in the corridor to cool down a bit, one the Dr's was passing and asked if I was ok, I explained I wasn't feeling well & was just trying to cool down, she apolgised for saying so but said I looked awful & she wasn't happy & wanted me to be taken back down to casualty to be looked at again. She said she'd tell my friends that she was taking me & she came back with a wheelchair. As soon as we got back down there they had me straight on a trolley, I felt awful & really weird, was getting pains across my chest. The nurse canulated me & put a heart rate monitor on my finger, she suddenly asked me if my throat was closing up, I said no, & she dashed round the curtain & called the Dr saying I was tachicardic, then I started getting all tingling across my face & lips, by this time I'm thinking what the heck is going on, its scarey when your body's doing something & you're not in control of it. The Dr came in & another nurse & they explained that my heart rate is so high & they need to do an ECG, thankfully that was fine but they explained that because of what happened & the chest pain they had to admit me overnight for obs...even though my daughter is upstairs on the children's ward! They let my friends know & they couldn't believe that I just went out for some fresh air & now was being admitted! Thankfully Heather agreed to stay the night with Charlotte. Quite late on they put me in a wheelchair & took me up to see Charlotte. It was soo strange having been apart for a few hours, then going up to see her. She was fast asleep, hooked up to 2 drips, but they said she was doing ok & had been fine about Heather staying with her. The Dr's saw me late on & in the morning, repeat tests we're ok & they explained that it was probably a combination of the reaction to the chemical, tolerating such pain for so long & the shock of the news about Charlotte that made my heart go as it did. I remember waking at about 6am, it was all quiet & laying there thinking this can't really all be happening, the news about Charlotte, me being down here in a hospital bed....but it was & it was quite scarey to think of what what going to be happening in the next few days.
By the end of the next day the sore bottom made sense as two really nasty blisters came out on Charlotte's bottom, a sign of the infection in her body. By the 31st Jan, her bloods hadn't improved much at all, but the IV antibiotics had got the infection under cotrol & she was now a lot better in herself, so they said we could go home. They explained to me that they were hoping it was a virus that had attacked Charlotte's bone marrow, & that they were testing her bloods for every single known infection & virus. When we left there was one result still not back, it was for Parvo Virus, and the Dr explained that if she had that it would explain the bone marrow problem as parvo virus can attack the bone marrow. So I thought, lets pray its that then!
We went back regularly for blood tests & bit by bit Charlotte's bloods did start to pick up, but we had to wait until 26th Feb to see a Consultant, so the possibility of Leukaemia was hanging over me all that time. I tried not to think about it & just get on as normal, apart from the 2 friends in the room I didn't tell anyone because I didn't want my family to have the worry as well so close after my Dad's death. I tried giving some garbled explanation about her bone marrow & possible viruses, which they seemed to accept.
I went back to the dermatology nurse at Christchurch hospital the following Tuesday, she asked what had been going on as she had problems finding my notes & could see I'd been admitted to Poole. I said I'd had some problems, her tone & facial expression gave me the impression she didn't really believe me, she asked to see. I turned round, sat down & lifted my hair up to which she responded "oh yes, you've a had a very severe reaction there", & then went on to say "so shall we put some on another part of your head this week then"? I explained about Charlotte & said that until I knew what was wrong with Charlotte & what we would be dealing with I didn't need to be coping with any reactions on my head mild or severe, so I put my treatment on hold.....I've still not gone back to this day. Although I've continued to lose hair, its getting harder to cover with the hair I have left & every time I look in the mirror I don't like what my hair looks like, it paled into insignificance when Charlotte finally got a proper diagnosis & doesn't matter, but some day I have to face accepting it & how I'm going to manage whatever degree of baldness I get to.

New chapters & anniversaries Saturday, 31 December 2011 at 15:26


Its just over 3 months since I last wrote but felt that the time was right as we approach the year end to write about the last few months which has seen us start new chapters in our lives & mark anniversaries.
Our new home made possible by the amazing help of Leaf
November was a big month for us following our house move on the 5th. Natasha & Sara from Leaf have done so much for us, finding this home & supporting us in our move here. Leaf: Leukaemia Educating & Fundraising is a local based charity who help blood cancer patients. Tash set the charity up when she was diagnosed with Leukaemia herself, and whilst they set up to help adults when they heard of Charlotte & I they offered from their resources to support us. It was an amazing answer to prayer for us as having looked at the rental market I felt quite despondent about where or what we would end up. We have a lovely new home which is so much more than we needed or hoped for.

We had some milestones & anniversaries as well. 18th November was 6 months since Charlotte's diagnosis, 22nd the first anniversary of my Dad's death; it was hard to believe it was a year already & also how much had happened in that year. My Dad was a City fan like me & everytime I watch a game on Sky I miss him not being there, can't believe he didn't get to watch them win the FA Cup or get into Europe, but on a serious note he's missed how his grandchildren are growing up, he'd have been so proud. Charlotte still talks about him a lot, she has a memory box with some of his things in & is always playing with them.
Charlotte with her Grandad, the day before we found out he was terminally ill & the last photo I have of him
The day Charlotte's hair fell out @ the beach
The 6th December was the end of week 28 of Charlotte's treatment, a quarter of the way through. Although it sounds good to think six months has gone, to think she has 3/4's of her treatment left seems forever!Charlotte started her 1st intensive phase of treatment on the 9th September and 10 days in was really rough, missing 4 days of school, and all her hair falling out over 2 days. She went back in to school as normal on the Monday, not phased at all about it. On the 7th week she was really sick, for 5 days she wasn't keeping anything down, in some cases even the anti-sickness med and on the 5th day we ended up in hospital overnight by which time it settled. It could have been the chemo drug she was having at that time, but she was sick the first time at the hospital before it had been given, so that coupled with her blood results made the Dr's believe it may have actually been a virus. She's due to start the phase again later this week, so we'll see how she is with it this time. ts been amazing how well she has responded to treatment and kept well generally especially considering she's been in school so often with little or no immune system. It was lovely to watch her in her 1st nativity, even tho she was a little stage struck.
The following day, 1st trip out w/out hair
We have had soo much support from Charities since diagnosis. You know that Charities exist & they must help people but I think until you are on the receiving end of that help you don't realise how much of a difference they actually make to peoples lives. Obviously as previously mentioned there's Leaf who have helped in a major way, as well as giving us tickets to see Jack & the Beanstalk last week. The social worker on the ward at Southampton is provided by Clic Sargent, she has helped a lot with support, benefits & grants. We've had support from Wessex Cancer Trust, Joe Glover Trust & Poole & District Children's Cancer Fund, without them we wouldn't have managed to have our camping holiday, bought curtains for our new home, got our old car repaired (before it finally totally gave up!), enjoyed Cinderella & a really special day at Paultons Park/Peppa Pig World. We had some help for 3 months from Home Start, particularly over the summer holidays with Charlotte & helping me pack to move home. We have a support worker from The Rainbow Trust, who took Charlotte out weekly before she started school & still supports us on hospital visits and other times....I can't convey how grateful I am for all of this, it has made a difficult time a lot easier than it would have been.
Enjoying Peppa Pig World
She loved watching Cinderella!

Chistmas Day; Nurse Charlotte
We're about to start the last intensive phase of Charlotte's treatment (all being well), after 8 weeks Charlotte will be on week 39 of treatment and the beginning of 73 weeks of maintenance treatment. It will be easier going than the other phases. She'll be on a daily oral chemo drug (for all 73 weeks!), a weekly oral chemo drug, along with a 5 day course of oral steroids every four weeks & a trip to hospital just every 4 weeks for an IV chemo drug into her line. She'll still be on antibiotics every weekend. She also has chemo via a lumbar puncture & a bone marrow test on Week 41 & every 12 weeks after that.

Finally tomorrow is the start of a New Year. I'm sharing my testimony in Church in the morning....the theme: 2011 An exciting Year....not what people might expect me to say but I'm not saying by any means its been easy, its been the hardest of my life...but also exciting in the way prayers have been answered at different times & the security I've found in my faith.
Remission maintained & proud times Saturday, 17 September 2011 at 22:25

Taken from my original diary on Facebook
Admitted to hospital 2/8/11 with high temperature
Last time I wrote I was really dreading the next phase of treatment; mainly because I knew we would be at the hospital more, Charlotte was going to be on a stronger dose of steroids tha last time, the additional chemo drug is known to cause more problems with nausea & vomiting. It was due to start on 9th September, the day after Charlotte started school. I imagined she wouldn't get there much of the following week due to side effects & was dreading her behaviour on the steroids.
2 days later in the sensory room feeling much better
I can honestly say apart from the inefficient service at the hospitals being very frustrating on 3 occasions in 8 days the week has been great as far as Charlotte is concerned. I'm so proud of her settling in at school & the fact she just takes her illness in her stride & isn't worried about it and being with other children. She'll be quite open about things if asked and is really happy at school. She's tolerated the huge cocktail of drugs she's had in the last 9 days so well on the whole. She's felt a bit sick the first 48 hours after the infusion of Doxirubicin on 9/9 & 15/9 but the anti-sickness medicine seems to settle that. She cried with the pain in her ankles in the evening after Vincristine on 9/9 but calpol settled that, but the next week didn't seem to suffer with this. As for the dreaded steroids, she's been a bit hyper, a little irritable at times, & eating lots but not had any of the aggression & anger she's had when she's been on them previously & hasn't used her pushchair once, when previously the steroids have caused weakness that has meant she's needed it.
Helping to wash to dishes on our camping holiday at the end of August
This phase of the treatment is caused delayed intensification - and basically its another intensive block to make sure any remaining leukaemia cells are killed off. She had a bone marrow biopsy done on 9/9 the first day and she was still in remission which is really great news. The phase lasts 7 weeks but is basically split into two, with the first 3 weeks using Vincristine & Doxrubicin which both go thru her line, shes had an injection in her thigh of Asparaginase, one chemo drug into her spine via lumbar puncture plus one week on, one week off, one week on, of steroids (last phase she had 5mgs for 5 days, this time 8.8mg for 7 days). She then has a week off as her blood counts & immune system will be minimal by then, I have been warned that she is most likely to come down with infection during this time. Then she starts the last 3 weeks of the phase. That involves 2 more lumbar punctures, an injection of a different drug, daily IV dose of Cytarabine for 4 days of the week & an oral Mercaptopurine drug daily (which she's had previously). As Charlotte didn't have the markers on her cells for more detailed prognosis she has to repeat this phase after 8 weeks of interim treatment.
With Robbie Robot & her IV Doxorubicin
As well as praying for Charlotte to beat this illness I also pray for protection against the side effects. Doxorubicin can cause weakening of the heart muscle, which is obviously very worrying for the future if this happens. She had to have a heart echo scan to ensure her heart had no existing problems before the drug was given, thankfully this was fine.
Its been really strange not having her round the 4 mornings she's gone to school this week, but been nice to get little jobs done round the house at my own pace! Apart from things being good with Charlotte its been a pretty rubbish week. Mum's house sale fell thru last weekend & then On Thursday my landlords have told me they're putting my home up for sale....it couldn't have come at a worse time, with Charlotte's treatment I really didn't need to have to be worrying about finding somewhere to live or the stress of moving.
Yesterday would have been my Mum & Dad's Wedding Anniversary, the first one since my Dad died. We've been to Swanage, his favourite place & the children released some helium balloons for him. Then my Brother & I have started clearing out all the tools, & all sorts of things he'd hoarded in the shed for years!
Life sure is a rollercoaster!
A chance meeting with Peppa at S'ton
Charlotte ready for her 1st day at school

Interim Treatment & my "weakness" Sunday, 14 August 2011 at 21:03


Taken from my original diary on Facebook
I've not written anything for a while but felt it was time to as we approach three months since Charlotte's diagnosis. Week 14 of her treatment schedule starts on Wednesday, with only 3 weeks left of the 8 weeks of interim treatment phase she's in.
The interim treatment schedule comprises of Mercaptopurine tablets that I dissolve in water and give to her every evening (providing her neutraphil count is over 0.5, they are the parts of the white cells which represent her immune system), she has to have it with no food or milk for an hour either side (which isn't that easy actually in practice). Every Thursday I do the same with another drug called Methotrexate (this is the oral version of the drug that they inject into her spine every so often & once again only providing her neutraphils are over 0.5). For over 2 weeks of this phase her neutrpahils were below 0.5 and even at 0 for some time. They've just gone back to 1.3 now so she's on full doses of both (normal range is 2.5-4). Both of these drugs can cause anaemia, bleeding, bruising, skin rashes. low resistance to infection, tiredness, diarrhoea, mouth ulcers, nausea & vomiting & skim sensitivity to sunlight...nice heh! She's always has antibiotics every weekend throughout the treatment to give her a bit of protection. Then at the moment she has Vincristine put into her central line every 4 weeks, this can cause, constipation, hair loss, tiredness, pain in the jaw, tingling fingers & weak ankles. She had a lumbar puncture for the chemo into her spine on 29/7 but that's the only one in this phase of treatment. Finally every 4 weeks she has 5 days of steroids, which I've talked about before and I which I hate managing the side effects of.
The good news was that on 29/7 her bone marrow biopsy showed that she was still in remission so the consolidation phase of treatment did its job and we could continue on the same regime of treatment. Her next bone marrow test will be done on 9th September.
This phase of treatment has involved weekly home visits by the hospitals community nurse to take bloods on a Tuesday morning followed by an outpatients appointment on Wednesday in Poole with the Consultant. Apart from that Charlotte has been admitted to hospital twice with temperature problems and I'll have to ring them in the morning as the exit site of her central line appears to be sore....so hoping that doesn't mean we have to go in.
Typical steroid time moment, in the
pushchair, chubby tummy & another
snack!

The last few days with Charlotte on steroids have been really hard work and haven't been helped by a number of car problems. Thursday night was absolutely awful and I just felt like I can't do this anymore and more than that, it filled me with dread about the next phase of treatment which starts on 9th September. The next phase is intensive, there will be a number of hospital trips to Poole & Southampton, the introduction of new chemo drugs with more side effects (the remainder of Charlotte's hair will go), nausea will become more of an issue and worst of all a week on, week off then week on of steroids but at double the dose she's just had now. Amongst all this Charlotte is due to start school so we have to try and grab whatever time she can manage to give her some 'normality' and get her into school, which will all be something new for her. I know Charlotte's the one going through all this, but with any child you carry the burden of responsibility for them, even more so at her age as she can't really have any input herself. Although she can explain everything to you in medical terms and tell you where its hurting, she can't express her feelings truly other than be guided by her behaviour, which can make things even more exhausting.
Last night I actually felt a real physical anxiety about if I can cope with the next phase. I know once you're in it, you just do, but for me its not as straight forward as that. Before I write this next part, I've given it a lot of thought & prayer about how much to share on here and am going to take the plunge. It may help me as I've always felt I had to be strong for everyone (regardless of the cost), and during this experience I've had to learn to ask for help, and also some verses stuck in my mind from 3 months ago "My grace is sufficient for you, for my power is made perfect in weakness. Therefore, I will boast all the more gladly, so that Christ's power may rest on me. I delight in weaknesses, in insults, in hardships, in persecutions, in difficulties. For when I am weak, then I am strong." These verses are a real challenge but actually a real help. I'm struggling with the boasting & delighting, but think I'm making so progress. With this in mind I decided to go ahead and open up a bit on here. Please, I am not seeking any sympathy (altho it may help some people who know me understand more) but hope that maybe someone who reads it may have had similar experience and can offer me some encouragement in some way, or likewise, that maybe I can help someone else through being open about it. I have suffered with depression in my past, a long time ago and sadly was diagnosed with post natal depression a few weeks after Charlotte was born. I thought because I had previously overcome it that I could manage it myself. I also thought (wrongly) that as I had chosen to have Charlotte as a single parent, I didn't want people to then think that I couldn't cope. Its funny that in anyone else's case I would do all I could to get them to understand it was an illness and yet in myself I see it as a weakness or failing. I thought because of how much I wanted Charlotte, I had no right to be miserable. I eventually asked for help at the GP, but with the recession, the loss of my job (that I loved), the financial worries which resulted in me selling my home, the depression snowballed really, (thankfully the post-natal aspects resolved), but have been on treatment ever since. The whole episode has triggered alopecia so I have extensive hair loss but am thankful to my brilliant hairdresser who everytime re-styles to keep the baldness covered, altho this is getting harder each time I go...this pales into insignificance now against Charlotte's illness but its hard to forget and I'm still quite self-conscious about it. To be honest theres been no real let-up since having Charlotte, and following my Dad's sudden diagnosis & death, then the 4 weeks of waiting in January-February to see if Charlotte did have 'Cancer', and then after the relief of being given the all clear, my head finally got over-loaded in trying to process things! So a few days after Charlotte's diagnosis I spoke to the hospital staff and explained how I'd been feeling and now I did have to cope with Charlotte having Leukaemia, and they have been really good in trying to get me some support. My parents have been a great help throughout having Charlotte (alongside nursery)enabling me to work part-time and get my housework done etc & Charlotte has been a great delight for my Mum (as are Harry & Louie, my nephews) since losing my Dad. So even though I'm not working now she's still great supporting me by having Charlotte when she can to give me a break & so I can get some housework done or go out. I've learnt a lot through the last 4 years....too much to write here, but, my Faith has grown stronger, God has been faithful to me and carried me or provided for me when I've needed it and in some respects I know some of the plans He has for me, but, I guess with our latest challenge, I'm wondering why, and trying to be patient as we go through it & come out the other side.
But for now, next, its the awful 7 week intensive phase of treatment :-( for my beautiful, special little girl :-)

Residual disease, cure rates, consolidation treatment & time of change Thursday, 7 July 2011 at 18:47

Taken from my original diary on Facebook

On our visit to Southampton last Friday I was able to ask the Consultant Jan more about the 'indeterminate' residual disease results. She explained that since 2003 they have been able to look even closer (closer than a microscope) at any tiny residual leukaemia cells. Although the basic bone results showed Charlotte was in remission this other test looks for markers such as proteins on the surface of any residual cells, from these markers they can re-assess the level of risk of Charlotte's disease. Unfortunately Charlotte is one of the 10% of children that don't have any markers...therefore they can't re-asses her. The Dr had got me the very latest cure rates based on these risks. For children under 10 that are classed as low risk they now cure 96%!!! For children under 10 who are high risk they cure 86%. Children who are classed as mid-risk have an 88% cure rate. Due to not being able to get a result for Charlotte we can only assume that at worst theres an 86% cure rate, however, because of all her previous results, cell genetics, age & sex they are not classing her as high risk....which is really good news because high risk means going on the strongest regime of chemo. However, they won't class her as low risk, so although she can stay on her current level of chemo (lowest), she has to repeat the 7 week intensive phase. Her 1st 7 weeks is due to start early September and I was concerned they would want to make that 14 weeks. However, I was relieved to hear that she has 7 weeks, then a 10 week interim phase of treatment then repeats the 7 weeks intensive phase. They have also said that if she is very poorly or reacts badly to the first 7 weeks they may consider not repeating it.
We're back at Southampton tomorrow which is the start of week 8 of treatment. This is the last week of a 3 week phase called consolidation. This is aimed at maintaining the remission (this is done with an oral chemo drug which I give to her every evening), and also preventing the spread of leukaemia cells into her brain and spine (this is done by injecting a chemo drug into her spine via a lumbar puncture, on 3 Fridays at Southampton). After this phase we go into a 7 week interim (less invasive) phase of treatment which leads up til her 1st intensive phase. Charlotte is taking in more & more about her treatment and quite often will out of the blue ask me about something. Last Friday after her lumbar puncture & she'd come round, she sat up & said "did I have a bone marrow test done mummy or just a lumbar puncture"..the nurses were gobsmacked! Then the other day she said "mummy, what's spinal, is that where they do my lumbar puncture?" - she obviously listens to everything being said around her & takes it in.
We've just come out of hospital after a 3 night stay. I have to take Charlotte's temperature morning & evening and if its over a certain level I monitor it and/or ring the hospital. On Sunday it was slightly raised, she wasn't eating, didn't look well & had a rash. If she hadn't of had the rash I would have just monitored to see if anything came of it but rang the hospital because of the rash...which it turned out they wanted to see. Although Charlotte's blood counts & immune system are good at the moment they still wanted to keep her in & give IV antibiotics in case she had an infection. As it happens some of her cells counts jumped up high which did indicate something was going on. We have to stay in for at least 48 hours until cultures are grown which would show if she had an infection...these were clear, so they assume she had a virus. Whilst we were in the play worker looked after her for a couple of hours in the play room, so after a sleep I went to the Patient Liaison and they have raised a 'concern' on my behalf to the Dr who back in February stated he "could absolutely rule out cancer as the cause of her illness" and that if she was ill again "she did not need to have her bloods checked & should be treated as a normal child". Obviously hindsight is a great thing, but he was obviously wrong and because of that its been very hard emotionally to deal with & also meant unnecessary pain & suffering for Charlotte - I await his reply!
Since Charlotte stopped the steroids 2 weeks ago its been a very slow gradual reduction of the effects. Her chubby cheeks & tummy are gradually going, as is her massive appetite, she's sleeping through the night (mainly cos she's not waking up hungry) and sleeping in til normal times in the morning instead of the 5am starts! She's also getting the strength back in her legs more & more which is great to see, and most of all to my relief a lot of the awful moods & aggression seem to be almost gone...in fact today she's been pretty much back to my gorgeous & funny girl. Apart from a couple of hours over lunch she's spent the day back at pre-school, albeit with me or my Mum staying with her, but she was smiling & playing and not clingy at all. The other thing that's changing is that her hair is getting thinner & thinner but she's still got a fairly good head of hear and its really only at her parting that it notices a bit, she's not bothered by it all, its all very much a matter of a fact thing! I'm so proud of how she's handling it all....despite the times she's screamed and hit me in recent weeks, but thankfully that part is mostly behind us now because in the future she will only have short courses of 5 days or so of steroids
On the Mum's & Toddlers trip to Adventure Wonderland

School & Hospital Visits & ... REMISSION! Friday, 17 June 2011 at 19:55

Taken from my original diary on Facebook

Wednesday saw us off to Charlotte's new school for 9am. The children who are due to start in September get two mornings in their classroom, the first was this week and the 2nd in a fortnights time. Charlotte met her new teacher, Miss McClaverty and thinks she is very nice, she also met Mrs Geel the assistant. The classroom was laid out with different activity tables along with the play area. Charlotte drew & coloured a lovely pink picture of herself which will have her name added and will be on her coat peg when she starts. She stayed in her pushchair most of the time but did get out to sit at the tables. The steroid dose she is on make her thigh muscles feel very weak & tired so most children take back to a pushchair during this time & particularly struggle with stairs. We stayed 40 minutes and then Charlotte wanted to go, so we left. We grabbed a quick coffee at AWK (mum's & tots) before picking my mum up & setting off for our outpatients appointment at Poole Hospital.
It was just for a general check up & take bloods...the results were rung through later and were all ok. Charlotte was particularly grumpy & making a lot of noise in the Dr's room so when he'd finished checking Charlotte mum took her out so that I could concentrate on what he was telling me about the next phase of her treatment. Unlike with tumours the chemo for Leukaemia is continual with the most intense being for at least the 1st 6 months and maybe longer depending on the response. The remainder of the total 2 years chemo is then classed as maintenance treatment (daily medicine & monthly injections). The induction phase involves intensive treatment aimed at destroying as many leukaemia cells as possible. This phase lasts for 5 weeks for Charlotte and she has started her last week today. She has been having steroid med's twice a day, IV chemo once & week, injection fortnightly & a drug into her spine via lumbar puncture 3 times in the 5 weeks. During this last week her steroid dose is being halved every 2 days and then stopped (YIPPEE!, her massive appetite will subside, she'll sleep better again & they tell me behaviour wise I will get my Charlotte back!). At the same time she has started taking another chemo medicine today which will be daily for several weeks now. At the end of the induction phase a bone marrow test is taken to confirm whether or not Charlotte still has leukaemia. When there is no evidence, the condition is referred to as being in 'remission'.
On Thursday as Charlotte obviously woke in a very bad mood mum & I did all we could to take her places of interest, treats, bribery....but as you find during this phase...sometimes nothing is right, or it is for a short while then she's had enough. The constant grizzling is really hard to tolerate and I've been told to try & stop it as I would normally as the Dr says if I don't, I will find myself at the end of this with a 'spoilt little brat' (his words). But it makes you really fed up with the whole situation you've found yourself in.
Sporting her new bobbed haircut & steroid chubby cheeks & enjoying a swing at Moor Valley

Today we had to leave home at 7.30am to get into Southampton Hospital for 8.30. Charlotte had a general anaesthetic (which means no food since midnight + no water since 7 = 1 very, very hungry, grumpy & grizzly child!) She went into theatre at 9.15am for bone marrow biopsy & chemo into spine via lumbar puncture. She's in for about 40 minutes then she has to stay laid flat for another 30 to allow the chemo drug to disperse properly - trying to get a starving child to stay laid down when all she wants to do is sit up & eat is not easy, but Heather who came with me today was brilliant at getting Charlotte to think it was fun to have a picnic whilst laying down. After she could sit up the IV chemo was done and then I had to be shown how to dissolve her new chemo tablets to give to her as a med & then dispose of the syringe (whilst wearing gloves) as then chemo drug would be so harmful to me or anyone else who could come into contact with it.
There are two results to come from today's bone marrow biopsy, one is the normal basic test in the lab - and the hospital rang me late afternoon to tell me the great news and an answer to prayers that the leukaemia is in 'remission'. The 2nd test takes longer as the sample is sent away to a lab where they look at the 'micro' make up of 'any' tiniest fractions of leukaemia cells that do happen to be left. This result could take a week to come through and potentially could affect her treatment in that there is still a chance that she would have to change from her current regime of chemo to the strongest one, so praying that this is positive news as well.
So now Charlotte is in remission the next phase of treatment is aimed at maintaining the remission, and also preventing the spread of leukaemia cells into the brain and spinal cord - so for the next 3 Fridays she will have another injection into her spine via lumbar puncture as the first part of this phase (I'll write about more as we progress..the Dr's don't tell you too far ahead of whats planned because theres so many different drugs & methods & also possible changes its best not to count on anything). As far as the chemo is concerned Charlotte shouldn't need to be in hospital anymore, however, because of the chemo her immune system will be poor so we have been prepared that we may have numerous hospital stays as she is treated with IV antibiotics for infections.

Two days on the rollercoaster Tuesday, 14 June 2011 19:19

Today and yesterday have been a perfect example of how this journey we're on really can be a rollercoaster. Yesterday was a very bad day. Charlotte had me up between 1.30-3.20 because she wanted to get up & have a ham sandwich...which I would not do! She was then awake from 4.30 and we got up at 5. As soon as she's awake its straight into the non-stop eating and at 7 I was cooking breakfast. It was a bit'y day really, Mum had her for a couple spells, one of which I spent 40 minutes on the phone registering for income support as I'm no longer able to work because of 'caring' for Charlotte. We both took her out to Haskins at 3 for some chocolate cake...if you happened to be in the restaurant I apologise for my daughters yelling for 10 minutes because the door to the outside seating & play area was broken & her mummy was in the queue to pay! It was a nightmare. Anyway she said she would sleep at my mum's and I was so relieved because just felt so exhausted & was desperate for a nights break from the weeks of disturbed sleep & loss of 1-2 hours a night sleep. So it just totally got me down when much to my disappointment Mum rang at 6.45pm and said Charlotte just wants you & you best come & collect her. Thankfully my good friend heather came round to give me a bit of company and shoulder to cry on!
Today has been a total contrast. We went back to care group at Heathers and I was expecting her to grizzle & strop for my attention all the time (which is what she's done for the last few weeks when anyone has wanted to to talk to me). She never stopped eating and was really good, joining us all for lunch at the table and then chatting away with Jean & Denise whilst watching CBeebies (they both seemed to be deeply entertained by it as well! lol). I think she is beginning to tolerate the steroids a little better as her behaviour has improved bit by bit. We nipped back home for a bit and then Heather had her from 2pm until 5pm. She had a lovely time at Moors Valley on the swings & even got over her shyness to play a board game with Heathers son Andrew when she got back. Whilst she was with Heather I went to a meeting at Busy Bee's with the Outreach (POO) Nurse Pippa, Maria from the local children's centre & Moira, Charlotte's key worker at pre-school. From my point of view it was helpful to hear Pippa describe everything to Moira & Maria and what needs to be put in place for Charlotte's return. She will miss the next couple of weeks or so so it will be a real shame that she'll only have a couple more weeks or so there before the holidays and then she's off to big school.
She requested sausage & chips from the chip shop for tea at my Mum's...I did explain today that they weren't for me as the staff seem to recognise me (Charlotte had me there at lunch & tea on Saturday!). After she finished eating she took me completely by surprise by absolutely insisting she wanted to sleep at her Nanna's...so I left her at 6.45pm tucked up in bed asleep. So its been a good day & I GET THE NIGHT OFF!!! :-)

Last weekend of full high dose of steroids! yippee Sunday, 12 June 2011 at 18:51


We've not done much on our first weekend home. Charlotte has to take antibiotics every weekend...banana flavour & she hates it, so that along with the dissolved omeprazole tablet for the gastric irritation the steroids cause make medicine time a nightmare...altho we got it down to 30 mins this morning & not too many tears!
My brother Robert came down from Manchester for a few hours on Saturday to pick up a car and it was nice to see him. This morning Mum had Charlotte so I could go to Church and then after lunch at Mum's I have cut Charlotte's hair into a bob. The staff at hospital told me that cutting it shorter makes it easier to manage when she loses her hair. I explained to Charlotte why we were cutting it and its taken a few days to persuade her that I wasn't cutting it all off (think its cos she's seen me shaving Harry & Louie's heads! lol)...but she understands it is falling out & states quite determinedly that she's not wearing a hat! Its a long long time since her hair was this short as have been growing it continually with the occasional trim to thicken it up. She actually looks really cute, especially with her little chubby cheeks (caused by the steroids).
I have to take her temperature every morning & evening and have guidelines as to what to do depending how above normal she is...ultimately in most scenarios & always if she's over 38.5 I have to ring Poole & she'll have to go in. Thankfully so far, she's been fine...but then she hasn't really been anywhere or with anyone to catch anything!

Not my Charlotte Friday, 10 June 2011 at 19:51

Taken from my original diary on Facebook
We've now had 2 full days out of hospital, although we were there for a couple of hours today as an outpatient. Sadly the irritable, grumpy & constantly hungry little girl I've brought home only vaguely resembles the chatty, polite & delightful little girl I took into hospital 3 weeks ago. Due to the chemo injection she had on Tuesday she's very tired, so most unlike her she has taken herself to bed early the last 3 nights. Unfortunately she has then been awake at 5.10-5.30am due to the steroids. Yesterday morning I had the hardest couple of hours parenting ever as she was absolutely horrendous and I was in bits, thinking this really is a nightmare and theres no way I can cope with this all the time. Thankfully, my great friend Heather came round & took her out for a couple of hours so I could relax & calm down. We had a visit from Pippa, the POO (Paediatric Oncology Outreach) Nurse in the afternoon, and I was soo relieved to hear that in just over a weeks time the steroid dose will be reduced and cut out and also that although she will have the same steroids again at times throughout her treatment, it will never be at the same high dose; so it should never be as bad as this again...phew! And I'll also get my little girl back :-) lol I see little glimpses of my Charlotte, like today she said "that's really kind of the nurses letting us go home to sleep for 2 nights isn't it mummy" :-)
The steroids have given her a massive appetite and in the last week she's put back on nearly the whole 2kg she lost in the first 2 weeks. Apparently they give children cravings and the nurses have told me of children putting their whole hand into jars of marmite and such like and ordering take aways in the middle of the night as they're so hungry. Thankfully Charlotte has done neither of these things! lol She is addicted to ham sandwiches, sausages & crisps. The last 2 mornings she has had ham sandwich (2 slices of bread instead of her usual 1) at 5.30am, followed up by crisps a bit later and then eaten 2 sausages, bacon & fried bread at 8.30am in Sainsburys. If she wakes in the night she gets given 2 malted milk biscuits & that's it! (I know, I'm a cruel mum! lol). She understands she has to have lots of medicines which are chemotherapy but she must be so confused about whats happening to her. As with most children her legs are weak so she's in a pushchair most of the time & she's experiencing blurred vision as she tells me she can't see properly (both of these are side effects of the steroids and will go), and due to the big appetite she's also getting the steroid typical pot belly & chubby cheeks! She also knows that she is losing her hair, but it will grow back.
We went back to Poole Hospital today as an outpatient and Charlotte had her IV chemo, bloods taken & central line dressing changed (which made her scream like anything!). Blood results are good. As the Leukaemia cells are less now her bone marrow can make more normal cells & platelets, so some of her counts are close to normal, however, this will always fluctuate because the chemo drugs also kills healthy cells as well. So we have to go back on Wednesday for bloods to make sure she doesn't need any blood or platelet transfusions before next Fridays Bone Marrow Biopsy & Lumbar puncture.
After yesterday mornings nightmare I felt angry about our situation, why Charlotte must suffer, why its going to be so hard & hadn't we been through enough upheaval, turmoil & pain in Charlotte's short life.
Then this evening I read this on FB page Sisters in Christ;
"If we really desire to experience Him, we need to stop blaming God, reverse our self-centred demand for release, and realise for the first time in our lives that we are getting a firsthand experience of what He felt and experienced as He suffered for us." this blew me away! Dear Jesus, forgive me for doubting your love in my pain. Thank you for loving me enough to suffer for me. Micca Campbell
.....blew me away to!

Discharged Wednesday, 8 June 2011 at 22:48




I had a meeting with the Family Support Worker who told me about some of the ways she can help or resources/contacts she has available should we need, and I'm sure some of those will be useful at different times. I told her about the last 6 months, losing my Dad and then Charlotte being ill, being told that it was possibly cancer, then being told it absolutely was ruled out, only to be told just over 2 months later that it is.....it still doesn't seem real to be honest; after getting over the stress of the initial 4 weeks in February of waiting to be told it wasn't and now being told it is...it feels like some sort of nightmare that can't actually be happening.
After the meeting we packed the rest of our stuff and left at 3, sadly the 'nicest' nurses and/or the ones we had spent more time with weren't on duty today to say goodbye to, but I know we'll be seeing them again, probably many times. Charlotte slept on the way home so I thought she would be a bit later to bed tonight but for the first time ever she went & got into bed and asked me to turn the light off..bless her, I sat with her a couple of minutes and then she settled straight away.
As she was settled I decided to go to After Eights (ladies social group at church). I spoke for a few minutes at the beginning to tell everyone what had been happening the last 3 weeks (as some didn't know) and also about verses from 2 Cor 12: 9,10 had given me a lot of strength in the first few days after diagnosis. It was great to go out and be with people outside of a hospital!!