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I never think of the future. It comes soon enough.
Albert Einstein

~2003~ 
Cytoxan treatment regimen

Visit to
local doc
Children's
 overnight
Children's
day trip

Sun

Mon

Tue 

Wed

Thu

Fri

Sat
*** = pokes JULY 17
start of two week vacation
18
transmission failed on Steven's Pass
19
Innertubing at Mutiny Bay
20
Ben sick
21
Ben sick
22
Ben sick
23
Ben sick
24
Ben to local Dr. W
25
Ben sick
26
Ben sick
27
Ben sick
28*
local chest x-ray & blood draw
10:30pm ER Dr. called, midnight arrived at Children's
29***
noon renal ultra sound, 4pm diagnosis (teams arrived: Renal, Rheumatology, ENT, Ophthalmology, Audiology, Surgery)
Steroid IV
30****
catheter surgery, Foley catheter, dialysis 1hr




Plasma
Vit K
Steroid IV
31*****
eye exam
hearing exam





Cytoxan IV
Steroid IV
Mesna
Zofran
AUGUST 1*
end of bladder flush
dialysis 1hr
2*
dialysis 2.5 hrs
Pass Dinner
3*
Pass Aquarium
4
dialysis 3.5hrs
5
renal biopsy





DDAVP
Plasma

6
Heparin free dialysis 1.5hrs, blood loss
Pass Movie
7
dialysis
meds at home:
Cytoxan Prednisone Prevacid/Lansoprazole Cefuroxime axetil Sulfamethoxazole/TMP
Calcium Carbonate 
Nephrovite
Calcitrol 
8 9
dialysis
10
Salmon fishing
11
dialysis
12
jugular stitches separated
13
dialysis
14
won two trophies at the fair, salmon fishing
15
dialysis, surgeon ok'd neck


Start reducing Prednisone
16
fishing, fair and Rendezvous
17
fair, Levi and Gena here
18
dialysis
Pike Place Market
19 20***
permacath replacement, heparin free dialysis, surprise overnight stay
21
took trailer to Ft. Casey
22
dialysis to 51K, high blood pressure 9 hours after
23
Ft. Casey with Atticus
24
fishing, overnight at GG's
25
dialysis
26 27***
check into hospital

Cytoxan IV
Mesna
Zofran
28
bladder flush



29
to Ellensburg
30
Ellensburg Rodeo
31
home from Ellensburg
SEPTEMBER 1
exit site looks infected, check blood levels 
2 3
Nephrology / Rheumatology clinic, check blood levels

add Labetalol HCL (bp med)
4 5 6
7 8
first day of school
9***
Non catheter blood check, permacath clotted
Double Labetalol dose
10*********
PICU
7:00am found seizing
9:05 airlifted 10:30 stabilized
(intubated and heavily sedated)
cranial CT scan
MRI, MRA, MRV
arterial bp line
Dilantin
Phosphenytoin
Valium
Ativan
Fentanyl
Hydralazine
Calcium Gluconalc
Vecuronium
Vancomycin
11**
PICU
5:00am extubated
Diagnosis Reversible Posterior
Leukoencephalopathy Syndrome probably caused by seizing from hyper tension
Very groggy
EEG
Chest x-ray
12****
PICU
Diuretic 
Thrush
Chest x ray shows Aspiration pneumonia,
Left hand cellulitis,
Ativan complication,
gross motor skills still impaired,
failed MRIs,
began Nystatin
Clindamycin
13*******
PICU
Ativan complications,
Chest x-ray,
peripherally inserted central catheter installed,
permacath removed
gross motor skills still impaired
14*
PICU
played cribbage
ultra sound of shoulder for DVT
7pm moved to floor
Vancomycin
15*
CT lungs and sinus
magician
therapy dog 
walking
BP meds:
Amlodipine
Labetalol Isradipene
Hydralazine IV
16***
CT results show lesions on lungs, infection in sinus
TB test
Therapy dog
Music therapy
BP still out of control, added Procardia XL  
17*
Lung biopsy
Chest x ray
Clowns
visit from social worker and Child Life services
BP still out of control, added Enalapril Maleate 
18
Chest x ray
gift shop tour
Ben made phone calls to grandmas
BP still out of control, added Hydrochlorathydroside
19
Lung biopsy results
BP still out of control, added Minoxidil
20
crew at home emptied Ben's room,
began oral, daily Cytoxan 
21
dizzy & puking
Todd vacuumed heater ducts
22***
learned to give Epogen injection
23 24
second day of school




25*
Dr.W blood
new flooring in room
26*
Dr. W hand
27
28
retchy every morning, sleeping until about noon
29**
Dr. W hand
30 OCTOBER1*
Dr. W blood 
Dr. W hand
2 3
throwing up from Cytoxan
4
5
started oral daily Zofran
6
7 8*
Neph / Rheum Clinic
stopped Procardia XL
reduce Tums & Prednisone
9
Dr. W hurts to breath
10
started oral daily Mesna
11
Able to get up and feel OK at 7am, opening day of hunting season
12 13 14 15*
Dr. W blood 
16 17
Neurology Clinic
18
19 20
tu
21
tu
22*
Dr. W blood 
23 24
hunting
25
hunting
26
hunting

27
hunting
28
hunting
29*
Dr. W blood 
30
hunting
31
hunting
NOVEMBER1
hunting
2
swimming!
3
4 5*
Neph / Rheum Clinic
6
Biofeedback Clinic
7 8
9
S
10 11
Up at 2am for sleep deprived EEG
12*
Dr. W blood 
13 14 15
16**
Admit through ER for vomiting
17 18 19**
Dr. W failed IV
20
Biofeedback Clinic
21 22
23 24*
check into hospital

Cytoxan IV
Mesna
Zofran
25
Stayed at Grandma and Grandpa's because Amanda had the flu 
26
Finally stopped daily vomiting caused by oral Cytoxan
27 28 29
30 DECEMBER1*
Dr. W
2
3
Neph / Rheum Clinic
4*
Dr. W
started vomiting again
5
6
7 8*
Dr. W
9 10 11 12 13
14 15*
Dr. W
16 17 18
Biofeedback Clinic
19 20
21 22*severe vomiting
check into hospital

Cytoxan IV
Mesna
Zofran
23 24 25 26 27

You get the idea...lots of appointments and squeezing in the good stuff where we can.

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