One Hundred Days!

Joe has officially hit Day +100. It has been 100 days since his PBSC transplant. It seems like just yesterday that our families were seated around a long table talking to Joe's doctor about the upcoming transplant. It was mentioned that Day +30 and Day +100 were big milestones. At the time, Day 100 seemed so very far away. And now we are here. Some days, when Joe was admitted to the hospital again, or while Joe was enduring the seemingly-never-ending-rash, each day seemed to pass SO VERY SLOWLY. Other days, we would look at each other and say, "wow! it's Friday already...again." The wonderful part about today is that the seemingly-never-ending-rash is barely visible now. Yes, there is a bit of redness here and there, but nothing even close to what it was. In fact, during the days of the seemingly-never-ending-rash, Joe would wake up in the morning and his face would look all hairy from the skin peeling on his head, eyelids, cheeks, chin...basically everywhere. Now, when Joe wakes up, he actually has some oil on his face. Remarkable. The doctors were really excited when they saw how much Joe's rash has faded. It feels as though we are rounding a corner and finally heading in the right direction. Hopefully we'll be encountering far fewer bumps along the way.

Joe had another dose of Cidofovir today. As of this past Monday he is still CMV positive, but that was expected. We're hoping next week, and each following one will be a CMV negative week! While Joe was hooked up to his IV pole, I decided to trek downstairs where there was a blood drive and get punctured with a giant needle. It was the least I could do after all Joe has been through. I felt really good afterwards, and then a couple hours later I felt like I had been run over by a truck. I gained even more respect than ever for Joe and all the other people we pray for each day. One pint of blood had me all woozy, and here Joe's counts have been low for months and months, and he has been poked with so many needles, big and small. Overall, I had a really positive experience and am really anxious to donate more regularly. Speaking of Joe's low counts, he did need another shot of filgrastim today. Fortunately, those needles are really tiny. Let's go counts, think UP!

Today is a monumental day for another reason. Jim and Jesse made their way down to the Mexican border today and will officially begin the Marrow Trek tomorrow. We are really excited about what they are doing, and so blessed by their energy and spirit. You can track their progress by clicking here. They will also be keeping a blog which they will update each time they encounter a computer! Please keep Jim and Jesse, and their beautiful dogs Whistler and Scooter in your prayers. Also a gigantic thank you to the people who have made pledges or donations to Marrow Trek so far. The support that has poured in for CLLF and Dana-Farber has been overwhelming. We are so amazed and encouraged by the generosity of both friends and strangers. Thank you.

Now for those curious minds who don't read Chinese, and saw my dad's comment the other day...Essentially, he was teasing me for writing such a lengthy blog and using a well known Chinese saying to equate my post to the cloths that were once used to bind the feet of women in China - long and smelly. Thanks dad, I love you too! :P

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Thank you Cousin Lilly, Ben, Kristin, Alex, Lauren, and 1st Auntie & Uncle for the postcard!!!!! (Bet you didn't know that I just started teaching myself how to play ukulele and learning a song that mentions the humuhumu-nukunuku-a-pua‘a. I laugh every time I get to that word. So the postcard was perfect!)

Thank you Gordon & Julie for the food. It was so sweet of you. We appreciate it so much!

Thank you Nancy for sending such great photos. I can't stop looking at them. They are great.

Wait for the Lord; be strong and take heart and wait for the Lord
~Psalm 27:14

Day +91

Photos make blogs more fun. Today, I didn't have a good photo to post, so I dug up a silly and random photo from the past especially for your entertainment.

We went to the hospital today, and aren't due to go back until Friday. Joe's rash - the main issue we've been focusing on for quite some time now - seriously seems to be getting better now. Although, it is still pretty severe. Joe is being kept on the same amount of steroids for now. The doctor fears that tapering too soon will cause the GVHD to flare up again. If that were to happen, the doctors would look to other drugs for treatment. In fact, even if Joe's rash continues as is for too long, other treatment options may be implemented - and they don't sound like fun. So please, let's pray that the rash stays in control, and in fact, continues to get better. We are indeed grateful for some GVHD, and we are very thankful that the GVHD has limited itself to the skin, but I think that it has worn out its welcome. I'm sure Joe would be quick to agree.

Other than that, and the fact that Joe constantly looks like he has an atrocious case of dandruff (despite having very few hairs) Joe is doing well. All of that hemorrhagic cystitis business has gone away, Joe's feet and ankles are back to looking svelte, and I'm seeing more of his smile!

Oh yes, Joe's blood draw. His WBC was a whopping 0.8 k/mcL (normal range= [4.4-11.0] k/mcL.) So Joe had another Neupogen (filgrastim) injection today. The lowness of the count may be connected to GVHD. It also could be due to a relapse - although everyone is pretty confident that is not the case. Just two weeks ago, Joe's chimerism test showed 99% donor. He did get another chimerism draw today, so we'll find out later this week how female Joe is now. Think 100%! On the positive side, Joe's hemoglobin continues to be good, and his platelets keep creeping up ve-ry sl-ow-ly.

One more thing. Over the weekend, Joe did a lot of sleeping. The thing is, most of his sleep happened during the day. The steroids seemed to work their magic at night when most people are sleeping peacefully and dreaming of vacationing in Fiji. Yeah, when he should have been sleeping, Joe was unable to. Not having to go to the hospital made it that much easier for Joe to sleep straight through the morning. I kept joking that I needed to ship him to Taiwan where the time difference would make his sleeping pattern normal! Thankfully, Joe fell asleep at a regular hour last night, so I think I might be able to keep him in the States for a bit longer.
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Happy happy belated birthday to Shelley!!!!!!! Hope you had fun celebrating your Easter birthday.

I waited patiently for the Lord; he turned to me and heard my cry. He lifted me out of the slimy pit, out of the mud and mire; he set my feet on a rock and gave me a firm place to stand. He put a new song in my mouth, a hymn of praise to our God. Many will see and fear and put their trust in the Lord.
~Psalm 40:1-3

How sweet it is...

First, the not so fun stuff. Joe's rash became increasingly worse over the weekend. Yesterday, his body was covered with red patches and spots, and his skin was flaking more than ever. Joe actually looked like he had a white beard because the peeling was so bad. Several times a day Joe goes through the ritual of slathering himself with lotion. I get the privilege of getting his back. Over the weekend, we resorted to good old petroleum jelly. It is working better than any lotion, but the effect still wears off within a few hours. It is really amazing. If I used a quarter of the amount Joe uses on myself, I'd look like an oil slick and then completely break out. Or, I'd look like a wannabe body builder. Last night it became pretty unbearable. Joe contacted the doctor who further increased Joe's steroids. Again, the increase is hopefully very temporary. Please pray that as Joe's GVHD is treated that he continues to test negative for CMV! (Friday's draw did test negative. Yay!) The increase did seem to help. Joe's rash was bearable today.

Joe's WBC continues to be low. We're hoping to see it go up by the end of the week. Joe got a Neupogen (filgrastim) shot today. That usually boosts his WBC for a couple days. Joe's platelets are creeping up ever so slowly. I consider that a good sign. The hemorrhagic cystitis is much better now, and the edema in his feet and ankle area seems to be better too.

We were not scheduled to go back to the hospital until Thursday. But then the doctors decided Wednesday would be better...and then they changed their minds again, so we'll be back tomorrow. That is okay. We did have the whole weekend away from the hospital!

Now for the more fun part. Our weekend was lovely. We got to spend some time with Joe's parents on Friday evening. Then on Saturday my parents and my brother joined us for lunch. It is always nice to spend time with our families. Saturday night, Joe was glued to the TV, thanks to college basketball.

On Sunday, Joe slept the day away. He was not awake for more than 30 minutes at a time until 6:30pm. Poor babe was absolutely exhausted. He finally woke up and promised to stay awake for at least three hours. Later in the evening, the doorbell rang. I was absolutely shocked to discover six of our friends from fellowship grinning from ear to ear outside our door. They brought us a beautiful cake. They didn't even complain when we made them stay huddled by the door since Joe's counts are still low. It was a great surprise to see them, and Joe was thrilled to see some familiar faces outside of the family. By this time, Joe was a bit wired from his steroids, and the two of us ended up reminiscing about our wedding day and other fun things until close to 3am. Ooops. That's okay, when we got to the hospital, we discovered that the doctor forgot to write orders for Joe to go to short stay, so we had to wait extra long. Joe got a little cat nap in the waiting room!

Today we did sappy squishy anniversary things like look at all of our photos and videos, and eat cake! The shirt Joe wore was my gift to him. It makes me smile!

Congratulations to Michael and Judy who got married on Saturday!

Thank you to Nancy, Bill, Evan, and Elijah for the gift. You guys put a huge smile on our faces! (Happy belated anniversary to you!)

Thank you to my Taichung Aunts, Uncles, and cousins for the card. And special thanks to my 3rd auntie for the handmade bear charm (so cute!) and generous gift.

Thank you to Caryn and Roia for serenading us over the weekend. You two are too funny.

Thank you to Eric, Vivian, Louis, Sha, Crystal, and Patrick for the big surprise! You guys are wonderful!

Thank you to Sha for the thoughtful gift and always treating us like royalty!

Thank you Joy, Jerry, and Alex for the very sweet card. We miss you and can't wait to see how much Alex has changed!

Many waters cannot quench love; rivers cannot wash it away.
~Song of Songs 7:7a

Day -1

Wow, wow, wow! All of you did an amazing job making Joe's day today. The hospital delivered 28 cards to his room today! This makes a total of 30 cards that he has received from the WPAH site, not to mention the ones he's received by snail mail. The lady who delivered the cards said that if he received a dozen more, he may break a record! Joe was so thrilled to read all of the sweet and thoughtful messages. He received cards from three different countries. After every few cards, Joe would look down and exclaim, "Wow! There are still so many cards left!" Thank you so much for the outpouring of love. The smiles on Joe's face were priceless. If you haven't already, you can still join in the fun! Just click here. Follow the directions and choose "West Penn Hospital." The best part is that it is free. :)

Last night Joe finished all of his chemotherapy. He was SO happy! Joe took it like a man, and that part is finally over.

Joe started his second dose of Thymoglobulin today. The wonderful part is that so far he is tolerating it extremely well. He has had no major side effects from it. Let's pray this continues to hold true! Apparently two other patients on the floor are receiving Thymoglobulin, and unfortunately they are not tolerating it so well. We don't know who they are, but we can surely say a prayer for them as well. It isn't easy for them, and it surely isn't easy for their families either.

Today, Joe also started taking two different anti-rejection drugs in pill form: FK5O6 and Cellcept. He will have to continue taking them for a year. Among other things he is also taking acylclovir, which he'll be on for at least 180 days. Also, avelox and diflucan which Joe will take until his neutrophil count rises again.

Tomorrow is the day! Day 0 (Zero) - Joe's new birthday. There will be no fireworks or fanfare. Just a bag of stem cells that he'll receive the same way he has received blood transfusions. That means today is Joe's last day being 100% Joe, 100% of the xy species, and 100%O+ blood type (His donor has A-type blood). This also means we need to be praying for his donor right now!!!!! This is her crazy day. After getting filgrastim injections for several days, she likely started the harvesting process this morning. The place where she is having her stem cells harvested is having her do a double donation. So she was hooked up for four or five hours this morning. She had, or will have a short break. Then this afternoon she'll be hooked up for another four or five hours. We are so incredibly thankful to this stranger for giving so much of herself so that Joe has a chance to be cured. How amazing is it that a girl of only 21 has been chosen to do something so noble, and has accepted the challenge. I imagine she has gone through so many emotions herself. She doesn't even know Joe! She is a very brave young lady. Hopefully one day, we will have the opportunity to meet her and thank her in person.

Shortly after Joe's transplant, either Tuesday or Wednesday and assuming all goes well, Joe will be able to go home. However, he'll have to return to the hospital every day for at least thirty days. Each day he'll have his blood drawn to see if he'll need any transfusions and to monitor his progress. We'll probably stay with his family initially so that we can all be together.

That's it for today's update. Thank you again so very, very much for all of the love you have sent Joe's way. It has really lifted his spirits to know that so many people are rooting for him.

When you pass through the waters, I will be with you; and when you pass through the rivers, they will not sweep over you. When you walk through the fire, you will not be burned; the flames will not set you ablaze.
~Isaiah 43:2