This week has been hard. I’m tired of pretending I’m strong and everything will be
okay because this week, even I’m not buying my positive BS. I’m tired of telling other people that
“it’s okay, we’ll fight it – there is a high survival rate for ALL leukemia”. After this hellish week, I’m more
afraid of what the meds or infection may do to her than cancer. People should be comforting me, not me
them but when they try, I feel uncomfortable and wind up comforting them
instead. And then, the people that
want to listen, I don’t want to talk to but complete strangers that say “I’ve
heard”, I want to break down and start sobbing – for example, the guy that was
helping me buy a DVD player at Best Buy today. Thankfully I pulled it together before anything came out.
Enough about me, let’s talk about the itchy red rash that
bombarded us on Monday. Needless
to say, I didn’t sleep all night on Monday, worrying if her throat would close
up. I watched the clock intently
for each 4-hours to pass so we could administer Benadryl. Gene slept a few hours but barely
enough.
I woke up Tuesday morning sick as a dog so Gene took the day
off of work to take Kennedy to clinic at 9am.
I wanted to go but the risk of getting her sick was to high
so Gene told me to stay home; I didn’t get out of bed all day.
Gene called me when the doc entered the
room.
Dr. Sarvita, thought
the rash was from meds but couldn’t say for sure it was Bactrim.
I disagreed – Dr. Edan had been
spending her sleepless hours looking up the side effects from each of the meds
K has taken in the last month and Bactrim was definitely the culprit.
She then went on to say we could try
Bactrim again in 2-weeks to know for
sure….really?
Hell no.
There is no way Kennedy will be getting
a Sulfa based med in quite some time.
Also, her birthday party is the weekend she would try again and the last
place I want to spend that day is in the hospital with a restricted airway and
a red itchy rash.
The allergic
reactions to Sulfa can be so severe and I consider us lucky that we just had a
rash.
Stevens-Johnson syndrome can
also occur from Bactrim and I am not willing to take that gamble to “see”.
The doc will be prescribing a new med in place of Bactrim
which is more of a second line of defense against PCP pneumonia and not as
effective as Bactrim.
The bad
thing about the new drug is that they will continually need to check her liver
enzymes as the meds tend to cause liver issues.
Do we have any other options???
Dr. Sarvita suggested a few days of prednisone steroid and a
heavier antihistamine but she wanted Kennedy to first see a dermatologist. She made an appointment for Kennedy at
a derm doctor in LaGrange for 11:30.
Between appointments, Gene took K out for pancakes and right as they got
their food, Kennedy’s rash started to make its appearance known. She hadn’t gotten Benadryl all morning
and the rash had found its way all over her body and face and she was just
miserable. She didn’t eat.
The dermatologist, who also brought in more doctors, thought
the rash was likely caused by Bactrim and thankfully did not suggest a steroid
– saying the steroid would only temporarily make the rash disappear, only to
return again in a few days even worse.
They prescribed 2 antihistamines and Zantac. This has thankfully been doing the job and there has been no
rash today.
Tomorrow is clinic where she gets her spinal chemo infusion
and is then admitted for a 24-hour methotrexate drip. We made her a “no pokeys” nightgown
since she already grew out of her favorite shirt. We also let the kids stay up for a late snack together since
they won’t see each other for a couple of days.
I feel sick thinking about all of the chemicals they are
pumping into her little body and what the next reaction may be. No one prepares parents for having a sick
child and what that means; the toll it takes on the family, the siblings and
the sick child. Today I can’t hold
it together and I can’t be strong and I wish I could be okay with that. I’m
just tired and scared, maybe tomorrow will be better.