Logan, Ringing Out

Amanda, A.J. & Logan, ringing the bell in their “Logan and the Muggles Against Cancer” t-shirts

“Ring This Bell, Three Times Well, It’s Toll To Clearly Say; My Treatment is Done, This Course is Run, And I Am On My Way”

Ring Out

The video that Amanda posted on social media of Logan “ringing out” is joyous. The symbolic end of a journey and the beginning of another. It commemorates perseverance through a difficult time. That Logan is together with Amanda and A.J. at the ringing is so appropriate and necessary. Because they walked this leukemia treatment together, arm in arm, every day. And came out the other side still patient, still loving, still optimistic. The last line on the bell’s plaque “And I am on my way” tells the story. Now, we move forward.

I love the pageantry and ceremony of marking milestones. The hospital floor staff gathered and sang a song to the tune of the Oscar Meyer bologna song: “Our patients have the cutest S-M-I-L-E’s; our patients have the sweetest H-E-A-R-T ‘s, oh we love to see you every day, but now it’s time we get to saaaay; pack your bags, get out the door, you don’t get chemo anymore.”

It is fitting that the family was wearing their matching “Logan and the Muggles Against Cancer” t-shirts designed and organized by Aunt Bridget so many months ago. Those shirts symbolize the support that poured in from friends and family during this ordeal, and I am SO grateful for that! I experienced prayer by others for my family, and there is nothing as powerful as that. It continues to be emotional for me.

The Team

Each time I see that ring out video, I tear up. Cannot help it. It is the culmination of so much time, so much uncertainty, so much stress and so much pain. And the treatment was a true partnership between the family and the staff at Children’s Hospital. I met many of them. The nurses, nursing assistants, doctors, P.A.s, custodial staff, nutrition team, speech/occupational/physical therapy staff, front desk check-in staff. All of them so skilled, kind and helpful through an unimaginably difficult time. Of course there was conflict, questioning and debate. But through it all there was one constant: what is in Logan’s best interests?

As for Mom Amanda and Dad A.J., I could not be more in awe and proud. They are heroes of this story, too. Staying in the hospital for months and months. Carrying the stress of leukemia treatment. Carrying the stress of building a new home and not having a place of their own to recharge between hospital stays. Of course, Casey & Chris, and Kim & Mike, and Donna & I were happy – really honored – to host them and help in any way we could.

This Past Week

Logan and family has stayed with Donna and I this past week and it has been an exhausting joy for Donna and me. His development is on a steep upward climb as he learns so quickly these days. One of the many concerns when little ones are in long-term treatment is that their physical and mental development is interrupted. Logan seems to be making up for lost time as he learns new words and skills at a fast pace. He has, in my mind, transitioned back to “little boy” from “cancer patient.”

Eating & Sleeping

Logan is constantly eating. He knows a little bit of ASL, American Sign Language, and as he is learning verbal words we also see the ASL signs for “hungry” and “more” all the time. Logan’s blood was tested the day of his “ring out,” and his ANC was a shockingly-high 750. Such good news, because that meant that the antifungal med Voriconazole (vori) could be stopped. That drug was both necessary and infuriating during treatment, as it limited his nutrition intake and just made him feel unwell. All this to say that he is eating now! Much of Logan’s prior nutrition was being used to recover from the treatment, and now his little body can use it to grow and develop.

And he is sleeping better. Until the vori was stopped, Logan was consistently waking up about 2 hours after he went to sleep, and we suspect it was vori-related discomfort. The last couple of “vori-less” evenings that has not happened. We are hopeful that Logan can work his way to learning to sleep for the 11 hours or so he needs each night.

For now, Logan wants to be outside all the time. Care must continue to be taken, because though his ANC was 750, it normally is about 3,000. So there are lots of dirt-avoiding stroller walks, which he loves. Because he can see ducks and dogs and other kids. He is so interested in other kids, methinks, because he has not interacted with any these past 7 months. That will come in time, as his immune system becomes completely recharged. And Donna and I are anxious to be able to referee the interactions between Logan and his cousin Griffin!

Now, What?

This is maybe my last blog post on Logan’s treatment. Lord, I pray that is so. That would mean that Logan’s leukemia has remained in remission and there is no more story to tell, other than Logan’s own life story that he will write every day. Regular blood draws in the months and years to come will mark the time. And I am sure Amanda and A.J.’s sleep the night before each blood draw will be fitful – and hopeful – for good results

Donna and I are saying goodbye to Logan and his family for the time being as we will be “breaking quarantine.” Until their house is completed, they will be staying with Chris and Casey; house close is expected in early May. We will see them again soon, together, as an extended family. Logan’s aunts and uncles and cousin on his Dad’s side are longing for that.

The future is both uncertain and optimistic. None of us really knows what is in store for us from day to day and it is the same for Logan. For now, for Logan’s family, we pray for continued remission.

Thank you, from the bottom of my heart, for your love, and prayers and support, in all ways. The family made it through this ordeal through God’s grace, and because of your support. Both were and continue to be tangible.

Happy Easter.

Logan, Discharged

Logan helping Big John cook Saturday breakfast

Logan was discharged from the hospital on Friday, April 8 and arrived at Mimi Donna and Big John’s house just before dinner. He did not stop moving and eating until he finally wound down watching 101 Dalmatians. (A.J. believed that in the last couple of weeks he has seen some version of 101 Dalmatians about 101 times…)

This marks the END of Logan’s inpatient Leukemia treatment.

204 Days

Logan was first admitted on Thursday, September 17, and was discharged after 204 days of both inpatient and outpatient treatment. I found the start date by going back to my first blog post about this, “Logan has Leukemia.” And as I read it I started crying, again. Such a long and difficult road for this little family. By Amanda’s count, 157 nights were spent in the hospital. Logan entered the treatment protocol as a crawling 9-month-old, and left as a walking 16-month-old. Logan as toddler has entirely coincided with Logan as cancer patient.

It has been a surreal experience, not yet complete. Logan is still immunocompromised as his bone marrow recovers from the chemo. Those who are involved in his care continue to socially distance and wear masks when out in the world. Logan receives meds to combat infection. And he has an appointment on Wednesday for a blood draw to check everything, including that those infection-fighting meds are at a therapeutic level. But most importantly his blood will be checked to confirm that he remains in remission. Blood draws will be a part of his life for some time. Please pray for a continuation of remission.

Freedom

That said, Logan can go outside as long as dirt and grass and windy days are avoided. And…he has no tubes. No feeding tube. He is back to eating like a champ, albeit a slimmer version than before treatment began. No central line. Originally inserted into Logan’s chest in September, it was surgically removed Friday. No central line means that blood draws, including on Wednesday, will be a needle stick.

Yesterday, Day 1 of Logan’s release, was a kinda normal late afternoon and evening with a toddler. Food thrown on the floor. Shelves emptied. Toys scattered. Let me tell you, normal never felt so good.

Logan, Home Stretch

Mimi and Logan – Logan fell asleep listening to a story

A Couple of Weeks?

Another week has gone by, and Logan received more blood and platelets. He received red blood on Friday night. But maybe, just maybe, he will not need platelets again. His platelet count increased just a bit, which means Logan’s body is producing them, a great sign. Fingers crossed that the blood counts increase so the little family can look to a discharge soon. I got conflicting estimates from Amanda and AJ in the ‘how much longer in the hospital?’ guessing game. AJ is more optimistic. But recent history is on Amanda’s side. Recovery time has increased as each round of chemo has gone by.

So, one or two weeks more in the hospital?

The hair re-growth that I was so excited about last week was a temporary illusion, since his hair started falling out again. The extended recovery period after round 4 apparently allowed it to grow. Round 5 chemo then took that bit of hair away. No matter. Soon enough Logan’s hair will return.

Shifts

There’s a rhythm for those of us who are able to help relieve Amanda and AJ in the hospital. Mimi Donna visits Mon-Wed-Fri from 7:30a until about 3:30p. Big John is there Saturday mornings, and sometimes during a late afternoon/evening of a weeknight. Grams Kimberlee and Grand Mike are there some weekday afternoons, and Sunday afternoon. Aunt Casey and Uncle Chris do a long 24-hour shift from 1p Sat to 1p Sunday. The time away from the hospital is helpful to Amanda and AJ, and we all get time with Logan. Good for all.

We all are grateful that as COVID alert levels have decreased, the stringent visitor rules have also eased. Not too long ago there could be only two visitors in the room. Now it is four – and the guest relations staff does not have to call up to the floor every time one of us shows up to make sure it is OK for us to visit.

Sleepy

Toys are rotated to keep Logan engaged. And new books are brought along to read. In the picture above Mimi was reading Logan a book when he leaned back and seemingly went to sleep. He was not reacting to the pictures anymore. If you are the lone adult, that’s when the cell phone comes out to take a picture to see if he is really asleep and ready to be moved to bed. I’ve pulled out my phone for this purpose a time or two. And, yep, asleep. When Logan gets tired and rubs his eyes, that little man drops off fast. It takes all of about 15 little pats on his backside and he is out. I am sure that AJ wishes sleep came that easily to Logan during the night.

Praying that Logan’s blood counts continue to increase, so they can finally, finally, be discharged from the hospital. Hopefully, forever.