Saturday, February 27, 2010

Day 24

Mom continues to do pretty good. They think they've found out what is causing her to be so nauseous and not like the smell of food - one of the antifungal or antibiotics they are giving her...so they are trying some new combinations and hoping that she is able to eat and keep things down better now. We'll see.
Dick and Marjean went to stay with her today as none of us were able to go. Mom said they had a good time, played cribbage and such...she was very glad to see them and happy that they were able to stay all day with her. Dad goes up tomorrow and Cale's work trip was cancelled so he is going up on Monday, so I'll see her again on Tuesday.

I've been asked a few times about what happens after Mom gets home from the hospital...really we don't know for sure, it depends on how well her body recovers from the chemo treatment but here is some info about the consolidation treatment phase(after she gets home from the hospital), so far all things point to her being in the low risk therapy...

"Even after complete remission is achieved, leukemic cells likely remain in numbers too small to be detected with current diagnostic techniques. If no further postremission or consolidation therapy is given, almost all patients will eventually relapse. Therefore, more therapy is necessary to eliminate non-detectable disease and prevent relapse — that is, to achieve a cure.

The specific type of postremission therapy is individualized based on a patient's prognostic factors and general health. For good-prognosis leukemias, patients will typically undergo an additional 3–5 courses of intensive chemotherapy, known as consolidation chemotherapy. For patients at high risk of relapse, allogeneic stem cell transplantation is usually recommended if the patient is able to tolerate a transplant and has a suitable donor. The best postremission therapy for intermediate-risk AML is less clear and depends on the specific situation, including the age and overall health of the patient, the patient's personal values, and whether a suitable stem cell donor is available.

Relapsed AML

For patients with relapsed AML, the only proven potentially curative therapy is a stem cell transplant, if one has not already been performed. "

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