Alivia finally made counts! We had her home health nurse come check her counts on Monday, they were still just at 700, but her doc wanted to get started on this course. They normally like their counts to be at 750 when they get chemo but since it was just the beginning they were going to let it slide. So we got to clinic and they did a CBC and her ANC went up to 1200 that night....what a silly kid. ANC's can fluctuate thousands in days, its definitely very temperamental.....
We started the "scary" course today called Delayed Intensification. Its supposed to be one of the most awful ones....needless to say I am a little freaked out for what this will bring to us and what our Christmas will be like this year, but honestly I'm so excited that we're so close to maintainence! Its definitely a love/HATE thing.....and I really do mean HATE!!!!!
Here's our plan for the next 59 days:
Delayed Intensification
Vinc: IV push/ Days 1, 8, 15
Dexamethasone: PO (Orally, twice a day)/ Days 1-7 & 15-21
Doxorubicin: IV push/ Days 1, 8, 15
PEG: Shot/ Day 4,5 or 6
Cyclophosphamide: IV over 60 mins/ Day 29
Cytarabine: IV push/ Days 29-32 & 36-39
Thioguanine: Orally/ Days 29-42
Methotrexate: IT (LP)/ Days 1 & 29
Its so much to take in, but this is what she will undergo for the next little while, she's had the PEG shots before and it was horrible, I had to leave the room she was screaming and flipping out so hard. As you can see Livi Lou gets to start steriods again too! Oh no.....the meanness, the appetite, the yelling......Hopefully she will start gaining some weight if her appetite does pick up. She is getting the Methotrexate (we hate! She gets mouth sores every time!) Luckily its not given in a large dose and its just given in her spine. So possibly the side effects wont be as severe?? Livi is prone to mouth sores and the Dox is one of those chemo's that you could possibly get them. We're always in that "possibly" category I swear, I dont want to end up in the hospital over Christmas, so everyone say your prayers we steer clear of those awful things!

My family was here for Thanksgiving this year, and my cousin Aubry was able to come to clinic with us this time. It was so awesome to have her be there!
This is Dr Holly Sprayker, Livi's main doc, she is the greatest! She's so funny and down to earth, and gets right to the point! We love her!
We now play hospital everytime we come, Livi loves playing doctor...and it is really amazing on all the stuff she picks up on. These kids are smart! She know exactly how to clean and access her port, remove the port and she even gives her doll a bandaid. What a good little doctor.
The Child Life Specialist (Rochelle, whom we absolutely adore) showed Livi what her port looked like today, we saw it in the very beginning before it was placed but even I couldnt really remember what it looked like. This is what is underneith her skin, the off-white part in the middle is where they stick the needle to get blood draws, give her fluids or her medicine. Its so much nicer than being poked all the time! The line goes up and sometimes when she is yelling or crying you can see the line sticking up! Little creepy, but hey we love it!
Putting her dolls port in, we had to explain to Liv that her port wasnt put in with scissors, she was very concerned that this is the way we were doing her dolls.
Crafty lady! She made a girl snowman today
Today is day 1 of DI and she has to get Methotrexate injected into her spine, so they have to perform a Lumbar Puncture. This is the "sleepy doctors" as Livi calls them. She gets to take a little nap, its only about a 10 minute procedure. She usually does really well with it all.
Her milky drink to make her go to sleep
This is in the recovery room, she usually takes FOREVER to wake up! She is one tired little girl. Especially when I have to drag her out of bed at 6am and hall her up to Salt Lake!
Good morning! The poor girl was starving and all she wanted was chocolate ice cream, she ate that entire thing in 5 minutes, no joke!
On our way home. Im extremely scared to see what this week has in store for us, the ups the downs, the highs the lows, hopefully it wont be too bad and Livi will be able to enjoy the Christmas season.