Journal entry by Trish Richhart

As I write this, Samuel is in his fourth day of chemo.  He will have ten days total.  That was a hard thing to consent to do.  The reality of what chemo does is harsh.  However, the reality of what leukemia does is harsh, too.  It would take our little boy's life.  Chemo will be hard on his little body, but the hope is that it will destroy the leukemia leaving him with life.  So far, he is handling it well.  His appetite has diminished, but he is still able to eat and keep it all in his tummy.  He is tired, but has still had the energy to beat his mom at air hockey.  Thank you, God!

After chemo, Samuel will have virtually no white blood cells, red blood cells, or platelets left.  He also won't have the bad leukemia cells either, and that's the goal.  He can be given platelets and red blood cells (hemoglobin), but he will have to make his own white blood cells.  While he has a low white blood cell count, his body will not have the ability to fight off any infection, so he will have to stay in the hospital where he is monitored closely and can be administered an antibiotic quickly should the need arise.  Once his blood count numbers rise to a certain level, he will be able to come home.  This should be anywhere from 21-28 days after the start of chemo.  Then he can be home for 1-2 weeks before the process will probably begin again.

Because of the unique form of leukemia that Samuel has, the full treatment plan is an unknown.  At the end of this first cycle, he will be reevaluated and a decision will be made as to the next step.  So, there is no way to plan ahead.  If God wants to teach us a lesson on relying on him day by day, he sure has found a way to do it!  So, we do not know what the future holds, but we do know the One who holds the future.




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