Friday, April 30, 2021

Kameron's First Week of Treatment

After 3 days in the hospital, Kameron is home! As you can probably imagine, after undergoing his first round of chemotherapy, he has been quite tired and feeling under the weather. It has been a whirlwind couple weeks since receiving his osteosarcoma diagnosis. We are sorting out our new normal and what Kameron's treatment/appointments/expectations will look like over the next months.

This week (Tuesday) we met again with the local oncology orthopedist. At the 10 week mark, Kameron will need to undergo surgery to remove the tumor in his right femur. The doctor explained what his surgical plan would be for removal. It would require an oncological resection of the tumor with wide margins, utilizing cadaver bone, and instrumentation that would look like a fancier (more entailed) knee replacement. However, surgery is more risky for Kameron because of his chemotherapy, which makes him immunocompromised (ie: susceptible to infections). Infection is a big concern. As well as blood clots.

We also checked in this week with his oncologist (cancer doctor). Kameron has always had intermittent bloody noses, but the chemotherapy has made that worse for him. They helped us navigate plans to manage those at home and prevent them. They have been wonderful about navigating social programs and secondary insurances that will help cover Kameron's extensive medical needs. Their program made this complex process easier to understand and navigate in a clear, step-by-step process. It was so wonderful to see a system work so well for its patients! 

We are doing what we can to support Kameron as he fights osteosarcoma. He has had to go on a low-microbial diet. Which means, no sushi. That was a bummer. Basically, it's super important we keep hot foods hot and cold foods cold, and wash the heck out of anything fresh he eats. We also got him a gamer's laptop that he'll be able to take with him to his treatments (which we learned will require an inpatient hospitalization every time he has a chemotherapy treatment). The treatments really affect his appetite, so we have been diligent to make him or get him whatever he is feeling up to eating. Somedays, it's mint chocolate chip ice cream for dinner! He has been loved on by friends and had snacks, blankets, Chinese food, and activities brought to him to fight boredom. He was able to video chat with dad during his hospitalization and go "virtual shopping" for snacks at the Asian Market, which he seemed to enjoy.

We would appreciate continued prayers as we continue to navigate getting a prior authorization/approval from our insurance company to go to University of Texas MD Anderson in Houston, Texas. Our doctor wrote a letter for us on Tuesday asking them to expedite our request to be seen out-of-network, as their sarcoma program has better than the national average odds for Kameron's specific kind of cancer. We are wanting the best/most promising treatments possible for him. We are currently in a waiting pattern for approval, and this can take 72 hours. We are hoping for answers on this soon. 

Kameron has another off week of chemotherapy treatments, this coming week. He will see his oncologist again next week and he'll have more lab work to closely watch how his body is handling treatments. His type of chemotherapy requires three different medications. These can cause damage to his heart, kidneys, hearing and peripheral nerves-- which is why they watch him so closely in the hospital. 

Because Kameron is so susceptible to infections with his treatments, we are limiting our outings and exposure to others. We ask if you are sick, you respectfully keep your distance, to keep Kam safe.

Thank you to those of you who have reached out. For those continuing to hold up our family in prayer. We know Kameron isn't battling this alone. And many of you have come alongside our family and supported each of us, loved on each one of us, and helped carry and encourage us when the load gets heavy.  Thank you doesn't seem like enough, but right now, it's what we have. 



Wednesday, April 21, 2021

Kameron Update: A New Challenge


For those of you who have been following our journey, and for those who are newly joining us, we recently announced a devastating medical diagnosis we received for Kameron. As you can tell, it has been quite some time since we last posted here on our adoption blog. Kameron has been doing great. He is an incredible son. So funny. He literally has all of us constantly cracking up. He has handled the COVID-19 pandemic, all the challenges that have come with it, and anything high school could throw at him like a champion! He is getting good grades and has dreams to join the Air Force some day and fly the drones.

About 3 months ago, Kameron started complaining of some minor right knee pain. He didn't injure it or anything, it just showed up. For those of you who don't know our family, I (his mother) am a Physician Assistant. When I examined his knee, other than some minor swelling things seemed fine. I tried a neoprene sleeve and Ibuprofen. These helped, but his pain did not go away. After 6 weeks of persistent pain, I called our sports medicine doctor, and made him an appointment during Spring Break. 

We met with the doctor and he did a detailed knee exam and took an x-ray. The doctor agreed, his exam was normal. He looked really close at the x-ray where Kam said he was hurting and noticed a slight irregularity to the bone. The radiologist favored it to be benign (IE: no big deal) but advised we get an MRI, out of an abundance of precaution. Two days later Kam had his MRI. We learned quickly after, that the MRI was concerning for a primary bone tumor. What we didn't know was which kind. After a whirlwind couple of weeks he had a bone scan, bone biopsy, and a CT scan of his chest, abdomen and pelvis. It took a week and a half for Kameron's pathology results to come back from the Mayo Clinic:

Osteoblastic Osteosarcoma- High Grade. 

For more information: (https://www.hopkinsmedicine.org/health/conditions-and-diseases/sarcoma/osteosarcoma)

To say we were devastated by this news, is a given. Thankfully, as far as we understand, Kameron is considered in the earliest stages-- Stage II. No cancer has spread to a detectable level. 

This past Monday we met with his oncology team. He has the kindest of doctors and support team. We had met his lead oncologist, Dr. Hansen, almost 11 years ago to the date, as he was the on-call pediatrician when our son Toby was born. I remember him joking as we took our newest son home, "Well, I hope I never see you again." We laughed. And we hoped so too. Fast forward, and as we meet him again, he says, "I am so sorry you have to meet me again." 

We learned that Kameron would be admitted to the hospital the next day (Tuesday). He will need to undergo extensive baseline testing, chemotherapy, and a surgery. The plan is he will undergo 10 weeks of chemotherapy, surgery, then additional chemotherapy. Yesterday, he had a port-a-cath placed which will help deliver him medicine to help fight this cancer. Today, Wednesday, they have fully hydrated him and are beginning his first round of chemotherapy.

Our family has decided to pursue a second opinion. Not because our team out here isn't great. They are wonderful! We know the general national odds of successful treatment for Kameron's type of cancer are about 66% or so. University of Texas MD Anderson in Houston is known for being the national leader (#1) in cancer treatment and research. Their sarcoma program is 80% successful. At some point, once we can get all the insurance hoops aligned, we will travel out there for further evaluation. 

While many patient's facing such a hard diagnosis feel isolated, we have been blessed, supported, and loved on by so many in our community. Y'all have been inventive and wonderful despite COVID precautions making things extra difficult these days. Bless you. We have felt your love. For those asking what they can do to help, we genuinely don't know yet. But we have put you on our list of people to reach out to when needs arise. It takes a village, and we love our tribe deeply. You showed up and continue to show up! Please continue to pray for Kameron and our family. We firmly believe that prayer is what moves the hand of God. We have one heck of a tenacious fighter in Kameron.