December 21, 2005 -- OT visit #9
wacky CBC due to illness, Katie's physical, chronic pain, two trips to the North Pole, cookbook to print

Katie is 10 months OT and a 9 month survivor!!!

Oncology appointment
Katie had her #9 OT appointment on Tuesday, December 20th which included a CBC and physical with Dr. Ann Leahy and Pattianne (the NP). Katie wasn’t feeling well — fever of 102, cough and chills — which was reflected in her CBC. Her blood counts were: WBC = 14.3 (normal range is 4.0 – 12.0), PLTs normal, Hgb normal, and her ANC was 10,868 (normal range is 1,500 – 8,000). Dr. Leahy said that since Katie is not reached the 1 year survivor mark, she will continue to feel illnesses longer and harder than kids who haven’t gone through treatment. So a typical cold that would last a couple of days for a “normal” kid will last for a week to 10 days for Katie, her fevers will be higher, cough will be more severe, and her aches and pains more intense.

After looking her over, both Pattianne and Dr. Leahy said that whatever she has is going to get worse before it gets better, and that I should consult with her pediatrician if I suspect her ears and lungs are being effected. Boy were they right! By the afternoon, Katie had spiked a fever of 103.5, was vomiting, and was complaining of a backache and severe headache. I called Katie’s pediatrician to see what I could do for her. They were really not much help. After waiting 4 hours for them to call back, I spoke with the nurse because the doctors were not available. She went through the basic “to do’s” for fever and vomiting, and suggested ibuprofen (which Katie is not allowed to have). I explained that we are “in transition” with Katie being OT but not a year OT. She had never dealt with a child who had cancer and didn’t know how to answer my questions. Calling the oncologist on-call at CHOP wasn’t an option because again, she is OT and no longer has port. John and I spent the night, waking every couple of hours to tend to Katie. She’s still running a high fever and isn’t able to eat. If this continues, I’ll take her to the pediatrician tomorrow.

During Katie’s onco appointment, Pattianne checked her balance and strength. Pattianne noted a great improvement since her last physical 3 months ago! Dr. Leahy recommends that Katie continue to swim and take ballet, gymnastics or Karate classes to help boost her balance and strength even more. We discussed seeing a dietician as many kids end up with weight problems and eating issues after going OT. Katie’s appointment with the dietician is at the end of January.

I mentioned my concern about Katie’s back and hip pain. I am to keep a log as to when it occurs and the activities Katie is doing before or during when the pain starts (after this illness passes). Many kids who are cancer survivors experience chronic pain. I will call Katie’s Orthopedist (Dr. Dormans) to find out his thoughts on the pain Katie is experiencing and possible connection to her osteopenia from the leukemia and steroids, and the compression fractures she had at diagnosis. Hopefully he can shed some light on her pain and how to deal with or treat it.

We went to the North Pole -- twice!!
Katie was invited to go to the North Pole twice over the past month. The first trip was sponsored by US Air for the oncology kids at CHOP, and the 2nd trip was for the Make-A-Wish kids sponsored by the Navy at the Willow Grove Air Base. After hopping on a plane and “flying” to Santa’s workshop in the North Pole, there was games, food, crafts, face painting, a petting zoo and a visit from Santa! We had fun seeing the kids that we knew from Gilda’s Club and CHOP. Katie and Kyle had SO much fun!! When we went to the North Pole with USAir 2 years ago, Katie was feeling crummy and stayed in her stroller the whole time. It was wonderful watching Katie have such a good time at both events this time. She was full of energy, loved jumping in the moon bounces and participated in all the activities!! What a huge difference being OT makes!


Katie’s Cookbook
The cookbook is in production!! Many, many thanks to our sponsors and to everyone who ordered cookbooks early. I know it's been a long wait, but it will be well worth it!

As the book has grown and evolved over the past 10 months, there have been many exciting additions and changes. The two biggest changes were the switch away from the traditional local community-based cookbook, and the push for childhood cancer awareness. Katie’s Cooking! a cookbook celebrating life after childhood cancer has some of the hottest celebrity chefs of today, the most requested recipes from many of the top restaurants from around the country, and the best community-shared recipes from around the world!! Plus, every time the book is opened, you will see the beautiful faces of more than 70 children from around the world who have been diagnosed with cancer.

I’ll have a better idea of when the books will ship or be available for pick-up in the next few weeks. The books are available for pre-paid purchase until the end of the year at a discount. During the month of January, we will be working on setting up online purchases (keeping my fingers crossed that we can get this to work). Starting January 1st, the selling price of the book will be $24. Click here for details.

Many, many thanks again for your support for this wonderful and important project!!

We can't thank you enough for keeping Katie close to your hearts and in your prayers. Please continue to pray for her and for all children who battle cancer. Wishing you all happy holidays and a healthy 2006!

NEXT: January 3, 2006 --
crazy Christmas with flashbacks to 2002


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