Quick update

Thursday, May 18, 2023 · by John Lilly
We didn't end up getting on the schedule for Sam's endoscope today (they were too busy), so we're on for noon tomorrow (Thursday). That's meant today was very uneventful.

Which means not a lot of new info. Sam is eating a tiny bit, drinking fine, sleeping more than usual. Something's definitely going on with his system, but could be several different things, so docs are trying to debug a little. 

Sam's symptoms are most correlated with upper GI graft v host disease (gvhd) -- a relatively common complication after transplant that's well treated by 4-8 weeks of steroids. But it's not a slam dunk diagnosis, so the GI folks really need to have a look around and pull some tissue to analyze to be more certain. (It could also be some sort of viral or bacterial infection, or possibly just a medium term effect of his pre-transplant chemo.)

We'll get an initial visual indication of things tomorrow after the procedure (which is under 10 minutes, aside from the anesthesia, prep, etc), but it'll take ~3ish days to get back the tissue analyses, so we're looking at Monday before we'll know much more. And then assuming we have a clear diagnosis & path of treatment, likely a few more days after that while they treat and monitor Sam's response. 

So. Earliest to get out of here would probably be Monday, but more realistically we're looking at next Wednesday or Thursday. [Slight potential logistical challenge on the horizon is that Zack & Kathy are heading to San Diego next Friday for a pretty serious soccer tournament, but I think all manageable.]

Sam's very disappointed with things -- mostly because the most likely course of treatment from here is steroids during June & July -- that's the med he's hated the most because it makes his face puffy, and he just feels not himself at all. And now it seems like it could be that way heading into the school year, so he's having a rough time with it.

It's been a rough week in that regard, and in not knowing what's really going on yet. And I think 
♥ 29 hearts

13 comments

L Robertson · Thursday, May 18, 2023
Thinking about Sam and your family so much. May this blip in the road prove to be the smallest of bumps on an otherwise straight and smooth road to fully restored health. Cheering from the sidelines,,,
David Hornik · Thursday, May 18, 2023
Been there on the GI crap and kid hating the steroid puffy face. Sorry. But Prednisone is an amazing drug.
Bryan Rollins · Thursday, May 18, 2023
Haters of steroid side effects unite! I hope you all get clarity soon - so you know the course one way or another.
Jennifer White · Thursday, May 18, 2023
That sucks about the facial effects. Tell him he’s officially allowed to have roid rage.
John Lilly · Thursday, May 18, 2023
So sorry for the setback, but maybe it can be treated by something other than steroids. Guess if that’s the fix, prospects are good for treatment, even if side effects aren’t great.
Dana Lilly · Thursday, May 18, 2023
Sorry to hear of this complication. Hopefully there will be other options. Sending hugs and prayers for you all. Hang in there. Sam, you have lots of people pulling for you. ❤️
Andrew Korb · Thursday, May 18, 2023
Please encourage Sam on our behalf. We share the disappointment. Sam is a tough, resilient kid! Proud of him. Lots of love!
Anabel Pearson · Thursday, May 18, 2023
Get well Sam ! Stay positive kid!! Rest is best .. we are thinking of you and your family !!
shelley watanabe · Thursday, May 18, 2023
Best wishes and positive vibes ....
Jessica White · Thursday, May 18, 2023
My mom is also the proud recipient of a Stanford stem cell transplant. She has had a miraculous recovery, but it was a long road with bumps along the way. Stay strong and know that the body valiantly wants to be healthy. Much love to you all.
Michelle Stewart · Thursday, May 18, 2023
Ugh. I'm sorry for the frustrations. Hang in there; you are loved and thought of so very often.
Jessi Hempel · Thursday, May 18, 2023
Thinking of you all and sending positive wishes!
Elizabeth Gomez · Thursday, May 18, 2023
So sorry!