Goose's Treatment History

Goose’s Treatment History

  •  May 19, 2014- PCH Emergency room visit where diagnosed with acute-lymphoblastic leukemia

  • May 20, 2014- Beginning of treatment: Port placement, bone marrow aspirate, lumbar puncture and CSF chemo dose

  • May 21, 2014- Round 1/Dose 1 of chemotherapy

  • May 26, 2014- Discharged from PCH after 7 days

  • May 29, 2014- Round 1/ Dose 2, bone marrow aspirate, lumbar puncture and CSF chemo dose

  • June 5, 2014- Round 1/ Dose 3

  • June 12, 2014- Round 1/Dose 4 (final)

  • June 16, 2014- Admitted to PCH with suspected infection

  • June 19, 2014- Diagnosed with fungal infection (mucormycosis)

  • June 20, 2014- Debridement surgery

  • June 21, 2014- Debridement surgery

  • June 22, 2014- Debridement surgery

  • June 23, 2014- Debridement surgery

  • June 26, 2014- Debridement surgery

  • July 3, 2014- Debridement surgery

  • July 8, 2014- Round 2/Dose 1 of chemotherapy

  • July 11, 2014- Debridement surgery

  • July 12, 2014- Debridement surgery

  • July 14, 2014- Debridement surgery

  • July 16, 2014- Debridement surgery

  • July 18, 2014- First hyperbaric chamber therapy session

  • July 20, 2014- Debridement surgery

  • July 23, 2014- Debridement surgery

  • July 25, 2014- Round 2/ Dose 2

  • July 31, 2014- Final hyperbaric treatment (10 dives total)

  • August 5, 2014- Bone marrow aspirate, lumbar puncture and CSF chemo dose

  • August 7, 2014- Round 3/Consolidation phase of chemo begins

  • August 11, 2014- IN REMISSION! MRD results feom Seattle returned negative. NG tube placed.

  • August 15, 2014- OR time with ENT (nasal/sinus debridement), surgeon debrided and inspected wounds, and lumbar puncture and CSF chemo dose

  • August 20, 2014- Discharged from PCH after 9 weeks and 2 days.

  • August 21, 2014- Clinic visit: Spinal tap, CSF chemo dose, PEG IV chemo, IV chemo push

  • August 22, 2014- Spiked fever, admitted to PCH

  • August 28, 2014- Nasal/Sinus cleanout, lumbar puncture and CSF chemo dose, IV chemo push

  • September 9, 2014- Discharged from PCH after 2 weeks and 4 days

  • September 17, 2014- Consolidation part 2 started

  • September 30, 2014- Admitted to PCH for Veno Occlusive Disease (VOD)

  • October 1, 2014- Began 21-day study/treatment (defibrotide) for VOD

  • October 7, 2014- Debridement surgery on right-leg scar, NOT fungal after culture. Diagnosed as septic after cultures on all 3 lumens return positive for bacterial infection

  • October 8, 2014- Medically sedated and intubated, chest tube inserted to drain effusion surrounding right lung

  • October 9, 2014- Foley catheter inserted, arterial line placed and peritoneal drain placed in abdomen to drain excess fluid

  • October 10, 2014- 5 days of granulocyte (white blood cell) transfusions started

  • October 12, 2014- Bacteria identified as corynebacterum striatum (gram positive rods)

  • October 14, 2014- Catheter inserted and CRRT (dialysis) started

  • October 22, 2014- Surgery to insert a "permanent" catheter for dialysis to prepare for extubation

  • October 23, 2014, 10 PM- Body temperature will not rise above 94 degrees, blood pressure continually dropping, poor breath sounds in right side, x-ray ordered

  • October 23, 2014- 11- X-ray shows right side is completely clouded after morning x-ray was clear. Sonogram done to search for pockets of fluid

  • October 24, 2014, 2 AM- Surgeon called in, he sonograms and finds a large effusion by her right lung. Inserts chest tube and drains 800cc of blood immediately.

  • October 24, 2014, 5 AM- After blood continues to drain taken for a CAT scan

  • October 24, 2014, 6 AM- Surgeon brings news that the CAT scan shows an artery on her right side that is spewing blood into her chest. Inserts a second drain to relieve pressure and stabilize her enough to take to OR.

  • October 24, 2014, 7:30 AM- Taken into emergency surgery with her surgeon, 3 of his surgical practice peers and the cardiac team.

  • October 24, 2014, 2:30 PM- After being able to say our goodbyes, Lucy breaths her last breath as her heart tires and she is relieved of her earthly pain.