maddie\'s journey
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Maddie’s Journey Through Maddie’s Journey Through Leukemia & Cord Blood Leukemia & Cord Blood
TransplantTransplant
10/2/200610/2/2006Diagnosis:Diagnosis:
Acute Acute LymphocytiLymphocytic Leukemia c Leukemia
Goal: Goal: Remission Remission in 28 Daysin 28 Days
TreatmenTreatment Plan t Plan
Includes Includes Chemo, Chemo, Steroids, Steroids,
and and AntibioticAntibiotic
ss
11/1/200611/1/2006One Month One Month
into into TreatmentTreatment
Primary Primary Induction Induction Failure Failure
Doctors Doctors Prepare a Prepare a
New New Treatment Treatment Plan while Plan while
Current Current Chemo Chemo Causes Causes
Hair LossHair Loss
11/7/200611/7/2006New New
Treatment Treatment Plan Plan
includes includes Inpatient Inpatient Chemo & Chemo &
Referral to Referral to U of M for U of M for
Bone Bone Marrow Marrow
TransplantTransplant
12/14/20012/14/20066
Remission Remission is Finally is Finally
Achieved!!Achieved!!!!
12/26/200612/26/2006In In
Remission Remission but but
Treatment Treatment Continues –Continues –
Second Second Round of Round of Inpatient Inpatient ChemoChemo
Winter 2006Winter 2006Friends Help Make the Hospital Friends Help Make the Hospital
Fun!Fun!
1/20/20071/20/2007Search of the Search of the National Bone National Bone
Marrow Marrow Registry Registry
Shows No Shows No Acceptable Acceptable
Marrow Marrow Matches but Matches but Several Cord Several Cord
Blood Blood Matches are Matches are
FoundFound
2/14/20072/14/2007Final Plans Final Plans are Set for are Set for Cord Blood Cord Blood Transplant Transplant at U of M, at U of M,
AlsoAlsoEnrolled in Enrolled in
Clinical Trial Clinical Trial Studying Studying
Double Cord Double Cord TransplantsTransplants
2/21/20072/21/2007Off to U of Off to U of M for Cord M for Cord
Blood Blood TransplantTransplant
2/22/2007 Napping after Placement of 2/22/2007 Napping after Placement of 22ndnd Central Line at CS Mott Children’s Central Line at CS Mott Children’s
HospitalHospital
Pre-Transplant Conditioning Pre-Transplant Conditioning Includes 5 Days of Chemo & 4 Includes 5 Days of Chemo & 4 Days of Total Body RadiationDays of Total Body Radiation
3/5/07 Double Cord Blood 3/5/07 Double Cord Blood TransplantTransplant
Pain From Mouth Pain From Mouth Sores Requires Sores Requires
Continuous Continuous MorphineMorphine
Failure to Take in Failure to Take in Enough Calories Enough Calories Orally Makes IV Orally Makes IV
Nutrition Nutrition NecessaryNecessary
Rising Blood Counts and Skin Rising Blood Counts and Skin Rash (GVHD) Signs of Rash (GVHD) Signs of
EngraftmentEngraftment
4/9/20074/9/2007Continuing Continuing to Battle to Battle
GVHD of the GVHD of the Skin & Gut Skin & Gut on Easteron Easter
Multiple Multiple Medications Medications to Control to Control
GVHD, GVHD, Starting to Starting to Feel BetterFeel Better
4/14/20074/14/2007First Post First Post
Transplant Transplant Bone Bone
Marrow Marrow Biopsy Biopsy
Shows No Shows No Leukemia Leukemia and 100% and 100%
Donor CellsDonor Cells
4/20/20074/20/2007After 2 Month After 2 Month
Stay Stay Discharged Discharged from Mott from Mott Children’s Children’s Hospital, Hospital, Moved to Moved to
Apartment in Apartment in Ann ArborAnn Arbor
Home Routine Includes Oral Home Routine Includes Oral Meds, IV Meds, & IV NutritionMeds, IV Meds, & IV Nutrition
5/21/2007 Home Again After 5/21/2007 Home Again After 3 Months in Ann Arbor3 Months in Ann Arbor
Summer Summer 20072007
Follow-up Follow-up AppointmentAppointments at U of M s at U of M
Cancer Cancer Center Every Center Every
2 Weeks 2 Weeks Throughout Throughout the Summerthe Summer
8/7/2007 Poor Appetite Leads to 8/7/2007 Poor Appetite Leads to Weight Loss and IV Nutrition is Once Weight Loss and IV Nutrition is Once
Again Required-Plans Made for Again Required-Plans Made for Surgical Placement of Feeding TubeSurgical Placement of Feeding Tube
9/21/2007 Surgery to Place Feeding 9/21/2007 Surgery to Place Feeding Tube in Stomach – Surgical Tube in Stomach – Surgical
Complication Leads to Perforated Complication Leads to Perforated Bowel And Emergency Surgery to Bowel And Emergency Surgery to
RepairRepair
10/31/200710/31/2007Healing from Healing from Surgery and Surgery and Thriving on Thriving on
Tube Tube FeedingsFeedings
12/200712/2007AppointmentAppointments to U of M s to U of M Becoming Becoming
Less Less Frequent, Frequent,
Reductions Reductions Made in Made in
Meds & Tube Meds & Tube FeedsFeeds
3/5/2008 3/5/2008 One Year One Year
Post Post Transplant:Transplant:Leukemia Leukemia Free and Free and
100% Donor 100% Donor CellsCells
4/29/20084/29/2008Issues Being Issues Being Monitored:Monitored:
GVHDGVHDEndocrine Endocrine
Issues Issues (Hypothyroidis(Hypothyroidis
m & m & Height/Weight)Height/Weight)
Survival into the Future!!Survival into the Future!!
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