Friday, January 23, 2009




After a very relaxing 5 days in sunny Florida we returned to Washington DC on Wednesday. We swam, we went sailing, we saw the sunset every evening and even saw a wedding on the beach at sunset, which the girls loved! We slept and we had some nice food. Just what the doctor ordered. We are now ready to face the next few weeks and beyond.



Thursday morning we were back at the hospital to restart chemo. Isabella will continue with the previous regime of carboplatin and vincristine administered through her port and will now take a daily tablet of gleevec. The daily tablet turns out to be 3.5 pills in the morning and 3.5 pills in the evening. She's being very cooperative about it all. A better pill taker than her mother. Gleevec should further slow down the growth of the cancer cells. It is a drug that is being used for many forms of cancer, it does not tend to produce too many serious side effects.

We also went over the results of the MRI. The doctors repeated the good news and showed us the visual evidence of where the main brain tumor has shrunk. Some people experience faster shrinkage but this is not necessarily an indication that it will not regrow in the future. Slow and steady, we'll get rid of these tumors over the course of the next year through this current chemo regime. Hopefully by the end of 2009 we will have reduced it enough and stopped it growing so that Isabella can simply be monitored on a regular basis by MRI. Should it regrow - sometimes 6 months later, sometimes 5 years and sometimes never then we will reassess whether to return to this chemo regime, consider radiotheraphy or perhaps the new drugs, currently in trial, will be available. Right now we are pleased with the good progress we are making and happy that Isabella is tolerating medication well. We have 3 more weeks of this and then a break for a couple of weeks.

Well done to all of you who braved the artic temperatures in DC to witness Obama's inauguration. We watched from our hotel room and almost wished we could have been a part of it. Isabella was fascinated. Matilde fell asleep, but at dinner that evening she looked perplexed at the waiter and then asked me "mummy, why is Obama in Florida?" He did bear quite a ressemblance to Obama and apparently it wasn't the first time he'd been told that.

Love,
Emma and Gregorio xxx






Monday, January 12, 2009

2009 is off to a good start.

This morning Isabella had an MRI of the brain and spine to see what effect the first 10 weeks of chemo had had. Late this afternoon the hospital called with preliminary results. Good news: the main tumor in the brain has shrunk. Some dispute over the original size when I relayed the news to Gregorio. The fact remains it has shrunk and this is more than they could have hoped for at this stage. The small tumors in the spine remain stable but unchanged. There are two (not one) smaller areas in the brain that are harder to measure. The doctor repeated this is good news. We are relieved and cautiously optimistic for the future.

With 2008 behind us we are looking forward to an ever better 2009. This Friday we are jetting off to Naples. You can imagine us cruising along the Amalfi coast, sipping limoncello as the sun sets over the mediterranean....well this Naples is a mere 2 hours away in Florida. We have a nice hotel on the beach where we hope to recharge and enjoy some winter sun before restarting chemo on January 22nd. The weather forecast is high 70s. We'll miss the historic inauguration of Barack Obama but a complete escape is what this family needs right now.

We have been making the most of Isabella's break from chemo. We have been skiing three times at Whitetail, just over an hour from DC, enjoying playdates and sleepovers. Christmas, though the actual day was a real low point for Isabella, was filled with fun family parties, lots of fun afternoons playing with our new toys, seeing a magical performance of the Nutcracker and much more. Isabella has really been enjoying her food, without the chemo affecting her taste buds and appetite. A pleasure for all.

Happy New Year!
Emma & Gregorio. xxx