Today we finally got the results back from Daniel’s most
important bone marrow test that took place last Friday (2/3/12). This was “Day
29” or the final day of the first phase of his treatment. This test was the one that would tell us (A)
how well he responded to the first and most critical phase of treatment, and
(B) how to proceed with the rest of his treatment over the next two years. As I’ve written about previously, the goal
for the first phase was to get him into Full Remission by Day 29. This is determined by the “preliminary
results” that are obtained usually within an hour after the test is performed
by a lab right there at the hospital.
They look at a relatively small (tiny actually) blood sample
microscopically and count the number of cancer cells found. When the number reaches zero, he’s considered
to be in “remission” or “Cancer Free”.
This does NOT mean he’s actually 100% cancer free though (go figure) –
only in terms of that particular test. A
much more rigorous test is then performed by a specialized lab that takes a few
days to complete and obtain results.
This is called a “Minimal Residual Disease” or MRD test and a sample of
blood literally thousands of times larger is examined by special computer
processes to look for more cancer cells.
Here, the goal is to get him to 0.01% cancer cells in his blood by Day
29.
We were very pleasantly surprised to
find that Daniel had attained remission (the smaller test) only half way
through the first phase – by Day 15. And
that same test showed him already at 0.013% MRD (the bigger test) … nearly to
the end goal already. But they indicated
that, although that Day-15 testing was an important window into how the
treatment was going, nothing would change based on its results. Only the Day 29 test would make any
difference. The preliminary (smaller)
test last Friday again showed zero cancer cells and that he was still in full
remission. And we’ve been waiting for
the (bigger) MRD test results until this morning. They showed that he had no only achieved the goal
of 0.01%, but actually all the way to 0.00 – zilch, nothing, nada, not a single
cancer cell was detected in the test.
Obviously we couldn’t be happier!
And as my title suggests, we are extremely THANKFUL for the test
results showing NOTHING in the way of cancer cells (sorry, I couldn’t resist
the title. :)
I asked the doctor whether this was something unusual (still
hoping for a confirmation that our trip to see Solomon Wickey had produced
something out of the ordinary (aka “supernatural”), but alas it’s not too
terribly uncommon to have a 0.00% result on this test. It is however, no less wonderful and worthy
of celebration. Whether through the
efforts of doctors, Solomon Wickey, or the hundreds of faithful friends and
family who have continued to lift Daniel up daily in prayers and fasting, one
thing is clear – God has working in the life of our little boy to bring him
through this ordeal and back to health.
A long and difficult road remains ahead short of some confirmation that
this is no longer necessary (that was a hint, Lord! :), but we are extremely
grateful to our Lord that Daniel is doing so well. Our battle continues with the compounding
side effects of the medications and the on-going susceptibility to infection
during these next couple of months (not to mention the psychological impacts
that Daniel has been struggling with more recently).
Tuesday (Valentine’s Day), Daniel begins the 2nd
phase of chemotherapy and will be going in weekly for the most part on Tuesdays
now. Thanks again to all of you who
think of us, read our posts, and / or pray for Daniel. We love you and may God richly repay your
kindness toward Daniel, Andrea and I.
- Tim -
Thanking God with you! Tell Daniel Tyler misses him at co-op and our family is praying for him (and you all)!
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