Nolan had a wonderful clinic visit today! All his bloodwork looks great! The only thing the topotecan (chemo) seems to have affected is his platelets. They were 262,000 a week ago and now they are 62,000. No need for transfusion right now but will keep an eye on it with some follow up labs next week.

The doctor and I talked a little about chemo and we may add two more drugs eventually but first we have to get Nolan weaned off of decadron because it doesn't work well with one of the chemo's.  He was started on decadron (steroid) In the hospital to help with inflammation in the lungs and anything that could be going on in the brain.  So far he has done great with the decadron weaning and it will probably be another 2-3 weeks before he's completely off.  One of the drugs we discussed is avastin which he's done for years and has been off of for a couple of months.  The other is an oral pill that I don't know much about yet.... 

Please be in prayer that the decadron weaning goes smoothly and he is able to start these new chemo's. I always feel the chemo works better in combinations. I could be wrong but that's what's he's always done.... 

Thank you for all the birthday wishes!! Nolan had an awesome day :-)

Brittany