This is long and upsetting but.....
I decided to share this letter from my stepson.
Hi everyone. Thanks to you all for doing all that you are. You truly are awesome. Justin and I went to Vermont today to get some other test results and medications. The results were not that great. We were informed that he is still very sick and has been moved from the “high risk” category to the “very high risk” category. I’m sure you are wondering what that means…it means that the “high risk”category that he was in had a 50-75% chance of living through the 2 ½ year treatment stage. The “very high risk” category (which he was diagnosed with today) only has a success rate of 30 to 50%. This means that the chemo and other medications will not effectively treat him, he will need to continue the chemo and additional medications for (at least) two weeks beyond the original 29 days of treatment. Then, if the cancer is in remission, he will be moved to another location (more than likely Philadelphia or Boston) to get set for a bone marrow or stem cell/cord cell procedure – success rate even with the proper donor is 40% for reaching adulthood. The first to be tested will be me, Anne and Jen as Jennifer (his sister) has the highest percentage of being a match for Justin (even more than Anne or I). We are all going to Vermont on Monday for all the blood work/tests to see if we are suitable (the results take 2 weeks to get and Justin can’t be tested himself right now because his blood/cell numbers are so low). If these tests don’t come back with great numbers, we will be requesting testing and blood samples from all family on both sides to determine if we have a relative that is compatible. Please don’t go and get yourself tested at this early stage until we learn more, as it is a very expensive procedure and not covered by most health care plans. If further family or friends are needed for testing, we will notify you and appreciate all support. But if we don’t have a suitable match even after the many screenings, then we will go with a “core cell” (placenta type “cord” transfusion). For today, they determined that Justin has my blood type (B positive) , but that is not a solid indicator at all that he and I will be the best match at all. This sure changes a lot and we are again hit with another notice just when we thought things couldn’t get much worse. Sorry to give you such news, but his doctors are very truthful with us (which we asked for from day one) and felt it best to give us this news as soon as it was known/discovered today. They are doing additional tests as I type this to verify these findings (those tests will take 2 weeks to come in), but it does seem that his numbers of cancer cells are not dropping with the meds and chemo as fast as expected at this stage of treatment in the high risk category and they need to be less than 5% before any type of bone marrow/stem cell treatment can begin, and he is still over 50% after the first 14 days of treatment with chemo of this 29+ day stage. We continue to be strong and have faith that the doctors can and will do what is best for him. I’ll tell you, I have never felt so helpless to help someone I love and care about so deeply. I asked the doctor today if there was a way that they could take something from me - anything - to help him and she said no, there isn’t. There is nothing you can do physically to help him now but to be there and support him with everything he is going through. We left at 8am and got back home here at 11pm tonight. Thank you all for all the email and support, we are flustered and find it very difficult to focus on even simple day to day things, I just figured I’d let you all know…I’ll send a copy out to everyone else in my address book, but please forward and notify who you can as well. He had a blood transfusion (took 4 hours today) and so many shots etc to mention. Breaks my heart. Thought I was tough and could handle just about anything life could throw, but this really exceeds my ability to function properly and sleeping is difficult. 30 to 50% is not great odds and I can only sit and wait to see each new day unfold but plan to help in anyway to win over this and have spent my life beating odds and numbers. Thanks for all you have done and what you are doing daily, I know it is also an emotional time for you and your family, as it is for us here and we are thankful to have such fine extended family in all of you! I thought I was ready to fight anything in a physical sense that would come our way, but not this unseen enemy haunting him right now. My soul is sworn to be his protector, but I feel I have failed him none the less and feel powerless each day to help him when he needs me most. He talked with me today during our trip to Vermont,. . about college and going to cooking school when he grows up etc…. I almost had to stop driving the car. . Please continue your efforts. Thank you all so much.
Steve