Yesterday we got to GOSH at 10am and were admitted on to Elephant ward, as we were expecting to stay for a couple of days as they administered the 36 hours of hydration needed to accompany the cisplatin drug.
We knew the doctors would be discussing Adi's hearing and the effect the cisplatin was having on it. I was braced for a difficult discussion with the doctors - Dave and I had decided that we would go with the most effective drug to beat the cancer, whatever the long term consequences but it wasn't an easy decision for me to make. I was surprised, however, to find that the decision was taken out of my hands completely.
Around 1.30pm, they came in to tell me that they were changing from cisplatin to carboplatin, which she has had before. I had to wait a few more hours before I could speak to the consultant to understand completely what the implications of this change were, but even before I did I felt a huge weight lifting and realised how distressed I had been that Adi might lose her hearing. I wasn't sorry that I hadn't been involved in the decision but did need to understand their thinking.
The consultant was one I hadn't met before but was excellent, making things clear for me. Had we continued with the cisplatin, it was very likely that Adi would lose her hearing significantly. At the moment, she has just lost the top frequencies but previous experience indicated that one more dose would result in her losing the speech frequencies too. Whilst there have been no studies comparing the effectiveness of carboplatin versus cisplatin, they have been used interchangeably in this chemotherapy protocol for decades with no discernible impacts on the outcome of the treatment. This is particularly due to the fact that this is what is called 'consolidation treatment'. The real treatment was the surgery and the radiotherapy, this is just to try to capture any lingering cancerous cells....The way I understand it is that this is the mouthwash you use to make sure your breath is fresh after you've done the real work scrubbing away all the bits of food with the toothbrush. It makes little difference whether you go for cool mint or spearmint flavour.
The downside is that the carboplatin will have a more significant effect on Adi's immunity, making her very susceptible to infection, so we are back to glaring at anyone daring to sneeze within a 10mile radius of where we are standing and staying away from nurseries and soft play areas. The plus side, carboplatin only takes an hour to administer, so we were home by 9pm and slept in our own beds! With luck, we will only be day patients from now on! We have one more dose of carboplatin to go now, which will be in 6 weeks time......
It was a very long day yesterday. Made so much easier by the help and support of volunteers from Camp Simcha, who played for hours with Adi; stickers and chocolate brought by my cousin, Judith; and finished off with a pizza and bottle of wine that was very much needed at the end of the day! Thank you for that Amanda!