
07/22/2025
Jireh lab update! We just got all the testing back today. π«
Normal blood panel (CBC): this looks at the basic labs I was rambling on about in the last post with white blood cells and neutrophils. After the 7ish day mark counts came back decreased! White blood cells were decreased from 6 ish to 5 ish (need to technically be less than 3) and neutrophils were down from 4kish to 3kish ( need to technically be less than 1.5k). What this means is we are TRENDING down. Which is what we WANT, normal chemo takes effect 7-10 days out in labs so this news is very promising. We might need to tinker with doses more but we need time to tell that.
LDH testing: looks at cell turnover, high levels can point to leukemic activity. Numbers were WAY high. The last time this test was run was at diagnosis and was 700ish this time over 1,100 ish. Definitely shot up red flags but the sample was what's called hemolyzed which means red cells were erupting contaminating the sample before the lab got it which is a false test result. We will ask for this test again just to make sure but ask our doctors thoughts before doing so because based on other results listed below it's likely not needed. This is also a marker that's used to detect possible leukemic activity before it really shows its "true form".
PCR testing: this looks at cancer on the molecular level and in simplistic terms basically says hey even though we don't see cancer the cancer DNA is there so we know it's just a matter of time before we start actually seeing it again. This test is frequently used outside of the states for monitoring but not SOC in the states. Its come back NEGATIVE. This was the most crucial test given our wonky lab work. There's some nuances in this testing listed as disclaimers which we need to ask further questions on but not questions for pressing concern at this time.
6MP testing: which looks at how his liver is processing things. We give him this chemo everyday roughly 24 hours apart each dose. What this test told us is his body is NOT processing chemo too fast which causes counts to be wonky. To put it in simplistic terms perhaps his body is excreting it in 12 hours instead of 24, that means adding more chemo to the mix isn't going to help it's just going to make his liver work harder and perhaps we end up with liver complications because of it. This is AWESOME, counts were a little outside of range but NOT concerning enough to do anything about.
All in all the long story short from all the testing we did is that Jireh just needed more chemo to keep his counts suppressed. It was a hypothesis but as a mama I wanted to be sure that's in fact clinically what we were actually dealing with. So our action to increase chemo from the jump in the last report was the right call from what we are seeing. I still need to confirm what I'm interpreting from the PCR and the 6mp results that just came through today but I'm almost 99.999999999% positive I'm understanding it clearly. I'm so grateful for our physician who called immediately after our first set of labs resulted at 6:30pm last week knowing I was going to go haywire when I saw the LDH levels to explain it and put my mind at ease as we waited for the extra labs to result today. He's been amazing and such a needed shift of comfort from our original primary.π Continued prayers would be that Jireh would tolerate lab draws without them being so traumatic and for me to advocate for them to be taken the right way the first time. When we went in for these additional labs it took four pokes, after the third back up help was called and it was immediately drawn correctly from a different phlebotomist tech who according to her badge specialized in oncology. It honestly was just wretched for him and for me.
I also want to shout out to this organization who sent shoes for us. Project Outrun sends shoes once a year to families battling. Since Ji is too young to like any type of shoes outside of Cocomelon we let my oldest son Trevon customize his own shoes as although the chemo has taken a huge toll on Jireh he doesn't really "understand" it and the really big toll has been taken on his siblings that have had to really swing with all the punches and lack of care focused on them through this entire process and the missed everyday life routines that took a back burner. We are so grateful for all the organizations that take a stand by our side to continually offer little glimmers of hope despite any anxieties that remain. If you get a chance check out their story, it's one that's so inspiring. Ji ended up with his Cocomelon shoes purchased by us and Trev ended up with some super nice Nikes he only wears to his internship for physical therapy as he pursues his career interests entering his senior year in high school. π
And of course as I end this update please continue with your thoughts and prayers to all the families we know still fighting, those recently diagnosed and those who have lost their battle and how their parents are coping with their loss. United we stand in all journeys, it's so tough that words aren't enough to describe it and our hearts are forever intertwined. π«ΆποΈπ«β