Jordan's blood work showed she had an ANC of 0 on Monday. With no infection fighting cells it was likely a matter of time before she got a fever and we ended up in the hospital, 99% of kids do after this course of chemotherapy...but we had made it through the weekend and I really thought Jordan would be the 1% that didn't get a fever...optimistic or foolish?!?
Anyhow, Jordan did get a fever of 101 of Tuesday evening so we headed back to Morristown. At least it wasn't in the middle of the night this time. The chest x-ray in the ER showed Jordan had pneumonia which sounds more dramatic than it really was. Her oxygen saturation was great and she did not seem that sick so the pneumonia diagnosis really only meant Jordan needed one additional antibiotic.
Jordan vomited some on Wednesday and seemed a bit ill but by Thursday was back to normal. The plan was to go home Friday...until then the wheels fell off Friday morning. It started with the nurse hearing a wheeze in Jordan's lung...which necessitated an albuterol nebulizer treatment...which stirred up mucus and caused some blockage...which dropped Jordan's oxygen saturation into the 80's (needs to be 92)...which required deep suction = HORRIBLE. Jordan did much better after the suction but Dr. Miller decided to keep Jordan on around-the-clock nebulizer treatments and also keep her in the hospital overnight to monitor Jordan's oxygen while she was sleeping.
Friday afternoon we also found out Jordan has a C. diff infection. C. diff causes diarrhea and is not uncommon in patients with multiple hospitalizations or with compromised immune systems...so it was probably a matter of time before Jordan got this infection. Luckily, Jordan is not experiencing diarrhea but she did start another antibiotic to treat the C. diff. Unfortunately, we have to be isolated to protect the other cancer patients when we are in the clinic or hospital for the two weeks of treatment plus the following month...so no more playroom for quite awhile. :(
All was good overnight Friday so Dr. Miller came in very early to discharge us Saturday morning. I love Dr. Miller and am very appreciative that she wanted to help us maximize our time at home...especially since we are just getting a quick weekend prior to starting round five on Monday. With the added treatments for the pneumonia and C. diff (four meds, twelve doses per day), I feel like we spent much of our weekend chasing Jordan around with medicines and nebulizers but it was great to be home. We also got a visit from Maria and Kristy, two of Craig's friends, who helped Craig and I start our week of birthday celebrations with a fantastic cake.