Team Lucy Goose: Goose's Treatment History

May 19, 2014- PCH Emergency room visit where diagnosed with acute-lymphoblastic leukemia
May 20, 2014- Beginning of treatment: Port placement, bone marrow aspirate, lumbar puncture and CSF chemo dose
May 21, 2014- Round 1/Dose 1 of chemotherapy
May 26, 2014- Discharged from PCH after 7 days
May 29, 2014- Round 1/ Dose 2, bone marrow aspirate, lumbar puncture and CSF chemo dose
June 5, 2014- Round 1/ Dose 3
June 12, 2014- Round 1/Dose 4 (final)
June 16, 2014- Admitted to PCH with suspected infection
June 19, 2014- Diagnosed with fungal infection (mucormycosis)
June 20, 2014- Debridement surgery
June 21, 2014- Debridement surgery
June 22, 2014- Debridement surgery
June 23, 2014- Debridement surgery
June 26, 2014- Debridement surgery
July 3, 2014- Debridement surgery
July 8, 2014- Round 2/Dose 1 of chemotherapy
July 11, 2014- Debridement surgery
July 12, 2014- Debridement surgery
July 14, 2014- Debridement surgery
July 16, 2014- Debridement surgery
July 18, 2014- First hyperbaric chamber therapy session
July 20, 2014- Debridement surgery
July 23, 2014- Debridement surgery
July 25, 2014- Round 2/ Dose 2
July 31, 2014- Final hyperbaric treatment (10 dives total)
August 5, 2014- Bone marrow aspirate, lumbar puncture and CSF chemo dose
August 7, 2014- Round 3/Consolidation phase of chemo begins
August 11, 2014- IN REMISSION! MRD results feom Seattle returned negative. NG tube placed.
August 15, 2014- OR time with ENT (nasal/sinus debridement), surgeon debrided and inspected wounds, and lumbar puncture and CSF chemo dose
August 20, 2014- Discharged from PCH after 9 weeks and 2 days.
August 21, 2014- Clinic visit: Spinal tap, CSF chemo dose, PEG IV chemo, IV chemo push
August 22, 2014- Spiked fever, admitted to PCH
August 28, 2014- Nasal/Sinus cleanout, lumbar puncture and CSF chemo dose, IV chemo push
September 9, 2014- Discharged from PCH after 2 weeks and 4 days
September 17, 2014- Consolidation part 2 started
September 30, 2014- Admitted to PCH for Veno Occlusive Disease (VOD)
October 1, 2014- Began 21-day study/treatment (defibrotide) for VOD
October 7, 2014- Debridement surgery on right-leg scar, NOT fungal after culture. Diagnosed as septic after cultures on all 3 lumens return positive for bacterial infection
October 8, 2014- Medically sedated and intubated, chest tube inserted to drain effusion surrounding right lung
October 9, 2014- Foley catheter inserted, arterial line placed and peritoneal drain placed in abdomen to drain excess fluid
October 10, 2014- 5 days of granulocyte (white blood cell) transfusions started
October 12, 2014- Bacteria identified as corynebacterum striatum (gram positive rods)
October 14, 2014- Catheter inserted and CRRT (dialysis) started
October 22, 2014- Surgery to insert a "permanent" catheter for dialysis to prepare for extubation
October 23, 2014, 10 PM- Body temperature will not rise above 94 degrees, blood pressure continually dropping, poor breath sounds in right side, x-ray ordered
October 23, 2014- 11- X-ray shows right side is completely clouded after morning x-ray was clear. Sonogram done to search for pockets of fluid
October 24, 2014, 2 AM- Surgeon called in, he sonograms and finds a large effusion by her right lung. Inserts chest tube and drains 800cc of blood immediately.
October 24, 2014, 5 AM- After blood continues to drain taken for a CAT scan
October 24, 2014, 6 AM- Surgeon brings news that the CAT scan shows an artery on her right side that is spewing blood into her chest. Inserts a second drain to relieve pressure and stabilize her enough to take to OR.
October 24, 2014, 7:30 AM- Taken into emergency surgery with her surgeon, 3 of his surgical practice peers and the cardiac team.
October 24, 2014, 2:30 PM- After being able to say our goodbyes, Lucy breaths her last breath as her heart tires and she is relieved of her earthly pain.