Bianca was all happy and smiley when she woke up.
The medicines we give at home are usually given in the morning with breakfast, then at supper time and then chemo drugs like Thioguanine and Mercaptopurine are given 2 hours after supper and cannot be given with citrus or dairy. Then usually there needs to be an hour after the chemo before she can eat or drink anything again.
The phases in Bianca's treatment plan are:
- Induction (aimed at getting children in remission by the end of the 5 weeks).
- Intensified Consolodation (56 days)
- Standard Interim Maintenance (56 days)
- Standard Delayed Intensification (42 days of giving chemo with allowance for blood counts to recover).
- Standard Maintenance (84 days repeated until the date on which the Standard Interim Maintenance was started and will run for 2 years, so as an estimate we will be in this phase until approximately 11 September 2009).
Starting dates and total time on each phase depends on blood count and sometimes there are delays if it takes the body longer to recover after some of the treatment or if there are infections.
Not all kids have the same treatment plan and we are on the IS Study Arm on a clinical trial (AALL0331). There are lots of factors taken into consideration when they choose a treatment plan, things such as age, type of leukemia, response to the treatment, the initial diagnosis and so on.