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  Jamie's Journey          
  Jamie's Legacy Sunflower          

 

It was during the August of 1999 that I discovered that I was pregnant, and was unable to believe it at first. It had taken David and I eight months of trying for a baby, and I was beginning to think I’d never get pregnant.

The previous week I had been for a job interview and been accepted for position of “Independence Tutor” at a nearby college for young people with learning difficulties. My training week was the following week, and I had to notify my manager, on my first day, of the pregnancy!!!
My employers were great, and I started my training and began working in the residential accommodation that supports the college. I thoroughly enjoyed the job.

Jamie was born in April 2000, a millennium baby - my pregnancy passed trouble free, and my labour started 2 weeks early one morning.
A family member drove me to the hospital, where David came from work to support me.
Soon after David arrived at the maternity hospital the room become a flurry of activity, nurses and doctors in and out, with machinery. No-one really telling us what was going on, but I could see that the baby was struggling, as his heartbeat was dropping, and then a resuscitation machine was brought in.

Jamie was bluish purple and motionless, on arrival. He was whisked away to be resuscitated.
The next few moments were the longest couple of minutes I can remember, waiting to hear a sound from Jamie, some sign of life as they worked to resuscitate him. All I can see were their backs, and David and I looked at each other in desperation until we heard the golden sound of Jamie’s weak cry.

We could hardly call it a cry, Jamie didn’t exactly cry ever, he made a quiet pathetic noise. We’d often tease him, and say, “Call that a cry? You can do much better!”
Jamie was the cutest little chap, who always smiled, and rarely cried. Everyone always told me how lucky I was to have such a good baby and we called him an angel child.

Jamie was 2 ½ when I started choosing a school for him to attend. He was very clever and advanced for his age, a beautiful child that people always commented about, that he was so well behaved. I had bought lots of parenting books in anticipation of problems and terrible twos, but never needed to refer to any of them, and actually wondered what all the fuss was about!

We then found out that I was expecting again!!! I hoped for a girl, but was expecting a boy. I wasn’t too disappointed; at least Jamie would have a brother to play with.

Jamie’s health had always been perfect, he was never ill, but as my pregnancy progressed Jamie complained of leg pain at night, and would wake up screaming in agony. I took him to the doctors to be told it was growing pains.

In June 2003 Charlie was born. And during the 5 weeks that followed, Jamie’s health deteriorated.
It started with stomach pains, which the doctor tried to say was attention seeking behaviour.
Then high temperatures and vomiting, which the doctor said was a tail end of a virus.
Jamie’s poor health continued for the 1st 5 weeks of Charlie’s life, until one doctor sent us to the hospital for tests.

After an afternoon of blood tests, and an overnight stay at our local hospital an ultrasound discovered a large tumour in Jamie’s abdomen.
I can remember being sat in Jamie’s private room at the hospital, when the doctor sat us down with a nurse, and said that they’d found a mass/tumour in Jamie’s stomach.
I asked the doctor, “Has Jamie got Cancer?” Just to make sure I understood him right.
When I told my dad on the phone he just burst into tears, and couldn’t speak any more, Jamie was the apple of his eye, they had a strong bond, he was the son my dad never had (I was an only child)
That evening my parents came to the house and we all hugged and cried. David’s parents were visiting relatives in Grimsby, and arranged to drive down the next day, and meet us on our way to Bristol, where we had to take Jamie to the children’s hospital for more tests to see what cancer he had.

That last night at home, we all slept in the same bed. I don’t think I slept much, I just lay and watched Jamie, terrified he could die at any minute.
In the morning we took Jamie to Burger King and shopping for a new toy, before we drove him to the Children’s hospital at Bristol.

The next day we drove 1 ½ hours with Jamie, to Bristol, where Jamie had 4 days of hell… Surgery to insert a central intravenous port, Biopsy, Blood Tests, MRI Scans, CT Scans, MIBG Scans, Bone Marrow Aspirate, pokes prods, which he took all in his stride
Then we waited for the results, which told us that Jamie had a rare and aggressive type of cancer of the sympathetic nervous system, called Neuroblastoma.

Jamie would need an intensive program of treatment, but would never be cured, and stood a 20% chance of surviving 5 years.
Despite these slim odds Jamie was tough, and pulled through a year of gruelling treatment;
The treatment began with 8 rounds of chemotherapy, called "rapid COJEC". It lasted 10 weeks.
Each course required 2 or 3 days of hospitalization. Courses repeated every 10 days, no matter what the blood counts were. There were 3 kinds of courses: A, B and C. They repeated in the following order: A B C B A B C B
-the drugs:
Course A: Carboplatin, Etoposide (VP 16) over 2 days, and Vincristine.
Course B: Cisplatin over 24h, and Vincristine.
Course C: Etoposide (VP 16), Cyclophosphamide over 2 days, and Vincristine.
Jamie had the first round of this at Bristol, then was allowed to return home, to continue his treatment at a local hospital 30 minutes drive away.
It was summer and we bought Jamie a battery powered car to drive up and down the seafront/promenade where we lived, as Jamie was unable to walk very far.
Jamie was undergoing gruelling chemo every 10 days, with just a few days between the end of one round and the start of the next, as the chemo never lasted just 2 or 3 days, there were always factors that caused Jamie to have to remain in hospital, like fevers and extremely low blood counts.
Despite this we enjoyed the summer as much as we possibly could, until mid October, when we had to travel back to Bristol Children’s hospital for his last round of chemo before the next stage of treatment.
After completion of the 8th (and last) course of rapid chemo, Jamie started to receive G-CSF every day, in order to increase rapidly the amount of stem cells in his blood for stem cell collection
Due to Jamie’s cd34 count not being high enough, Jamie couldn’t be fitted with a lumen line for stem cell harvest, so his stem cells had to be harvested via bone marrow aspirate a day before surgery to remove his tumour.
After routine scans we were told that Jamie’s tumour had shrunk 50%. The surgeon thought he would be able to remove it all through stomach, and shouldn’t have to open Jamie’s chest. His left kidney may be removed, as it was only functioning at 12% due to being squashed by the tumour. The surgeon explained how he would unwrap tumour from vessels supplying the right kidney first and if the right one is ok, he would remove the left kidney. The tumour was wrapped around the Aorta and Vena Cava (major vessels between heart and vital organs), Spleen, and extended up into his chest cavity.
We were not aware of the full extent of his tumour until then, and it suddenly sounded scary!!!
So on November 5th Jamie's surgery was a complete success. The surgeon removed the entire tumour, plus the left kidney as planned. The left adrenal gland was totally encased in tumour, and couldn't be found!!!!
His blood pressure returned to normal now his bad kidney had gone, and he spent 24 hours in ICU, to make sure that the right kidney was functioning ok, and then moved him to the surgical ward.

He was Nil By Mouth, and had a tube up his nose, to drain his stomach, as his digestive system had taken quite a knock through surgery, we didn't know IF or WHEN that would ever recover. Jamie was being fed through his central line.
Jamie continued to be in great pain for 10 days after surgery and was on all sorts of pain drugs, it was awful to see him and not be able to help.

The MIBG scans had showed that Jamie’s hot spots hadn’t reduced as hoped, so he was no longer eligible to be on the protocol, and needed top-up chemo before stem cell rescue. This would be 5 rounds of Vincristine, Cyclophosphamide, and Doxorubicin

The following 2 months after surgery were awful... Jamie’s digestive system was a mess, and he couldn’t digest or keep food down, and despite having a nasal gastric tube continued to vomit anything that hit his stomach. We stopped asking Jamie to eat and relied on his TPN for feeding while we had to remain in Bristol over Christmas so Jamie could have top-up chemo, as he was too unwell to go home to our local hospital.
Just a few days before Christmas Jamie took a bad turn, and doctors suspected he had a brain tumour, and was in pain and unwell with jerky head movements, so was put on morphine.

Christmas Day Jamie managed to perk up for a while and slowly improved over the next week or so – we never discovered the cause of his bad turn, but Jamie was very uncomfortable vomiting often because his digestive system was still trying to recover from the surgery.

In January 2004 Jamie went to bone marrow transplant unit where he had high dose chemo - Busulfan as an oral chemo. It was given every 6 hours for 4 days.
This posed potential problems, as Jamie was vomiting regularly so was in danger of causing himself injury to his throat and mouth with vomiting chemo...
 Then Melphalan was given thru IV, by his central line.

The on 28th January Jamie was given his stem cells back – and the room smelled of sweet corn!!!
During the days that followed Jamie developed Mucositis, suspected Septicaemia or graft verses host, Busulphan rash. We  thought at many times that Jamie was going to die, because despite him being dosed with loads of different antibiotics, his fevers were not subsiding, and his temperature stayed dangerously high – Doctors still to this day cannot explain what was wrong with him, but he pulled through like the star he is, only to have some idiot nurse stand on his central line and split it!

Mid February Jamie was fitted with a Gastrostomy which didn’t improve his digestion and feeding very much, so a month or so later it was changed to a Jejunostomy.
After that Jamie changed and we started to see the old Jamie coming back... he seemed a lot happier without the regular indigestion and vomiting.

Then at the end of March Jamie developed Pulmonary Hypertension and was again at deaths door, in ICU for a few days and then put on Prostaglandin therapy, a 24 infusion through a cannula that needed changing every 72 hours.
This continued for 3 weeks until he was well enough to come off the Prostaglandin therapy.
During this time Jamie spent his 4th birthday in the hospital!!! We invited his cousins up and he had a cake with candles.

On 1st May 2004 we were allowed to take Jamie home to recover from his 5 ½ month stay in hospital.
Once at home Jamie’s digestion improved and he actually began to eat and keep foods down!
In July Jamie started nursery school at Our Lady St Patrick’s just less than 500 metres from the house.
In July Jamie’s kidney function was found to be at a safe level to begin retinoic acid for 6 months.
This caused Jamie to get dry skin and cracked lips

On September 23rd 2004 Jamie’s Jejunostomy line was removed, as he had been eating enough for us to reduce the feeds and was back to normal.
On October 7th 2004 we were told that Jamie was cancer free.

On 19th December Jamie was rushed into hospital with a twisted intestine, which required surgery... apparently this is normal after history of stomach surgery.

On January 5th 2005 Jamie started school, and wore his smart uniform for the first time – I was so proud of him.
He enjoyed school and made lots of friends, and it was easy to look at Jamie and not know what he’d been through.
In April he had his 5th birthday and invited his classmate to what would be his last ever party at his favourite place, Rainbow funhouse.
Our life seemed perfect again, and Dave talked of starting up his business again.

Then at the end of May Jamie was taken ill, and it was discovered that he had relapsed.
We knew that Jamie could relapse at any time, and felt we were always walking on eggshells, waiting for our happiness bubble to burst.
Despite this we still felt in complete shock.

We’d been told that Jamie only had a few weeks left to live. He didn’t actually look, or act like a child with a few weeks to live, and it was hard for us to believe, and difficult for us to take him home, where we thought he would rapidly deteriorate and die.

We went home, and Jamie didn’t deteriorate as fast as doctors predicted so we questioned our choices and decided to try oral chemo.

Jamie started oral chemo, which was a slim chance, more of a grasp at straws, but
In the 3 months that followed we made sure that every day was memorable for Jamie, we went to Legoland Denmark, he had helicopter, Porsche, Ferrari, fire engine rides.
We spoiled him rotten, and made sure we took lots of home movie and photos, as it became obvious that despite efforts his health was not improving.

The oral chemo was stopped and Jamie required blood transfusions daily. He lost most of his hair, and looked so skinny and pale; it was so painful to watch him waste away before our eyes.
The time came to tell Jamie that he was going to die, and it was me that broke it to him one day in the car, driving to the hospital. He was telling me about how he looked forward to returning to school and being able to go swimming.
Jamie was unable to go swimming because he had a central line for his blood tests, transfusions and medication.
He’d assumed that because his treatment had stopped, that he was better, so I gently explained to him that he wasn’t better, the medicine hadn’t worked.
Jamie asked me the question, “am I going to die?” and I didn’t know what to say, so told him he might, as the doctors can’t always make people better.
He’d experienced his cancer buddy die just a few months before, but seemed determined that he wasn’t going to die himself.
We talked at length with Jamie about death, and that his grandfather was in heaven to look after him. It terrified us to think of Jamie being alone on the other side, missing us, and tried to make him not be scared.

One of the worse things, apart from seeing the physical deterioration of Jamie, was watching his personality also deteriorate, and as each day passed we were loosing the Jamie we knew and loved.
In the end I kept thinking how Jamie wasn’t even there anymore; his spirit had slowly ebbed away before his death.

On the last day at home Jamie told us he had had enough – he was being taken daily to the local hospital for blood and platelets and it had become a painful journey for him, as he was thin and very frail, and people stared which was awful.. We wished the nurses would bring the blood and platelets to us, but the hospital and doctors refused to do this.
Hospice care couldn’t give blood transfusion either so things were dire.

So we let Jamie say goodbye to his grandparents, who knew that they may not see Jamie again after he was admitted to hospital and put on a Morphine drip.
The next night Jamie finally gave up fighting on 31st August 2005, he was in hospital, with David and me by his side. It was traumatic by all accounts, and I wouldn’t wish the experience on my worst enemy.
The next few weeks blurred past, with a beautiful funeral, a horse drawn carriage, and convoy of motorbikes. We buried Jamie with favourite toys, and his granddad’s ring as a link to the other world we hoped.