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| 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!!! Jamie was born in April 2000, a millennium baby - my pregnancy passed trouble free, and my labour started 2 weeks early one morning. |
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Jamie was bluish purple and motionless, on arrival. He was whisked away to be resuscitated. 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 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. |
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| 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. 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 |
| 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. |
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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. |
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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. |
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. |
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The on 28th January Jamie was given his stem cells back – and the room smelled of sweet corn!!! 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. |
| 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. |
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On 1st May 2004 we were allowed to take Jamie home to recover from his 5 ½ month stay in hospital. 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 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. |
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Then at the end of May Jamie was taken ill, and it was discovered that he had relapsed. 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 |
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. 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. |
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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. 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. |
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