Day +82: Kiira’s clinic appointment went well today. Her WBC count has gone up some and while we wait for her CMV (virus) results, we’re sticking to our plan to stay off the IV antiviral and restarting an oral one to keep her immune system up. I’m already making preparations to head home in about 3 weeks. We have several more things to get through, including a swallow study on Wednesday. Kiira has been choking on the tiniest bits of food. She isn’t drooling and I’m not seeing blood in her mouth, but I’m wondering if there’s some narrowing in her throat or upper esophagus that can’t be seen by an endoscope. We haven’t done one since she was 4 months old and I’m hoping her throat is clear, but we want to be sure before we head home. Unfortunately this is extremely common in EB due to blistering and narrowing of the digestive tract and I’m beyond thankful it hasn’t been an issue for us yet. Stopping the internal damage was an enormous reason for us to do a BMT so early for Kiira. Once the damage is done, its irreversible.
My aunt is here visiting so we enjoyed an outing to Minnehaha Falls. Kiira wanted to see the waterfall so much that she actually wore her mask for about 20 minutes. I was shocked! Thank goodness for the stroller rain cover, which gives us the freedom to go for walks without the fight or discomfort of a mask.
We appreciate your continued prayers as we know they’re working. Thank you!
Day +77: All went well today with Kiira’s infusion. We were in clinic for 4 hours and learned some new info during that time. We are going to continue to hold off on the IV meds used to treat CMV and the antibiotic because Kiira’s white blood cell count came up. Our provider did several tests on Kiira today to make sure she doesn’t have antibodies or malfunctioning bone marrow, and a few other things that would account for more serious reasons for Kiira’s white blood cell count drop. So far everything is coming back clear (some tests we won’t know for few more days), so it’s looking more like IV meds were the culprit.
However, CMV also came back as detectable on Monday and that was before we even stopped the IV med. They’re going to draw a new level today to see where it’s at with her not having been on the meds for the past two days. If CMV levels go back up, they will have to do the other treatment in the hospital since this one is depressing her immune system.
Also, if they cannot restart the antibiotic, they will have to do a monthly antibiotic in the clinic for a year, which we can do in California, but I have to take her in every month for that. If her counts stabilize, then they could possibly restart the oral antibiotic.
Kiira did a great job of entertaining herself today, which made the day go by with ease.
Please pray for increased WBC and decreased CMV so we can keep things on track. Thank you!
Day +75: Today Kiira had a routine clinic appointment. Overall things are still fine, but her white blood cell counts and platelets went down fairly significantly. As a result, on Wednesday she will have IVIG and GCSF infusions to help boost her immune system. These have gone well in the past, so though it might be a long day, Kiira’s central line makes it easy to get these IV medications.
Child Family Life, a great program at the hospital to provide support to the families, gave Kiira a birthday present today. It’s just another way she is shown the love at this hospital. We feel so blessed to be seen here and for them to proactively treat Kiira as needed, even with a boost of fun to celebrate her birthday!
Day +72: We had a great week! Jason and the girls were here from Sunday to Wednesday morning. Though it was a quick trip, it was wonderful to have our family back together. We celebrated Kiira’s birthday a day early so they could be here too. Though it was nothing big, she loved that we sang to her and she got a little guitar (ukulele), because she loves music so much. I thought maybe she would be attached to me, but she jumped right back in with her sisters and everything was “daddy do it!” I’m glad she remembered them so well.
Since they left, Kiira asks for them every morning and almost seems sad that they aren’t here. We had a check up on Monday and everything is still looking good. We have our final visits scheduled and if all goes well in the OR on November 16th, we will be driving back to Ca on November 17th and get home a couple days before Thanksgiving. We still have to keep her isolated for 6-12 months and we will return to Minnesota in late January for a week, but I couldn’t ask for things to have gone better, considering we had to do the BMT twice.
I am so thankful that Kiira is under such amazing care here in Minnesota. The doctors give me full confidence in their ability to care for Kiira and catch things early so we can treat them before things go wrong. Kiira doesn’t even act like she went through another BMT–she is full of energy and soaking up things like letter recognition and sounds, numbers, animals, and so much more. She is now 2 and I know the days of “I do it” are coming, but for now I’m thankful she lets me help her when she needs it, even telling me to pop her blisters or cuddle her when she gets hurt. She inspires me every day!
Happy 2nd birthday to our sweet Kiira! She has overcome so much in the past 2 years and we have faith that God will continue to be with her every step of the way.
Slideshow of Kiira’s first 2 years:
Day +66: I want to say a special thank you to my aunt and uncle who spent the last two weeks with us. Kiira had so much fun and it was a huge help to me as well. We dropped them at the airport today and Kiira cried. We are sad to see my aunt and uncle leave, but so excited that tomorrow we will return to the airport to pick up Kiira’s daddy and sisters. It’s been over 2 months since they left and they will be visiting for a few days to help us celebrate her 2nd birthday on the 12th!
I forgot to mention that the last two CMV tests, the virus that Kiira was fighting, have been negative! We still have 4-5 weeks of IV meds to finish up, but we are so happy the virus went away with no effect on Kiira.
Please pray for safe travels for my family and prayers of thanksgiving for all that God has already done for us.
Day +64: We just got Kiira’s engraftment numbers and she is still 100% engrafted with Miia’s bone marrow! Today she had an infusion of MSC cells, which are Miia’s cells that are processed in a way to make stem cells that can become anything. The hope is that they’ll go to the skin and make her skin stronger with the corrected gene. This is still a trial, so there’s no guarantee, but we hope this improves Kiira’s life and paves the way for other treatments. The infusion went was very long (nearly 9 hours in the clinic), but uneventful except for some fun music therapy.
I’ve learned about a couple new things that might help her skin too. There is an amazing new skin grafting machine that would take skin cells from Miia with no pain and place it on Kiira’s wounds. There’s also a study that shows a hypertensive medication kept mice paws from webbing, and webbing is a major complication of RDEB. It’s just nice to know there could be options that aren’t cures but help improve quality of life.
We are thankful for the good news we received today and keep praying Kiira stays healthy and her skin continues to improve.
Day +60: It’s hard to believe it has been 2 months since Kiira’s BMT. She is getting sick less frequently, willing to eat a little more (very little, but better than nothing), and still going strong. Tomorrow we draw labs to check for engraftment, so keep praying for those numbers to show Miia’s cells, rather than Kiira’s.
We took a long drive to Duluth today to see Lake Superior and the gorgeous fall colors along the way. Minnesota is a beautiful state (at least in summer/fall).
Day +57: Kiira is still doing well. Today she let me do her central line bandage change at home for the first time. Remembering how awful they were to do when we first got here, I’m so relieved it doesn’t tear her skin or cause her pain anymore, which made me feel comfortable enough to do it at home rather than have the nurses do it. After all the bandages were done (her skin still looks great), she let me do a little photo shoot of her. And in case she doesn’t wear enough bandages, she wanted to wear her toy bandaid on her arm too.
We still have her engraftment test on Monday and should find out results late next week. Please pray that Miia’s cells are still dominating in Kiira’s body. Thank you!
Day +54: It’s hard to believe we are over half way done with our journey in Minnesota, as long as all continues to go well. CMV levels are now way down (from 2200 to 180), so all we have to do is a maintenance treatment of 1 antiviral IV a day for 6 weeks. All other levels of blood cell counts and electrolytes are stable, so now we only go into clinic once a week. Kiira has had a couple little blisters/skin tears, but so minimal compared to what we saw before BMT. I am so thankful for her recovery thus far. God has answered so many of our prayers in the way we hoped and we continue to pray for total healing so she can lead a long, healthy life.
Next Monday we do an engraftment test to see if Kiira still has 100 and 99% of Miia’s cells. We pray that she does! Later next week, she gets a boost of Miia’s donor cells, a built-in part of the protocol this time around, which will help her to keep Miia’s cells. The rest of this week, we’ll enjoy time at our Minnesota home with my aunt and uncle who are visiting.
Thank you for your prayers, because they’re working!