Emily's Journey through Stage IV High Risk Neuroblastoma. Please check back often as we will update as often as we can.

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Showing posts with label emilyhubbeldotcom. Show all posts
Showing posts with label emilyhubbeldotcom. Show all posts

Sunday, February 22, 2015

Scans in a Week

Scans have been scheduled in Michigan!!

The girls have been out of school for the past week due to the snow storm we had in Virginia but they are going back tomorrow. 

Friday daddy is taking Emily and Brianna to the daddy/daughter dance. Emily is excited to get all dressed up and dance the night away with her dad! Can't wait to share pictures. Saturday is grandads birthday so we will be doing then and packing. 

Sunday March 1st we have our first leg of our trip to Pittsburgh and then Monday drive the rest of the way to Michigan. Monday night grandad (my dad) will be flying in to Michigan and staying with us to be there with us as we go through the stressful time of scans.  Tuesday Emily has labs, injection for MIBG and hearing test and then Wednesday we have scans and meet with Sholler to go over results! 

Stress is certainly among us as scans are coming close. Emily has been doing well and we hope that continues to mean that she is stable as she has been. Please continue to keep Emily in your thoughts for stable scans.

Don't forget to wear your Emily Gear and/or bracelets and if you don't have that wear pink and purple (Emilys favorite colors). If you think about it share them with us we love to see the Emily love!!






Friday, January 9, 2015

Clinic and Echocardiogram

Update: Emily had her monthly visit with the hospital! It's nice she doesn't have to visit often. 

Yesterday she had her scheduled echocardiogram to see how her heart was looking after 4 years of treatment. We knew we would have to wait until meeting with Dr Gowda today to see how it went. After her appontment yesterday she was extremely exhausted so dad picked her up and she spent the rest of the day with her dad and taking a nap!

This morning she had clinic and her monthly physical with Dr Gowda. We went over results of her echo and he was very happy with how it looked from 2 years ago so that is great! She has her port accessed and counts checked. She also gave her urine for HMA/VMA markers! Dr Gowda was happy with how she is doing and is happy with us continuing on what we are doing!  She has complained of back pain, feet hurting and tummy pain here and there but nothing in her counts are showing issues! Results for HMA/VMA should be back in 7-10 days!

Overall Emily is doing well and enjoying school and her friends. She is loving that she does not have to visit the hospital as often and we are too. However with the flu we are watching closely because with a fever she needs to go Inpatient!

Hoping everyone is enjoying their New Year!

Thursday, January 1, 2015

What We Learned in 2014

What is a parent? A parent is a caretaker of the offspring in their own species. Are all those that have children set out to be parents/good parents? Not at all, because a parent is one who gives warmth, love, attention and protects their children no matter the circumstances.  

What is a mother? "A mother is someone who loves unconditionally and places the needs of her children above her own, on a personal level, and not only with words, but also actions. A mother is someone to shelter and guide us, to love us, whatever we do, with a warm understanding and infinite patience, and wonderful gentleness, too." (unknown)

What is a father? "A father is someone who wants to catch you before you fall but instead picks you up, brushes you off, and lets you try again. A Dad is someone who wants to keep you from making mistakes but instead lets you find your own way, even though his heart breaks in silence when you get hurt. A dad is also someone who holds you when you cry, scolds you when you break the rules, shines with pride when you succeed and has a lot of faith in you even when you fail." (unknown)

Doug and I have always tried to be the best parents that we can be to our three girls and we would do anything that we need to do to take care of them.  We always place them above our own needs and take care of them before we take care of ourselves.  While I think that Doug and I could be even better parents to our three beautiful girls, I know we have gone above and beyond, yet strive everyday to be better parents than yesterday.

Over the last 4 years since we have traveled this journey with Emily, we have struggled with lack of support from the people that we had expected to be there the most.  We have had a lot of help from many people and many of those are people we had never met, friends/friends of friends, and our community. We are also grateful to Jessie’s Father for being the great Dad he has always been, being there to pick up and take Jessie during the weeks when we have to travel or take Jessie to her appointments when we are not able to.  We are thankful to close friends who have been there to help when things are needed, and family who have been there to help as well. But the help we are talking about is just moral and love support from parents.  That has been a huge struggle because when you are going through something like cancer with your own child, you not only have to support your own child through something tough, but you also have to support yourself.  Most of the time taking care of yourself normally comes last and while that is ok, sometimes you just need that shoulder, or love and support from your parents too. We struggled a lot when we would go to clinic and/or the hospital and seeing other cancer families having the love and support of their parents and sometimes even grandparents there for support.  There is one family in particular that I can think of that lives in Texas and the little girls grandparents live over 5 hours away from them and the little girl has to travel often to Michigan.  So many times this mom has (little girl’s grandparents) left her own husband at home and stayed with her daughter and granddaughter in Michigan to be there to support them with love and anything else that they need.  There have been so many times that Doug or myself have sat in the hospital alone with Emily, and not had any support from anyone.  We didn’t need help with our girls, sometimes we just needed that extra love and support. And honestly if we just had someone sit there and not say a word it would have meant the world to us, but that was never the case.  A majority of the time it was never offered and Doug did so much traveling back and forth from the hospital to home to take care of all the basic needs at home and to make sure we were fed and had clean clothes at the hospital. There was never much help at home or the hospital but Doug and I always handled it and took care of what needed to be done.  It was exhausting, but when it is your child you will go to any length to make sure they are happy and have what they need and Doug always did that. Doug has always gone above and beyond to take care of all of us and go that extra mile. For the past few years Doug has been working nights, as I work during the day. This is the best way for us to make our situation work. We are very fortunate that we have the companies we work for that support our Family through this journey and friends like Sue and Jo who take time out of their lives to drive over 6 hours from PA to VA, take time off of work to help us.

While 4 years later, we may not have many hospital visits or inpatient stays with where Emily is at in treatment, but it sure would have been nice to have family who says they love you come around and want to be around and when they finally do stop by, they are looking for an easy out. But the last 4 years we have heard so many excuses as to why they couldn’t be around… studying for school, trying to find a job, working too many hours and when they said to call if we needed something, that one person you were looking for never showed, they always sent someone else. 

Grandparents play a special part in a child’s life.  Children need to see that their grandparents are just as much part of their life as their own parents because they not only need this, but it also teaches them how to be a good parent when they get old enough to be a parent themselves.  The siblings of children who spend a lot of time in and out of the hospital also need the attention of grandparents because a lot of the time the attention is on the child that is in treatment and they deserved to have some family attention. While I wish that this extra attention was given to my other children, it was not. They too spent a lot of time in and out of the hospital with Doug watching their Sister fight for her life. 

This long overdue update is something that I have struggled with, because it is about our experiences over the past 4 years. That struggle with having family living so close and minimal support has been really difficult, the struggle of people coming in and out of your lives is hard on your heart!!

We receive many emails through this blog from many who ask about Emily or how they can help. Back in August 2014, I started receiving emails from someone, who from time to time would ask about how Emily is doing.  I never thought anything of the emails, but then one day I was asked, “Do you know who I am?” I didn’t know who the person was because receiving emails from someone is not that odd.  After receiving that email asking, “Do you know who I am?”. Well I learned within just one week this man was my biological Father (DNA confirmed 99.9%), and we have a Family that I didn’t know existed. Not only did I not know (Believing the man who raised me with my Mother was my Father), but the gentleman on the other end of the email did not know about me either and he was quite shocked himself. He was told by someone he had not seen in years, while he stopped at a gas station. He was informed about Emily's diagnosis, that they believe I am his first born & he has three other Granddaughters. We have started to build a relationship with my Dad, his Wife, my Two brothers, Two Sisters, and five nieces and two nephews and one beautiful Grandmother.  We have many other family members we still have not met and hope to build a relationship with them also. For 36 years I was told someone else was my father and that man passed away 2.5 years ago, I asked my Mother to support my sister and I and come to the funeral for him to support us.  She would not go with us and now today I know why she wasn’t there.  Once I learned about this information, I confronted my Mother and stepfather and was lied to not only once but on several occasions.  It was insinuated that they were tricked to come visit and felt like they had been "setup" and I should have never confronted them the way I did. They felt like it was a matter that could have been handled over the phone. Well we were headed on a 14 hour drive to Michigan for scans and I needed to know the truth. I could not wait the 6 days until we returned to Virginia and anxiety over scans.

Since then there has been no phone calls made, or any attempt to try and make it right. No phone calls to say “sorry”, "how are you holding up?" and no phone calls to explain.  No stopping by to see the girls, holidays have passed with no contact and two different scan dates have passed and no contact has been made. Two months after this happened, an email was sent to both my Mother and stepfather, but still no response either of them.  The girls talk about their Nanny and Pop on an occasional basis, and 5 months later a phone call was made to them from the girls, and no answer and no return phone call have been made to them. A Christmas card was sent letting them know that the girls had tried to make contact with them with no response. 

The most difficult part of all this was having to sit down with my Husband & Daughters and try to explain what had happened. And then also learn that there are hereditary medical issues that I did not know about that could have affected Emily's prior/future treatments. Knowing my Father missed 36 Birthdays, I missed 36 Fathers days, my girls were cheated out of a little normalcy is very hard for me to swallow.

I have held all of this in for so long and am finally letting this out because I can’t hold it in any longer, It has been very difficult for me to this keep all of this inside. 

So on the brighter side of this journey, the girls have a large family we didn’t know about and they have been very supportive thus far.  All of them want to be part of Emily’s journey and share in the experience what we are going through.  The girls’ grandfather want to be part of this journey and be in Michigan if we need him, and be wherever he is needed, if we were to make a phone call. I have asked myself a lot lately, Why would anyone want to walk into our situation or even inherit it? And for that love that this family has brought to us, means so much. 

Remembering 2011, when we headed to Children's Hospital of Philadelphia for antibody therapy, prior Emily starting the next stage of treatment she needed to have scans. The radiologist found a new spot on her lower spine, so she was not able to continue on the protocol. We were told that there is no cure for Emily, and gave her 6 months - 1 year to live. They wanted to put her on a low dose chemo to buy her more time & hope for the best. We had the dreaded "quality of life talk". That is when we made the decision, we will do anything, go anywhere to save our daughter. We don't want any regrets. We promised each other as Emily's Parents and her advocate, there will be no, "we could have, we should have, we would have's." What ever it takes, what ever the cost, what ever the sacrifice, we have done it & will continue to. Some people think that we as parents overdo it, as a parent I don't think I can do enough. I do not want to miss anything. Every breath, every smile, every tear, every morning hug & kiss goodnight, and the constant "I love you's" daily. 

This blog is not about wanting people to feel sorry for us, feel bad for Emily or our situation. It was intended to keep our extended families & friends in Mass, VA, CT, SC, WV, PA, FL and so on informed on Emily's treatment process. We never thought that it would have taken off the way it did & Emily would have almost 8000 Facebook followers. We don't want Emily to be known as the little girl who has cancer. She wants to be just like every 7yr old. She is Doug’s first born and his biggest inspiration. Not for only what she has gone through, but was she has endured & become. She is very honest, companionate, and true to herself. She knows who she is, where she's at, and where she wants to be. Most adults can not say that! We are so proud of her and all of her accomplishments. We want Emily and her sisters to someday look back on this blog and understand the importance of family, and that we love them unconditionally, it does not matter how bad things are, we will be there for them no matter what!! Doug said something in the past that has really stuck with me. "There's nothing that could keep me from my Kids, I would desperately keep calling, texting, emailing, banging on their front and back door, whatever it takes to get through and make that wrong right." 

This latest update is not intended to hurt anyone. I hope by some chance some good will come out of this and people will take a long hard look at their relationships with their Family members, friends, or someone that has really meant something to you and try to work it out in this New Year. Life is too short & Family is everything.

Happy New Years to everyone.




Wednesday, December 24, 2014

4 Year Anniversary

Today marks 4 years since our journey with Emily's diagnosis of Stage IV Neuroblastoma. December 23, 2010, 4 years ago, our little girl started a fight with cancer. Its hard to believe that she has been fighting this disease non stop for four years, but she has. While we would like to have a anniversary date for an end of treatment, for NED (no evidence of disease) for so many years, it is just not part of our anniversaries dates as of yet for Emily, but we will continue to hold hope that we will one day have them.   While we certainly wouldn't want to hear anyone say Happy Anniversary, what we want to say is we are so happy that Emily one amazing girl and making such huge difference in this world. She always amazes us. after everything she has been thru, and continues to deal with, she still walks through those hospital doors or into any situation for that matter, with that infectious smile. Her passion in life is was most of us take for granted. This was never a group that we wanted to be a part of, but we are, and along the four years of holding Emily's hand while she continues to fight with a smile, we have learned so much along the way.  We have met some really good people who continue to stand by our side while Emily fights and through her journey we have learned so much about family and friends.

Doug and I still remember like it was yesterday the day we took Emily to the hospital and when we were told that they found a tumor in our daughter's body. The ambulance ride to Children's Hospital of Richmond with Doug following behind Emily and I, and the extended stay inpatient during Christmas while trying to determine what Emily was diagnosed with.  All we wanted to do was to take our daughter home and be able to celebrate Christmas with our girls at our home.  Doug and I still remember being told by someone in the hospital that this gets easier with time,  and we have found that this doesn't get easier with time, the only thing we have found is a "new normal" that continues to change constantly as you go through the different treatments with your child, you just learn to deal with and make the best of it.

Like I said, over the past four years we have learned so much, not just about cancer, but about family and the importance of family,friends and community. Having honest and loyal family, friends and community a part of our journey, makes the journey with Emily so much easier.  The past 4 years has been hard on Doug and I, and most of these years have done them alone taking care of our girls while Emily fights for her life, but we have done it together. We continue to do it and make things work, even though we wish it would have been and continue to be different..  So many friends and family have walked in and out of our lives, because either our situation is just too much for them to handle, or just not something that they want to be a part of, just please remember while we do have so much going on in our lives taking care of Emily,  that doesn't mean that you can't talk to us and tell us things because you think it might be too much for us to handle, because it is not.  Remember we are normal people too who just like the rest of you want to be part of a "normal life".  Today we just want to enjoy the love of family and being with family and watching our girls smile, laugh and play. and feel that love that surrounds them from family that loves them. 

While this 4 year anniversary, we wish we could say that Emily is NED, we want this 4 year anniversary to be one that we are happy that Emily is thriving in life and doing so well going to school and running around and enjoying spending time with her sisters and her dad and I. We look at our little girl every day and we are so happy that every day we can celebrate another day with her and watch her sleep, that we can hear her talk and make jokes and talk about her friends.   Emily is a mommy and daddy's girl and to watch the love that she has for her parents, and her family would make one's heart melt.  We love hearing our daughter talk about all the good things that she wants to do, she has a heart of gold and a smile that you would never forget. 

Although right now, Emily's treatment plan, there isn't much to update in that part of her life. She is doing very well, loves going to Crenshaw Elementary School & loves being part of every event & function. So even though you don't hear from us to much lately, these updates are still hard because that means every time we sit down to write that means that Emily's Journey for the past four years is true and a journey that we never imagined we would be a part of. We are so happy that Emily is doing well, we always try to maintain a positive approach to every situation we walk into but we are not naive to the fact that this could change in any moment.  We know that the "new normal" that we live today could be ripped out from under our feet, everything could change and Emily could be spending a lot of time back in the hospital again. We don't and never have taken any of this for granted, every Birthday, every hug, every "I love You", every single moment!! 

Thank you to all of our friends, family and community who continue to stand behind our journey with Emily and hold our hands and be here with us as we continue to watch Emily inpsire.  Without all of you, we couldn't be where we are today so we thank you so much for all of the love, compassion and thoughtfulness each of you continue to share with us, it means so much. Thank you for the past 4 years and we thank you for continuing to be with us.

Wednesday, December 3, 2014

Long Day


Today was a long day at hospital...Emily had clinic for accessing her port and checking counts. Her counts came back and they are starting to come back up so it tells us she was fighting something about a week ago.   We should get results tomorrow of urine markers!

In between clinic and injection we met up with another neuroblastoma fighter , Molly and her mom Trisha and Dawn whose son lost his fight with neuroblastoma, superbub! It was great seeing you guys today!! Then we had injection and had lunch with Molly!  Emily also had her hearing test! Hearing test shows no significant change which we are very happy to hear! She is only a few decibels down from where she was last time so if we want to go the route of using an FM system we could do that if she needs more help at school. 

Tomorrow Emily goes back to clinic at 12pm to get accessed again and then she has her MIBG/CT scan at 1pm! We thought we would have to wait till Friday to get results but Dr Sholler will be able to get them so we meet in the clinic around 3pm!! It will probably take longer to get them but we will see!

ScAnxiety is definitely here so please wear your Emily Gear in support of Emily and send your love and thoughts!




Monday, November 24, 2014

Emily's 3rd Annual BandAid Drive


Don’t forget that Emily’s 3rd Annual BandAid Drive is going on right now. It started on November 1st and going on through November 30th, however we will accept them through the middle of December when we present them to the hospital. Emily’s Bandaid Drive started 3 years ago when she was in the hospital and had been poked and the nurse went to put a regular bandaid on her.  Emily wasn’t happy about the boring bandaid, so I asked why they didn’t have any fun bandaids, only thinking that they didn’t order them.  The nurse explained that the hospital does not buy these, and that they are donated, but they normally do not get enough donations to make it throughout the year.  When Emily heard this, she wanted to help the hospital collect bandaids and this started our bandaid drive 3 years ago.  The bandaid drive continues to grow each year, and many local schools have become involved getting the children involved and many local shops, vets and doctors office help. But because Emily has a blog and many people from everywhere follow her blog, we also started working with smilemakers.com 3 years ago and they have a special from November 1st through the 30th, if you use the code Emily10, you will get 10% percent off bandages and free shipping.   If you want to help out Emily with her 3rd Annual BandAid Drive, please mail your bandaids to : The Hubbel Family, PO Box 5383, Midlothian, VA 23112.  Each year we have been able to help more hospitals with bandaids.  Thank  you so much for your support in helping Emily continuing to bring a smile to all the kids fighting in the hospital.

Friday, November 21, 2014

Clinic Visit


Emily had a clinic visit today!!

They did a count check for labs, checked urine markers and vitals. Emily gained almost another pound which is great! Her blood pressure was up today and we haven't seen a high blood pressure in a while. Dr Gowda wants Emily to have an echo within the next month to see if anything has changed since we have not had one in 2 years! Labs came back and WBC, platelets and ANC have all dropped a little bit, nothing of huge concern, just gotta watch the trends and see what is happening. It is odd that they have dropped but they are all still in good numbers that Emily is fine.

We did talk about ferritin levels which are high but he explained that they are most likely high from many transfusions and some of the chemo she had he said if they continued to go up he would need to give her medication so it would not affect the liver.

HMA/VMA will be back next week sometime so we wil be able to see her urine numbers and how they are looking!

Next week is Thanksgiving and we look forward to spending time with family! It will be nice to have family time. We hope all of you have a wonderful Thanksgiving!

Don't forget you have until November 30th to collect bandaids for Emilys 3rd Annual bandaid drive! She was so excited to see Frozen Bandaids because we know so many girls love Frozen. After talking with the clinic today we heard that they don't see a lot of boy brand bandalds and horses. So if you want to help out you have until the 30th to send to our PO Box.

We leave Monday, December 1st for scans!! Don't forget to wear your Emily gear on December 4th the day Emily has her scans and we get results.. Continue to keep Emily in your thoughts!


Remember to hug and kiss your kids and tell them how much you love them.

Saturday, November 15, 2014

Scans Soon // Bandaid Drive

Gonna try this update again, started on this earlier, and I lost everything I wrote.  So hopefully this time, I won't lose it.  I was going back looking to see the last update, and the last update was in August, wow guys, I am sorry.  If you are looking for updates, we tend to update Facebook more often, so I apologize.  But you can go to Facebook at www.facebook.com/emilysjourney.

November 1st, started Emily's 3rd Annual BandAid Drive. Emily's bandaid drive started 3 years ago, which is so hard to believe. We started this because one day we had clinic and Emily had been poked and was wanting a cute bandaid, which always turns the frown of getting a shot or poked into a smile, the clinic was all out of them and they had to give her a brown bandaid. I remember asking the nurse why they didn't have any character bandaids and she said because the hospital only purchases regular ones and character ones are donated but that they normally don't get many.  Emily said she wanted the clinic to have character bandaids for all of her friends so that they could all smile and this is what started the bandaid drive.  Every year it has become more successful and we have added in other hospitals each year to help out as well.  The first year we collected about 3000 boxes and the majority of them went to Childrens Hospital of Richmond, but some of those went to Childrens Hospital of Pittsburgh and we also sent quite a few of them to New York for Hurricane Sandy Victims. Last year we collected just a few over 5000 boxes and many of those boxes again went to Children's Hospital of Richmond, Childrens Hospital of Pittsburgh, University of Virginia Childrens Hospital, Childrens Hospital of the Kings Daughters and Renucci House in Grand Rapids, MI.  We have a few boxes left from last years that we will be taking to Helen DeVos Children's Hospital soon.  If you are interesting in bringing a smile to all the kids fighting in hospitals who have to get poked, please send fun, character, colored bandaids that are any shapes or sizes and if possible latex free still intact in the boxes to: Hubbel Family, PO Box 5383, Midlothian, VA 23112.  I promise you the bandaids definitely go to good use to our hospitals and the kids love them.  Please keep spreading the bandaid drive and send a few boxes in.  We would love to see the drive get more than 5000 boxes this year.  There are so many schools involved, many veterinarian's offices, small doctors offices, and many other places.  Please help if you would like to bring some smiles.   They definitely bring smiles to Emily to help the hospitals.

The last few months since we have last updated have been pretty busy. Emily, her sisters, Doug and I got to meet family that we have never met before.  They got to meet their grandfather and grandma (grandad and Mimi), great grandma, great uncle and aunts and uncles.  The girls have definitely loved meeting them and enjoying spending time with them.  There is still plenty of family that we have not been able to meet, but in due time.  The best part of meeting family that we have not met is having a bigger family and also that they are behind Emily's Journey and supporting her.  The last few months we have had a few clinic appointments as well as eye appointments and kidney and liver checks.  Her counts are looking great and continue to go up, actually the last clinic appointment her platelets were 193. WOW.  That is amazing.  She was having lots of headaches that she was complaining about, so we had a couple of eye appointments and determined that she needed glasses, and since having them she hasn't been complaining as much, only hear and there.  So that makes us feel better.  She was pretty nervous at first about having the glasses and wearing them to school, because she thought the kids were going to make fun of her, but she hasn't had any problems and she looks great in glasses.  Her kidney and liver numbers continue to look ok but we also check her urine markers.  Those too have seem to remain stable since our last time in Michigan.  She does still complain of dizziness from time to time with the headaches.

This is the first year that Emily has been able to go to school everyday.  She is in 2nd grade, but has never had where she has been to school everyday and both Kindergarden and First Grade she was at home more than she was at school.  She is definitely enjoying the fact that she is at school and getting to meet other kids and have more friends.  She loves her friends and enjoys having playdates with them.  The biggest thing that Dad and I are noticing is her short term memory.  She forgets things that happen during the day very easily.  She also said she has noticed that she can't run as fast and keep up with her friends.  But again she is happy to be attending school and only having to go to clinic a couple of times.  Dad definitely enjoys going to have lunch with the girls as often as he cans, and also does WATCHDOG at the school where he is there all day and can spend some time with the girls in their classes.  It is nice that he can do this though, because he can really see what is going on at at school.   Overall though, Emily's quality of life has been great and we are so happy with where she is.  We continue to hope that this is how things will stay.

We have a busy rest of the year coming up though.  Thanksgiving is coming up and the we are all excited about getting to spend time with family that we don't get to see often, so we are all very excited about this. 

Right after Thanksgiving, we have scans in Michigan at Helen DeVos Children's Hospital.  So we will be ready for travel to leave VA on Monday, December 1st with a stop over in Pittsburgh, PA and then continuing on Tuesday, December 2nd to Grand Rapids, MI.  She will have clinic with accessing her port, labs and urine markers, as well as hearing test and MIBG Injection on Wednesday.  Thursday she has her MIBG/CT scan and we meet with Dr Sholler after scans for results.  Depending on results she may have a PET/CT scan schedule with bone marrow biopsies.  We continue to hope that her scans are stable or better and that she can continue on her current trial of compassionate use of DFMO.  So we are heading for another 1500 mile drive, so if any of you would like to help with Gas Gift Cards, they really come in handy in our travels (Exxon, Sunoco, Shell, BP, Sheetz and only a few of Wawas are definitely ones that we pass), or grocery gift cards.  These would definitely help with our travels and definitely thank you guys so much for all of your help.  If you would like to help, please mail them to: Hubbel Family, PO Box 5383, Midlothian, VA 23112.  If you have any questions, please email me at shannon@emilyhubbel.com.

Its hard to believe that on December 23, 2014Emily will have been fighting neuroblastoma for 4 continuous years.  This girl continues to amaze us and all that she does.  And she continues with a smile.  She asks us often when she will be done with treatment and when she can take her port out, and Dad and I both wish we had an answer for that, but we continue to tell her that she is doing a great job in all that she is doing.  Please continue to keep Emily in your thoughts as we are coming up on scans.  Anxiety is going to start to build as we get closer and closer to scans like they always do.

Please make sure you hug and kiss your kids and tell them how much you love them. 







Tuesday, August 12, 2014

Scans Coming Up

Emily has clinic tomorrow for a count check, urine check and for the doctor to get a visual from the information that we have let them know. Emily is doing well, but we still have complaints of some pain or dizziness and/or headaches. With travel coming up our anxiety of scans is pretty high! We really want stable or better and will continue to hope for that but that fear that lives inside of us is so hard to explain. Please continue to keep Emily in your thoughts! 


We head out Monday the 18th to travel half way and then drive the rest of the way on Tuesday to Grand Rapids. Scans are scheduled Wednesday through Friday with a Hearing test scheduled in there. We also know that has to have gotten worse. We don't have a plan of action for next steps should things be different but know we have to keep it in the back of our heads.


If you would like to help with gas for traveling please send gas cards (shell, pilots, sheetz, BP) to 

Po Box 5383

Midlothian, VA 23112

We are able to pick up mail through Saturday the 16th to pick them up.


Thank you for continuing to keep Emily in your thoughts, and for continuing with us on this long journey!


#neuroblastomasucks

#emilysjourney

#emilyhubbeldotcom

Thursday, July 31, 2014

Update on Emily ~~ Some Concerns

Update on Emily: so she has started her 5th round of DFMO. The longer she has been on this the more nervous we get. She looks great and she has gained a great a bit of weight. The last HMA/VMA that she had done on July 18th the numbers were elevated from the last ones. So dad took her in today to have them checked again and we should have them back in a few days.


We haven't updated that since about July 15th Emily has been complaining of pain in her stomach and dizziness. It is random but happening at least once or twice a day. And the past few days she has been complaining her back hurts. This of course makes us worry. So we let Dr Sholler know and she recommends Emily coming in todo scans the week of August 18th instead so we can see what's going on. We are so hopeful that it is nothing but the complaints certainly worry us!!


So this is where we are for now. Overall Emily looks great just the complaints has us concerned!


#emilysjourney

#emilyhubbeldotcom

#neuroblastomasucks

Saturday, June 21, 2014

Round 4 DFMO

Well we are starting Round 4 of DFMO. Emily had clinic on Thursday to check counts, do a physical and HMA/VMA! Got to meet with Dr Gowda and had not seen him since scans at end of May. Counts looks great so there is no worry there.  He did say he looked at Emily's scans and based off what he read with the spots being brighter more intense and only one of them not as intense he said they would have called it different than stable.  He said he emailed Dr Sholler and she indicated that on the DFMO trial a patient cannot continue unless there is major growth to a spot or a new spot.  So with that Dr Gowda wants Emily to have her

HMA/VMA checked every two weeks. He said this is the only way to really check without scans until August. He said he felt that if they go up during those times he will do a recheck and then of still up ask for scans earlier. He asked that we just to be on our toes for another trial should something happen and we normally always are.  Overall though Emily is doing great! 

 #neuroblastoma #neuroblastomasucks #emilysjourney #emilyhubbeldotcom 

Wednesday, April 16, 2014

Stem Cell Boost

Today was a long day in the bone marrow unit but she did have a great set of nurses taking care of her. We stopped by clinic prior to bone marrow to get accessed since she was nervous about getting accessed by someone else!


The day went pretty well, she had counts down and everything is dropping. Platelets and hemoglobin dropping so she will definitely be going back tomorrow to get platelets and possibly red blood depending on how she is feeling or if drops anymore. Over the stem cell infusion went great, no problems or issues. Blood pressure remained on the lower side with heart rate being up. We are not sure why the heart rate is up but dr gowda said we could check her heart next week by doing a scan of some sort if it is still up. She had 4 hours of fluids after the stem cells.


Tonight she is doing well, she seems tired after a long day and agitated but we are home and for that she is happy!


Thank you for continuing to keep Emily in your thoughts!


#emilyhubbeldotcom

#emilysjourney

Friday, March 28, 2014

Starting DFMO with Update

We are en route on our way home.  We were in clinic a little longer than expected, so after getting back to the camper and hooking up, we got a late start. We will be making a stop in Ohio tonight soon to rest and then staying in Pittsburgh tomorrow night. It's been hard because we haven't had internet to really update, so I apologize. But I do have to tell you, the camp Host at KOA was a great lady and was wonderful to work with. Thank you Theresa for being a great host. 


Emily had her MIBG scan yesterday and did pretty well. Her head was really hurting from the way she was laying, but she did well. Yesterday we thought she would have to go to clinic after MIBG scan, but she didn't so it was nice to go back and hang out at the camper and nap and enjoy time with kids. 

We had heard from Shannon, the nurse practitioner who was wanting Emily to get GCSF, we couldn't understand why she wanted it.  So we waited to talk with her today about it. We did get preliminary results from yesterday's scans yesterday as well, but didn't have everything back. She asked that Emily be in clinic at 8 before scan to check counts and see how things looked. 


Today She had her PET scan today and as always rocked it. Thankfully her glucose was fine this time and didn't cause a delay like it did in January. Shannon called with her counts and thankfully her platelets looked good from her Wednesday transfusion, hemoglobin is dropping and her ANC on Wednesday was 210 today it was 0!  Shannon said Dr Sholler would really like for Emily to get GCSF/neulasta shot because her bone marrow right now is not making anything, it is less than 5%. She said this is very dangerous and they would feel better that she have it. She did state again, please take Emily in to the hospital if she has a fever over 100.4 since we are driving. PET scan went well and she handled it well. 

We went back to clinic after scan, and talked with Shannon. Scans are stable with some spots brighter/more density.   They feel there is more density because her VMA in January was 8.2 and it has gone up to 11.2. We should have results from PET scan Monday hopefully.  If they are negative like they were before, like we were told before we know there is still cancer in her body based on numbers and scans.  After talking with Shannon, we decided it was best for Emily to get neulasta. Emily's bone marrow is not making any cells and they could see that from the bone marrow biopsy/aspirates. Dr Sholler was notified of this and she too was concerned.  Shannon also explained that when looking to see if they were positive for MDS and NB, they only had less than 5% of her cells to look at them, so depending on how things go she may order another one when she needs to be back in 8 weeks. We are still waiting for the final results of the bone marrow and for the cellularity and the cytogenetics. We wanted to head home and have stem cells given back to her but we need to wait on the final results to know if giving her the cells would even work at this point. If we gave them to her and some things don't look good, it wouldn't work. The final results which we are nervous about, can tell us if she has pre leukemia or anything else going on in the marrow.

Stable is good. We honestly have adjusted to hearing stable because that is what we normally hear, but it's positive when there is no new disease. It's still heartbreaking when you just want to hear those 3 magical words. One day, we continue to believe, one day.  HOPE!  Right now and for a while she doesn't qualify for any therapy because her bone marrow has been hit to hard.  Shannon stated Emily should not have been on the chemo with the way her marrow looked, but who would have known since we didn't have a bone marrow since last year. It's scary to think, but this is why Emily had a neulasta shot before leaving the clinic today. 

We started DFMO in clinic today and Emily is happy to know that she is no longer on chemo for now. Her body/bone marrow needs a rest. Emily showed Shannon she could take 2 pills at the same time. We went over everything again, and when Emily needs to be seen in clinic at home to get labs and physical done. We also have to make sure that if Emily has to go in the hospital for anything that the doctors let Michigan know in real time what is going on because this all has to be reported to the FDA since the drug is provided by the FDA. Right row Emily will still continue to make 2 a week trips to clinic at home until her counts have recovered. It's most likely she will need blood come Tuesday when she has clinic. And again since her ANC is bottomed out, if any fevers we are to head to the closest hospital. Please hope for no fevers.

Please continue to send your thoughts and love that everything comes back with good results. Emily needs a rest from treatment/hospital visits/clinic. She wants to return to school, she wants to do some "normal" things!

Remember to hug and kiss your kids everyday and tell them how much you love them. Things can change quickly. Thank you to all for continuing to be a part of her journey and spreading awareness of childhood cancer. 

Tuesday, February 18, 2014

Homebound



In more ways than one...

Last night the chemo was stopped for the night while she was inpatient! Also the packing (gauze) came out of her nose along with a huge clot last night! The concern was that it would cause some more bleeding but thankfully it didn't! By this point she had already had her platelets and was half way done with the blood transfusion late last night. So we are keeping her nose sprayed with hopes that it won't cause any more bleeding!

A PT TTP test was done yesterday to check Emily's clotting factor. It was just a little high so they wanted her to take Vitamin K with hoping to bring that down. GI came by today and we spoke about what is going on with Emily. The concern is that she may have some intestinal bleeding since she has had some really dark stools!  They would like to do an endoscopy where they take a camera down her throat and see if she has any tears, ulcers or infections that is causing the bleeding.  They asked if we wanted Emily to stay inpatient tonight and have the procedure done tomorrow, but we also learned that Emily is real close to neutrapenic! Her ANC is 800 and neutropenic is 500! So doing a procedure like this would bring some concerns of other infections and landing herself longer inpatient.  So we opted for having the procedure done next week. They also wanted to have no bleeding for 48 hours so if any bleeding overnight the procedure would be off. Check her counts in the morning and her PT TPP levels and if that is still elevated it would be held off. So a few factors in deciding but felt next week would be better and also hopefully give emily some time to start eating more and her ANC to start coming back up. But with a low ANC we will be sticking around the house to keep her free of getting sick! So Homebound #1!  We have been told if any fevers of 100.4 or above that we need to bring Emily back. We didn't expect to have to worry about this with these new medications but here we are. And now we just have to deal with it! So this means no school for the remainder of the week hopefully she can attend the father/daughter dance Friday but we will have to see how her ANC looks. We also don't know to expect her ANC to fall anymore with these chemos so we don't know what to expect moving forward! 

They did release Emily today from inpatient to home (Homebound #2) and we got to leave at 130 pm but with several medications that we had to stop and pick up at cvs. Her hemoglobin was still low today, 8.2, so it's possible she could need another blood transfusion come later this week. Platelets are ok but they do drop quite a bit for Emily! Her 2 chemos can be restarted again tonight along with Zofran every 6 hours, karofate, another prescription and her nose sprays along with using a humidifier! Obviously if we experience throwing up blood again we will have to go back. 

So right now we hang at home and Thursday Emily will have clinic with dr gowda to see where she is with counts and he can look over her and see how she is doing. Thursday afternoon we will meet with ENT to see if there is anything else that they can do to help Emily! Monday she has the appointment at Stoney point for the endoscopy which means no eating so she can go under anesthesia and have the procedure done. Hopefully we will know the results quickly from this and how to move forward but hopefully it doesn't change any of our treatment options if there are any problems! 

We are working with the county and the hospital to get Homebound set up for Emily so a teacher can come and work with her here at the house. Homebound #3! Her teacher did send some work home to start working on until we have Homebound set up, not sure how long that will take but hopefully not long!

Please continue to keep Emily in your thoughts and hope for no other inpatient stays! We are hopeful that she doesn't have any other throwing up and can do well until Thursday morning as well as no fevers!!

Thank you so much to all who continue to follow along with Emily's journey and text us, email us and check in with us. Your love means so much to us!

#emilyhubbeldotcom,
#emilysjourney, 
#neuroblastomasucks
#cancertreatmentsucks

Wednesday, December 11, 2013

Day 15 Avastin of Round 11


In the clinic today, and Emily isn't quite herself today. Her temp was 99.9 (ack) and she just seems exhausted!  She was sent home from school yesterday morning after only being there for about 20 minutes because she said her eye hurt and the clinic was worried she had pink eye.  Thankfully her eye didn't bother her all day, so she must have gotten something inher eye but she has picked up something along the way Her WBC is pretty high too which suggests she is trying to fight something. Still waiting for the doctor to see if she may possibly need an antibiotic after her IV avastin finishes. Today is day 15, so her avastin just started about 10 minutes ago. Thankfully her platelets at at 35, so while they are still low, she doesn't require a transfusion. She is sleeping now from the Benadryl. 


Did hear from Dr Sholler about the trial in Texas, so next week we will provide a tube of blood to send to Texas, but we have to go over the consent with Dr Crystal Louis over the phone first.  We just want to have this ready in case we decide on that being the next move. Dr Sholler said Emilys ANC has to be Over 1000 if possible ands that it will take a few months for Chrystals tam to grow and bind to antibody. QWe are also thinking about NYC possibly 3F8, but we are still trying to make the best sound decision. The other thought would be a higher dose of chemo where she would lose her hair, but we just haven't made the best sound decision yet.


At this point we just want to make it through the holidays so she can at least hope to feel her best and then decide what is the absolutely best. This round 11 has been hard on her with eating, she hasn't been eating as much and she is still very picky about what to eat and the foods she likes changes often, but hopefully that will pick back up.


Thank you to everyone on the Text to Donate day, hopefully it was very successful. Also the gofundme is still open for anyone that wants to help and I promise it means very much to us, www.gofundme.com/emilysjourney... You can also still make a donation on Emilys webpage or send gas/grocery gift cards to help. We continue to think everyone as we continue on with this journey.


I found a picture of our family dated 12/5/2010 this was just 18 days before she was diagnosed and 13 days before she went into the hospital because we didn't know what was going on, 




Friday, November 15, 2013

What Does the Fox Say?

Ring-ding-ding-ding-dingeringeding!
Gering-ding-ding-ding-dingeringeding!
Gering-ding-ding-ding-dingeringeding!


This has been in my head ever since yesterday morning when Emily was in her scan. She was having a hard time sitting there and her toes were bothering her, so I was trying to get her mind off of it. So she wanted to hear "What Does The Fox Say?" One of her nurses helping with the MIBG scan, actually dressed up as What Does The a Fox Say, so she was excited to hear her favorite song. Lol. Daddy and Brianna packed up the van while Emily was in her scan, so that when we were done meeting with Dr Sholler we could just leave. 

Emilys counts were checked again since her hemoglobin dropped so much from last week, but yesterday they were 8.7, so they did drop, but not enough to require a blood transfusion. We haven't seen her hemoglobin drop that much since May when she needed a transfusion. So we are hoping that it goes up on her own.  But also waiting to hear from Dr Gowda if we need to come in early next week. 

So, the results. I know everyone has been waiting for the results, but we didn't leave Michigan till about 215pm yesterday, so we didn't get to Pittsburgh until about 9 and honestly we were all exhausted, needing to eat dinner and daddy and Brianna not feeling well.  

HMA and VMA were within normal range,  not sure about LDH but no one said anything. Scan results show stable, meaning no new spots. The results Show avidity in right skull base near the soft tissue abnormality on CT. (We have never had anything show on the CT so this is new, but not new because shows on MIBG).  Increased activity along the floor of the bilateral middle cranial fossae and proximal left femur. All the other previous spots that she had before are still there with no change. 

What does this tell us? It says that the current regimen that Emily is on is no longer working and only keeping her stable. Which is obviously what we want, keeping it stable. But I have to be honest we wanted more than that, we have always wanted more than that. We also know it's no longer working when some of her spots are brighter than they were before.

So what can we do moving forward?
**DFMO (we will have to go back to Michigan and get a PET scan and a bone marrow biopsy. Have to be within 14 days of starting the compassionate trial of DFMO, scans still in Michigan)
**a new chemo cocktail: doxorubicin with vorinstat (not sure if we would have do round 1 in Michigan and then can come home to do the remaining rounds, scans still in Michigan)
**check on a TCell Vaccine in Texas through Crystal Luis to see if Emily would qualify
**check with Dr Modak on 3f8 (in NYC)
**see what Dr Gowda has available but scans are still in Michigan
**another round of current regimen since it keeps her stable

We really have no idea what we want to do moving forward. Obviously our goal is still NED. Both Dr Sholler and Dr Gowda do not recommend not doing anything at this time. When Emily was first diagnosed there was no trying to figure out what trial to put her on or what was next because there was a protocol already set for us. There is no longer a protocol anymore and now as parents you just have to decide what is the next best course.  What are you willing to put your child through and mor traveling or what have you. We don't have a plan, we will meet with Dr Gowda on Thursday at 9 to discuss what our possible next moves are. It's a possibility she could lose her hair again, so we would need to prepare school, her classmates ands letters home to parents of her class if we go this route. So we have already started telling Emily about this. So we will need to get hats again if we go this route.

Please don't get us wrong, stable is great in the grand scheme of things. What we didn't want was progression of more spots, thankfully that didn't happen. But our hearts want so much more than stable. Emily wants more than stable. We just don't have an end in sight yet. Isn't 3 years enough of battling with this stupid disease. But we are thankful that Emily is our fighter and handles it all so well. She is such a big girl and wise above her age.

Once we have a plan, we will update. We will take Emily to clinic earlier than Thursday if Emilys energy levels go down or bruising.


Thank you for continuing to keep us in your hearts, thoughts, love and prayers. Thank you for all those who wore Emily gear and shared it with us and thank you for continuing to help us though our journey with thoughts, love, prayers, gas cards and donations. They mean so much and help with our Journey and our continuing journey. Our friend started a gofundme to help with travels, expenses and other needs: http://www.gofundme.com/EmilysJourney
if you are interested. 

Make sure to hug and kiss your kids and tell them how much you love them. 


Tuesday, November 12, 2013

End of the Year Scans


So we are on our way to Michigan. UGH!!!!! Last night we made it to our half way point. We are always thankful to have our wonderful friends Sue and Jojo in Pittsburgh, PA (our half way point) who always have dinner ready for us. Thank you! Today we will travel the rest of the way to Grand Rapids, MI. Thankfully we were able to stay in the Renucci House this time.

December 23 ", 2013 we will be reaching Emily's 3 year mark of battling with this disease. December 18, 2010 was when the journey started and we didn't know what was wrong.   December 23, 2010 she was diagnosed with stage IV neuroblastoma and we weren't given great news for outcome. November 16, 2011 when Emily was going to CHOP to start antibodies, we learned that she had another spot on her lumbar, L4, which was progression. December 20, 2012 after Emily had 3 rounds of the compassionate antibodies, Emily progressed with several places including her skull and more spots on her back.

So here we are in November again! Scans at the end of the year! Why did I tell you all that? Our anxiety is off the roof right now. The end of the year we tend to have news we don't like. News that takes us to other places. Sleep isn't happening much, no patience in sight, and just all the fear.

So, scans are Thursday! Here are the Appointments coming up:
Wednesday, November 13:
--1030am for port access and CBC 
--1130am MIBG injection
--most likely head back for platelets if under 30

Thursday, November 14:
--1030am MIBG scan 
--1230pm meet with Dr Sholler to go over results 

Thursday if you have Emily gear, please wear it. Take pictures and post them on Facebook tagging Shannon Hubbel, or post to Emilys Journey (www.facebook.com/emilysjourney) or email them to me at shannon@emilyhubbel.com. I will post them in an album on Emilys Facebook.  Please send all your love, positive mojo, prayers and thoughts for stable or better....

Remember to hug and kiss your kids and tell them how much you love them.