Wednesday, June 20, 2018

A wild ride


June 20th – On Thursday June 7th, Cole received his CAR-T immunotherapy cells around 1:15 in the afternoon. We were surprised how little (only 11 cc’s) this bag of cells was and how quickly (15-20 mins) they were infused. We are very excited that this day had come, but also incredibly nervous and scared of what was ahead for him and us.

Thurs/Fri/Sat/Sun came and went and Cole was his normal self. His cousin and aunt were here and we all really enjoyed their company. On Monday morning, Cole began to fever. By evening his fever went very high (104) and his blood pressure was low. These were expected side effects; nonetheless they earned him a trip to the ICU. On Tuesday evening, Cole developed a right side facial palsy (weakness and droop). So Cole had a 1am MRI to see what was going on. We were frightened that he had another brain bleed or that his existing bleed had expanded. It was a long night awaiting results, but when they came in the results were good. No new bleed and his existing bleed was continuing to heal nicely. Thank god!!! However we don’t have an answer for the facial palsy. His doctors think it could possibly be a side effect of his treatment and hopefully temporary.

On Tuesday and Wednesday, Cole’s normally bubbly personality was gone. He became very agitated and demanding. He also began having severe neck/shoulder pain and pains (Neuropathy) throughout his body. He was put on some pain killers and has a pain button to push for on demand pain relief. On Thursday, Cole became incoherent, mostly sleeping and didn’t leave his bed as he was very weak.  He was in a state of delirium, periodically saying random things but mostly just screaming or grunting. Cole’s condition continued this way through Sunday the 17th. Even though we were expecting this, it is quite another thing to live through. It was both terrifying and heartbreaking to watch. By Thursday, Cole’s fever had begun to break and his BP has stabilized. He was transferred out of the ICU and back to the Oncology floor on Saturday the 16th.

On Monday (18th) morning, I got a text from my wife saying that Cole said a few words. When I arrived at his hospital room a little later, Cole looked right at me. I told him that I missed him and he told me that I missed you too dad. My heart melted. I felt like a pallet of bricks was removed from my shoulders. Cole continued to become more lucid as the day and night went on. Tuesday and Wednesday continued to show improvement. Cole’s personality was back too. He was weaned off of the pain meds, as the pain he was previously experiencing was gone. Each day he gets stronger. Today, Wednesday, he began to walk a little. In the midafternoon, we got a visit from the Patriots 2 first round draft choices, Isaiah Wynn and Sony Michel. They took some pictures with Cole and Michael and presented Cole with a signed football.

We know Cole’s journey is far from over, but we feel good that he is beginning to heal and for now that is a huge relief. This week has been incredibly difficult to live through, but our medical team feels strongly that these side effects tell us that the CAR-T is doing its job and that gives us some peace.

Thank you all again for all of your support and being part of team ColeStrong!!! 


Cole resting

His CAR-T cells are ready for infusion

Part of the team

Cole Strong!

Mike, Cole and Cousin Bryce

Mike, Cole and Madi

Cole, Mike and the Patriots Rookies

The Family


Wednesday, June 6, 2018

Here we go

Jun 6th - Everything has gone as planned for Cole over the last 2 weeks. On Wednesday the 30th, he had a PIC line installed and was admitted to the hospital for the remainder of his treatment. On Thursday we did some further testing and on Friday he started his 4 days of pretreatment chemo. On Saturday Cole was given a Karate lesson in his room from an instructor from The Heroes Circle. The Heroes Circle (kidskickingcancer.org) teaches meditation, breathing and movement techniques found in the martial arts to empower children beyond the pain and trauma of childhood disease. He really enjoyed that! Also over the weekend, Cole was visited by his cousins Kristen and Jeff and we enjoyed some competitive card games! He really enjoyed the company.  On Monday the 4th his pretreatment chemo was complete and he is doing very well. On Tuesday the remainder of the family arrived and he was very excited to see his Mom, Sister and Brother. Some arts & crafts projects and some competitive PlayStation gaming against his brother brought lots of smiles to his face.

Tomorrow, Thursday the 7th, is the big day. Cole is tentatively scheduled to get his CAR-T immunotherapy cells between 1-2pm. The process of getting his CAR-T cells is basically a 15 or so minute infusion and then it’s basically a waiting game. He will be closely monitored in the hospital for possible side effects from the cells over the next 30 days or so, with the first 2 weeks being the most critical.

We are thankful that this new treatment is available and are hopeful that it will cure Cole once and for all. Thank you all again for all your thoughts, prayers and continued support!!!

#ColeStrong, ColeMalone.org

Michael, Cole and Madisen

Cole in front of his hospital room

Cole in his room

Me, Cole and his cousins Jeff and Kristen

Cole doing karate

Cole doing karate