Hi Everyone,

As you can guess, we get little time to get on the computers here. I'm (Dana) finally getting a chance to look at the blog again and I have been back-tracking reading through the days. I can't beleive how far we have come and still to go. As I've been reading the comments I am moved to tears. We are so encouraged by the ammount of love and concern that our friends have for us.

Thank you!

People we don't even know are contacting us. God's family is so HUGE! It expands past names and faces, it is a relationship of the heart and of the spirit.

Looking forward to eternity with all of you! -Dana Orlando

Last night was extremely difficult for Natalie and the Orlandos.
Natalie cried all but one hour yesterday. Here is what is going on.


Natalie has had a bowel obstruction and this has prevented her from eating for the last three days. The doctors put her on an intravenous food diet so she is getting the nutrients she needs, but this doesn't subside her hunger. So we have a hungry little girl!


To compound the issue, Natalie is receiving steroids as part of the chemo. The side effect of steroids is an insatiable hunger. We have therefore a VERY hungry little girl.


According to Dom, the obstruction is clear now, but there is air perforating the wall of her bowel and this can be dangerous if the air moves to her chest. So they are still preventing her from eating normally. Please pray that the air doesn't move up.
The chemo is lowering Natalie's white blood cell count. White blood cells help with healing and are needed to address the issue of her bowel obstruction/perforation.

This is going to be a big week for Natalie and the Orlandos:

On Monday (Day 15) they are going to be doing another lumbar puncture to check for leukemia cells in Natalie's spinal fluid. This test is determining the progress of the treatment. If there are no leukemia cells that is good, if they are present that means more treatment and potentially moving Natalie to a higher risk category.

More importantly, the doctors are going to run more tests on Day 29 (OCT 1). This will be the most important test she has and will be the determining factor on her progress. We are hoping she will be in a 5 year survival rate (90%) referred to by Dom as "rapid responder" If by Day 29, Natalie still has Leukemia cells in her spinal fluid, she will be most likely placed in the "high risk" category with a lower 5 year survival rate (84%)

Dom & Dana asked that we all pray fervently for DAY 29.

Pray for her white count to go up before Day 29
Pray for her bowel obstruction/perforation to heal (so she can eat)
Pray for her spinal fluid to be free from Leukemia cells by Day 29
Pray for Natalie's comfort.

With Natalie there has been a new development:
Her stomach pain seems to be attributed the slowing down of her intestinal wall movement from her chemo drugs. This slowing down has caused the processing of her food to take longer and have built up gasses (from the drugs too) that are having trouble moving through her bowels. Because of this semi-blockage, her risk of intestinal infection has raised so Natalie is now receiving new antibiotics to shield the possibility of any intestinal infection. The now difficult challenge is that Natalie has been placed on a limited diet. She has to refrain from eating or drinking for up to 2 days. In extreme conditions we can wet a sponge and moisten her lips. This is particularly difficult because the chemo steroids really make her exceedingly hungry. Please pray that this slowing down (blockage) clears quickly and her fasting is limited to a minimum).

Also

This is also a good link from the The Leukemia & Lymphoma Society. It is accurate and informative.
http://www.leukemia-lymphoma.org/all_page?item_id=7049

Today's Update:

DOM/DANA/HOUSING:
Dom and Dana had to leave their hotel. Unfortunately, there was a conference coming in and they needed the space and since Dom and Dana are going day to day on how long they are staying, they didn't have prearranged reservations. So they are literally driving around to find new accomodations as I type this. Fortunately, someone from their church found a place they can stay. I believe they will be checking into that motel tonight. Please pray for their upcoming nights and accomodations. Also, if you know about housing options for them, it looks like they will be up for a month or more now.

We are hoping to find something long term for them like a short term rental in the Palo Alto area. If you know of anything, please let me know.

NATALIE
Natalie is having a second bone marrow aspiration today. This is a common procedure for leukemia patients. The doctors make Natalie comfortable for the procedure, but afterward she is sore.

Natlie now has one doctor who will oversee her treatment. Dr. O'Brien is overseeing all the other aspects of her treatment, e.g., Endocrinology, Vascular team, Oncology. Please pray for Dr. O'Brien and for God to grant her wisdom.

Natalie is experiencing some discomfort in relation to a number of things. Here is the list:

  • The PIC line needs to be adjusted or replaced
  • High Blood Sugar (causing temperature fluxuations, discomfort and need for Insulin shots)
  • Insulin shots every 2 hours and pin pricks on fingers. This is very very difficult for a 2 year old
  • Her Stomach is distended and uncomfortable
  • Natalie is receiving hormone treatment as part of her Chemo Therapy, this is cause her alot of discomfort
  • Constipation due to pain meds

Friday night, Dom and Dana got to go out for a few hours together. I think they even caught a movie. This connection time was a much needed relief. Thanks Jeff and Lee!

Natalie Orlando

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