Sunday about 2pm Houston time.  Overall a good night.  Spiked a temperature but they able to get in under control.  Head looked ok on CT scan.  Chest fluid is there but chest pain has eased up.   He was encouraged to walk halls laps (and did) to move the fluid in his lungs. 

Luke started a med today in preparation of starting chemo tomorrow.  What he got will minimize problems with the liver processing cell byproducts from chemo.   

Tomorrow Luke will get his PIC and they will do the LP.  Spinal fluid from the LP will tell the docs a lot.  While they have the needle in the spine they will inject chemo in the spine to get at any leukemia cells that might be in the brain.

Won't know where we go from here until meeting with Dr. Well's tomorrow.  Regardless the first step will be to get the cancer in remission with no blast cells showing up in his bone marrow.  In the bone marrow taken Friday the blast cells were at 73%.   Blast cells in his blood are around 4%.    

In Luke's first go-round with ALL a bone marrow transplant was presented as the protocol if he did not  respond to conventional chemo or relapsed a sort time after going into remission.    There is literature out there that patients that stay in remission for an extended period after chemo respond favorably to second round of conventional chemo.

Dr.Wells failed to relieve Luke of all his hair follicles last time around.  Will see if he is going to take that as a challenge and go after complete baldness this time...ha!    

Luke's spirits are good.  Brought a guitar down for him. Hasn't gotten the guitar  out yet but he did convince his nurse to remove the IV line in his left elbow so he can play. Attending came in with residences and saw the guitar.  Asked Luke if he knew "Alleluia" and said he would be back later with the expectation that Luke will play.



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