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Jordan's Story
written by mom Susan |
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When Jordan was about 6 months old I noticed a
spot on the top of his head. It was round, flat and orange. One month later
or so another one developed on his forehead, I thought because of the color
I must had been giving him too many carrots so we saw his pediatrician and
he referred me to a Dermatologist. The dermatologist did not know what they
were so we were sent to the Mayo Clinic in MN.
They did a biopsy right away and said it was Juvenile Xanthogranuloma.
Another sign that they look for with this disease are certain light brown
birthmarks. Jordan had two and to have this other disease you had to have 5
or more. They said good thing because this other disease wasn’t good and
they never told us any more. The disease is called Neurofibromatosis (NF1).
They sent us home with paperwork regarding Juvenile Xanthogranuloma (JXG).
We read it but trusted the doctors with their diagnosis.
When Jordan turned 2, we put a sandbox outside for him and he began coming
inside with what looked like gnat bites. We kept taking him to the doctor
and we went to another Dermatologist and diagnosed him with Eczema. The
doctors pegged him about his personality so we took the cream and on we
went. The cream did work for a while. Then Jordan began bruising a lot but
we justified because of the sandbox and the stuff he was playing on. I
became pregnant with our second child and Jordan had an ear infection so I
took him to the doctor and it was a new doctor that said to me "Did you know
that Jordan has a heart murmur?" I said "No, we are in here all of the time
and no one has said anything". So we take him to a Cardiologist and found
out he indeed had a heart murmur and it was one that he would not grow out
of.
By the time Jordan was 28 months old, he had chronic ear infections and
seemed to be sick all of the time. He would go to pre-school one day a week
and be sick for 3 days. On Christmas we thought he had bronchitis, he was so
sick. The doctors sent us home with cough syrup and said it was a "Virus".
Jordan eventually stopped walking up and down the stairs and wanted to be
carried. Through this whole time Jordan would NOT gain weight. I had him in
all of the time for his weight, I took him to see a nutritionist and nothing
helped. He just wouldn’t eat. I justified it because he had been on so many
antibiotics that it made him not hungry. Jordan’s pediatrician would justify
it by saying, "You aren’t very big either." Ok, makes sense both my husband
and I are small. But, it still bothered me, everything did.
A couple of days before Easter Sunday, Jordan was at school and received at
rubber stamp with ink on it. He of course stamped his face and when I washed
it off (I used a baby wipe) he had gotten a red rash. And I explained it to
the teachers it was his Eczema. Jordan became very sick again, cold, ear
infection and through out these months, I asked the doctor, "Does he have
RSV?" " No", he said every single time. But later towards that week Jordan
would cry all night long, so we’d take him for car rides at 2am because of
his ear infections. Sometimes I’d rub his back but he had always wanted me
to rub his stomach. Somewhere along the line his stomach was getting the
toddler stomach look and I was glad about that because that meant he must
have been gaining weight. My husband took Jordan to the doctor on Easter
Sunday. The doctor noticed the red spots on his face, wasn’t Eczema it was
Petechiae which are tiny areas of bleeding under the skin, usually due to
low platelets. That was the only thing that prompted them to do a blood
test, other wise he would have gone home with more cough medicine.
They did a CBC and found out his platelets were 30 and his WBC’s were 56k.
The first thing out of my mouth was "Did the doctor say anything about
Leukemia?" Jeff said hotly "NO!" They told us it was probably Meningitis.
Later that night slowly the gowns for sterilization came off the nurses and
the doctor came in and mentioned Meningitis or Leukemia. Our hearts sank
because I knew that it was Leukemia. I had to go home that night and take
care of our 3½ month old Mitchell and go back down first thing in the
morning. When I got there Jordan’s regular doctor was there and said it was
probably leukemia. Jordan was ambulanced down to Iowa City’s Hospitals and
Clinics and I had to follow in our van. He was admitted, and they did a bone
marrow aspirate and a biopsy. The results took FOREVER. Jeff and I were
trying to get our minds around Leukemia. We had a friend that had a daughter
with it and she’s doing great.
While we were waiting someone told me that with a WBC count higher than 50k
it’s usually a worse Leukemia. We weren’t prepared for the news we received.
Jordan was diagnosed with a rare form of Leukemia called Juvenile
Myelomonocytic Leukemia. (JMML) It affects about 1% of the children with
Leukemia. The only cure for him was a bone marrow transplant and the cure
rate would be less than 40%. That’s with a matched sibling donor!! Mitchell
ended up being a match and at 5 ½ months he donated as much bone marrow as
he could to Jordan. Jordan relapsed 9 months later and Mitchell donated
Lymphocytes. This did not work. We went to transplant within 2 days of one
year of the first one. The second Stem Cell Transplant was even worse than
the first one. Jordan spent his 5th birthday out of the hospital and had a
great summer, but he has relapsed again in September of 2003. We gave a big
dose of Lymphocytes and tried a drug called IL2. Didn’t work and then we
tried an experimental drug called FTI. This drug worked wonders on his
peripheral blood, but not his bone marrow.
In December of 2003 we were debating whether to attempt another transplant
and if so how to get him healthy enough to withstand one. There was also a
huge debate in our hospital because a third fully ablative transplant has
never been done before or even in the US.
The day before New Year’s Eve, Jordan was clearly getting worse, blasts in
his marrow were 78% and as we were discussing our bleak future, our doctor
excused himself because he said he had received a phone call from a doctor
at MD Anderson and wanted to discuss Jordan’s case. The phone call seemed
like hours. When our doctor came in, he said: "There is an experimental
chemotherapy that MD Anderson would like to try on Jordan". The problem was
that we had to be in Houston in 2 days. With Jordan’s blast count so high
and him being neutropenic, we knew we had to drive the long drive to
Houston. My husband Jeff informed his employer that we were going and most
likely be gone up to two weeks. Jeff’s employer was appalled that we had to
drive and they did not want us staying in hotels that could make Jordan
worse so they offered to fly us to Houston for Jordan’s safety.
After our first trip to Houston, Jordan’s blast count went from 78% to 30%!
We were so thrilled that we went down there two more times. By the time, we
got back from our third trip Jordan’s blast count was ZERO-for about 2
weeks. While in Houston, Jordan’s doctor checked both of our DNA to see how
well we matched Jordan. The doctors also did an unrelated donor search for
Jordan, just in case we did another transplant. We could not use his brother
again because their DNA’s were too closely matched, therefore could not get
the amount of GvHD that was needed to keep the leukemia away. We did find a
matched unrelated donor from Germany and the beginning of Jordan’s
transplant regimen started on April 14, 2004. As we were walking into the
bone marrow unit with our suitcases in hand, Jordan said, "well, it’s time
to puke!" He was so brave!
The transplant went well, but the good fortune did not last long. Jordan
became allergic for a lack of a better word to all the medicines that he had
before to help him through engraftment and GvHD. Jordan started to get high
blood pressure, enough to be put on oral and IV meds to help keep it down,
he developed HUS, VOD and mysterious white fluffy spots on his brain after
having a grand mall seizure one night that landed him in PICU. Jordan
developed Grade 4 GvHD and had to be pheresed several times a week to get
the damaging cells out of his body.
Jordan became weaker so we had physical therapy come in and try to get him
to walk but he was so tired the therapy was too exhausting for him. We
started to notice some neurological changes in him and again found increased
numbers of unexplainable fluffy white spots in his brain. The last MRI that
we had done was the end of July of 2004. I was told early that morning, that
this was most likely fungal infection. Jordan might not live up to six hours
because it was located in the brainstem and we needed to sign a DNR (Do Not
Resuscitate). I was devastated and completely lost my mind, how could I live
without Jordan?
There were a couple of days where I was trying to get Jordan to speak to me
again. It was like having an infant and I would say I love you really slow
so he could repeat it to me. He did but it was hard for him, I believe those
were his last words to me.
Jordan continued to decline to where he could not speak move or open his
eyes, he was in a coma. About a week and a half after I was told that he
would not live six hours, Mitchell came romping in the room (3 ½ years old
at the time), hopped up on the bed and said: "Jordan open your eyes". Jordan
did open his eyes; his eyes were as blue and crystal clear. Jordan looked at
Mitchell, Jeff, Kathy and me for quite a long time and we were so elated
that thought for sure he was going to live. (Now we know it was his way of
saying goodbye). I think I skipped out to the nurses desk where Jordan’s PA
happened to be and said: "Jordan opened his eyes and it was the most
beautiful thing ever, are you sure he’s going to die?". "Yes, Susan he’s
going to die" How can that be? He has no more VOD, HUS, GvHD, no blasts, no
high blood pressure; everything is great-except for those white fluffy spots
that was still said to be fungus. We waited and watched for another 2 ½ more
weeks, we continued to play his cat videos over and over, watch his special
shows even though his eyes were closed, we hoped that he was able to hear
his favorite videos.
One morning I woke up and got into the shower early. Usually I waited for
the doctors to do their rounds which was anywhere from 9am to 11am. This
morning I thought I should get up and get going. While showering I had a
wave of emotion telling me that today was the day, 18 days after they told
us he would not live 6 hours. I came out of the shower and told Jeff and he
said if you feel that way, then he would shower too. The doctors came in and
chit chatted everything was normal with Jordan except he was in a coma. At
about 11:30 I decided to pack up Jordan’s CAT trucks and keep the three
favorites out of boxes because I knew he would want to be buried with them.
I filled two very large boxes with CAT trucks and asked Jeff to help me set
them on the floor. He did and after that, I decided to go to Jordan’s
bedside to roll him over to prevent sores and just as I rolled him, he let
out the biggest sigh ever (this was about 11:50), his mouth opened and his
SATS started to drop like a rock. I called Jeff over to hold my hand, we
knew what was happening and we pushed the nurse’s button. This time there
was no, "Can I help you?" The nurse came in, took one look and ran next door to grab Kathy, Jordan’s
favorite child life person in the whole world. Jeff and I stood right by
Jordan’s head and Kathy and our nurse were standing close by, watching the
SATS completely go to zero, then his heart stopped at exactly noon on August
18, 2004.
I believe in my heart that Jordan was waiting for me to be "OK" with his
passing and as soon as I was done packing up his trucks, he knew I would be
all right and it was his time to go…
In the end Jordan did not die from a fungal infection, he died of cancer in
the brain. Because of this, the doctors learned a valuable lesson that no
matter how much GvHD a patient has, does not mean it would automatically
kill the leukemia. Jordan also helped approve the chemotherapy drug for
Children called Clofarabine, now called Clolar. The first children’s
chemotherapy has been approved by the FDA in 20 years. Jordan now has a
medical paper written about him and his refractory cancer, and I am very
proud to be Jordan Anthony G.’s mom!

Letter we received from Jordan's family after he
passed away:
Dear Alexandra and Friends,
Our family would like to extend a very heartfelt thank you for the
contribution that you made which helped pay for Jordan's Funeral expenses.
We would also like to thank you for all that you have done for us since we
found you in October. Jordan's quilt made by Love Quilts is so beautiful; I
wish he was here to appreciate it.
Thank you to all that have read your website and sent Jordan mail. Jordan was
always thrilled with the loads of mail that he received, it brought smiles
to his face, and Mitchell's every time, which touched my heart quite deeply.
You have a wonderful organization and we appreciate everything that you do
for all the children with an illness, it certainly has made a huge
difference in Jordan's life and with our whole family.
With love and gratitude,
Susan, Jeff, Angel Jordan, and Mitchell G.