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Jonty James Clare

  • Update on Jonty 15 Septmeber 2015

      15 September 2015
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    Here is the latest update from the family. Firstly thank you to all of those

    that have donated. Your generosity is overwhelming and has made it

    easier for us to explore other treatment options. The last four months

    have been a rollercoaster ride for Jonty and his family. From initially

    being given weeks to months, Jonty has repeatedly exceeded medical

    expectations, and his oncologist now thinks we are probably looking at

    years (we’re hoping for about 80 of those!). After stalling in his weight

    gain for three months, Jonty is currently thriving (weighing in at a hefty

    7kg now) and he is developing both physically and mentally on par with

    other 7-month-old babies.

    Since our last update, Jonty has been on imatinib (a tumour growth

    suppressor), and although we started the oral chemotherapy

    (etoposide) a few months ago, numerous complications meant we were

    only able to have him on a two-week course over this period. The

    biggest complication was development of a life-threatening

    hydrocephalus (excess fluid on the brain). Because Jonty's primary

    tumour is pushing on his brain stem, it is partially blocking the

    cerebrospinal fluid (CSF) from draining properly. The brain produces

    enough CSF to replace the bodies store three times a day. This meant

    that Jonty's head began to expand as the fluid built up. After initially

    being told that it was deemed too risky to operate on Jonty, one of the

    neurosurgeon's at Starship eventually offered to operate and put a

    shunt in to provide ongoing drainage. While the surgery came with

    substantial risks, Jonty pulled through amazingly and we are so

    fortunate to have got our little boy back. Since then we have been home

    for around two months with Jonty being on oral chemo at home, which

    has been great. Jonty had his latest scan three weeks ago, which

    showed no progression after four months in all but his lung tumours,

    which have shrunk slightly. This result was far better than we had ever

    imagined, given that he had only been on two short courses of a low

    dose of chemo. Unfortunately the scan also showed that the shunt was

    overdraining the CSF and had caused a large amount of bleeding on

    the outside of Jonty's brain. So we have been back in Starship over the

    last couple of weeks as they operated to change the shunt valve and

    drain the bleeding. The new shunt valve is programmable which means

    they can make adjustments to the drainage level without the need for

    surgery. Jonty again came through this like the little trooper that he is,

    and was blowing raspberries and playing with his toys a few hours after

    recovering from surgery. Hopefully that is the last surgery required for a

    long time.?

    We have been searching for other potential treatment options, and

    currently have a tissue sample of one of his skin tumours in the U.S. for

    gene sequencing to see if there are any gene mutations that have a

    specific treatment option. We haven't found a treatment option better

    than the one he is currently on, although the new immunotherapy drugs

    being released offer another avenue if his current treatment regime

    stops working. So for now we are all back home and Jonty starts back

    onto his chemo treatment in a week. His next scan is scheduled for 10

    weeks time. Between now and then we will make the most of the time

    we have with our brave and funny wee man until 'scanxiety' strikes

    again to see if we had made any further progress in shrinking his

    tumours. Fingers crossed.

      1 comment  |  Login to leave a comment
    • 25/01/2016 by bhntvyet

      01/01/1967

  • Jonty's update for 19 May

      19 May 2015
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    The type of cancer that Jonty has is incredibly rare. Chordomas are found in 1 out of 10,000,000 people, with a 5% incidence in children. Of these 5%, 1 in 8 are aged less than five years old. So if you do the maths, Jonty had a 1 in 1.6 billion chance of getting this disease. That’s some bad luck.

    Chordomas typically present in adults as a slow growing primary bone tumour that develop over years to decades, and remain localised to either the skull base or sacrum (base of the spine), with no spread to other organs. Usually, treatment relies upon surgical removal of as much of the tumour as possible, and then palliative radiotherapy. Due to its slow growing nature, chordomas are not usually sensitive to chemotherapeutic agents. However, in Jonty’s case, his cancer, which started in his skull base, had already spread to multiple organs when he was diagnosed with this disease at just 74 days of age. He is the youngest person reported in the scientific literature with this disease, and the first child Starship Hospital has seen with this type of cancer. Ever. The problem with this is that there has been little research done into the best ways to treat this disease in young children, leaving limited treatment options as radiotherapy is not possible in when cancer has spread, nor is it a viable option in very young children. However, there is some evidence in the scientific literature that chemotherapy may work on children when the cancer acts more aggressively. Jonty has been on a drug called Imatinib for 10 days. This drug targets cancer cells to stop them growing, and in some cases to kill the cells. After some further research into cases overseas, Jonty is also scheduled to start a chemotherapy drug tomorrow called Etoposide which is fortunately also available in New Zealand. Luckily, Jonty’s mum and dad can administer both drugs at home. The plan at this stage is to recheck his tumours in a few weeks to see if there has been any improvement.

    Jonty’s doctors are awaiting feedback on Jonty’s case from the world’s leading centre for Chordoma Care at Massachusetts General Hospital in Boston, to see if they have other treatment options available.

    Jonty’s prognosis is grim. His family is doing their best to make as many wonderful memories as they can with him, while hoping and praying for a miracle to save their beautiful baby boy. We would like to thank you for your generosity in contributing to Jonty’s Givealittle fund. Money that is not needed for expenses relating to Jonty’s illness will be on-gifted to Starship Hospital and other services which have contributed to Jonty’s medical care.

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    • 25/01/2016 by bhntvyet

      01/01/1967