Our baby girl should have been confined today to finish her last dose of chemo meds (Methotrexate and Triple Intrathecal Therapy) for Phase 2 Consolidation, but her ALT (alanine aminotransferase - enzyme normally present in liver and heart cells that is released into the bloodstream when the liver or heart is damaged) level shoot up so high. Her ALT level is 487, and the normal range is BELOW 35. ALT is expected to go high,but if it is more than 10x of the normal then that's a red flag so chemo should be stopped. Apparently, chemo meds can damage the patient's liver due to several toxins from the chemo that it has to filter , hence ALT level has to be religiously monitored. We do blood test (CBC, ALT, Creatinine, Potassium, Blood Urea Nitrogen) before her chemo, and few days to a week after her chemo, so there's always a pre and post test. Fluimucil and Vitamin E are prescribed to her and we just repeat the blood test on Saturday. Hoping her ALT (and all other blood test) will be in normal/acceptable level by then so she can continue with her chemo 'cause frequent and long chemo delays would really not help in her recovery. We are just staying positive about this. Seeing her fighting and getting through one day at a time, one chemo cycle at a time, it would be a shame to not be strong for her. She's the bravest, toughest, strongest angel that I know 👼

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