Paige Ann Setzer


Paige Ann Setzer

Welcome to our journey...

Our daughter, Paige, was diagnosed with an ependymoma brain tumor on Friday, January 14th, 2005. That day, she was taken for surgery where they were able to remove the entire tumor. Two weeks later, she underwent a second surgery that was a result of complications with the incision from the first surgery. She had a Hickman IV inserted for sedation for 6 weeks of radiation treatments and now has had it removed. She's now officially tumor and cancer free!

For current updates, please visit Paige's CaringBridge Journal - www.caringbridge.com/visit/paigeann! The CaringBridge Journal for Paige Ann will be updated way more often than we do this page with her current events, upcoming tests and whatnot. We'll also be announcing exciting charity events that we participate in!

Join us at this year's Race for Hope in Washington, DC!

Picture of Paige Setzer on June 3rd, 2005  Picture of Paige Setzer from April 16th, 2005  Picture of Paige Setzer from April 10th, 2005
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(Last Updated: 2007-Jun-15)

Symptoms

Paige's symptoms came very quickly - looking back, they started on January 2nd. The first thing that we saw was that she vomited once on the 2nd and once on the 3rd. The vomiting stopped for about a week and started again on Monday, January 10th. From Monday to Thursday, she would vomit one to three times per day. And, on Wednesday and Thursday, she became very lethargic - to the point that she wouldn't walk, sit up from lying down and, ultimately even had troubles keeping herself sitting. In hindsight, also on Wednesday and Thursday, we realized that we started seeing issues with her being able to control her eyes and she was having problems with her eyesight. On Thursday, January 13th, we took Paige to the ER at the local hospital. There we met Dr. Karyn Kassis, the ER pediatrician who was on duty that night. Dr. Kassis was spot on when she ordered a CT scan that revealed that she was suffering from hydrocephalus, the accumulation of cerebrospinal fluid in the ventricles of the brain. I give a world of credit to Dr. Kassis for Paige's quick and accurate diagnosis - it was Dr. Kassis' sharp thinking and critical eye that made her decide to do a CT scan before anything else. Without that, we could have spent even more time tracking down a mysterious "stomach flu". We later found out that Dr. Kassis and the nursing staff from the ER would call John Hopkins regularly to get updates on Paige.

Surgeries

On Friday, January 14th, we were transferred from the local hospital to John Hopkins hospital. That morning, the neurosurgeon, Dr. Geoge Jallo, diagnosed Paige with a brain tumor. Dr. Jallo scheduled the neurosurgery for the same day where he was able to remove the entire tumor.

Paige spent the rest of January in the hospital. While she was in the hospital, she developed an infection that required anti-biotics and her incision was seeping spinal fluid (CSF). To try and combat the seeping of CSF, Paige received additional stitches on 5 separate occasions. We were discharged on Tuesday, January 25th but had to go back to the hospital on Friday, January 28th where Paige was operated on a second time where they reopened the incision and fixed a patch of her dura mater layer (which was causing the seeping of CSF). She was operated on a second time, again by Dr. Jallo and was discharged on Monday, January 31st. Since then, we've had no problems with the incision.

Pathology (What Was It?)

The brain tumor was identified as an ependymoma and described as anaplastic, stage 3 tumor. The tumor was located in the 4th ventricle.

The CancerWEB's On-line Medical Dictionary definition of ependymoma is:

This primary brain tumor accounts for 8 to 10% of pediatric brain tumors. These tumors occur in the ventricles of the brain and often cause obstruction of the cerebrospinal fluid.

Symptoms include headache, vomiting and ataxia. Treatment often includes a combination of surgery, radiation therapy and chemotherapy.

Treatment

Even though the neurosurgeon was able to remove the entire tumor, the oncologist, Dr. Aerang Kim, recommended that Paige still receive radiation treatments. We met with the radiation oncologist, Dr. Moody Wharam, where we were told that her radiation treatments would be a 30-treatment, 6-week course. They were 3D Conformal radiation treatments.

Paige received her last treatment on April 6th! She was a little fussy, her ears and just behind them were red and they say her blood counts were a little low (but nothing to worry about, just to pay attention) - but, in all reality, she did wonderfully.

The nurses threw Paige a little celebration party, complete with cupcakes, ice cream and a gift. We even had a special visit from Ms. Judy, one of our friends who went along to a bunch of treatments. We had a very fun time and are very appreciative of all of the wonderful doctors and nurses as John Hopkins.

The anesthesiologists used a Hickman IV that was inserted. The Hickman is shown in some of the pictures. On April 25th, the Hickman IV was removed in a minor surgical procedure. Hooray!

Post-Treatment Follow-up

  • April 10, 2009 - The MRI results came clean!
  • October 6, 2008 - The MRI results came clean!
  • April 11, 2008 - The MRI results came clean!
  • December 14, 2007 - The MRI results came back clean!!!
  • November 14, 2007 - The endocrinologist indicated that Paige's blood-work came out better than expected, with no signs of hypothyrodism. As well, Paige's growth charts have normalled out a bit and she is no longer concerned with Pagie's growth hormones.
  • August 31, 2007 - The MRI results came back clean!!!
  • May 7, 2007 - The endocrinologist has us on a "watch & wait" with the next blood-draw co-inciding with Paige's next MRI. The endocrinologist also expressed concerns about Paige's growth hormones and wants to follow-up on that in 6-months.
  • April 6, 2007 - The MRI results came back clean!!! The blood work, however showed that Paige has (a compensated state of) hypothyroidism.
  • November 17, 2006 - The MRI results came back clean!!! We tweaked the anesthesia and it worked wonderfully (gas to put her to sleep, 1/2cc Versed via IV 5-minutes before the end of the MRI).
  • July 7, 2006 - The MRI results came back clean!!! We tried Versed-orally and I don't know that I'll be willing to do it again - Paige was & quot;drunk" most of the day.
  • March 10, 2006 - The MRI results came back clean!!!
  • October 7, 2005 - The MRI results came back clean!!! The earlier MRI time-slot was wonderful.
  • June 10, 2005 - The MRI results came back clean!!! The oncologist said that the radiologist report is that there is no sign of the tumor and the surgery site looks good.
  • June 10, 2005 - Blood was drawn and CBCs were checked. The results indicate that her counts are back up to normal/healthy levels.
  • May 31, 2005 - Dr. Wharam did a 6-week post-treatment checkup and was very pleased with Paige's results.

Prognosis

Paige's overall prognosis is good (75% long-term survival rate). However, because she received radiation treatments at her young age, there are possibilities of long-term side effects. In August 2006, she has completed a neuro-psych evaluation to check her for cognitive and motor skills deficits. I'm happy to report that she received above-average scores on the cognitive/verbal and is on track/average for her motor skills.

I did a presentation for my aunt's youth group and found out some ependymoma statistics (for us) - with a "gross total resection" (meaning the surgeons were able to remove the entire tumor) and then radiation therapy - there is approximately a 25% chance of recurrence.

Pictures / Photos

Pictures and Photos - See more pictures and photographs of Paige Ann Setzer.
(Last Updated: 2007-Jun-15)

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Friends of Jaclyn

In October 2008, Paige was "adopted" by the Johns Hopkins Women's Lacrosse team through the Friends of Jaclyn foundation. The coaches, players and even families of the players have taken us in like Paige was really on the team. They've showered her with love and affection and us with support. It's been truly amazing - a picture perfect dream, to say the least! The Friends of Jaclyn needs kids! They have more teams than kids right now! If you're a BT family, call them!!!

American Red Cross

Give Blood! Schedule online at GiveLife.org - Paige needed blood during her first operation and they had blood ready for her second operation. I always knew that giving blood was important, but now that Paige needed blood for her brain surgery - I found out that giving blood truly means that you're saving someone's life. Personally, I've decided to give blood every 8 weeks (which is as often as you can give)!

Mandie, Paige and I have started doing a lot to help out the regional Red Cross chapter, Greater Chesapeake and Potomac Blood Services Region. Paige is a "Poster Child" for them. She's been on posters, e-mails, newspaper ads. We spoke at the Red Cross grand opening of the Columbia, MD donor center, a press conference and at a couple of churches now. Additionally, we've gone out to a couple of "Meet & Greets" where we thank donors for coming out to blood drives.

Links

We've had great support from different people & places on the Internet.

Online Support Groups

Brain Tumor Awareness Merchandise & Gear

Non-Profit Organizations

Angel Friends

Companies (that have helped us)

This page was last modified: 2009-Apr-16