We met with our oncology team today (7/21/16) to discuss the new plan from here. We know from the biopsies that the tumor is showing signs of differentiation but also showing signs of immature neuroblastoma cells as well as scar tissue.
The urine test showed about the same numbers although down slightly (which is good).
The plan moving forward is to do two more cycles of chemotherapy, using two new drugs- vincristine and irinotecan. The vincristine is given only on the first day of the cycle and the irinotecan is given via infusion over 5 days. The sixth day she will get the Neulasta injection. Each cycle is 21 days. After the two cycles they will image the tumor again with MRI to see what it’s doing. The main side effects can be severe diarrhea and tingling/numbness of the extremities. We are praying she can tolerate the drugs well. It’s scary giving her new drugs, but we are told these drugs are better tolerated than other chemotherapy drugs, including drugs she has already gotten in the past. We are really hoping this chemo will cause the tumor to further differentiate until it has no more power.
Reba Zumberge 
Sending power to Reba’s immune system ——and sending strength and love and affirmations of healing to you all——
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We will be thinking of Reba and you all!
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Kick some C butt, Reba!!
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Praying for cancer killing chemo!!! You go little one ! You go!! ❤️❤️❤️❤️
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So full of hope for this little angel; blessings, prayers and love to you all.
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Ah the bravery and strength is so apparent,my deepest prayers are with you all ,Zeba you are a shining star🎇
My thoughts , love and admeration for joyful spirt you can do this we are with you ❤️🍒
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We are praying for you all and for Reba’s complete healing. Hugs all around!!!
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