The biopsy results were not what we hoped. The first two tests were negative for leukemia, but the third test still detected leukemia. Darby's doctors say this means that she is not in molecular remission and that her disease is very likely to relapse into her marrow and blood again. Because of her age and the large amount of chemotherapy she has already undergone, the doctors don't know what the next step should be. They want to consult with the worldwide children's oncology group and come up with a plan. They do not believe that maintanance therapy will be enough, but for now, they have started Darby on the maintanance therapy drugs. It seems likely that some combination of arsenic treatment, more chemo, and a bone marrow transplant is likely. We don't know when we will know what is next. It may be a month or more. I can't say we understand why this has happened and we are scared about what is to come. We have a lot of thinking and praying to do about what our family's next steps will be. With Darby's doctors at something of a loss, Tyler and I feel that we may have to make some decisions about Darby's treatment knowing that her medical team cannot reach an accord. We are shocked at the outcome of this test. She looks so good that we never really believed that the treatment hadn't completely killed the cancer. We'll let you know when we know more.
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