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We realize that the most comfortable place for children is in their own home. In general, the first course of therapy will be given at St. Jude. For the oral therapies, it is possible that subsequent courses can be given at home, provided that the first course was tolerated well and your child has not been very sick. Therapy will only be given at home or elsewhere if approved by the institution. Monitoring of lab work and side effects will need to be performed at your local oncologist’s office.