Jump to content


Photo

new to cml


  • Please log in to reply
38 replies to this topic

#21 ritan/

ritan/

    New Member

  • Members
  • Pip
  • 7 posts

Posted 03 November 2011 - 05:21 PM

do you like your oncologist? my biggest concern is that my current onc has seen a total of 10 cases or less in his whole career. i'm simply not willing to leave my care to someone who understands so little about the disease and the various medications.

i was told that given the particulars of my case i should be on tasigna, that it acted faster and that with more advanced cases it was important to get them under control quickly. that the prognosis is best if that is possible, and both specialists suggested that a high WBC and very enlarged spleen pointed toward the case being advanced. 



#22 Guest_billronm_*

Guest_billronm_*
  • Guests

Posted 03 November 2011 - 05:34 PM

Dear Rita,

   I know how you feel your head is spinning ,the shock of your dx. I totally agree with Trey, most of us were put on Gleevac first my dx was aug 2007 I took 400 mg a day for over 3 years. I didn't like my first onc at all but he did start me on

gleevac, alloperinol,and some other med and a week later my wbc had dropped dramatically .I don't know anything about pcr and log reduction and numbers. I did get a new onc after 3 weeks who is much more considerate and qualified. But the thing is if your gp is willing to oversee your care and consult with an oncologist and get you on Gleevac right away and do bloodwork frequently plus make sure your spleen is going down. You can get yourself out of panic mode now. Basically that's all they do at dx. Plus a Bone marrow biopsy and aspiration. At least you have a bit of time to research some of the other oncs.After 3 weeks on G my wbc went too low. I'm sure you already know more about cml than I do. But take a deep breath and try to calm yourself down. You have been through a horrible experience with that onc. but stick with us we'll help you through it.  Sincerely Billie



#23 ritan/

ritan/

    New Member

  • Members
  • Pip
  • 7 posts

Posted 03 November 2011 - 05:42 PM

i'm going to be blunt here. even tho i'm new to this board and even quite new to CML, i'm not very inclined to simply accept the random medical advice of a stranger. you seem to be very knowledgeable, but in the end you are not a doctor, and i'm most inclined (in spite of my natural distaste/distrust of doctors) to take the advice of one over that of a non-medical professional.

while my blood count was not as insanely high as a few i have read about, it was quite high, and my spleen (which essentially took up my whole abdominal cavity--going from my ribs, down into my pelvic region, and all the way across my abdomen to several inches past my belly button) was incredibly enlarged. the first doctor to examine me at first insisted i must be about 5 months pregnant.

my major comment is this: a specialist may not do anything different than this onc is doing. BUT: i do not trust this doctor because he put me on hydrea, then took me off, but failed to do blood draws and keep track of what was going on with me for 2 weeks, while there was a delay getting the Gleevec. i cannot see another oncologist here, because there are two others and both refuse to take new hemotological cases. since i must travel, and i'm not interested in driving somewhere, since i'd have to go alone, i'm flying, and flying to NC is not substantially different than flying to texas or denver or minneapolis. if i'm going somewhere else for care, i might as well see a specialist, as see a general onc. who is not substantially better than who i am seeing.



#24 pammartin

pammartin

    Advanced Member

  • Members
  • PipPipPip
  • 631 posts
  • LocationPennsylvania

Posted 03 November 2011 - 06:26 PM

Rita,

You have to do what you feel is right for 'you'.  Everyone here offers advice, suggestions, and help, but no one wants you to take their word over a professionals.  If anything, they may question your professional and treatment, if it seems odd.  In my case I was told I was in accelerated stage, but had less than 1% blasts, so after following a link provided by a fellow member, I was able to read about the break off points for each stage, it made me feel better and I appreciated the information.

This is a very stressful time, and although I can't say I know how you are feeling, each of us is different, I can say I understand your anxiety and frustration. 

Whatever you decide, it will be your decision and what is right for you.

Pam



#25 momruns

momruns

    New Member

  • Members
  • Pip
  • 0 posts

Posted 03 November 2011 - 07:14 PM

Rita,

Greetings,  I was dx in Feb 2011 with no idea, routine blood work.  I am a nurse who works full time plus plus, I am a first assist in the operating room.  I thought I was tired because I work so much, little did I know.  Where I live we have a "regional cancer center" which our area is blessed to have.  I was on gleevac 400mg/qd and the side effects were too much, my onc took me off for one week and restarted me at 300mg.  My BCR blood work is still only <1 log reduction but I feel better on the lower dose.   The people on this site helped me through the side effects.  I take probiotics for the GI issues what a God send.  I take calcium and fish oil along with curcumic.  I figure I will have chronic low WBC's and chronic anemia.  Through this site I know what to ask my doctor.  When I ask him he answers because I come prepared.  He is aware I visit this site and supports me.  Just like anything else, some things I agree and like and research more and other things I just read.  Trey has great web links for published information.  He has explained to me what my levels mean now and what I am shooting for.  I am a nurse and Trey though not medical has been a gift to me as Billie, happy cat, etc.... and to many to mention.

Keep reading here and ask many many question.  Susan has been among us for 11+ years, seeing her post lets me know there is a further with CML.

Loreta



#26 mikefromillinois

mikefromillinois

    Advanced Member

  • Members
  • PipPipPip
  • 93 posts

Posted 03 November 2011 - 07:48 PM

Hi Rita,

I'm newly diagnosed too (July).  The first few months are very difficult to "process".  The mental adjustment to the disease is tough enough, but it's even tougher as we have to deal with the first few months of tests and treatment, and sometimes our bodies acting up.  Hang in there - it WILL become easier both mentally and physically.  If it were not for all of those on this discussion board who are kind enough to share their knowledge and experience I would have had a much more difficult time understanding everything.  The things I learn here make my discussions with my onc much easier.

Wishing you good health and many happy days...

Mike    



#27 Lizzybee

Lizzybee

    New Member

  • Members
  • Pip
  • 0 posts

Posted 03 November 2011 - 08:35 PM

Yes, I do like my onc. The day I was diagnosed, they fit me in at the end of the day because my wbc were too high to wait.  But he took the time to explain what leukemia and CML are and why he thought I have CML instead of another type, and to do a bone marrow biopsy.  My sister who has been a nurse for 30 years couldn't believe they got the biopsy done on day 1. She came down that weekend and ended up meeting my dr because I was admitted to the hospital and she was with me when he did rounds; she thought he was very thorough and knowledgeable.

The staff are really friendly and competent, too. The lab techs use only pediatric needles since so many cancer pts have bad veins, so the blood draws don't hurt as much.



#28 GerryL

GerryL

    New Member

  • Members
  • Pip
  • 0 posts

Posted 03 November 2011 - 11:03 PM

Hi Rita,

You have to be happy with your doc (as someone else commented) you will hopefully be spending  a great number of years together.

I swapped specialists as my original specialist was starting to worry me a bit as he would reapeat the same story about JFK to me everytime I saw him. My current specialist (who was trained by my first doc) continued with the same treatment (Gleevec). But I feel happier with the new doctor.



#29 grannyd

grannyd

    New Member

  • Members
  • Pip
  • 0 posts

Posted 04 November 2011 - 06:17 AM

Hi Rita, we all have been where you are now. I have my near by onc I see once a month for BW & my specialist in CML I go to every 3 months for PCR at the Cleveland Clinic. I believe both do a great job. I didn't understand all about CML& was very depressed, nervous, & reeling from the news of having this unknown CML, until I found this board. I learned so much from Trey--no, he is not a medical doctor but he is our go to guy. I also was able to ask my onc questions AFTER reading his post. What he gives is support & encouragement with all his knowledge of CML for all of us. You must do as your Dr. says,  & feel comfortable with your choice of Drs. as everyone agrees on this board. but the knowledge I have about my CML is thru Trey, Susan, Billie, Marnie, Phil, Lucky, Tedsey, & everyone who has been so giving of their own thoughts & experience. It took awhile but things DO get better. I wish you the best in finding the right Dr. peace of mind is trusting in your Dr. Prayers granny d



#30 Rissa

Rissa

    Member

  • Members
  • PipPip
  • 12 posts
  • LocationMaryland

Posted 04 November 2011 - 02:10 PM

Hi Rita,

If you do go to Johns Hopkins for a consultation, Dr. Pratz is really nice.  He seemed to be willing to spend as much time as I needed answering my questions.  He's not my regular onc/hem, but it was nice to talk to him and get his advice.



#31 markmendonca

markmendonca

    New Member

  • Members
  • Pip
  • 0 posts

Posted 12 November 2011 - 08:31 AM

so sorry to her that i allso have cml as of july of this year my  wbc was 27000 when they found that i had cml...  now i am down in the 4000 to 4700 hundred thank GOD  !!!!!   i live here in boston if there is anything i can do please ask ...  my doc has 38 years works for MG in boston . I am taking tasigna 800 ml a day so far its great i have some back pain now but i am alive we all r.. ask if there is anything please dont wait ...



#32 markmendonca

markmendonca

    New Member

  • Members
  • Pip
  • 0 posts

Posted 12 November 2011 - 08:58 AM

trey may  i ask u something i am on tasigna 800 mlg a day  some doc's told me in the begining that i would not loss any hair 2 weeks later i started losing some hair.

do u think i will get it back ???  now over 2 months my  lower back  and hips r hurting really bad  i just got some pain meds but i hate taking any meds....

what i find that if i am sitting down and get up the pain come's and man it hurts bad.... is that the bone fluided  ,  meds working, do u know or anyone ?/?  i  cant work like this i am so mad i have been with my company for 21 years i love my job ... is there anyone else that cant work ??? what can i do????   



#33 nathaliece

nathaliece

    New Member

  • Members
  • Pip
  • 0 posts

Posted 12 November 2011 - 09:11 AM

Hi Rita,

I hope things are getting easier for you.  I was diagnosed about a year ago and was questioning the level of CML knowledge and experience of my initial hematologist/oncologist about 3 months into my treatment.  I made the decision to switch to KU Cancer Center's Bone Marrow Transplant Clinic.  It was the best decision for me.  Not only are the oncologists extremely experienced at treating CML, but the nurses, nurse practitioners and pharmacists at the clinic are also more knowledgeable and have been extremely helpful to me.  I hope you find the right professionals to treat you so you can "cross that worry off your list".

I also echo others' comments on how helpful this discussion board has been for me.  One example of that is the dosing of 400 mg Gleevec.  I was originally prescribed one 400 mg tablet and really suffered with the side effects of bone pain, stomach issues and fatigue.  Several on this board alerted me to the option of instead receiving four 100 mg tablets and take two in the morning andt two in the evening.  I requested this change from my oncologist and immediately noticed an improvement with the side effect.  Because of that suggestion, it has been much easier to balance my CML, my professional life and most importantly, taking care of my 9 year old son.

Hang in there and feel free to lean on this supportive group whenever you need to.

Nat



#34 Trey

Trey

    Advanced Member

  • PS Beta Group
  • PipPipPip
  • 1,705 posts
  • LocationSan Antonio, Texas

Posted 12 November 2011 - 10:13 AM

The hair loss can happen with Tasigna.  Here is a discussion about that:

http://community.lls...tart=0&tstart=0

The bone pain is a side effect from Tasigna and does not mean anything regarding the CML.  The pain should ease over time.  But it can certainly be painful. 

Most side effects are temporary and get better over time.  Sometimes "over time" is short, and sometimes much longer.  It is different for each of us.



#35 markmendonca

markmendonca

    New Member

  • Members
  • Pip
  • 0 posts

Posted 12 November 2011 - 10:26 AM

is it safe to say i may  go back to work ?  because i walk alot and bend down  all day some people say that i will not be the same and not able to work???



#36 Marnie

Marnie

    Advanced Member

  • Members
  • PipPipPip
  • 396 posts

Posted 12 November 2011 - 11:59 AM

I am a full time middle school teacher.  If that's not a demanding job, I don't know what is.  I was lucky enough (??!) to be diagnosed on the first day of summer vacation, so I had two months to get over the initial side effects before heading back to work.  CML affects everyone differently, and many people on this forum are able to continue working full time.  For me, fatigue is the issue, but I gut it out during the day and collapse when I get home.  Everyone is different and side effects vary in intensity, and I certainly mean no disrespect to people whose side effects are extreme.  I do believe that attitude and choices play a role in how much a person is able to do. 

Marnie



#37 markmendonca

markmendonca

    New Member

  • Members
  • Pip
  • 0 posts

Posted 12 November 2011 - 12:49 PM

wow look i  believe  being a teacher is hard but i do have to say what i do  u can't compaire . i am 5' 11" 200 pounds  and i have been with my company for 21 years ..   this pain in my lower back and hip is like my bones are breaking  sometimes it will take me to the floor in pain ... its like my fingers and my  wrist were they were broken hurt . i m JUST asking if anyone is going throw this that can tell me what i am going to see down the road....i have worked for 27 years and 9 of those last years i had two  jobs { my landscaping company} so believe me i am not scared of work !!!!!! sorry everyone 



#38 Marnie

Marnie

    Advanced Member

  • Members
  • PipPipPip
  • 396 posts

Posted 12 November 2011 - 01:50 PM

HI, Mark. . .I really didn't mean to insult anyone.  I did have bone pain at the onset, but nothing like you describe.  As I said, everyone is different.  I think that for most people the side effects get better over time, and I sure hope the same is true for you.  I wish I had suggestions for how to deal with things and adjust while the side effects are new and intense.  I was lucky to have a summer to adjust.  Best of luck!

Marnie



#39 sonia

sonia

    New Member

  • Members
  • Pip
  • 0 posts

Posted 07 December 2011 - 02:47 PM

My mom age 64 dx with CMML in January 2011 had the same problem with her spleen.  It was sucking all the platelets and storing them in the spleen.  Her platelets were low as 1-15.  Hydroxurea was not working.  Transfusions were not working as platelets would disappear after a day. They removed the spleen in April 2011 and platelets are normal now.

Beware:  if spleen gets too big it will rupture.  Have they talked about removing the spleen. Are your platelets normal count?

Beware if they put you on prednisone - take calcium as being on prednisone will cause Osteoporosis.  Now mom is suffering with vertabrae fractures. We didn't find out till after the damage was already done. 

Everyone is different.  Just because the CML or Leukemia is the shared diagnosis, doesn't mean the treatment will be the same.  It is a case by case basis.

Mom is not on any treatment and has surpassed the specialist giving her 6 mths to 1 year back in January/Feb.2011.

Stay strong






1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users