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To retire or not?
#1
Posted 27 February 2015 - 10:52 AM
#2
Posted 27 February 2015 - 10:58 AM
I retired at 58 and was diagnosed at 59. Insurance has been a big issue for us as we self insure privately. I still have a way to go to reach Medicare. I would have kept working (for the insurance) if I had the benefit of a crystal ball. Oh well. There is a plus side to retirement, though...
#3
Posted 27 February 2015 - 12:46 PM
But since I retired 13 years ago I have seen a difference in my health, been able to get sleep and rest I need and less stress did make a big difference on my health
I find it also enables you to take care of yourself better as far as eating and exercise because now you have the time.
#4
Posted 27 February 2015 - 02:26 PM
If you retire without enough financial security you not be able to sleep for worrying about it, so you will still be tired.
Of course that is tongue-in-cheek, but may be some truth in there somewhere.
#5
Posted 27 February 2015 - 04:00 PM
I would begin the process ASAP. It's a lengthy application process. My husbands case took about 2.5 years to be approved but once approved, you are paid a lump sum for retroactive benefits back to the date of application. Don't be discouraged when/if your application is denied. Approx 25% of people are approved at first request, 50% at 2nd request and 90% at third request. My husbands case was approved at the third appeal level and the resulting retroactive payment was a huge relief of financial pressure. Not to mention the ongoing monthly payments since.
I am waiting to apply for ss disability until I see if this fatigue is due to just starting treatment or will be chronic. Even the thought of walking fast to respond to an urgent patient need is daunting at this point.
Sorry for writing a book here but this is of high interest to me now. Please keep me posted if you decide this is the way to go. I'm interested in your journey.
FISH 92%
BMB 9:22 translocation
1/19/15 began 400 mg gleevec
1/22/15 bcr 37.2 IS
2/6/15 bcr 12.5 IS
3/26/15 bcr 10.3 IS
6/29/15 bcr 7.5 IS
9/24/15 bcr 0.8 IS
1/4/16 bcr 0.3 IS
Started 100 mg dasatinib, mutation analysis negative
4/20/16 bcr 0.03 IS
8/8/16 bcr 0.007 IS
12/6/16 bcr 0.002 IS
Lowered dasatinib to 70 mg
4/10/17 bcr 0.001 IS
Lowered dasatinib to 50 mg
7/5/17 bcr 0.004 IS
8/10/17 bcr 0.001. Stopped TKI in prep for September surgery.
9/10/17 bcr 0.006
10/10/17 bcr 0.088
#6
Posted 27 February 2015 - 09:17 PM
Damn you, Mr.Tee. Now my husband - a Canadian - is gloating.
Dx: Sudden severe anemia detected 07/2011, followed by WBC spike. CML Dx 02/2012.
Rx: 03/2012-Gleevec400. Reduced 02/2013 to Gleevec300 due to side effects (low blood counts).
Response: PCR-Und within 7 mo. on G400. Maintained MMR4-MMR4.5 on G300. PCR-Und since 02/2016.
#7
Posted 28 February 2015 - 01:33 AM
FISH 92%
BMB 9:22 translocation
1/19/15 began 400 mg gleevec
1/22/15 bcr 37.2 IS
2/6/15 bcr 12.5 IS
3/26/15 bcr 10.3 IS
6/29/15 bcr 7.5 IS
9/24/15 bcr 0.8 IS
1/4/16 bcr 0.3 IS
Started 100 mg dasatinib, mutation analysis negative
4/20/16 bcr 0.03 IS
8/8/16 bcr 0.007 IS
12/6/16 bcr 0.002 IS
Lowered dasatinib to 70 mg
4/10/17 bcr 0.001 IS
Lowered dasatinib to 50 mg
7/5/17 bcr 0.004 IS
8/10/17 bcr 0.001. Stopped TKI in prep for September surgery.
9/10/17 bcr 0.006
10/10/17 bcr 0.088
#8
Posted 28 February 2015 - 08:23 AM
Hi Mr Tee. Is there any halfway solution that might be available to you? I would struggle to do 5 days a week in the office, but have agreed with my employer to do 2 days in the office and 3 days working from home. I apologise if your job is not one that can be readily done from home such as brain surgeon or lumberjack!
#9
Posted 28 February 2015 - 11:50 AM
I was 44 when I was diagnosed and after a few months on Tasigna I wasn't thinking about retirement but definitely shifting to part time work. It was for the same reason Mr.Tee, being tough to get through each week. Waking up every day and getting going would just take a lot of effort and energy. 2 years later it is not as difficult, but my daily energy level or routine is nowhere close to where it was before CML. The end result is that I don't have a problem performing my work responsibilities, but my quality of life outside work has dropped significantly.
I would gladly reduce my income to improve my overall life, but the bottom line is that I need a way to pay for my Tasigna and right now the best option is through the health insurance at my current employer which requires me to be a full time employee.
#10
Posted 28 February 2015 - 12:10 PM
My husband is retiring in June at 66 and I was thinking of following him when I turn 65 in 2016 although I will probably work one day into 2017 so I can get my vacation for that year.
However, now I'm considering retiring in 10 months time because work is becoming no longer fun and I dread Monday mornings. I could retire and COBRA until I turn 65 9 months later. I'm meeting with my IPERS (Iowa Public Employee Retirement System) rep in June to learn what my options are.
If it weren't for insurance needs this would not even be a concern; I'd be gone the same day Steve retires.
Good luck to all of us considering these questions.
Pat
"You can't change the direction of the wind but you can adjust your sails."
DX 12/08; Gleevec 400mg; liver toxicity; Sprycel 100mg.; CCyR 4/10; MMR 8/10; Pleural Effusion 2/12; Sprycel 50mg. Maintaining MMR; 2/15 PCRU; 8/16 drifting in and out of undetected like a wave meeting the shore. Retired 12/23/2016! 18 months of PCRU, most recent at Mayo on 7/25/17 was negative at their new sensitivity reporting of 0.003.<p>
#11
Posted 28 February 2015 - 12:59 PM
Pat, we are on the same wavelength. I should stay one more year, but it's just not fun any more, so we ran the numbers, and I turned in my retirement paperwork. I'm not counting down the days yet, but the end of the school year is getting close. I'm lucky because both my husband and I can stay on my husband's insurance, though we pay the full premium, which is expensive.
I figure life's just too short to waste time not enjoying it. It's important to weigh the cost of living, insurance, medication, etc to be sure that one's retirement income will allow for whatever you want to do, and that your money will last. . .
So, Mr. T. . .be sure you do your homework before you make the decision. . .good luck! I hope it works out for you.
#12
Posted 01 March 2015 - 12:51 AM
Hi,
I should have mentioned that I am Canadian and don't have to worry about such things, I have never had to pay a cent for health care or medications for CML, don't mean to gloat but it's true. I do have a life insurance plan through my employer that pays 2.5 times my salary if I pass, which would benefit my family should things go wrong before I retire, but it ends when I retire. It is tough to get through each week and I only for see it getting worse in the next few years. Thank you all for your input.
Does anyone know the process of defecting to canada for their health insurance? To COBRA my health insurance, I would have to give up my house. I'm looking at all kinds of options right now but hopeful I can return to work till 65, although 66.5 would be ideal. 4 more years for the latter. Don't know if I'll make it back at all right now.
FISH 92%
BMB 9:22 translocation
1/19/15 began 400 mg gleevec
1/22/15 bcr 37.2 IS
2/6/15 bcr 12.5 IS
3/26/15 bcr 10.3 IS
6/29/15 bcr 7.5 IS
9/24/15 bcr 0.8 IS
1/4/16 bcr 0.3 IS
Started 100 mg dasatinib, mutation analysis negative
4/20/16 bcr 0.03 IS
8/8/16 bcr 0.007 IS
12/6/16 bcr 0.002 IS
Lowered dasatinib to 70 mg
4/10/17 bcr 0.001 IS
Lowered dasatinib to 50 mg
7/5/17 bcr 0.004 IS
8/10/17 bcr 0.001. Stopped TKI in prep for September surgery.
9/10/17 bcr 0.006
10/10/17 bcr 0.088
#13
Posted 01 March 2015 - 11:41 AM
Gail,
My sister was a professor at UBC for many years and while Canada's healthcare sounds wonderful to us the taxes to cover it are quite high. It's not "free". She developed medullary cancer of the thyroid and came back to the states to Mayo for one procedure because all she could get in Canada was a surgery called a "radical neck". When you read about it it is pure physical mutilation, Mayo offered a modified version which involved removal of the lymph nodes but left the muscular structure intact. You can't always get the procedure you would prefer with national healthcare, nor can you always get it as quickly as you need it.
So many times I hear that people would retire if it weren't for the fact that they need insurance. Actually, if I retire I can stay on my insurance until I reach 65 and then I have to take Medicare. It probably isn't much different than COBRA except I don't have to pay a fee. Something else to look into.
Steve has gone over the numbers with me umpteen million times and I refuse to be convinced. Intellectually I know he's right, but psychologically I'm convinced my disease will send us to the poor home!
Pat
"You can't change the direction of the wind but you can adjust your sails."
DX 12/08; Gleevec 400mg; liver toxicity; Sprycel 100mg.; CCyR 4/10; MMR 8/10; Pleural Effusion 2/12; Sprycel 50mg. Maintaining MMR; 2/15 PCRU; 8/16 drifting in and out of undetected like a wave meeting the shore. Retired 12/23/2016! 18 months of PCRU, most recent at Mayo on 7/25/17 was negative at their new sensitivity reporting of 0.003.<p>
#14
Posted 01 March 2015 - 12:06 PM
FISH 92%
BMB 9:22 translocation
1/19/15 began 400 mg gleevec
1/22/15 bcr 37.2 IS
2/6/15 bcr 12.5 IS
3/26/15 bcr 10.3 IS
6/29/15 bcr 7.5 IS
9/24/15 bcr 0.8 IS
1/4/16 bcr 0.3 IS
Started 100 mg dasatinib, mutation analysis negative
4/20/16 bcr 0.03 IS
8/8/16 bcr 0.007 IS
12/6/16 bcr 0.002 IS
Lowered dasatinib to 70 mg
4/10/17 bcr 0.001 IS
Lowered dasatinib to 50 mg
7/5/17 bcr 0.004 IS
8/10/17 bcr 0.001. Stopped TKI in prep for September surgery.
9/10/17 bcr 0.006
10/10/17 bcr 0.088
#15
Posted 01 March 2015 - 04:00 PM
I can't even imagine a life not having to worry about medical. I've spent $12,000 since October of last year on medical bills. Oh and none of it tax deductible because we apparently make too much...
10/01/2014 100% Diagnosis (WBC 278k, Blasts 6%, Spleen extended 20cm)
Cancer Sucks!
#16
Posted 02 March 2015 - 07:27 AM
Mr. Tee,
That wasn't meant as a criticism of any national healthcare. Just that we generally tend to see it as free and it isn't. Where we pay insurance companies, those with national healthcare pay the government in the form of taxes.
Gail, my sister lived with medullary ca for 25 years. It is also considered to be a "good" cancer in that it is very slow growing. Unfortunately, that slow growth meant chemotherapy wasn't an option. I don't know what treatments are available now, I wonder if there is any targeted therapy used for it now.
Pat
"You can't change the direction of the wind but you can adjust your sails."
DX 12/08; Gleevec 400mg; liver toxicity; Sprycel 100mg.; CCyR 4/10; MMR 8/10; Pleural Effusion 2/12; Sprycel 50mg. Maintaining MMR; 2/15 PCRU; 8/16 drifting in and out of undetected like a wave meeting the shore. Retired 12/23/2016! 18 months of PCRU, most recent at Mayo on 7/25/17 was negative at their new sensitivity reporting of 0.003.<p>
#17
Posted 02 March 2015 - 12:51 PM
FISH 92%
BMB 9:22 translocation
1/19/15 began 400 mg gleevec
1/22/15 bcr 37.2 IS
2/6/15 bcr 12.5 IS
3/26/15 bcr 10.3 IS
6/29/15 bcr 7.5 IS
9/24/15 bcr 0.8 IS
1/4/16 bcr 0.3 IS
Started 100 mg dasatinib, mutation analysis negative
4/20/16 bcr 0.03 IS
8/8/16 bcr 0.007 IS
12/6/16 bcr 0.002 IS
Lowered dasatinib to 70 mg
4/10/17 bcr 0.001 IS
Lowered dasatinib to 50 mg
7/5/17 bcr 0.004 IS
8/10/17 bcr 0.001. Stopped TKI in prep for September surgery.
9/10/17 bcr 0.006
10/10/17 bcr 0.088
#18
Posted 03 March 2015 - 12:09 AM
As it stands now, the Social Security Disability Insurance Trust Fund is scheduled to run out of money in late 2016, at which time, barring new legislation, benefits will be reduced by approximately 19%, limited by the amount of money coming into the program.
Social Security Disability http://bit.ly/1eyXmdv
For the benefit of yourself and others please add your CML history into your Signature
02/2010 Gleevec 400mg
2011 Two weakly positives, PCRU, weakly positive
2012 PCRU, PCRU, PCRU, PCRU
2013 PCRU, PCRU, PCRU, weakly positive
2014 PCRU, PCRU, PCRU, PCRU (12/07 began dose reduction w/each continuing PCRU)
2015 300, 250, 200, 150
2016 100, 50/100, 100, 10/17 TFR
2017 01/17 TFR, 04/18 TFR, 07/18 TFR 0.0012, 08/29 TFR 0.001, 10/17 TFR 0.000
2018 01/16 TFR 0.0004 ... next quarterly PCR 04/17
At the earliest opportunity, and whenever possible, lower your TKI dosage; TKIs are toxic drugs and the less we take longterm the better off we are going to be ... this is especially true for older adults.
In hindsight I should have started my dosage reduction two years earlier; it might have helped minimize some of the longterm cumulative toxic effects of TKIs that I am beset with.
longterm side-effects Peripheral Artery Disease - legs (it's a bitch); continuing shoulder problems, right elbow inflammation. GFR and creatinine vastly improved after stopping Gleevec.
Cumulative Gleevec dosage estimated at 830 grams
Taking Gleevec 400mg an hour after my largest meal of the day helped eliminate the nausea that Gleevec is notorious for.
Trey's CML Blog - Stopping - The Odds - Stop Studies - Discussion Forum Cessation Study
Big PhRMA - Medicare Status - Social Security Status - Deficit/Debt
#19
Posted 03 March 2015 - 12:03 PM
#20
Posted 03 March 2015 - 08:13 PM
FISH 92%
BMB 9:22 translocation
1/19/15 began 400 mg gleevec
1/22/15 bcr 37.2 IS
2/6/15 bcr 12.5 IS
3/26/15 bcr 10.3 IS
6/29/15 bcr 7.5 IS
9/24/15 bcr 0.8 IS
1/4/16 bcr 0.3 IS
Started 100 mg dasatinib, mutation analysis negative
4/20/16 bcr 0.03 IS
8/8/16 bcr 0.007 IS
12/6/16 bcr 0.002 IS
Lowered dasatinib to 70 mg
4/10/17 bcr 0.001 IS
Lowered dasatinib to 50 mg
7/5/17 bcr 0.004 IS
8/10/17 bcr 0.001. Stopped TKI in prep for September surgery.
9/10/17 bcr 0.006
10/10/17 bcr 0.088
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