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#1 chrissy778

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Posted 15 November 2017 - 08:16 AM

Haven't posted in awhile was diagnosed with CML August 2013 I have reached MMR and actually have been all zeros for about a year, last 4 visits.. just got a phone call from my Dr saying my PCR is now 0.060 so here I am.. trying not to be a weirdo as I know people have not had the results I have but in the back of my mind hoping I an not going to be resistant.. Knowing this could be hopefully a lab error and trying not to let my anxiety effect my life.. so I come here looking for reassurance and people to tell me this is normal.. sorry I am needy and trying not to go there..because I know if I do I will be there for the holidays and it will ruin the next three months of my life ughhh

Its never to late to live happily ever after/ Do not squander time; for that's the stuff life is made of


#2 scuba

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Posted 15 November 2017 - 08:24 AM

Hi Chrissy,

 

No worries - it's lab variance. You'll be all zero's next test. To put your mind at ease - ask your oncologist for a re-test to verify.


Diagnosed 11 May 2011 (100% FiSH, 155% PCR)

with b2a2 BCR-ABL fusion transcript coding for the 210kDa BCR-ABL protein

 

Sprycel: 20 mg per day - taken at lights out with Quercetin and/or Magnesium Taurate

6-8 grams Curcumin C3 complex.

 

2015 PCR: < 0.01% (M.D. Anderson scale)

2016 PCR: < 0.01% (M.D. Anderson scale) 

March        2017 PCR:     0.01% (M.D. Anderson scale)

June          2017 PCR:     "undetected"

September 2017 PCR:     "undetected"


#3 chrissy778

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Posted 15 November 2017 - 08:40 AM

Thank you Scuba. . I am on 400mg Gleevec. I was thinking about calling my Dr and asking if I should go to 600mg.. what do you think. Do you think it would make a difference

Its never to late to live happily ever after/ Do not squander time; for that's the stuff life is made of


#4 chrissy778

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Posted 15 November 2017 - 08:41 AM

Shit.. never mind just remembered that my white count is very low this would not be good.. Damn it

Its never to late to live happily ever after/ Do not squander time; for that's the stuff life is made of


#5 Trey

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Posted 15 November 2017 - 08:44 AM

You have probably been hovering at the cutoff line for the past year.  Your lab likely has a cutoff at .005, or maybe even .00, and this one popped up above that by just a little bit.  Or could be an error.  Still well into MMR.  Re-test helps the nerves, but otherwise not needed.


Edited by Trey, 15 November 2017 - 08:49 PM.


#6 chrissy778

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Posted 15 November 2017 - 09:32 AM

Thank you for responding and setting my mind at ease...   and also for putting up with me

Its never to late to live happily ever after/ Do not squander time; for that's the stuff life is made of


#7 kat73

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Posted 15 November 2017 - 12:07 PM

chrissy - no need to apologize - I'm sure everybody on here knows exactly how you feel because they've experienced it too. We have all found ourselves at the mercy of the PCR numbers game and it's not irrational.  We're all in uncharted waters whenever the future is the subject of discussion.  And the PCR is all we have with which to steer.  It's in the nature of the beast that the PCR represents our whole world status:  You are fine until you are not fine.  How anyone can manage to live with that measure of instability without a little freakout now and then is beyond me.  The uncertainty of life in general (the old "could get hit by a bus tomorrow") is easy to forget about.  Our situation is not easy to forget, precisely because we have a certain amount of foreknowledge and, because of the PCR, a certain amount of information.  I am scared each and every time I receive PCR results.  I have a little freakout each and every time.  Each and every time I have to give myself The Talk before I open the email.  Because I know one thing is true:  we (lucky ones who are responding) are fine until we are not fine, and that news will arrive in the package of a PCR.  Trey are Scuba are almost assuredly right, but I agree you might ask for an earlier re-test so you can enjoy the holidays.  Upping the Gleevec will probably ensure you have horrible holidays, however!


Dx July 2009 on routine physical.  WBC 94.  Started Gleevec 400 mg Sept 2009.  MMR at 2yrs.  Side effects (malaise, depression/anxiety, fatigue, nausea, periorbital edema) never improved.  Kidney issues developed because of Gleevec.  Switched to Sprycel 70 mg in Aug 2011.  Above side effects disappeared or improved.  Have been MR3.5 - 4.5 ever since.  Two untreated pleural effusions followed by one treated by stopping Sprycel Jan 2017.  After 9 weeks, PCR showed loss of MMR; re-started Sprycel at 50 mg and in 3 months was back to <0.01% IS.  Pleural effusion returned within a couple of months, same as before (moderate, left side only).  Stopped Sprycel 50 mg for 12 weeks; pleural effusion resolved.  At about a monthoff the drug, PCR was 0.03; at 11 weeks it was 2.06 - lost CCyR? Have returned to 50 mg Sprycel for 3 weeks, intending to reduce to 20 mg going forward.


#8 ROMO

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Posted 15 November 2017 - 07:51 PM

If we all had those numbers, none of us would be sick.

You still got it beat. Your a winner!
Keep up the good work.
 
romo

DX August 2016. WBC ~160K
PH+ Cells 36%
No Spleen enlargement
No Symptoms. Other counts ~Normal
BCR-ABL p210 (Detected)
BCR-ABL p190 (Not Detected)
 
Sprycel 100mg.
PCR   02/01/2017    0.146 IS
PCR   08/07/2017    0.022 IS
Next PCR:           12/XX/2017
 

#9 thatguy

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Posted 15 November 2017 - 08:11 PM

Check my signature, the results can vary pretty significantly. Don't stress. I'm guessing if you're on the Gleev, you still have 4 viable options on the table anyway, worst case scenario. That's pretty sweet.

If you're me though, try to recount any dietary or supplement changes in the recent months in the meantime.
3/25/2015- Dx'ed by FISH : 85% of cells dual-fusion signals, 7% with tri-fusion signals, WBC 212,000. Started Gleevec 400mg.... Calculated .93 SOKAL

08/17/2015- 14.793 % I.S P210 (quest)
10/15/2015- 3.313 % I.S (quest)
12/23/2015- 1.891 % I.S (quest)
1/07/2016- Tasigna 300mg 2x daily
1/14/2016- 4.414 % I.S P210- City Of Hope lab, mutation negative.
1/26/2016- 1.589 % I.S (quest)
2/22/2016- 1.719 % I.S (quest)
2/29/2016- 1.133 % I.S (quest)
3/03/2016- Tasigna 400mg 2x daily.
3/29/2016- 0.663 % I.S (quest)
4/27/2016- 0.781 % I.S (quest)
5/04/2016- 0.652 % I.S.(quest)
5/24/2016- 0.501 % I.S (quest)
6/28/2016-0.534 % I.S (quest)
7/15/2016-0.881 % I.S (quest)
7/22/2016- Bosulif 500mg
7/28/2016- t315i test- Negative
8/22/2016-0.432 % I.S (quest )
11/15/2016-0.325 % I.S (quest)
2/1/2017- .0445% i.s (genoptix)
5/6/2017- .0968% i.s (genoptix)
5/12/2017- .12 % i.s (quest).
6/4/2017- .083% i.s (quest)
6/11/2017- .0295% i.s (genoptix)
8/5/2017- .0501% i.s (genoptix)
11/6/2017- .0270% i.s (genoptix)

#10 tiredblood

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Posted 15 November 2017 - 08:39 PM

Chrissy778,
I don't have much to offer, but breathe, girl, breathe. There are so many more people on here more knowledgeable than me. I feel so inadequate. I'd probably freak out too, even if all was well. I'd say find a way to serve others to keep your mind from imagining all sorts of things.

I have no idea why all my "I" appear as little boxes.

Just know we're all pulling for you. Look forward to celebrating your next good numbers with you.

#11 chrissy778

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Posted 20 November 2017 - 11:31 AM

Thank you everyone. You all are really great friends to have. I feel thankful. Your support is is so helpful and appreciated

Its never to late to live happily ever after/ Do not squander time; for that's the stuff life is made of


#12 Gregda

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Posted 20 November 2017 - 11:04 PM

Chrissy778  and Everyone,

I'm s 15 yr survivor. Been on 400mg of Gleevec/Imatinib for 13 yrs, mostly on a 400mg day1 then 600mg next. My Dr is assessing IF I might reduce dosage since I've been in undetected range for 5 yrs.  A book I found encouraging is: ' The Anatomy of Hope  ' written by an Oncologist from Harvard. In it he retells his 30+ yrs of treating people with cancers, and his own personal experience getting diagnosed.... and what helps him and his patients !    






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