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#1 Trey

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Posted 25 January 2018 - 08:57 PM

I talked at length with Dr Larry Saltzman of LLS who is the decision maker concerning the LLS Community site.  He wants to make the Community site work for us and is committed to make changes.  This is a report on what is happening, and the changes being made to support LLS patients who rely on the Discussion Board concept. 

 

First, the current Discussion Boards will be shut down.  That is a done deal.  So our conversation focused on how to make Community work for us.  He was frank about not knowing exact limitations on what he can do, but he is equally interested in trying his best.  That is fair.  I stated a willingness to let him try and see if we like the changes, and see if we can live with the results.  I believe that is fair in return.  I do not speak for anyone else here, but I am committed to see what he can do, and then decide.

 

The limiting issue is that LLS does not own the Community platform, so changes can only be made within certain limitations.  We discussed those, and what could actually be done.  It seems possible to me, but not certain, that LLS Community may be able to support our needs.  So here are the changes that Dr Saltzman believes he can make:

 

Dr Saltzman is going to start with CML and AML sites per my request.  I went out on a limb and included the AML folks since their concerns seem to mirror ours.  But they can speak for themselves if they do not like the results.

 

Dr Saltzman is going to pull over to Community as many old posts as is possible, at least a year of old posts, maybe two or three if he can. 

 

There will be a separation of LLS push stuff from the posts.  Users can decide on which they want to see.  Generally this will de-clutter the site, which will be helpful.

 

The posts will be made intuitive.  For instance, the "What's on your mind" will be replaced by "Start a conversation"  He will work with us along the way to add features which make posting more like the old site.  This must be an iterative process.  He does not know exactly what is possible, but will be working on issues with our inputs.  One thing I wanted is the bolding/unbolding for posts showing which have been read by us.  Another is a title for each post.  These are a priority.

 

I told him we need internal personal messaging.  He thought the Community could do it, but was not certain.

 

He wants to get us more involved in discussions about our medical history, with privacy provisions, which might lead to data which can be mined to learn more about our diseases.  That has been a goal of the Community site which is not yet realized.

 

Overall I am satisfied that Dr Saltzman wants to support our needs, and is going to try.  I also realize he has technology constraints.  This will be an iterative process of changes, trying them out, and more inputs.  All I can suggest is that we allow him to try to help us out, and we will try to stick with LLS as our posting source.  That is what I intend to do.  The decision is an individual one, since I speak for no one but myself.


Edited by Trey, 25 January 2018 - 09:02 PM.


#2 Buzzm1

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Posted 25 January 2018 - 09:30 PM

Trey, I greatly appreciate your efforts, and Dr. Saltzman's good intentions, but the software that LLS is committed to doesn't appear to be designed to accommodate, or replicate, the functionality of our existing discussion forum.  I tried to find out who owns/designed the LLS forum software but was unsuccessful.  I'd like to research it to see who else might be using it, and how it is being used.  Sorry for the pessimism.


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 BlogStopping - The OddsStop Studies - Discussion Forum Cessation Study

Big PhRMA - Medicare Status - Social Security Status - Deficit/Debt


#3 jmoorhou

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Posted 25 January 2018 - 11:22 PM

Thanks so much Trey. Could someone tell me is this a money issue, why exactly are they taking down this site. I'm just asking because I can do some research on grants, maybe there is one that can pay for this. I'm a Librarian I know to research...
Diagnosed 3/2014 WBC 28 Non detectable within 3 monthsGleevec 400 mg 5/2014 one hour after dinner really improves nausea300 mg 12/15/2016200 mg and 300 mg Gleevec 2/25/2017 (after 3 years on Gleevec) For last four months taking 300 mg per day. Last CMC showed liver enzymes elevated, went to a good Naturopath and he recommended 4 Tumeric, 10,000 mg Vitamen D, and 3 milk thistle (silymarin) daily. Also use One<p>Day Detox Dandeloin tea, and Nettle Tea and a slice of ginger every day...in two months liver tests were below normal.Janis

#4 LouiseS

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Posted 25 January 2018 - 11:25 PM

Thank you Trey. I have signed up to use the new site. What I missed most there were all the familiar names here and their expertise. I looked at some of the posts over the last year and thought how much more help people would have received if their questions had been posted here instead. So I really hope that despite all the technical drawbacks and challenges of the new site , people will still choose to move over because any at the end of the day it's the people that make a community, not the technical platform.

#5 Red Cross Kirk

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Posted 26 January 2018 - 12:05 AM

Trey, Thank you so much taking the bull by the horns and conversing with Dr. Saltzman today.  I don't feel the need to do that now.  I'd like to insert a few comments into the mix:

 

"Dr Saltzman is going to pull over to Community as many old posts as is possible, at least a year of old posts, maybe two or three if he can."

 

I don't see any technical obstacle that would preclude moving all of the existing data to the new format.  It's just a matter of data storage and retrieval.   That's what IT systems do best.  I'm assuming the LLS owns the data we've all generated. :)

 

"The posts will be made intuitive.  For instance, the "What's on your mind" will be replaced by "Start a conversation"  He will work with us along the way to add features which make posting more like the old site.  This must be an iterative process.  He does not know exactly what is possible, but will be working on issues with our inputs.  One thing I wanted is the bolding/unbolding for posts showing which have been read by us.  Another is a title for each post.  These are a priority."

 

Anything is possible.  It just takes willingness and resources and time.  Another priority I see is the need to retain the "Next Unread Topic" and "Go to first unread post" buttons, I find it makes navigating to new content efficient and seamless.

 

"I told him we need internal personal messaging.  He thought the Community could do it, but was not certain."

 

I'm pretty sure this works. I used it a couple of years ago and today. ;)

 

"Overall I am satisfied that Dr Saltzman wants to support our needs, and is going to try.  I also realize he has technology constraints.  This will be an iterative process of changes, trying them out, and more inputs.  All I can suggest is that we allow him to try to help us out, and we will try to stick with LLS as our posting source.  That is what I intend to do.  The decision is an individual one, since I speak for no one but myself."

 

I don't believe there are any technology constraints that can keep us from having all of the features we currently have on this board.  If someone says otherwise, I'm not sure I'd believe them.  I have a friend who's day job is IT and he's the webmaster for a hobby site that can do everything we can here and then some.  As far as I'm concerned, I'd forgo some prettiness to get the function we want.

 

Oh, I just thought of another one - if we could edit our user names on the new site (which I believe we can here but not on the new site), that means we could keep our current handles. I wasn't smart enough to think about that when I chose my display name on the new site. :(  Can we keep the smiley faces too?  :) Please

 

I'd better stop now.  I keep thinking of things I appreciate on this forum that aren't available on the new one.... yet. :blink:


Kirk

 

9/25/2012  p210 transcript 118.7% IS @ Dx, begin Gleevec 400mg/day
12/2012  3.59% & bone marrow biopsy - no residual myeloproliferative features but detected 1/20 metaphases containing the Philadelphia chromosome
2013  0.914%, 0.434%, 0.412%
10/2013  0.360% & bone marrow biopsy - normal male karyotype with no evidence of a clonal cytogenetic abnormaltiy
2014  0.174%, 0.088%, 0.064%

2015  0.049%, decrease to Gleevec 200mg/day, 0.035%, 0.061%, 0.028%

2016  0.041%, 0.039%, 0.025%

2017  0.029%, 0.039%, switched to generic imatinib 200mg/day, 0.070%, 0.088%

2018  0.233%


#6 Red Cross Kirk

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Posted 26 January 2018 - 12:08 AM

... at the end of the day it's the people that make a community, not the technical platform.

Amen.  (Can we get a thumbs up button on the new site?  - Just kidding)


Kirk

 

9/25/2012  p210 transcript 118.7% IS @ Dx, begin Gleevec 400mg/day
12/2012  3.59% & bone marrow biopsy - no residual myeloproliferative features but detected 1/20 metaphases containing the Philadelphia chromosome
2013  0.914%, 0.434%, 0.412%
10/2013  0.360% & bone marrow biopsy - normal male karyotype with no evidence of a clonal cytogenetic abnormaltiy
2014  0.174%, 0.088%, 0.064%

2015  0.049%, decrease to Gleevec 200mg/day, 0.035%, 0.061%, 0.028%

2016  0.041%, 0.039%, 0.025%

2017  0.029%, 0.039%, switched to generic imatinib 200mg/day, 0.070%, 0.088%

2018  0.233%


#7 Red Cross Kirk

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Posted 26 January 2018 - 01:34 AM

Thanks so much Trey. Could someone tell me is this a money issue, why exactly are they taking down this site. I'm just asking because I can do some research on grants, maybe there is one that can pay for this. I'm a Librarian I know to research...

I think maybe one of the reasons is that this is a HTTP site not a HTTPS site which is more secure.  They probably could have converted it over to the more secure system.  I'm sure there other reasons, though I too wonder what they are?


Kirk

 

9/25/2012  p210 transcript 118.7% IS @ Dx, begin Gleevec 400mg/day
12/2012  3.59% & bone marrow biopsy - no residual myeloproliferative features but detected 1/20 metaphases containing the Philadelphia chromosome
2013  0.914%, 0.434%, 0.412%
10/2013  0.360% & bone marrow biopsy - normal male karyotype with no evidence of a clonal cytogenetic abnormaltiy
2014  0.174%, 0.088%, 0.064%

2015  0.049%, decrease to Gleevec 200mg/day, 0.035%, 0.061%, 0.028%

2016  0.041%, 0.039%, 0.025%

2017  0.029%, 0.039%, switched to generic imatinib 200mg/day, 0.070%, 0.088%

2018  0.233%


#8 Pin

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Posted 26 January 2018 - 06:24 AM

Thank you for your advocacy Trey!

Diagnosed 9 June 2011, Glivec 400mg June 2011-July 2017, Tasigna 600mg July 2017-present (switched due to intolerable side effects, and desire for future cessation attempt).

Commenced monthly testing when MR4.0 lost during 2012.

 

2017: <0.01, <0.01, 0.005 (200mg Glivec, Adelaide) <0.01, 0.001 (new test sensitivity)

2016: <0.01, <0.01, PCRU, 0.002 (Adelaide)

2015: <0.01, <0.01, <0.01, 0.013

2014: PCRU, <0.01, <0.01, <0.01, <0.01

2013: 0.01, 0.014, 0.016, 0.026, 0.041, <0.01, <0.01 

2012: <0.01, <0.01, 0.013, 0.032, 0.021

2011: 38.00, 12.00, 0.14


#9 cmljax

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Posted 26 January 2018 - 08:01 AM

Positive news - thanks Trey - You're our hero  :D


Dx 9/26/16 WBC 28800; platelets 749; FISH 97% PCR 43%

Tasigna 600MG per day

October 2016                     PCR 22% IS

November 2016                 PCR 5.8% IS

December 2016                 PCR 0.1% IS  MMR!!

March 10, 2017                 PCR 0.006% IS  MR 4.22

Tasigna 450MG per day

April 5, 2017                      PCR <.003% IS

June 5, 2017                     PCR <.003% IS (dose reduction validated!!!)

Tasigna 300MG per day starting June 15, 2017

6-day drug break starting June 20, 2017 due to multiple AE's

July 24, 2017                     PCR <.003% IS

September 18, 2017          Negative, AKA PCRU

Tasigna 150mg per day starting 9/18/17

October 30, 2017               Negative

December 11, 2017           Negative


#10 hannibellemo

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Posted 26 January 2018 - 08:07 AM

This is

what I will miss most of all....

 

Remember when this discussion board was down for four days and no one knew what was going on? This was our response, the camaraderie, the humor (the imaginary friendships  :P )!

 

http://community.lls...-thing-working/


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 JackRyan8311

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Posted 26 January 2018 - 09:03 AM

Thank you for taking the time do this. Hoping to continue progress at new site.
Diagnosed 9/15/2017
WBC 56,000
PCR- I think was 58%
Imatinib 400mg 10/18/2017

#12 kat73

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Posted 26 January 2018 - 10:18 AM

Trey - You said, "The limiting issue is that LLS does not own the Community platform. . ."  What does that mean?  How can that be?  I don't understand.  I don't really even know what a "platform" is, exactly.  Could someone explain?


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.


#13 Red Cross Kirk

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Posted 26 January 2018 - 10:19 AM

This is

what I will miss most of all....

 

Remember when this discussion board was down for four days and no one knew what was going on? This was our response, the camaraderie, the humor (the imaginary friendships  :P )!

 

http://community.lls...-thing-working/

Pat, this was before my diagnoses so I hadn't seen it.  It's a shame they're telling us they can't save all the ones and zeroes! Here's to more zeroes! :D (As in PCR zeroes.)

 

Thanks for retrieving this from the archives. Now I'm sad after I had a good laugh. :(


Kirk

 

9/25/2012  p210 transcript 118.7% IS @ Dx, begin Gleevec 400mg/day
12/2012  3.59% & bone marrow biopsy - no residual myeloproliferative features but detected 1/20 metaphases containing the Philadelphia chromosome
2013  0.914%, 0.434%, 0.412%
10/2013  0.360% & bone marrow biopsy - normal male karyotype with no evidence of a clonal cytogenetic abnormaltiy
2014  0.174%, 0.088%, 0.064%

2015  0.049%, decrease to Gleevec 200mg/day, 0.035%, 0.061%, 0.028%

2016  0.041%, 0.039%, 0.025%

2017  0.029%, 0.039%, switched to generic imatinib 200mg/day, 0.070%, 0.088%

2018  0.233%


#14 Trey

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Posted 26 January 2018 - 10:31 AM

I do not think Community will ever be as good as this old site.  If total comparability is the only metric for success, everything we do will be a failure.  So a little expectation management might be in order.  I am trying to get Community to the point of being functional for us, so that is my goal in this, not perfection.  But if we were to set up our own CML posting group it also would not be as good as this old site, especially since we would likely lose all the old posts.  I understand the pessimism but a dose of reality is required.  20mg twice daily should work.  Take it aborally if needed.  (I do miss Tedsey so much, since she taught me to talk like that.)

 

Kirk -- How does personal messaging work on Community?  I cannot find it there, although maybe it requires "Friends" to be added to see it?

 

Buzz -- I will ask about the platform.

 

In the meantime I would suggest all register on Community.  If we determine that Community will not work sometime in the future and want to do something else, that will be a discussion to have several months from now.



#15 Red Cross Kirk

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Posted 26 January 2018 - 10:38 AM

Trey - You said, "The limiting issue is that LLS does not own the Community platform. . ."  What does that mean?  How can that be?  I don't understand.  I don't really even know what a "platform" is, exactly.  Could someone explain?

As I understand it, the "platform" is software (a type of intellectual property) that manages the data that we input and then it allows retrieval and analysis of said data.  It's probably much more affordable for the LLS to lease(?) the services of the company that created the software, than to maintain an IT department that would create and manage the systems we use for the discussion forums.  Unfortunately, the creators of the discussion feature on the newer forum don't seem to understand what makes a good discussion platform.

 

I'm hoping that someone will be appointed to interact with one or more of us to craft better tools that will allow us to continue sharing our stories on the LLS site.  I believe Trey (that guy seems to have a good head on his shoulders) has volunteered to share our ideas with this as yet unnamed person. :huh:


Kirk

 

9/25/2012  p210 transcript 118.7% IS @ Dx, begin Gleevec 400mg/day
12/2012  3.59% & bone marrow biopsy - no residual myeloproliferative features but detected 1/20 metaphases containing the Philadelphia chromosome
2013  0.914%, 0.434%, 0.412%
10/2013  0.360% & bone marrow biopsy - normal male karyotype with no evidence of a clonal cytogenetic abnormaltiy
2014  0.174%, 0.088%, 0.064%

2015  0.049%, decrease to Gleevec 200mg/day, 0.035%, 0.061%, 0.028%

2016  0.041%, 0.039%, 0.025%

2017  0.029%, 0.039%, switched to generic imatinib 200mg/day, 0.070%, 0.088%

2018  0.233%


#16 Red Cross Kirk

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Posted 26 January 2018 - 10:48 AM

 

Kirk -- How does personal messaging work on Community?  I cannot find it there, although maybe it requires "Friends" to be added to see it?

 

Trey, on the new site if you click on the little gear icon that's just to the right of your name at the top of the page, a drop down menu appears. If you click on "conversations" you should be able to access that feature.  To the right of the "conversations" button there is a number. I'm showing a 0 there even though when I click through there are 3 conversations shown. Either I don't understand the meaning of that number, or it's a bug in the software.


Kirk

 

9/25/2012  p210 transcript 118.7% IS @ Dx, begin Gleevec 400mg/day
12/2012  3.59% & bone marrow biopsy - no residual myeloproliferative features but detected 1/20 metaphases containing the Philadelphia chromosome
2013  0.914%, 0.434%, 0.412%
10/2013  0.360% & bone marrow biopsy - normal male karyotype with no evidence of a clonal cytogenetic abnormaltiy
2014  0.174%, 0.088%, 0.064%

2015  0.049%, decrease to Gleevec 200mg/day, 0.035%, 0.061%, 0.028%

2016  0.041%, 0.039%, 0.025%

2017  0.029%, 0.039%, switched to generic imatinib 200mg/day, 0.070%, 0.088%

2018  0.233%


#17 Red Cross Kirk

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Posted 26 January 2018 - 11:28 AM

Trey, I greatly appreciate your efforts, and Dr. Saltzman's good intentions, but the software that LLS is committed to doesn't appear to be designed to accommodate, or replicate, the functionality of our existing discussion forum.  I tried to find out who owns/designed the LLS forum software but was unsuccessful.  I'd like to research it to see who else might be using it, and how it is being used.  Sorry for the pessimism.

I just spoke with Dr. Saltzman, and he shared that the platform vendor for LLS Community is the same as the GLU website.

 

http://MyGlu.org

 

It looks very similar to the LLS site.


Kirk

 

9/25/2012  p210 transcript 118.7% IS @ Dx, begin Gleevec 400mg/day
12/2012  3.59% & bone marrow biopsy - no residual myeloproliferative features but detected 1/20 metaphases containing the Philadelphia chromosome
2013  0.914%, 0.434%, 0.412%
10/2013  0.360% & bone marrow biopsy - normal male karyotype with no evidence of a clonal cytogenetic abnormaltiy
2014  0.174%, 0.088%, 0.064%

2015  0.049%, decrease to Gleevec 200mg/day, 0.035%, 0.061%, 0.028%

2016  0.041%, 0.039%, 0.025%

2017  0.029%, 0.039%, switched to generic imatinib 200mg/day, 0.070%, 0.088%

2018  0.233%


#18 kat73

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Posted 26 January 2018 - 12:09 PM

Sigh.  Okay.  How do I register on this dumb Community thingie?  Please somebody give me the exact steps, as I am computer illiterate.  Can I stay as "kat73"?  I have to say, what I feel right now is almost as bad as when I got my diagnosis.


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.


#19 LouiseS

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Posted 26 January 2018 - 04:47 PM

Kat Send me a private message if you still need help registering and I can help you later today or over the weekend. Louise

#20 Red Cross Kirk

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Posted 26 January 2018 - 10:46 PM

Sigh.  Okay.  How do I register on this dumb Community thingie?  Please somebody give me the exact steps, as I am computer illiterate.  Can I stay as "kat73"?  I have to say, what I feel right now is almost as bad as when I got my diagnosis.

 

From the announcement about the end of this board:

 

"To help you with this transition, we will share a brief video tutorial and printable instructions in the coming week."

 

Still waiting...

 

I think the video and instructions may be posted in the wee hours tonight.  That way we'll have the rest of the weekend to think about it before the LLS offices open Monday morning.  I'm such a cynic. ;)


Kirk

 

9/25/2012  p210 transcript 118.7% IS @ Dx, begin Gleevec 400mg/day
12/2012  3.59% & bone marrow biopsy - no residual myeloproliferative features but detected 1/20 metaphases containing the Philadelphia chromosome
2013  0.914%, 0.434%, 0.412%
10/2013  0.360% & bone marrow biopsy - normal male karyotype with no evidence of a clonal cytogenetic abnormaltiy
2014  0.174%, 0.088%, 0.064%

2015  0.049%, decrease to Gleevec 200mg/day, 0.035%, 0.061%, 0.028%

2016  0.041%, 0.039%, 0.025%

2017  0.029%, 0.039%, switched to generic imatinib 200mg/day, 0.070%, 0.088%

2018  0.233%





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