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#1 pammartin

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Posted 17 October 2011 - 12:45 AM

Hello Everyone,

I have spent some times reading threads and although I probably will not contact each one, not at least now, I wanted to say my heart goes out to each one of you. I think of my son, he is 16, I am recently diagnosed with CML accelerated stage, (I can't ever do anything half, ya know?) but I am not looking at him with this disease, as many of you are, with your children.  My son is autistic/aspergers, and my fears lay with what happens to him if I am no longer able to care for him.  His father could not handle the autism, so over the years they have had Disney dad visits.  He is good to my son, but has no real concept of his life and what he needs to function.  My husband does very well with him, but unfortunately if I were not around, custody goes to the other parent.

Ok enough about that stuff, all it gets me is tears and my eyes are swelling enough now because of private crying times.  I believe this site is going to be a great help and support, just in reading each of your posts, original and responses, I already feel like I have found a place where others know we worry about platelets, and blood count, bruising, clots, and all that other fun stuff that just royally sucks!

I am an odd patient or so my oncologist tells me.  My white count began climbing in January, but it was still low, in range of infection or other reason, nothing to be concerned about.  Then routine blood work in August showed white count still ok, but platelets were climbing toward the million mark.  In the past weeks I have had them go to 1,600,000 to 1,400,000, and now back up to 1,500,000 and this is after a week of hydrea.  It seems this drug is doing nothing for the platelets, so as I sit they are rising in numbers. 

I was to start Sprycel last week, but UPS somehow misplaced the package, the driver was clueless, and annoyed, after telling him what it was he realize the importance of the package, but it was still lost.  UPS states there is going to be internal investigation, ok, but you know, that really isn't on the top of my priority list of problems.  New package is supposed to be delivered tomorrow.  So I wait.

The one major thing I did, and now would like to turn back the clock to undo, is look up all the information I could find, I did use credible sites, but now that I have succeeded in scaring myself half out of my wits (and I really need the other half, not so sure I had a full head at the start) I am claming every thing that happens to me as a major event.  I go for bloodwork, dr runs his hand over my arm feels bumps, I suppose they are from being older, who knows what kind of stuff I am growing under skin that has been around almost 50 years?  Anyway, immediate send to hospital for sonogram, looking for blood clots.  They find none but another day I have spent from dr office to hospital.  Speaking of hospitals, emergency room doctors tend to double freak out when they see bloodwork like mine.  Even after I warned him I was out of whack with the results, he admitted me immediately after reviewing the labs.  I had to call oncologist, speak with nurse and have her spring me from hospital bed prison.  I had things to do, didn't want to sit in a bed that wasn't mine. 

Thing is now I think, oh, is that pain leukemia?  Or could it be because I lifted a row of cupboards today two men and a strong boy should have been lifting.  Or I find lump, bump, or bruise, and I think, oh no, it is progressing.  Paranoid just isn't a good enough word.  And then you go to the dr's and they are all bright and chipper, telling you how well you look and asking why you are there, I forget my ninety question list as I walk out the door.  I honestly think they know what I am planning and have a plan of their own.

Tell me stories, good, bad, ugly, I will listen and respond when you ask, (Or I can't keep my fingers tied behind my back).  I have skipped the denial stage, kind of hard to do that when you have med bottle on the counter they want you to wrap in plastic and no one else hold, and the bargaining stage also didn't interest me, but I am in the anger/shock/crap myself stage, no concrete answers, no real positive things to look forward too until meds begin to work, or I work with them, so bring me your 'stuff' and if you wish I will share mine. 

I love people and enjoy humor so I hope I offend no one here.  I am aware of the seriousness of this disease and others feelings, but I have always tried to laugh at everything, emphisis on 'tried'.  To be honest for some reason there is a lot of goofy stuff that happens around here, when I believe it will bring a much needed smile, I will post.

I will leave everyone with a funny for the day.  I bought a new sweeper, my son actually got off his duff and offered to put it together.  He worked on it for quite a while, then declared he was finished, (here comes the great part, no offense to the men on this discussion board)  don't ya love disclaimers?  "I am finished but I have extra parts!"  I almost wet my drawers trying not to laugh.  The final chapter of the sweeper saga ended today, my husband was carrying the sweeper downstairs and the bottom fell off it.  I swear it took me a full minute to get myself together, it was so stereotypical it was hilarious!  I told my son he was to report to the kitchen retrieve the extras he had thought were not needed, take the sweeper and directions and discover his errors.  He found them, but talk about the greatest story, and the best part, I will blame it completely on his father, several years ago I was devastated because he (my son that is) attempted to hang a picture but used a hammer for a Phillips screw.  I thought I failed as a mother/father role.  No way, this one is on the male gender in it's entirety, extra parts usually mean something is either going to fall apart on your toe (why is it always your toe?) or when running it the item will come alive and fly off to the ceiling, only to smash down again on yep, you guessed it, my toes. 

Take care everyone, Positive Thoughts and Prayers, God Bless 

Pam



#2 Beanie

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Posted 17 October 2011 - 06:35 AM

Hi Pam,

I don't have a lot of time right now to write but I just read your post and I just had to write to you.  I just wanted you to know that my case is a lot similar to yours.  I am also "almost 50".  I was diagnosed almost two years ago. Like you, the only problem that my bloodwork showed was that my platelets were over 1.1 million.  Everything else was in range.  I also was on Hydrea for almost a month and it did not reduce my platelets at all.  I started on Gleevec and every week my platelets went down drastically.  From what I remember, within a month and a half they were where they were suppose to be.  In three months I was in complete molecular response and have been there ever since.  I just wanted you to know this because even though your platelets aren't coming down with Hydrea, it doesn't mean that they are not going to come down with the medicine they prescribed for you.  Please keep us updated.



#3 pammartin

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Posted 17 October 2011 - 08:04 AM

Hi!

Thank you for the inspirational post, see, even though I use humor it is fairly easy, to see the desperation and worry because the medicine is not working.  Every morning I look for as many reasons to smile or laugh as I can, thank you for taking the time to write and be one of those smiles!  

Today is my wait day, I will haunt the doorway until UPS arrives, I cannot take the Sprycel along with the Hydrea, so when I have the Sprycel in my hands I will skip the Hydrea for the 24 hour rest period and begin the Sprycel.  Wed is blood work again and Thursday another visit to oncologist to tell me I look too good (not sick) to be in his office.

Because I have been told once my immune system bottoms out, I will not be permitted to be around people, especially children, walking germ factories, these forms of interaction will be my lifeline for communication.  Phones are great, but batteries crap out, service area around my house is poor at best, and the house phone hangs on the wall for DSL, someday I am going to consider a different Internet option but today, I don't want to.  Getting back to the immune system, I have informed my husband and son, they are going to be waiting on me hand and foot, pushing sterilized trays through the hole in the door (I told my husband he has to create) keeping the house clean, preparing meals, and doing the laundry.  I figured I might as well throw it all in and be happy with what I actually get.  And in all fairness I am getting a lot.  Yesterday was such a horrible day, either I cried or yelled, probably sometimes I did both.  But my husband just tried to give me a hug when I allowed someone near me, and my son sitting across from me at the table, I was looking at a web site and he was doing homework, he did not say a word, just reached over and offered his hand, he did not even look up.  Now THAT really made me cry.

I wish everyone a positive day, God Bless and take care.

Pam



#4 Trey

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Posted 17 October 2011 - 09:08 AM

What was the reason your Onc said it is Accelerated Phase?



#5 Beanie

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Posted 17 October 2011 - 09:27 AM

Yeah, I am also interested to know why your doctor says you are in the accelerated phase.  I also wonder why he thinks your immune system is going to bottom out.



#6 CallMeLucky

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Posted 17 October 2011 - 10:06 AM

Hi - Sorry you are here with us, but I admire your attitude.

Like the others, I am curious about 2 key things you have said.  The first being that you are in Accelerated Stage and the second being about your immune system not working properly.  I assume doctor told you you are in Accelerated stage.  What was this based on?  Can we assume you had a bone marrow biopsy?  Do you know what the resutls are?

Did your doctor also tell you your immune system was going to fail you?  What was this based on?

Do you mind if I ask if you are seeing a CML specialist or just a regular hematologist/oncologist?

I don't want to send you down the road of doubt with regard to things you have been told, but sometimes we hear about people being told things mixed with a combination of things they have read and they are just not founded.  I would hate for you to worry and suffer if all the facts are not on the table and evaluated by someone with the experience to do so.


Date  -  Lab  -  Scale  -  Drug  -  Dosage MG  - PCR
2010/Jul -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 1.2%
2010/Oct -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.25%
2010/Dec -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.367%
2011/Mar -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.0081%
2011/Jun -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2011/Sep -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.00084%
2011/Dec -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Mar -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.004%
2012/Jun -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Sep -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Dec -  MSKCC  -  Non-IS  -  Sprycel  - 100 - 0%
2013/Jan -  Quest  -  IS  -  Sprycel  -  50-60-70  - 0%
2013/Mar -  Quest  -  IS  -  Sprycel  -  60-70  - 0%
2013/Apr -  CUMC  -  Non-IS  -  Sprycel  - 50 - 0.036%
2013/May -  CUMC  -  Non-IS  -  Sprycel  - 50 - 0.046%
2013/Jun -  Genoptix  -  IS  -  Sprycel  - 50 - 0.0239%
2013/Jul -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0192%
2013/Jul -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0034%
2013/Oct -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0054%
2014/Jan -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0093%
2014/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0.013%
2014/Apr -  Genoptix  -  IS  -  Sprycel  - 100 - 0.0048%
2014/Jul -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2014/Nov -  Genoptix  -  IS  -  Sprycel  - 100 - 0.047%
2014/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0.0228%
2016/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Dec - Genoptix  -  IS  -  Sprycel  -  100 - 0%
 

 


#7 jrsboo

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Posted 17 October 2011 - 10:40 AM

Welcome to our little group!

I, too, am wondering about your oncologist.  The remarks regarding how good you look are odd.  And I haven't heard you talking about a bone marrow biopsy or a Fish Test.  Is he/she a CML expert?  Have they ever had anyone else with CML?  I ask because when I was diagnosed, the reason I was diagnosed so quickly is that my Uncle is a hematologist and ordered the correct tests before my first onc visit.  But my Uncle had only had one other CML patient in his 50 years of practice, and told me not to worry, I just take a pill, that there would be no side effects and life would be normal.  Hmmmmm, not quite.

Also my first onc, (who was also an onc/hemotologist) told me the diagnosis, ordered a bone marrow biopsy, got the results in like one day, and then told me that while he "could" treat me, he had just finished a residency with another onc in Seattle (30 miles away) and felt it would be better if she treated me as she was a CML expert and researcher.  Off to Seattle I went.

I guess the upshot of my story is, be sure you are getting the best care possible.  You will be having a relationship with these doctors for the next 20-30 years, and you need to be able to trust them implicitly. 

Just wanting the best for you.

Caroline



#8 pammartin

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Posted 17 October 2011 - 10:51 AM

Wow, how nice to hear from so many people!  I will tackle each question and address everyone, because many of them are similar.

I live in PA, am seeing an oncologist in Dubois a town about 45 minutes away, at the Hanhe Cancer Center, but he is just covering my case because he is closer to me.  Dr. Savohic (pretty sure that is spelling) at West Penn Hospital, Pittsburgl in oncology is my main doctor.  I read quite a bit about him, but any opinions I would appreciate.

The accelerated stage, I asked last Friday while I was on the phone with Pittsburgh.  We were attempting to locate the missing Sprycel package (supposed to be on UPS truck today) and I stated no one had told me what stage I was in.  They said accelerated, I did have bone marrow, they attemped three times in Dubois with no results, so I was sent to West Penn, how I was connected with Dr Savohic.  They did complete the bone marrow and results were 93% Philadelphia Chromosome in the marrow.  This information was just given to me a week ago Friday.

Immune system, dr stated as I take the drug and my white count is producing unhealthy cells I will have little tolerance for infections and all of the yearly colds, flus, and other things.  I was also told as the changes occur I was to stay out of the public and away from children, (walking germ factories).  I will not be able to fight infections as well and may become seriously ill due to others, so I am to stay out of the public,.

I want to say I appreciate everyone's questions, as I stated previously, I have read enough to scare me, but the information may or may not pertain to me personally.  Long ago when I went through my divorce, I joined a support group and it was a life saver.  This group is more important to me, because others try to understand but it is hard if they are not involved.

Although none of us want to be here, I am glad I found a place to relate to others and their families, and I will say today is a better day.  I have been quietly worried because my platelets continue to rise, although I have been on the Hydrea for over a week.  But this morning I woke to a post from a person who had similar experience, so perhaps it is not so serious I am not responding to the drug at this point.

When they tell you it is the 'good' kind of leukemia to have I am beyond skeptical.  When they say they have three medications one can take before thinking of stem cell, I previously thought I was down to one if the Sprycel did not work for me.  And Stem cell transplant, I have no family with same possible match, and my mother and father are both gone also, so it would be data base, where they state there might be 25% chance of finding one.  Like most here, you are hit with so much information and none of it is remotely positive, it is not only overwhelming, it take my breath away.  I hope I answered all your questions, if not I will give it another try.

I plan to often end my posts with humor, as the Reader's Digest states, it is the best medicine.  I have not mentioned I rescue dogs, we are at 7 right now, with a new puppy, the other 5 are well established, one is my mother's dog he came when she passed away, but this puppy, although the timing is off, has brought much light into our house when it could otherwise be gloomy.  We do not keep them all, but help as much as we can  So on to the humor......  My laundry room just happens to be by my side door, where we go in and out, and visitors enter and exit.  I had piles of laundry, my goal for the day, I opened the door to let the dogs out, and there were several neighbors standing at the bus stop with their elementary children.  Out the puppy runs with bright red underwear, you could see without glasses and takes off down through the yard.  If they were any other color I could have probably got away with the fib they were my husband or my son's, but it would have been cruel to convince the parents the males in my house wear red lacey panties.  I said we live in a small rural area remember?  This will be the talk of the neighborhood for days!  Just had to be the red ones, didn't it? 



#9 pammartin

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Posted 17 October 2011 - 11:14 AM

Hi,

Just thought of something, I may have mislead, I believe the comments about appearance are an attempt to ease people.  I know as my mother grew more ill with throat cancer, the doctor always told her she was doing well for her condition, and he looked well.  I do not want to present an incorrect idea without realizing it.  Also,  I have to do more reading, I admit I know nothing of what a FISH test is.  Now my curiousity it peaked!

Thanks!

Pam



#10 PhilB

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Posted 17 October 2011 - 12:27 PM

Hi Pam,

Did the results of your BMB include a blast percentage?  That would be the prime factor in diagnosing someone as accelerated phase rather than chronic. The 93% Ph+ isn't particularly high - most people are 99%+ so you really need that blast number, and maybe a few other bits and pieces.  If you have a copy of your results there are people here who will be very happy to translate them into english for you.

As others have said, we don't want to sow the seeds of doubt, but given that it looks like you may have been given some very dodgy advice around avoiding children etc (not that that isn't always good advice ) we are keen to make sure everything is as it should be.  Your Ph+ white cells are generally just as good at fighting infection as normal cells.  The only time you would need to avoid children, public places, etc. would be in the unlikley event that the drugs make your counts go way, way low before the good cell production kicks back in.  Having said that, there is no reason at all not to try and use it as an excuse to get out of the housework.  I did try that myself to attempt to get out of changing nappies / diapers and I hope you have more success than I did.

Phil



#11 pammartin

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Posted 17 October 2011 - 12:55 PM

Hi Phil

How Funny!  Thank you for your response. I am going to dr on Thursday, I will get a copy of my results if possible, this is oncologist close by not diagnosing dr, and will share with the group.  You said a mouthful!   Trying to decipher the readings can be overwhelming, and in short amount of time I have learned many things here.  First, I did not know and am still looking into the FISH test, but I also did not understand almost everyone diagnosed has a high percentage of the Philly chromosome.  93% isn't so bad then eh?     I would make a phone call and try to get some numbers, but contacting Pittsburgh can be difficult, you call leave your information, they return your call, then sometimes have to call you back as things are found or looked up.  I never was much for patience, I fear this situation has not helped much.  Ok, Ok, I get it, there is no excuse for me to beg off on the groceries, laundry, or cooking, I am not as fragile as I have been led to believe....can't blame a person for trying.  Now I will be happy to inform my husband he still has an obligation to take me out to dinner, because public places are no longer off limits.  hehe

On another note, wonder of wonders, I now have the Sprycel, it was delivered a short time ago.  So I guess the real journey begins tomorrow evening.  One thing I am curious about, even when looking at the CML sites, they usually state one gets the Gleevec (sp?) first, and the Sprycel is the next choice.  Does anyone know why they would begin me on this treatment, is it the newest? I am aware of side effects, even the doctor said there can be build up of fluid around the lungs, and this seems to be a common occurrence with this drug.  Sometimes the mind wanders way too much, (or would that be wonders?).

Have a great day!

Pam



#12 CallMeLucky

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Posted 17 October 2011 - 01:14 PM

The comment the Dr made about the "unhealthy white blood cells" seems a bit odd.  Can you clarify if this was the local Dr or the specialist?  If it was the local Dr, then that would kind of make sense as he is probably thinking more of an Acute leukemia and what is going to happen with that kind of treatment.  If it was the specialist, I would find that odd.  As Phil pointed out, there really is no reason to assume your immune system is going to fail you.  TKI drugs are targeted therapy and they go after the cells with the Philadelphia Chromosome.  While some people see there counts drop way below normal when they start drugs, it is not common for them to drop dangerously low and even when they do, your ANC has to go way down before you start getting into risk area.  So I would not look to set up a bubble in your home just yet.

As far as your question about starting with Sprycel instead of Gleevec.  Gleevec is the original drug, Sprycel is a newer drug that is stronger.  While Gleevec is a very good drug, if you really are in accelerated phase, then Sprycel is a better choice.  Even if you are not in accelerated phase, Sprycel is approved for first line treatment in chronic phase, so it is not a bad call to go with Sprycel.  Be aware that the first few days to a week or so on Sprycel can be a little rough, headaches, flu like symptoms, but they should clear in short time.  What dosage are they starting you at?

It would be good to get copies of your tests sent over so you can go through them and ask questions here.  You want to make sure they ran baseline FISH and PCR and see what the numbers are.  As Phil mentioned, your BMB results are typical with regard to percentage of PH+ cells, what you really need to know is what your blast count is.  Also would be good to know if your spleen was swollen and if it was, did they measure it and note the size.

This diagnosis can be scary at first, but most of us will do ok with this disease, even in accelerated phase, there is a good chance, drug can bring you back to chronic phase and get you to a good response with minimum residual disease.  I wouldn't fear the worst just yet.  Remember there is no point in worrying about things that may never happen so take it day by day and try to concentrate on factual information and avoid "what if" thinking.

All the best.


Date  -  Lab  -  Scale  -  Drug  -  Dosage MG  - PCR
2010/Jul -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 1.2%
2010/Oct -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.25%
2010/Dec -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.367%
2011/Mar -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.0081%
2011/Jun -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2011/Sep -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.00084%
2011/Dec -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Mar -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.004%
2012/Jun -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Sep -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Dec -  MSKCC  -  Non-IS  -  Sprycel  - 100 - 0%
2013/Jan -  Quest  -  IS  -  Sprycel  -  50-60-70  - 0%
2013/Mar -  Quest  -  IS  -  Sprycel  -  60-70  - 0%
2013/Apr -  CUMC  -  Non-IS  -  Sprycel  - 50 - 0.036%
2013/May -  CUMC  -  Non-IS  -  Sprycel  - 50 - 0.046%
2013/Jun -  Genoptix  -  IS  -  Sprycel  - 50 - 0.0239%
2013/Jul -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0192%
2013/Jul -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0034%
2013/Oct -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0054%
2014/Jan -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0093%
2014/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0.013%
2014/Apr -  Genoptix  -  IS  -  Sprycel  - 100 - 0.0048%
2014/Jul -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2014/Nov -  Genoptix  -  IS  -  Sprycel  - 100 - 0.047%
2014/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0.0228%
2016/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Dec - Genoptix  -  IS  -  Sprycel  -  100 - 0%
 

 


#13 Trey

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Posted 17 October 2011 - 05:05 PM

The reason we are all so interested in the Accelerated Phase issue is that we have seen a number of Oncs misdiagnose the CML Phase.  To know why the Onc said it is Accelerated, you will probably need to ask directly for an explanation and write it down exactly as stated.



#14 Susan61

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Posted 17 October 2011 - 05:11 PM

Hi Pam:  Welcome to the group.  I am trying to follow all the postings, and the questions that everyone has for you are right on track.  Something is not adding up for me with what is being told to you.  We do have some great people on here who know how to explain all your test results to you.  Post everything you have.  I was 100% Leukemia Cells when I was diagnosed.  Also, my doctor did not watch the white count rise.  He did 2 tests on me in 1 week, and then did a bone marrow biopsy to get to the bottom of the problem.  My treatment was the old Interferon shots back in 1998, because we did not have the Gleevec and Sprycel.  I have now been on Gleevec for 11 years.  I think some of your information is not exact with regard to your immune system, and totally staying away from kids etc.  I hope you get started on your Sprycel, and I think you will see a world of difference in how your counts stabilize.

      I did have to laugh about the leftover parts.  My husband who is not mechanically inclined fixed my washing machine one time.  He had a bucket full of leftover parts, and I asked him what they were.  He said the Washing Machine is Working so do not worry about it.  The only problem I had was it used to jump out the laundry room door when it was running.  I think he left off some kind of stabilizer bolts or something.  I used it like that for years before I got a new machine.  I wish you well on getting to the bottom of all this.  You did find the right group when you joined us.

Susan



#15 pammartin

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Posted 17 October 2011 - 08:33 PM

Hi Susan,

Thank you for your reply.  I am going to get a copy of my bone marrow results on Thursday and when I get home I will be heading for the computer to post them to ask for help with deciphering.  I have been thinking of the accelerated stage diagnosis.  As I stated I was on the phone, the PA was speaking to the doctor and myself, and when I ask her, I wonder if the doctor was really thinking of my case.  I am not hiding from the accelerated stage, but I now find it odd to be told this without at least reviewing my chart first.

My second concern is the local doctor is just following the lead doctor's treatment, but after reading some of the posts here, I went back and rechecked credentials. I can find nothing stating he is a CML specialist, he is on the board for stem cell transplants, but unless I missed it, CML is not the specialty, instead it is oncology.  I did a quick search and cannot find a CML specialist in my area, or even further, is there a data base of specialist I can review?  I am not worried about travel at this point, becoming healthier is my goal, so a distance is not a concern.  I travel over two hours one way to Pittsburgh to see the doctor at West Penn.

I have informed my husband he is still under obligation to take me out to dinner, and I have also told my son perhaps his girlfriend can visit every once in a while.  I am going for bloodwork at least twice a week, I am going to speak with them about that, one order is from Pittsburgh, the other from local doctor, I believe they are the same testing, but one did not know the other was already in place.  I am ready to start the Sprycel tomorrow evening, and am expecting the worst of the symptoms and perhaps I will be pleasantly surprised.  Either way, they will not last forever, and a few days in bed and resting will not hurt me at all, seems the past few weeks have been a whirlwind of serious news, with no positive results and the emotional roller coaster I have been on has not been pleasant for anyone in my family.

I love the washing machine story!  You have to admit, your husband was right, it did work.  Mine takes a walk every once in a while, but usually when it is off balance.  There have been a few times I have had to shove the door and washing machine to get in laundry room because it has walked itself in front of the door.

Thank you for your kind words of support, I cannot explain how more comfortable I felt today, reading the posts from everyone, gaining information from fellow CML people, and beginning to understand although it is serious, it does not mean it is a life ending disease.  I have only begun this journey, many of you have been traveling it for years.  Hats off to each and every person here, you all have made me feel welcome, provided awesome advice and support, and pretty much made my entire day!

A sincere Thank You to each person.

Pam



#16 Marnie

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Posted 17 October 2011 - 08:49 PM

Hi, Pam, and welcome to our club.  Sorry that you had to join, but this is a great group of people.

Just wanted to comment on your doctor's advice to stay away from children.  I am a full-time middle school teacher.  I am around germy children every day.  Yes, I do catch things just like any person without cml does, but I am no more susceptible than any other person either. Find out your blast count at diagnosis and then see if your oncologist understands what the blast count means.  Hopefully he/she does. . .if not, then see if you can find an oncologist who is more up-to-date on cml.  I'm on my 3rd oncologist now.

Marnie



#17 pammartin

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Posted 17 October 2011 - 09:01 PM

Hi,

Thank you for the information.  I am not sure I provided information on my spleen, but six weeks ago it was normal size with no enlargement.  As a matter of fact, outside of my platelet count skyrocketing, there were no other symptoms.  I had two CAT scans and an MRI, the same day I  was called about the platelet result from routine bloodwork, I was in emergency room because a few hours before I was sitting in front of the computer and I had a sharp pain in my head and there were suddenly three computers in front of me.  I had no idea which one was real and the floor seemed to be miles away.  The ER doctors thought I had a stroke, because platelet levels were high.  The CAT scan showed white matter in my brain, a symptom of multiple sclerosis, but the MRI was inconclusive.  A second CAT scan a month later showed no additional white matter or lesions, although until the bone marrow test was completed, the doctors had the opinion I had MS, I have appointment with neurologist in January to have another CAT scan to see if additional white matter is present in my brain.  (This all has happened since the second week of August 2011).  White matter is also a result of aging, so what they found could be the natural process of my growing older.

Your note about the medicines was also comforting, each time I visit here I feel a little better about the entire diagnosis.  Treatable is an awesome word!  I am starting on 100 mg once a day Sprycel beginning tomorrow evening.  I am going to call the doctor because I am also on allopurinol, they said the uric acid would build while taking the hydrea, and two full strength aspirin a day.  I need direction because I do not know if these should be continued when starting the Sprycel.

Wow!  I have to get my phone charged up, there is alot of information I need to discover tomorrow before I begin the Sprycel tomorrow evening.  Oh, that brings up another question, is there a better time morning/evening to take the med, anyone who has an opinion I would appreciate.

Thanks again!

Pam



#18 pammartin

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Posted 17 October 2011 - 09:11 PM

Hi Marnie,

I am in awe, if anyone would have difficulty with immune system, it would be you.  I have to thank you for choosing to become a teacher, I admire and respect your profession more than I can express, my son has an autism diagnosis, and throughout his school years we have been blessed with many awesome teachers, without he would not be as successful as he is today.

I am coming to the conclusion I may have to look for another oncologist, after reading all of the suggestions including yours, I realize finding one I will be comfortable with for many years is important.  (I borrowed that from another kind person who wrote to me today).

Another goal I have for this week is to discover just what the local doctor does know about CML, although he is following the lead oncologist's treatment, I would be more comfortable with people who specialize in our disorder.

Cannot say thank you enough, to you and everyone for today.  Everyone has just been awesome and I tonight I will go to bed feeling much better than I did last night, and it is because of all of your support and information I received throughout the day.

Take care

Pam



#19 jrsboo

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Posted 17 October 2011 - 09:16 PM

Dear Pam,

I think this board is the epitome of "pay it forward."  We all know how scary hearing the words "you have leukemia" are.  I had no idea personally about all the progress that had been made in treating this cancer until it was my cancer.

Soon, you too, will be an expert.  *wink*

Caroline



#20 Susan61

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Posted 17 October 2011 - 10:30 PM

Hi Pam:  The more you post, the more it makes me think that some wires are crossed with regard to your diagnosis and treatment.  You do need a doctor who treats a lot of CML patients, and who is up on all the latest drugs and how to give them.  We get some real crazy stories here from people who have not gotten the right treatment.  You mentioned getting 2 blood tests within a short period of time, and them both being the same thing.  I told my Primary doctor that she is sending me for blood work at the same time as my Oncologist, and I cannot afford all the co-pays.  I told her I would send her a copy of my blood work from the Oncologist.  Sometimes you have to tell them what your going to do, and not them telling you.  I know what tests I need and when after all these years, plus I do have some other problems along with my CML.  I got tired of paying for so many visits, and blood draws etc.  I have spread out my testing and appointments.  I do keep on a regular schedule with regard to my CML though.

       Well, let us know how you feel after you start your Sprycel.  I cannot comment on it, as I have only ever been on Gleevec.  Most people say they feel fine.

      Definitely post all your test results when you get a chance.  Most likely Trey will explain everything to you.  We all count on him.

Susan






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