Author: Beth

I was diagnosed with MM in January of 2003. I underwent various treatments, including thalidomide/dex, revlimid/dex, dex alone, a clinical trial of CNTO 328, and Velcade, Doxil and dex until late August, 2007, when I had an autologous stem cell transplant after high dose melphalan. I experienced what's known as a very good partial response (VGPR). Since then, my myeloma has been stable.

Loads of tests before SCT

I had a pulmonary function test (PFT), echocardiogram, bone marrow biopsy and tons of blood drawn yesterday. I know I did well on the PFT. I use about 98% of my lung capacity and the other parts of the test seemed to have good results too. I won’t have any results of the bone marrow for some days. I’m not sure what all tests will be run on the marrow sample. I’m going to say that this one wasn’t the worst one I’ve had. That was at Duke. It did hurt, and still does. They didn’t use the type of needle I like. My ECG showed some heart abnormalities, so I’m going to see my cardiologist here to find out what he thinks of the report. If you happen to know what apical-septum and apical-inferior hypokinesis are, let me know. And if you know that, maybe you can tell me what these remarks mean too: left atrium size moderately dilated and left ventricle size mildly dilated. I also have a trace of tricuspid regurgitation. I’ll post my findings after I see the doctor. I would imagine they’re still going to let me have the chemo. That’s a week from now. I asked if I was going to lose my hair and the nurse told me yes. I kind of thought that would happen, but wasn’t sure.

Tomorrow’s the day

Tomorrow I will be going to Wake Forest at an obscenely early hour to have some tests done, such as pulmonary function, bone marrow aspirate, xrays and muga scan. I’m not looking forward to any of it. I’d like to just remain asleep until it’s all over!

I’m a killer

I was outside today sweeping the pool deck and I saw a lizard running towards me. My immediate response was to start jumping up and down and screaming. Somehow, the timing was just wrong, and the poor little lizard ran under my shoe while I was in the downward phase of hopping. I managed to kill the poor thing and creep myself out in a big way. I had to call a friend to come over and clean the lizard off the cement and the bottom of my shoe, which I had to abandon out there. It’ll be one of those things that sticks in my mind for days now. :(

Why not donate to the International Myeloma Foundation? It’s fast, easy and tax deductible. Plus, you’ll be helping thousands of Americans and others from around the world. CLICK HERE.

Aches

I had an infusion of Zometa today and, as always, my left hand and arm ache. I didn’t get to have the IV in my hand like I usually do. The nurse said there’s just too much scarring now and she couldn’t get it threaded. We used my left arm instead. I’ll give that good vein in my left hand a long rest. It’s no wonder. I must have been poked in that hand at least 50 times.

If you get the chance, see the film A Lion in the House, which may be on your local PBS station on Independent Lens.

Stem cell collection scheduled

I have my stem cell collection scheduled. If everything goes according to plan, I would be admitted to Wake Forest Baptist Medical Center on September 20th. I’d have a catheter installed and then be given Cytoxan over the course of a few days. Then I’ll be released and sent home with a growth stimulating factor to inject for a number of days. Maybe a week or 10 days. Then I’ll go back to the hospital for the collection. I asked them to be sure they get enough for 3 transplants.

The catheter might look something like this. It’s surgically implanted and gives them the easiest means of conducting the chemo and apheresis.

I’m hoping the Cytoxan kills off a bunch of the myeloma and can allow me to delay a stem cell transplant for a while. If so, as soon as I relapsed, I’d have the SCT. I’m so worn out from the constant treatment over the last 3+ years.

I’m starting a campaign to raise money for the International Myeloma Foundation. Over time, through this campaign, I want to raise a penny for every stem cell collected and frozen in preparation for a transplant. With your help, more treatments and even a cure can be found. You can donate online HERE.

Dr. P.

I took mom to see Dr. P. today. I was glad we went. It’s crazy. She hasn’t spoken to an oncologist at all since this started. Your doc sends you straight to a surgeon, who sends you for radiation if you need it. Wouldn’t you think it would make sense to talk to someone who knows cancer really well?

How do you like the new theme?

Non-compliant

I haven’t been complying with treatment this month. Revlimid makes me feel pretty terrible, and I wanted to be able to help my mom through her surgeries and whatever other tx is needed. I do feel better in most ways, now that I’ve been off Revlimid for a month. I’m afraid to say that I didn’t tell anyone I was doing this. If I need to, I’ll go back on it in September. I don’t think it was doing much for me though. Just making me feel sick. I plan on having my stem cells collected soon, and they want the disease level as low as possible for that. I’m confused about whether the Cytoxan plays a role in that. I have an appointment with the “stem cell lady” next week, so I’ll find out. If I need to, I’ll do high dose dex again for a month or so. It seemed to work pretty well for me during January through April, but it was what I’d call a heinous treatment. I feel tired just thinking about it. Like I said before, I’m almost to a point where QOL on treatment is unpleasant enough to warrant a stem cell transplant.

More surgery

Mom had surgery last week. A lumpectomy, which was intended to remedy DCIS and prepare her for radiation. However, on Monday, the surgeon’s nurse called and let her know that there was more cancer in the margins and that a mastectomy was in order. I don’t disagree with that. It seems the safest thing to do for the long term. But I want my mom to get a second opinion about what should be happening in the future. I think mom needs to be cared for in the long run by a specialist. I found someone at UNC, and the doctor there even called mom at home to see if she had any questions! Mom is shutting us down every time we bring this up. :(

In my own experience with cancer (albeit a different kind), I’ve learned that your health is in your own hands. You get out of healthcare what you put into it. Nothing more, unless you’re EXTREMELY lucky. I’ve seen so many examples of people putting their trust in doctors and nurses and then having nothing but heartbreak when the staff doesn’t care as much as one would think they should. Everyone needs to be active in every aspect of his or her own healthcare. This applies whether you have a disease or are healthy.

Anyway, please send some good enegry out to my mom so she can get through this. Help her to see how it could really help her to go to a specialist!