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Tab

(11,093 posts)
Fri Mar 29, 2013, 09:29 PM Mar 2013

'nother update

Hate to yammer on about me, but I don't know what else to post here.

So, about a month ago, I alluded to bad news about my bone marrow biopsy, but didn't post details. I was still absorbing info.

The conclusion was that I had MDS (MyeloDysplastic Syndrome) and would likely need a bone marrow transplant.

I ultimately went down to Dana-Farber and they concluded I was not a candidate. The reasoning is that wiping my immune system (a requirement for transpant) would also wipe out the Immune Survellience system (which people have in theory but isn't fully understood). The problem with that is that if you have active cancer (as I do, Stage IV), then if it flares up in any way in the first year or so, there's nothing there to catch it, and it can run unchecked, and you can get riddled with tumors really quickly. So, the consensus is that the benefits don't outweigh the benefits.

Which leads us to the bigger issue; how do you continue to get chemo with crap for platelets? And that's my particular challenge right now. We're trying to figure out how to adjust chemo so I can sustain treatment, but generally I'll never really be cancer-free, and thus never really be a candidate.

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'nother update (Original Post) Tab Mar 2013 OP
My sister is in a similar situation, with radiation treatments Siwsan Mar 2013 #1
Sorry dude, that's rough. Evoman Mar 2013 #2
Yeah, when I read Tab Mar 2013 #3
Hi Tab ... slipslidingaway Apr 2013 #4
Update to the update Tab Apr 2013 #5

Siwsan

(26,263 posts)
1. My sister is in a similar situation, with radiation treatments
Sat Mar 30, 2013, 08:37 AM
Mar 2013

Fortunately, the last round, which was likely the last ever, did shrink the tumor on her cervical spine. Even though she will likely never walk, again, she has regained a little movement in her left leg. Fortunately, at this point, her blood work is coming back good so she's starting a new chemo aimed at the lesions on her pelvis and femur. But, she is also someone who will never be cancer free.

I wish there was something to say other than never give up hope. And, do what ever you can to re-boost your immune system. There is a school of thought about keeping your system high in alkaline and low in acid, since tumors cannot thrive in an alkaline environment.

Evoman

(8,040 posts)
2. Sorry dude, that's rough.
Sat Mar 30, 2013, 07:51 PM
Mar 2013

I'm still getting my chemo every two weeks. My fatigue is ridiculous....I can't even get to the store and back (1 block) without freakin\ collapsing in fatigue. The chemo is beating the crap out of me.

My last ct showed stable lymph node tumours and the node in my chest doesn't seem to be growing. My CEA numbers were down by half. Basically, my doctor says to keep blasting away with chemo and see how things are in two months. Sometimes I feel like I can't take anymore. I can't work, I can't do anything. What's the point of living long if all I get to do is lie on the couch for the rest of it.

I know it's a shitty thing to complain about since you WANT to get chemo and can't, but it's really sucked. I can't live the rest of my life like this......

Tab

(11,093 posts)
3. Yeah, when I read
Sat Mar 30, 2013, 08:04 PM
Mar 2013

"so-and-so died after a long battle with cancer" I now know that they're talking about.

I think I was secretly hoping I could get a transplant, the first year would suck, but then I'd be magically cured, but I guess it ain't gonna happen that way. Gotta get resigned to doing the long haul.

slipslidingaway

(21,210 posts)
4. Hi Tab ...
Thu Apr 4, 2013, 12:15 AM
Apr 2013

very sorry to hear of the BMB results, do they think the MDS is a result of prior chemo treatments? I've read about secondary MDS after treatments for other types of cancer so just wondering if they mentioned the possibility. My husband was diagnosed with MDS RAEB 2 which did not respond to one of the initial treatments (Dacogen) and progressed to acute myeloid leukemia.
It is all a balancing act after transplant, some say that a small amount of GVHD helps promote a graft vs leukemia effect to keep things in check, sounds similar to the immune surveillance system you mentioned. Three months after my husband's transplant he developed EBV lymphoma and had 5 treatments of Rituximab to hopefully wipe out the lymphoma. We were discussing him entering the trial they had at Sloan with Interlukin 7 when he developed the EBV lymphoma. They hope this will be a bridge in raising the patient's immunity enough to get them through a rough period where they are at risk of developing other problems, similar to what they do now as standard treatment in raising the the ANC by giving Neupogen and moving them past that critical period, but we never made it that far before the lymphoma.
He is now two and a half years post transplant and his blood counts looks good, but we're always looking over our shoulders. They are making decent strides, but still much has to be done to combat this disease.

Tab

(11,093 posts)
5. Update to the update
Thu Apr 25, 2013, 05:42 PM
Apr 2013

Am trying Stivarga, a recently approved colon cancer drug; it's a oral chemo, so no more hospital chair for me. Just started it yesterday, so we'll have to see how it goes.

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