It’s always terrifying when we get diagnosed with a haematological disease. None of us expect to face this personally, it shakes us to the core.
No one can live with the level of total preoccupation that goes with new diagnosis. Eventually you will realise that you haven’t thought of MGUS/Smoldering myeloma/ myeloma for a little while, these times will increase in length and frequency.
In time the new reality gets assimilated into our lives and becomes just another facet of who we are.
The CT scan won’t hurt you, the bone marrow biopsy will, but this can be minimised if time is given for the anaesthetic to take effect. If you are worried that the doctor hasn’t given a few minutes, you can ask for gas and air which really has helped me.
The bone marrow biopsy results will be of fundamental importance, giving baseline information about the level of infiltration of myeloma cells, information about the type of myeloma cells present and about which proteins are present. Hopefully you won’t ever require treatment, but if you ever do, it will be helpful to your then consultants to know what changes were present now.
If you have got to have one of these plasma cell conditions, it is by far best to have it diagnosed before any organ damage is done. There is then the real possibility of preventing that damage from occurring.
In Iceland all people over the age of 40 have been asked to have blood tests to check for MGUS, they will then be followed over years to find out how many develop Smoldering or full myeloma. A very significant proportion of the Icelandic population are taking part in this study (called ISTOPMM). Already it has shown that MGUS is more common than had been appreciated, suggesting that previous estimates of MGUS progression have been overestimated.
I hope you get good news after your tests.
Jane