Hi there.
It is so hard isn't it to know whether you're getting the right treatment or not. I have been asymptomatic until recently and was worried in the same way as my paraprotein went up over 6 months or so from 32 to 45 which seemed high in comparison to lots of other people. Like Mike, I had no other end organ damage/ bone pain etc.
What helped me was when I heard from a couple of people who said their paraprotein had been at around 70 odd before they were treated. I believe they're reluctant to treat with no signs of end organ damage. It may be that they wait till either his hb drops, calcium starts to rise, or he gets some sign of bone pain.
I'm about to start treatment next week as I have started gettting slight bone pain and my hb has dropped again for the second time – my bmb also came back at 50% last time. But even with that my consultant has said I could have waited a little longer if I'd really wanted to/ felt it was necessary.
So, I would just ask them to talk through all Mike's readings and explain to you what sort of things they are looking for before they start treatment? But I'm sure it won't be stroke related, although perhaps that makes them more likely to wait until they have to treat rather than using it as a safe option? Only a thought and I'm no medical guru!!!
Good luck with it all and keep us updated.
Debs x