BrendanF

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  • #139705

    brend
    Participant

    Many thanks Rebecca for a great post, I might say a targeted response ;). Great advice which I will do my best to take to heart.

    I have light chain MMM. I have 14:16 and 17p deletion and q1 gain so my consultant was very clear that these three mean I do not have a marathon distance left to run. As you say time will tell, but it’s only natural to try and see what options exist.

    It’s very heartening to hear you have responded well and stayed well. For my part, my kidneys went from marginal dialysis territory (12% or so) back to normal range right now (90+). My light chains started at 14K and have fallen to 200 odd – I do not know if they will go much lower. So I’m hopeful I will continue to respond well to treatment with minimal side effects.
    If I can ask one more question, how are you monitored? Do you get blood tests or is it just a case of waiting for the onset of symptoms?

    Thanks again for the reply. It means a lot to me.
    Brendan.

    #139699

    brend
    Participant

    Thanks Rebecca,
    Re-reading my post, I may not have made myself clear. What was proposed was a tandem (back to back) Auto SCT – no allo element. Actually I was not aware of the “mini Allo” until I read it on here. So I have not discussed that with anyone.
    It’s good to read other peoples stories but I’m not overly worried about the transplant(s) at this stage. Who knows if they will even happen ’till the tests and harvesting etc are done?

    As I say what has me more on edge right now it feels like the only option on the table is to finish my Velcade, hope the transplants work out and wait for my light chain numbers to start going back up before we can discuss any other options. Set against the backdrop of an aggressive Myeloma with poor prognosis.

    There is certainly evidence to show maintenance after SCT will give better outcomes but the transplant team just told me this is not funded. So I’m just trying to understand if other people faced this problem and if so what they did about it.

    Thanks,
    Brendan.

    #139645

    brend
    Participant

    Thanks to all for the replies,
    @ Cassidy thanks for sharing – I almost feel guilty for not being in more pain! But it’s also hard to square my relative good health right now (Kidneys are in the normal territory right now) against such a poor prognosis. And the silver lining in all this for me has been spending more time with the family as I’m off work. My wife in particular who is being fantastic. And learning to say “yes” when people offer to help.

    It helps I think that I only take steroids twice a week. I had a real hard time getting of Prednisolone a few years back for an unrelated ailment. The reaction to the drugs seems as individual as the disease.

    @ Shaun. Many thanks. I’ll go through your link and have a good read. I too have done some research and as I read it the consensus view is ASCT will not be needed in the future but right now it’s the best hope for deeper remission if you can take it. There is some debate about double, some US Oncoligist feel it’s not needed – but more do. Indeed the last thing I read was an Oncologist saying dual should be default for high risk and recommended for medium risk.

    All the sites have agendas so it’s important to me to bear this in mind when reading. I’m sure you are already all to aware of this.

    One thing that strikes me about all the research is that it’s all based on very small numbers of patients – would such small numbers be acceptable for more common conditions?

    Oh and my consultant is a “Myeloma guy”, and his last letter states that HE consulted the Myeloma lead for the region about my case, in effect getting a second opinion for me.

    @ David thanks for the good wishes – doing a fair amount of walking and eating like a horse at the moment!

    As I say, due to meet Transplant team later in the month, so I might report back in then.

    I truly appreciate all the replies it’s great to hear other stories happy and sad to get a sense of balance.

    Cheers,
    Brendan.

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