Hi Badger and all. I did have an auto sct despite having poor kineys. They gave me the Melphalan over 2 days instead of 1 to help the kidneys. (I did tell them that I didn't want to end up on dialysis for the rest of my life and they adjusted drug doses to take account of my wishes)
It was a rough month, and a 3 month return to strength but the Myeloma has been dormant and invisible for 18 months now (I am only on Zometa as I have 4 compression fractures of the spine)
I just find it interesting that there appear to be two opposite attitudes to treating Myeloma.
1, Hit it with massive doses of everything you've got. (The nuclear option)
or
2. Start with the smallest dose. Increase it till side effects appear then reduce slightly and hold. (the Berenson option)
I have no idea which avenue is the best – but need to watch the debate. It is reflected in so many things like : Do we give Velcade intraveneosly with the side effects…or subcutaeneosly (with less chance of side effects) So the Nuclear or Berenson approach is evident in every facet of our treatment. Since most of our treatment in the UK is dictated by NICE I am waiting to see which camp they decide to follow.