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Medical Updates: July 14/ July 23/ August 1/ August 9/ September 14/ (click "read more" for the latest)

Bijou
Bijou
Mother of Two, product designer, tennis player, photographer and lover ...of lif
User is currently offline
Jul 10 BIJOU'S MEDICAL UPDATES 15 Comments

Please, if you wish to see the latest post as indicated by the date above, scroll down. Thanks!    

 

 History and where "we" are.

I use "we" because I am forming a "team".

May 14 - first Blood test revealing alarming number cells that were either  way too high or too low - need to repeat.

May 26 -  Repeat Blood tests (a few more definative ones)  NOT good results -  CBC showed whites increasing and lots of other highs and lows. LDH way high (lactate Dehydrogenase, this is NOT a cholesterol test) referred to hematologist/oncologist.

June 9th - Saw the oncologist, spleen is enlarged, had 11 vials of blood drawn and a bone marrow biopsy and aspiration. He "believes" this is a myeloproliferative disease (MPD)

June 15 - Saw oncologist. Upon review of the tests done so far, I have a JAK2 mutation and things that are more suggestive of Myelofibrosis but he has to rule out a few other things. More tests ordered, chromisome tests, flowcytometry, BCR-ABL.

June 29 - Ruled out AML (that is a good thing), however risk of this developing into that is there. And for those that think this is CML, it is not...Diagnosis: Primary Myelofibrosis " a rare disease" positive JAK2 mutation, large spleen and a few other things thrown in there too, like thrombocytopenia - all of which I will explore with the specialist at UCSF when I see him.   He (the Dr.) suggests considering taking Hydroxyurea, (chemo) - a pill a day.   I decided against that until I know a lot more about what stage this is and what else is being does for it and can explore well the risks and benefits of everything discussed.

Will see the specialist at UCSF on August 8 with some more new blood tests in hand.

Will update more then.

In general, I feel good, playing lots of tennis, am more tired than normal at night (particularly noticing it because my nickname is the energizer bunny!) and my tummy is "puffy" from the spleen being enlarged. A feeling like being just a little pregnant. Each day I wake up and just vow to make the best of it. What is hard is the derailment from my plans - and the not knowing right now what's next. Sort of a limbo. Have decided to look for work I can be passionate about in anticipation of having to stay here, feeling/hoping this is chronic for now.

I also have to share I am not being "Polyanna" about this. It is scary and a bit discouraging to be so "derailed" but I'll make the best of it, by choice, day by day.   

UPDATE:  JULY 23    

 

Until I have the specialist's appointment on August 8th, there is nothing significant to report other than lots of caring, loving people asking how do I "feel',  and how am I doing, so I'll address that.  

I feel the same as I felt before the diagnosis.  Playing tennis, (well) working, gardening, all the same things, Just really tired at the end of a day, that is a change for me. And still my belly is (more) puffy and tender to the touch on the left. 

I am learning so much and have changed my diet, and will keep changing it via suggestions offered to me by professionals (RN's) and people whose lives, and lives of others they have worked with have been changed by diet.  I am taking charge of a positive attitude and the direction of my healing every day, and am learning so much about this condition. As I believe knowledge is power and action affects change! 

UPDATE: AUGUST 1   

Saw my internist last Thursday, belly too puffy, tender on the upper right. I'm active but tired and when I eat I get full so fast. Have been very (wondefully) busy with family and now that they are gone after 5 days I will rest, as my body is telling me to. But...If laughter heals, I should be in complete remission because we laughed for 5 days, almost all the time! So wonderful.  Am going to have a sonogram and several blood tests this Thursday prior to my seeing the UCSF Hematologist/Oncologist on the 8th. These recent tests might tell whats going on w/ my spleen, (liver?) belly and whatever else that magic machine shows.  Have been trying to eat very well and use a little bit of what many people who have are in the "remission mode" felt helped them.  More at the end of this week.

UPDATE: AUGUST 9 

Saw the Leukemia/Bone marrow specialist at UCSF yesterday. A very thorough visit. Labs done before the meeting so they were current when we met.  I am impressed with the doctor because he is so thorough in explaining things and in answering my many questions (and he is very patient, not rushed.)

I am encouraged even tho' he confirmed the diagnosis. He is however requesting the original slides and having the UCSF pathologist reread them. (I like that ...thorough)  The reason I am encouraged is he is leaving many of the decisions up to me. Yes, my spleen is enlarged but the decision to take the chemo (hydroxyurea) is my decision to do when the spleen gets too large. And yes clinical trials for the JAK2 inhibitor will be in order down the line at the right time and when the right trial comes about, meaning a phase three, dosing trial as opposed to a doubleblind placebo trial.

I also feel encouraged that nothing is immediate because this is in the late chronic phase as opposed to the accute phase. For me that means that I can pursue my alternative ways of dealing and healing to this. I believe I can make a difference and not have it shift into the accute phase where very serious treatments are manditory.  I plan to begin light frequency therapy (see featured article, click on Blogs/Posts) I am changing my diet, maintianing my excersize routine and surrounding myself with positive, loving, healing people.  If I can hold this at bay, even if it has to be at this stage, I will consider that a success. 

I will be getting workups every three months to see where things are, so it looks like living in mexico is out of the question, but it really doesn't rule out anything else.  The main Rx is : Live each day to the fullest!

UPDATE: SEPTEMBER 14 

I don't know enough yet about the current new diagnosis to write a medical update  - CMML - Not to be confused with CML.  For a bit more see the latest post - How Am I Doing - Non Medical. That will update anyone interested in how I am feeling about this new news. Bottom line is - It scares me, but I will learn more about it and post what I learn and how I'll deal with it, in "my way."  

Still, of course, the path is, as it is for all of us - to make the most out of each and every day and count the blessing around us.

Comments

Guest
Donna Thursday, 14 July 2011 · Edit Reply

Loving Support from Calistoga

Bijou,
What a great web-site. I am distressed that you are having to go through this illness but what a great forum for communicating with your friends and family so that we know what is going on without calling and forcing you to have to repeat the prognosis, treatment details, pain, good days, etc to everybody multiple times. The links to the music, description of the disease and discussions are so helpful!
You are in my thoughts and prayers and know that I am with you on this "journey". Love you.

Bijou
Bijou
Mother of Two, product designer, tennis player, photographer and lover ...of lif
User is currently offline
Bijou Thursday, 14 July 2011 Reply

A heartfelt thank you Donna.

How kind, Thank you. That is what the "stuff" of healing is about. Love and support from friends, and understanding about what is going on and the will to create a path of health based on given and recieving what others/we need.
love to you too,
Bijou

Guest
dave Thursday, 14 July 2011 · Edit Reply

PMF is serious

I was diagnosed with PMF 6 months ago. I am now taking Pegasys to hopefully reverse or stabilize it. After 10 weeks, I feel better, but my spleen is still large. You may want to visit an expert in PMF at one of the Mayo clinics.

good luck and best wishes
Dave

Bijou
Bijou
Mother of Two, product designer, tennis player, photographer and lover ...of lif
User is currently offline
Bijou Friday, 15 July 2011 Reply

Response to Dave re: Pegaysis

Hi Dave,
Thank you so much for commenting as this site is new and I am hoping people like you will find it and share. I hope you don't mind if I ask you a few quesions.
Do you have a JAK2 mutation?
Do you know what your WBC count was and now is.
And what were you feeling before Pegaysis, that is now feeling better?
And one more. What side effect did you feel from Pegaysis.
Thank you so much. Since this is about medications, would you mind replying to these questions under the Catagory Discussions: click on that and reply under the one about drugs and medications. I will repost this there so you can look and it and commment.
Thanks so much.
I wish you well.
Bijou

Bijou
Bijou
Mother of Two, product designer, tennis player, photographer and lover ...of lif
User is currently offline
Bijou Tuesday, 09 August 2011 Reply

UPDATE AUGUST 9 ♥

MEDICAL UPDATE AUG 9 /Saw the Leukemia/Bone marrow specialist at UCSF yesterday. A very thorough visit. Labs done before the meeting so they were current when we met. I am impressed with the doctor because he is so thorough in explaining things and in answering my many questions (and he is very patient, not rushed.)

I am encouraged even tho' he confirmed the diagnosis. He is however requesting the original slides and having the UCSF pathologist reread them. (I like that ...thorough) The reason I am encouraged is he is leaving many of the decisions up to me. Yes, my spleen is enlarged but the decision to take the chemo (hydroxyurea) is my decision to do when the spleen gets too large. And yes clinical trials for the JAK2 inhibitor will be in order down the line at the right time and when the right trial comes about, meaning a phase three, dosing trial as opposed to a doubleblind placebo trial.

I also feel encouraged that nothing is immediate because this is in the late chronic phase as opposed to the accute phase. For me that means that I can pursue my alternative ways of dealing and healing to this. I believe I can make a difference and not have it shift into the accute phase where very serious treatments are manditory. I plan to begin light frequency therapy (see featured article, click on Blogs/Posts) I am changing my diet, maintianing my excersize routine and surrounding myself with positive, loving, healing people. If I can hold this at bay, even if it has to be at this stage, I will consider that a success.

I will be getting workups every three months to see where things are, so it looks like living in mexico is out of the question, but it really doesn't rule out anything else. The main Rx is : Live each day to the fullest!

Guest
Mary Monday, 15 August 2011 · Edit Reply

diet?

Hi Bijou,

I am wondering how you are changing your diet? More whole foods? Macrobiotics? Raw food? I'm very interested in the healing power of food.

I, too, have MF. It's in the early chronic stages.

Bijou
Bijou
Mother of Two, product designer, tennis player, photographer and lover ...of lif
User is currently offline
Bijou Monday, 15 August 2011 Reply

Diet

Regarding Diet ....Hi Mary, I am just beginning to change my diet. I am eating less because my spleen is so large it feels like i am full very fast and I feel uncomfortably full at night no matter how much I eat. Do you? I am eating more yougert, and taking a probiotic drink similar to Kombucha. I am eating a lot of watermelon, supposed to be good for blood cleansing and lots of Miso soup. At this point I am doing a little of a lot of the things people have told me that I trust, but I too woudl like to find a diet that may work ot help cleant the clogged spleen and to help the platelets not be so packed and "sticky".
Lets stay in touch. Please register, I would like to send you a personal email and ask you some questions. Where are you located geographically? Do you have a JAK2 mutation? Here is a link from someone I trust, who said how to begin ...http://www.healingcreatively.com/blog-posts/entry/topic-for-discussions-alternative-healing-modalities-suggestions-links?limitstart=0#comments
Did you see the articles posted here on the t-cell trial? I am excited about that but I have a lot more to learn.
With hope!
Bijou

ninnocmary
ninnocmary
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ninnocmary Wednesday, 17 August 2011 Reply

RE:Diet

Hi Bijou,
Kombucha! I drink it everyday. I love it. As far as my diet goes, I'm eating whole foods, mostly vegan. Lots and lots of veggies, kombucha, berries, mushrooms, whole grains, beans ... I probably should eat more miso. I do not get super full, yet, as my spleen is just "chubby," as my hematologist likes to say.
I am in New England and JAK2 negative. Feel free to send me an e-mail directly!
Love and healing!
Mary

Bijou
Bijou
Mother of Two, product designer, tennis player, photographer and lover ...of lif
User is currently offline
Bijou Monday, 15 August 2011 Reply

Nutritional suggestions

Nutritional suggestions - Hi Mary, I recatagorized some posts you mght want to look at under the HealthWealth catagory on the right menu.
Again, please register so I might emil you and ask you a few questions.
Thank you,
Bijou

Guest
mooball Monday, 29 August 2011 · Edit Reply

to help with platelets

bijou - just discovered your creative way of being with MF. wanted to offer that I have had ET for 13 years and that it was helped by quality salmon oil and Vit E which helped keep the platelets slippery and unclumping. (the ET is now just morphing into MF). hopefully this may help you!
best wishes

ninnocmary
ninnocmary
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ninnocmary Tuesday, 30 August 2011 Reply

Re: to help with platelets

My doc at Mt. Sinai in NYC feels that most ET is really pre-fibrotic, hyper-cellular MF. I, too, am ET morphing into MF. I have a feeling there are a lot of us out there. Positive attitude and healthy habits keep me going.

Blessings,
Mary

Guest
marco Wednesday, 31 August 2011 · Edit Reply

RE:Re: to help with platelets

hi, i am 35 from Italy and i had ET for 8 years using IntronA. now they told me it changed into MF and they proposed me to do a BMT. since i have a baby (3 years) i am scared to do that, althought my brother is compatible. i've heard more and more hematologists and they all said that it is not necessary to proceed with a BMT now, but i have to do analysis every month and to consider to take Hydro since my spleen is enlarged. Actually i feel ok (expecially after IntronA suspension) but not my moral, it is going down and down because it feels to me like being hunging from a countdown, whose i ignore the duration ... all the other specialists i've heard, they saw that at 99% my originary ET was pre-fibrotic MF instead and there had been a lack of analysis during the past diagnosis of ET (they didn't made me a biopsy). so now i am here, waiting month by month for the results, waiting for an new therapy discovery ( i'd prefer not to take hydro and i am waiting), but it is very difficult to find out people with this disease in Italy and in internet also to exchange experiences. hi to all

Bijou
Bijou
Mother of Two, product designer, tennis player, photographer and lover ...of lif
User is currently offline
Bijou Wednesday, 31 August 2011 Reply

Re: to help with platelets

Dear Marco, I am in New York right now, but I want to take sometime and answer your post. When I return home, I would like to write you and to learn more. A bone marrow transplant is a very serious procedure. I do urge you to learn a lot about what might be done to help you. I have some things I have been looking into that I will share with you when I return. Are You JAK2 positive or negative?
I am sorry all of this is affecting you, and your family and young son.
Bijou

Bijou
Bijou
Mother of Two, product designer, tennis player, photographer and lover ...of lif
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Bijou Wednesday, 31 August 2011 Reply

RE:Re: to help with platelets

Yes! Positive attitude and intention is very much a part of healing. Not collapsing into the diagnosis, but learning all there is to learn and examining many new things that are being introduced. I will post some interesting things to consider on here within the next several months to come.
Thank you for your post.
Bijou

Bijou
Bijou
Mother of Two, product designer, tennis player, photographer and lover ...of lif
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Bijou Wednesday, 31 August 2011 Reply

Help with Platelets

Thank you for those suggestions. I am in New York and am learning many new ways of dealing with what I have. I will share it soon. I will try the salmon oil and Vitamin E. Also I am taking double dose of coQ10 every day. It too helps with the platelets.
Bijou

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