My husband, who's 57, was diagnosed with MDS 5/27, and after several transfusions and a second BMB, is about to start Vidaza tomorrow. He has intermediate/ high-grade MDS, RAEB-II, which may have been caused by radiation (his only treatment) he received 2 yrs. ago for Non-Hodgkins lymphoma. (BTW, I'm a complete newbie here, having just discovered this site today, & I don't yet have all the med. terms & acronyms down.) The plan is for 3-6 cycles of Vidaza, and then reevaluate for a full transplant. We're lucky enough that his sibling's been id'd as a full match & he's being treated at Hopkins for the transplant. My ? is this -- what to expect during the Vidaza treatment. He has his own business & works like a madman, often more than 12 hrs/ day & gets very little sleep. I'm concerned that he may be damaging whatever help he's getting from the transfusions & Vidaza. He's sure he'll still be able to work, probably a bit less, and I keep trying to get him to slow down. I'm hoping that some of you out there who've already been through this could send along some suggestions/ reflections from your own experience. THANK YOU SO MUCH!!
Linda
Hi Linda,
Welcome to the sucky club, though it sounds like you've been a member before. Crap, I can't imagine jumping out of the lymphoma frying pan into the MDS fire.
I had MDS but we didn't know it until it had transformed into AML (acute myelogenous leukemia). So my treatment was for AML so I don't really know anything about living with MDS.
There are two things I can suggest and you can do them both. If you'll click the "Living with..." link on the main menu page, you'll see a list of blood cancers and diseases. One of them is AML where we have a lot of folks using Vidaza. If you'll scroll down towards the bottom, you'l also see a catch all listing Myelodysplastic Syndromes. You'll find some MDS patients there.
I trust you'll find the help and support you need here.
Blessings
Thanks so much Tex! We've made it through the first 2 days of treatment with Vidaza. I'm concerned about what energy levels/ capacity to work all hours my husband will be able to sustain while he's on the chemo. I'll check out the Living with page, but when I went to it before there didn't seem to be a lot just for folks with MDS, but mainly other myeloproliferative disorders. I guess that's because, unfortunately, most folks with MDS "progress" to AML? The very best to all of you; thinking of you ..
Linda
Hi Linda,
I'm sorry you are having to go through this.
I was dx with MDS (actually CMML which is considered MDS catagory) Jan 07 and have been on Vidaza. I think your husband should do just fine with his level of energy. The only thing I noticed when on Vidaza was the area around the injection site became tender and red. I'm able to do my normal routine stuff. That being said, everyone reacts differently to chemo. I think if he feels well enough to work he should be able to do it without any concerns. I asked about restrictions when I was first diagnoised and was told to go live my life. Therefore I have tried to do just that. There are times that "living my life "involves getting lab work and transfusions. I hope he does well with Vidaza. Let us know how things go.
Diann
Hi Linda,
Sorry there's not much activity on the MDS scene. Then again, I'm glad there's not, if you know what I mean.
I really don't know what the percentage of MDS>>>AML transformations there are. But I do suspect it's high. But there's no reason someone with MDS would naturally move to the AML forum. There are some differentiations and not all MDS converts by any means.
That said, I'm sure you'd be welcome at the AML forum. So many folks there are dealing with Vidazza and Dacogen (another MDS/AML treatment) that you certainly have similar questions. So hjop on and take a look see.
Blessings
Thanks so much Diann, I appreciate the support. Geoff's through the first 5 shots and the only things he's noticed are difficulty sleeping (nothing new there) and some muscle cramping. So he's drinking more water! Hope everyone's doing well.
Linda
Linda,
Sorry to hear about your situation. My wife had lymphoblastic lymphoma and everything was going great until a BMB revealed high risk MDS. She was never treated for the MDS and went directly to a SCT and is at day +26. Sorry I can’t help with MDS treatment.
cwg
Linda,
Good luck to you and your husband, I was diagnosed with MDS in 04/09, and started Viadaza and started a chemo regiment the next week after having a chest port put in. I have been doing really well, my white count has gone from 900 to approx 6,000 but that is with the help of a monthly shot of Neulaster (white cell booster). All in all I have done exceptionally with the chemo regiment, no nausea but some cramps, and muscle pain. I go for 7 days straight then have 3 weeks off.
This may or may not have helped, but hang in there and if I can answer anything or offer support just let me know. My treatment plan was formulated at Duke Univ in NC, but I am taking the medicine locally.
Good luck
Steve
Thanks so much, Steve. My husband is just on his second round of Vidaza & it sounds like he's having some of the same side effects you did (muscle cramps around the injection site, fatigue). He's also had terrible swelling in his feet & I think they're worried about cardiac issues, a blood clot was ruled out & now he's on Lasix too. But the first round of Vidaza seems to have really sent his WBC count into the toilet, his ANC has been as low as 700. He's had 8 transfusions since being diagnosed right after Memorial Day and has been getting injections of Neupogen to help boost the WBC count. He's just started on a 1/2 dose of Vidaza that will finish up next Wednesday, and then he'll get the Neulasta. Luckily his only sibling has been id'd as a full match, but it sounds like it will be several months before we go to transplant. Does anybody know whether we can expect any beneficial effects in terms of RBCs, platelets, and/or WBC's from a lowered dose of Vidaza?? Thanks and best of luck to you, Steve. Hope a stem cell match is on its way for you!
Linda
Hang in there Linda, I struck out w/my family as to a match, but on
the positive side on the national list they found 3 matches. The
plan now is to stay on Viadaza as long as it is working to avoid the
BMT, I get it through a chest port and have had no issues with
redness in that I don't get an injection, so you may want to check out
a port, but then again I go for 7 days straight, then typically a shot
of Neulaster than off for 3 weeks with blood test every monday, then
back onto Vidaza on the fourth week. As to the levels I am getting a
full dose, it took about 4 rounds of treatment and my levels started
to really climb, ie, I was at 900 wbc, and last monday hit at almost
8,000, that will probably drop to 5 or 6 by next week, but it is
still way up from where it was.
Steve