Bette1 wrote:
it's always something, isn't it?!
He he. Yes, Roseanne Roseannadanna, it's always something. ![]()
I think we're going to try Bactrim to start. But if it makes my counts even more wonky they might put me back on a combo of dapsone and penicillin. That's what happened before. The important thing is, yes, to keep some kind of anti-biotic working in the system.
Actually, the doc in Seattle thinks that the immune suppressant might relieve some of my fatigue. He said that GVH can actually increase fatigue...something I hadn't heard before.
I think your doc's right. As long as the GVH issues don't hang around they can't really cause much damage. And since you're relying on the GVL affect to keep you in remission, it certainly makes sense for you to stay off the immune suppressants. But do you ever wonder if the diesease might be gone now? Not trying to lead you astray, just curious...I think I'd wonder. But I wouldn't want to risk relapse to find out!
Thanks for your post. You've given me some thing to think about.
Blessings
Hi Tex,
I know I don't find time to go into many posts like you all do on my posts, But you have certainly hit something here with lots of interest from people, I too am very curious and Confused and scared about GVHD, My onc tells me they want me to get some mild GVH so that my new cells take over and fight of the GVH and fight off the cancer.
But I am so freaked out I hear so many different things but not too much excites me about getting GVHD at all.
At the moment all my bloods are prefect ,my liver is great and every thing else is normal levels, for being over day +41 and feeling fine with some nausea and some joint pains,and occasional burning in the guts/lower abdomen where the large tumor was growing.
I am now experiencing some anxiety on getting GVH like will I get it how bad will it be can it be fatal and the answers the Oncs give me is yes it possible to all,but its also possible not much could happen to severely harm my body.
WOW I get so confused.
Yes I need to speak to a councilor Will be seeing one soon.
I cant seem to get straight answers from my oncs, they tell me things like they may not know how all this treatment goes until after 5 years if I have had no GVHD or no return of cancer.
I am just shatered and totaly confused and fatiged in the head, sick of taking so many pills ,but it a must I know.
Sorry Tex ,I seen your post here and just had to add my bit ,Do Doctors know exactly what they say about GVHD to patients and how what they say affects them no they dont ,they scared the heck out people by saying things that they are not entirely sure of how it gunna afect each person in different ways.Next monday they said they will decrease my Cyclosporin dose to bring on some GVH.
Is this safe I sure the heck dont know and I'm worried ,my mwife tells me I worry to much about things before they happen.
Well i have read so many bad things that GVH does and it creeps the heck out of me, Sorry I said that enough now.
Good post tex.
Mark.....
GVH is so unpredictable mark, no amount of wishing can bring it on or take it away. And while there is some studies that indicate that certain factors leave a person at an increased risk of gvhd, that is not 100% either. We do know that most docs want a little gvh to get the desired gvl effect. It is normal for docs to take a patient off the immunosuppressants as soon as possible because it is an immunosuppressant and has its known side effects. Weaning is the normal route, just pay attention to your body for any changes and report them if they come.
While gvhd can be very bad and fatal in some cases most gvh cases aren't. My son had acute and chronic, and for the most part his was manageable. He still has chronic gvhd of the skin, he is not on any steroids except an occasional steroid cream or foam for his head. He does not use them everyday, just when his acts up and annoys him. So he has been blessed in that respect.
There are also those that get little to no visible gvh and do fine.
So hang tight mark, glad things are going pretty well for you and you will be slowly getting off some of those meds.
Mark, like mamawarrior already said, GVH is unpredictable and not everyone will get it, others will only have it on the mild side, where others get it much worse. I had my transplant almost 2.5 years ago and still deal with it, my symtoms are manageble with medications. Your doctors are only trying to be honest with you. Please remember that you are doing great and take one day at a time. Sonya
MW and Sonya gave you good answers. I just want to add a little more about the docs.
I think they know how it affects a patient. They also know they can get sued (at least in the states) doe not being exceptionally forthcoming about it. There's also an ethical issue about keeping information from a patient. Whatever impact it has on the patient, I figure it's better to be prepared than to wonder what the hell just happened.
You usually seem pretty unflappable, so I'm thinking your docs might have blown the conversation with you. In the long run, whatever's going to happen is going to happen. My guess is that after Day 40, it's not going to be terrible whatever that is. It seems from readingin here that the really bad stuff usually gets started earlier than that.
Hope this helps.
Blessings
You know what, Mark? I have the opposite anxiety....I worry a lot about NOT having GVH! Because of that desired GVL effect from having a small amount of GVH. But I have learned I can't control it anyway, as MamaWarrior said, I can't will it to happen.
At my last appointment, my doc now feels I may have slight chronic liver GVH. She'll do more testing at my next appt. at the end of December. But if so, this will be the first instance of any detectable GVH, and she said the numbers are only slightly deviated. It could be from Mylotarg, too, Mylotarg is known to cause liver problems. So we'll see.
But as others have said, you can't really change what will be. But at day 41, I think you can relax just a little bit about the severity of possible GVH, anyway. Sounds like you are recovering very well physically. I went through some mental challenges after my BMT. Do you have any anxiety meds? Just for when you do feel the weight of all this. I find Ativan really helps. I take it when the anxiety just gets to me. And we all have those times. I also have a great cancer therapist who's helped me sort through a lot of my post-transplant feelings. Like worrying about my lack of GVH. Just some thoughts....
Anyway, hang in there and keep up the good recovery.
Pam
Pam.
Just avoid having a drink for a day or two before your next checkup. You know booze can raise your enzymes. ![]()
Seriously, it's fine to get a little GVH. But damn, the liver isn't the best place to get it. Can't you tell it to go to your skin?
At any rate, I don't think you probably need the GVL effect at this point. I'm thinking you'd quite likely have already shown signs of relapse if it was going to come back. I mean, the five year qait is there for a reason. But I think you'r just an AML ass kicker.
Do let us know if you do have some GVH there.
Blessings
Tex,
I just found your post on GVH and thought it was very interesting. Like MW, I find the strangest things interesting and like you I HAVE to know all of the details about my tx, my mom's tx, my kids, my husband, etc. I just like the details and the info. If I don't understand, I will research it until I do.
I just wanted to tell you that my mom has lost almost all of her hair again and the doctors say it's probably a combination of the GVH of the skin she has been battling since summer, the steroids and her poor nutrition when she was really sick in September.
Polly
I wasn't supposed to go bald. Folically, I've always taken after my mother and her dad. Both greyed way prematurely as I did. And Grandpa died at 86 with a full head of hair.
So when I read I was showing signs of male pattern baldness in my evaluation from August, I was a bit shocked. I'm hoping it will reverse itself as my hair has really thinned on top in just the past few months. And it's freaking cold up here!
Tex, are you the same Tex that was on the board in 2006? I tried to log in with former password but it wouldn't let me. My originial was jabowden or Judy or something else I've forgotten. I've posted under "new biopsy after 3 years remission" with several hits, but no responses. Hope all is well with you. I just came on the board this afternoon and haven't had time to read everything. Judy
Tex, I wish I could re-direct it to the skin! But my doctor doesn't seem too worried, so I'm not going to either at this point. I think she's the type that would jump on anything she felt was really amiss.She said my numbers are only slightly high.
As for imbibing, lately I'm almost a tee-totaler---largely because I figure my liver doesn't need any more problems than it might have already. Not that I won't have a glass of wine on Thanksgiving or Christmas or something, but otherwise....yep, I'm pretty boring.
Tex, you are the one kicking ass----6 years out!!!! When I get to that milestone, we'll talk about ass-kicking!
Pam
Hi Judy.
Yep, it's me. Since '06 they changed over the board software and we all had to re-join. That's why so many people show a membership date of April 3. ![]()
I'll look for your thread and see if I can help some.
Blessings
pamd wrote:
Tex, you are the one kicking ass----6 years out!!!! When I get to that milestone, we'll talk about ass-kicking!
I prefer to believe my ass kicking days are over. I kicked ass, took names, bought the t-shirt and I'm done. You're kicking it. You keep on doing that.
I don't want to cause any anxiety about your doctor. However, they spent two years telling me my liver numbers were only slightly elevated, that my eyes were not suffering from GVH, my skin issues were not GVH. I knew in my gut I had GVH.
Just keep an eye on things and, if you begin to think there's something going on, well, push it. I'm not saying don't trust yourdoctor, I'm saying trust your instincts, as well.
I had a drink the other day. I had some Black Bush and it is like, heavenly. It was the best booze I've ever had except maybe Bushmill's 400th anniversary blend. But Black Bush is affordable.
I only hate that I won't get to have another for another month or so and then it will bourbon for my Grandpa's Special Egg Nog. (Sorry, family recipe.
)
Keep on kicking.
HI Pam! Just wanted to drop in and let you know that I still think of you all the time! I am hoping all is going to go great with your next appointment! I'll never forget the dream I had with you and mom! So strange! Thanks for ALL of your support, and I wanted to get here to let you know I think of you too! hugs, nicole