I just want to let you all know that my mum of 67 years old has just found out she has relapsed today with AML
She has 18% leukemic blasts. her white cells are up and her neutraphils have dropped some. Her platelets are ok and in general mum feels very well.
It was the monthly checkup which showed she had relapsed there were no other signs at all.
Mum went into remision after the first induction round of chemo Jan 09, and had two consolidations.
She was on a clinical trial.
As mum is 67 and has a rare tissue, the docs have ruled out transplants of any kind. They say the risk is worse than the outcome could be.
She has gone away today devastated and the consultants are going to have a meeting what to do next.
Whether she has injection chemo or something different we don't know.
We thought mum was doing excellent. She recovered from pneumonia in Dec 08, and then has been home since Jan 09.
She has been walking, driving the car, playing bingo, going out for meals etc.
Do you think she has been doing too much. Can overdoing it make you relapse?
I am so worried and feel sick and I am abroad on holiday. Mum didn't want me to fly back and ruin our holiday. We go back this saturday though.
is there anybody here who has survived the aml after a relapse with chemo only please?
Bearing in mind mums age.
She is a strong woman and will do all she can to keep it away.
Thanks for listening.
Binnie from the UK
Hi Binnie,
My mom was diagnosed with AML-M1 in February 2004 at 72. She completed the induction and one consolidation treatment but relapsed in April of 2004. I understand exactly how you and your mom are feeling right now.. My mom was feeling fine but her numbers didn't look right during one of her checkups. She went through a second induction treatment with combination of ara-c and one dose of mylotarg. She is still in remission and she just turned 78, It was difficult going through the chemo again so quickly after the first treatment but as soon as it was over she got stronger and stronger each day. I'm sorry your mom has relapsed but let her know that is is possible to go into remission again. Take care. Pat
Hi Pat,
That message you wrote has so made my day. I am so glad to hear good news about your mom.
In between her having the relapse, did they give her some milder treatment to control the leukaemia whilst waiting for her chemo to start.?
They won't give my mum strong chemo just yet as she finished the last lot in Feb 09 and she was part of a trial where she had intensive stuff.
They want to make sure the tablets are keeping it at bay until they start a new regime.
Did you mum have the Intensive chemo anytime? Hope you don't mind me asking you.
There is hope for the future now, I hope with all my might that this can happen.
Binnie xx
Hi Binnie,
I'm glad I was able to help. My mother's blasts were over 80% when she relapsed so they only gave her a couple of days at home before she started chemo. I believe she had a 24 hour low dose ara-c and one dose of mylotarg which was a clinical trial. (This was a strong combo of chemo). They use mylotarg is U.S for older patients. When my mom finished her 2nd induction her blasts were 8 % and we thought she was not going into remission.. She was put on a tablet chemo called hydrea to try to maintain her blasts until they decided what to do next. They were going to try to give her another dose of mylotarg when she was strong enough. She took the tablet chemo for around 2 weeks and her count continued to improve. She was given another bmb and her blasts were below 5%. We were so happy but we were really afraid she wouldn't stay in remission. We had a few scares along the way but she has stayed in remission since. The odds were not in my mother's favor but she just wanted to fight if she was given the chance. It was such a difficult time for us so I really understand what your going through. I didn't want her to go through the treatment again but I didn't want the alternative. While my mother was going through treatment I was in contact with other people on the boards that gave me hope. I shared this information with my mother and it helped both of us so much. You and your mom are in my prayers. Pat
Hi Pat,
Well mum has been back today and the blasts are at 33%. Wed last week she was at 18%, then by Friday they were 30%.
She got the chemo tablets which are probably the same as your mom had , Hydrea, but they call them something different over here on friday and started taking them friday evening.
I presume they are controlling it, Ok the blasts have gone up by 3%, but haven't gone up as much like they did from wed to fri.
The doctor has now increased her dosage to 3 dosages a day now, plus all the anti viral/fungal tablets.
They won't give mum anymore stronger chemo just yet as they say she hasn't been off the other lot long.
I suppose that puzzles me that your mom was able to have strong chemo after she had relapsed after a few months. The docs won't do that here as they say it's too soon after the last lot. Maybe it was the fact that your mom relapsed with more blasts than my mum, who knows.
I'm not even sure if they use mylotarg over here.
My mum was on a trial but I don't know what drugs they used. I just hope that her blasts come down or at least stay as they are until they can get her onto a new regime.
All my best wishes to you and your mom.
Binnie x
Binnie, I hope the pills do the trick and keep your mom's blasts under control until they think she's ready for stronger chemo. Will keep you and your mom in my prayers!
Hi Binnie,
That sounds good that your mother only had a 3% increase in her blasts, the chemo pills must be helping. Yes, I don't think they could wait with my mother because here blasts were so high. I hope the pills continue to keep her blasts on the low side. Let us know how she is doing. Take care. Pat
Hi Pat & Matthewsmom,
Thanks for the good wishes. They do sound like they are working their magic don't they?
Otherwise, they would have been higher if she hadn't got the tablets.
Mum has been very sleepy and slept in until 1.30 pm today. She couldn't keep her eyes open. She felt a bit nauseous but hasn't physically been sick.
Dad has said that she has improved by this evening though and feels ok.
Hows Matthew doing?
Binnie xx
Hi Belinda, So sorry to hear this. Guess I haven't checked the boards for a while. My mom is in the hospital now doing her 3rd round of consolodation. She was diagnosed in Jan 09,M1. The other person that posted about her mom (sorry I don't know your name, and just lost my post when I went to try to see!), Well she made my day too! Thats great to hear of chemo alone working for a number of years in an adult. I will pray for both of your moms tonight, (and all the other blood cancer patients.)
Hello Sheri
I hope your mom is doing ok. What a worry they are eh? It's an awful time for us all isn't it....
Mum is doing ok but has thrush in her mouth/throat now and a Macmillan Nurse came round today to give her some spray to keep her mouth lubricated as the chemo is drying her mouth out.
She was very helpful and told my parents that they are entitled to some money for mum being ill and dad can also claim as her carer.
I think mum thought her time was coming to an end when the nurse came as they hadn't had anybody round before, and when the Macmillan nurses come round, my mum thought it was bad news.
I told her that they are only here to help and it is good that we have them in this country. I think she has settled down a bit now.
She did have a high temp last night but after taking paracetomol, it has brought her temo down again.
Binnie xx
Hi Belinda, Is your mom at home? I didn't know what a Macmillan nurse was, but just learned a little about it on the net. Sounds like a good program. Do you live close to your parents? Do you ever get to see the doctor with your Mom? Have they decided what they are doing yet? Hope all is O.k. Sheri
Hi Sheri
My mum is at home with dad and my brother.
I live about 10 miles away so not far. Going to see her tomorrow, but won't stay too long as she will be at risk of infections.
Dad thinks she has some sort of infection now . Her temp went up again last night to 30 degrees and taking two paracetomols brings ir down again.
She has thrush of the mouth and is on anti fungal tablets and anti biotics.
Mum feels poorly, and down in the dumps. She thinks she won't get through this round this time and her moods are up and down.
Dad says she is ok when she is chatting to people and comes to a bit, but then feels sick.
A district nurse will be coming round on Monday to give mum some injections for infection control.
I told dad that if he is very worried and panicking to ring the hospital and take mum over to it and then they can check her out again.
He said he would do, but at the moment, says he is not panicking ...
I've just rung Leukaemia Care which is a support group in the Uk and a lovely woman listened to me expressing my worries about mum.
She couldn't give advice on chemo, treatments etc, but she will be trying to locate someone in my area who I can chat to who are going through the same thing as mum, and maybe we can help each other.
I never go with my parents when they see the doctor. Dad wouldn't want me to, and I suppose Iam afraid to.
I have been with her when she was an inpatient though and saw the nurses etc and they said how well she was doing at the time.
This time now she has relapsed, I haven't , I just rely on dad to inform me.
Her next appointment with the hospital is wednesday, so fingers crossed that it will show better results.
Hows your mom Sheri?
Binnie xx
Hi Belinda, I'm worried about your Mom. Are you able to go for a second opinion in the UK? I know a lot of people on the other threads had said that 67 is not too old for a transplant. I know they are saying she has a rare tissue. My mom's doctor also told this to me and my mom, but said if she relapsed we may be able to use her brother or sisters that match 50%. I will also insist (if mom relapses) on them checking the registry to find if there is a better match. If they won't do it in the UK, I remember Tex on another thread suggesting your family contact someone here. Have you talked about that? I'm sure the people on these boards could tell you how in detail if you were interested. Wanted to ask, you said she was "coming to" now and again? Why is she so out of it? Is it a medicine they are giving her? I just remember you said quite recently that she was walking for exercise and feel good. Does your dad do research about her disease? We see so much knowledge that these survivors and family members have acquired over the years of fighting for life. I'm just afraid maybe her doc is not aggressive enough and has given up on her. I also feel urgency as we have learned this disease progresses very quickly.
My mom is doing well in the hospital. She is very glad to be staying in the hospital this time as she "bottoms out". She has been receiving a lot of transfusions the past few days and didn't sleep well last night (Thursday night). I haven't talked with her yet today. I brought my son and daughter to see her on Friday last week and then I brought My grandma and daughter down Monday of this week. Her hospital is one hour away.
That makes me think, Does your mom have any contact with anyone else with AML? If not maybe that would lift her spirits. Love, Sheri
Hi Sheri
Sorry to confuse you, what I meant was by "Coming to" it was the fact that mum felt a bit depressed about relapsing and wouldn't be her normal talkative self.
But when she gets visitors she comes to, meaning she is chatty again.
No she isn't out of it, but she just feels very tired.
I went to see her last night instead of today and she was lying on the sofa after doing some ironing. She was just having a little rest.
We made her laugh and she seemed like her normal self again. I think it did her good to talk to me.
She just aired her worries about relapsing and was afraid she wouldn't go into remission this time. Also she didn't want to go into hospital for 2 months as she gets bored. But underneath she knows it's for her own good and the doctors have definetly not given up on her.
Mum is managing to eat , but even though she feels hungry, it's obviously the chemo is making everything taste funny. Plus she has got thrush on her tongue, which doesn't look like it to me compared to some photos I have seen of people who have it.
The nurse gave her some spray which is like "Fake Saliva" to keep her tongue lubricated.
Her temperature keeps going a bit high, to 38.7 the other night, not 30 as I mistakenly wrote in the other post. But as soon as she takes 2 paracetomol tablets, then it brings it down.
The Mamillan nurse said this can happen and if dad couldn't get her temp down, then he would take her to hospital.
He is a very kind and caring man and has been wonderful with mum. He's always there for her and stayed through the whole hospital stay when she was in for months with the other rounds of chemo.
There is a nurse coming to see them tomorrow and will be giving mum an injection for infections, so I am sure she can check to see if mum is anaemic or not, or if she is concerned with mums progress.
Other than that, mums appointment is on wed at the hospital where she will be having her blood tests to see if the chemo tablets are working.
God I pray that they are.
If the doctor is happy that the tablets are working, then they are looking to put mum on a new trial with a new cancer drug and to give her intensive chemo again.
They can't have given up on her as they are looking for ways to help her. They say a bone marrow transplant will only give her 3% survival and they don't want to take that risk.
The hospital is called Christies and is a well known hospital all over the world for being a leading cancer clinic.
They are building a 38 million pound building which will be used just for new trials and are also opening a holisitc centre, so I do have every faith in them.
Thanks for your concern Sheri, I really do appreciate it, but I honestly don't think they have given up on mum afterall she sees the Top Man most of the time and he has hope for her still.
I hope your mom is ok and sleeps a bit better. Will they give her sleeping pills. My mum has them sometimes especially when she was in the hospital and found them ok, but she didn't get addicted to them and only uses them if she gets desperate.
Binnie xx
Hi Binnie,
Sorry you and your family's going through this again. I had to chuckle over your mum doing a little ironing and then taking a rest. She seems unstoppable even when sick! The last thing I'd be doing is ironing, but I guess if it gives her focus and takes her mind off how she's feeling, it's good therapy.
Hoping for a better day for her.