Thank you very much Nancy,
Your post helped me a bunch.  It is very scary for us newbies when we 
hear of so many folks loosing the battle or even continuing to 
struggle because of resistance, mutations or non tolerance.  You tend 
to ask yourself, am I next?  Will I be one that responds well or be a 
turtle or have a mutation or become resistant?  I mentally stay 
positive, but when you get a few days of sad news your attitude 
wavers a little.  So when we say 'Warrior', the battle is more than 
just fighting the disease.  It's fighting to staying healthy, or  
fighting a cold when we get one.  It's fighting to keep the right 
attitude even on the bad days.  It's fighting to find the strength to 
exercise.  It's fighting the fatigue.  It's fighting the urge to be 
scared all the time.  It's fighting to lead a 'normal life.  I want 
to thank all the CML veterns who have fought the long fight.  I know 
I'm just beginning, but it does help to know you all have stayed in 
the fight for so many years.  It gives us newbies the courage, 
strength & hope we need to follow in your footsteps.
Brenda
Mansfield, Tx
dx 5/04
Gleevec 6/04
CCR 12/04

--- In [email protected], "hey00nanc" <[EMAIL PROTECTED]> wrote:
> 
> --- In [email protected], Penny Rivers <[EMAIL PROTECTED]> wrote:
>  I don't mean to 
> sound depressing, for I am usually a very upbeat and positive 
> individual, which is what got me through CML and the destruction of 
> our home and Island, but the answer that came to me was "yes" it 
can 
> happen to any of us.  
> 
> _______________
> 
> Dear Penny and others,
> I want to offer some perspective about the recent losses of our 
fellow 
> CML warriors Marque and Sandra....both deaths were a shock to the 
list 
> and we will miss them both deeply. But, I want to give a little 
> history....so that those solidly in chronic phase and especially 
the 
> newbies do not overly worry about their own situation. 
> 
> Marque was a good friend and I know that he was considered to be in 
> accelerated phase (because of elevated basophils) when he started 
> Gleevec at 600mg in an OHSU trial several years ago. Gleevec was 
> initially effective for him and he got down to about 25% ph+, then 
he 
> lost his remission and was back to 75% and above. He also had 
double 
> phillies and I believe he also had a trisomy. His disease was not 
> stable. When Gleevec stopped working for him and did not control 
his 
> white count, he added hydrea......then Dr. Druker suggested that 
one 
> option was to stop taking Gleevec for a period of at least 6 months 
to 
> see if he would be re-sensitived to it. Gleevec was no longer 
working 
> for Marque and he was off the drug when he died. According to his 
> sister, he was doing well.....then fell ill and was admitted to an 
ER 
> and died the next day apparently in blast crisis. 
> 
> I do not know Sandra's history in as much detail but I do remember 
> that the Gleevec trial in England for chronic had closed and she 
was 
> not going to get access to the drug.....until they determined that 
she 
> was actually in accelerated phase and they had a trial for that 
phase 
> open. A short time before her death, she apparently reported to the 
> list that she was nearly 100% ph+ and also needed hydrea in 
addition 
> to Gleevec to control her counts. I believe that she had a problem 
> with high platelets. 
> 
> My point for those of you in chronic phase....especially the 
newbies 
> just starting out on Gleevec, and those with some level of good 
> response to Gleevec, including a stable blood count.....your 
situation 
> is much different than Marque's or Sandra's. Typically, the 
> progression of CML is from chronic, to accelerated, then to blast 
> crisis which is usually terminal. Both of these people were 
considered 
> to be in accelerated phase when they started Gleevec and their 
disease 
> was not well controlled.......and it appears that they quickly 
slipped 
> into blast crisis at the end.....but this is not likely to happen 
to 
> most of us on the list.
> 
> Marque and Sandra each added a lot to the list and they will be 
> missed. 
> 
> Nancy C.





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