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Day 76 brings my first setback since the BMT
process began.
I received the results of my second biopsy
today. It showed that I am now 100% donor cells (good) but my BCR-ABL
level is up to 13.5 (not good).
In comparison, my first biopsy came back 99%
donor cells and a BCR-ABL level of 1.0.
Dr. DeLima explained to me that the anti-GVHD drug
tacrolimus also reduces the donor cells' ability to fight the leukemia, so now
my tacrolimus dose will be decreased.
The plan is to induce a small amount of GVHD in order to achieve Graft Vs Leukemia. Graft Vs Leukemia can start to bring the BCR-ABL level back down. Dr. DeLima has also mentioned the possibility of
bringing Gleevec back into the mix, but I have my doubts about this because I
have already shown a resistance to the drug. I talked with him as well as
with my research onc about replacing the use of Gleevec with one of the newer
BMS or AMN107 drugs to knock out the BCR-ABL and give my new immune system a
helping hand.
He thought enough of the idea to email my research
onc to get his opinion. I sent my research onc a similar email and expect
to hear back from him soon.
In the meantime, any chance of going home early is
now gone, as my test results were not optimum. I will be here for at least
another month, possibly longer. The good news is that as of this writing,
I should still be allowed to go home on weekends.
As of this writing, I am still only in clinic two
days a week, and I am still off home infusions unless my magnesium levels drop
lower than they are.
So I wait....three more weeks until another biopsy,
one more week to get those results.
Tick....tock.....tick....tock, etc.
Not the best day I've had since this thing
began.
Dane
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- Re: [CML] 76 Days Post BMT----First Setback myvety2k
