Hi Renee:

I am so sorry to hear aboutyour son having CML and at such a young 
age.  I can understand your panicky feelings at this time there is 
so much to learn and understand.  Believe me it gets better.  

I have been on Gleeevec for over 3 years and I know sometimes it is 
hard to tolerate.  I did go off of it for a couple weeks so my 
counts could stabalize.  What happens is the wbc crowd out the other 
cells then when Gleevec suppresses the production of these cells it 
takes awhile for the bone marrow to recover.  Other than that I have 
stayed on 400 mgs for the entire time and plan to stay on it for the 
rest of my life.

What helped me in the beginning was making a list of questions for 
the oncologist and having my husband come with me for those first 
few meetings because I was so stunned by it all.  Maybe another 
family member or friend can come with you?

Also I felt like I had the flu for about 3 weeks when I first 
started Gleevec. I thought how am I going to live the  rest of my 
life feeling this way?  The over all flu feeling went away.  There 
are some side effects from taking Gleevec and they vary person to 
person.  They also seem to come and go in cycles.  So tell your son 
to hang in there it will get better.

Hope he starts to feel better soon and your visit on MOnday with the 
oncologist helps ease some of your fears.

Your son is definitely not a guinea pig for Gleevec.  It is a new 
drug but an amazing one and the science behind it is fascinating.  I 
don't think reducing the dose is a good idea.  Studies have shown 
that less than 400 mgs is not enough.

By the way my oncologist always tells me my bloodwork looks good 
even when I am a little anemic or something else is low.  I think 
what he means is that the bloodwork looks good for someone with CML 
who is on Gleevec!

Please keep us posted on your son and let us know how the visit on 
MOnday goes.

Mary K

> Okay, my 19 yo son was Dx on July 4, 2005.  At the time, he had 
been
> admitted to the hospital with suspected meningitis, but it was his 
wbc
> that got him into a cancer treatment center, with the CML 
diagnosis. 
> The highest his wbc got was 110,000.  He went on Gleevec July 8, 
with
> a wbc of 41,000.  He was only on oral chemo for about two weeks,
> becuase his wbc dropped to 7,900 pretty fast.  It stayed there for 
a
> week, then went to 3,900, then to 3,200, and today, 2,200.  When we
> call the doctor's office,the nurse confers with her, then calls us
> back, and tells us to continue with the 400 mg. of Gleevec, 
especially
> since we are scheduled to see the doctor in three days, Monday, the
> 15th of August.  Meanwhile, they tell us the rest of his bloodwork
> looks good.  To me, it does not.  He is anemic--and we were told, 
in
> the hospital, that would take care of itself, as his wbc went 
down. 
> This has not happened.  He is bummed out and tired, due to go back 
to
> his sophomore year of college in one week--thank God, he is only a
> half hour away, but does live in the dorms, due to his scholarships
> and his R.A. position there--and he is slightly depressed.
> 
> My question is, why is he still on 400 mg of Gleevec?  It sure 
looks
> like it has more than done its job!  I want the dose reduced, but 
the
> office keeps telling us, no, wait till he sees her on Monday.  I 
hate
> to sound like a raving paranoiac, but I sometimes wonder if he is 
not
> just a guinea pig for this medicine, thankful as I am for Gleevec.
> 
> Someone who has been there and done that, I would sure love to hear
> from you!  It is 4 A.M., and I have not slept yet.  I thought I had
> pretty strong personal faith, but this one is keeping me awake.
> 
> Thanks in advance,
> 
> Renee,slightly tearful




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