I was dx in 2005 with 100,000 WBC count and platelets near 1,000,000
after a CBC that was done to find out the cause of pain in my left
side.  My regular doc called me later that day at home and told me this
was bad news, and that an oncologist would call me soon.  Within the
hour an Onc called and made me come to the hospital right then, and
started a saline solution IV to dilute my blood due to risk of
complications such as stroke, blood clots, and other hazards.  The
problem is that CML causes the blood to become too thick, not just from
high WBC counts, but often high platelets.  This is a bad combination,
since the blood becomes like syrup and can clog arteries, especially in
the brain.  It is speculated that some people who do not know they have
CML have died from a stroke without anyone knowing they even had CML.

Within 30 hours I had the final diagnosis of CML, and started taking
400mg Gleevec plus Allopurinol, which helps get rid of the extra uric
acid in the body produced when Gleevec causes all those extra WBCs to
die.  After a couple weeks my Onc stopped the Allopurinol since the WBC
count had dropped to normal, so the uric acid issue had passed.

So I started directly on Gleevec, and never took hydroxyurea or
interferon.  Within a couple weeks my WBC count was normal, and within
100 days I had a 3 log reduction in Ph+ chromosome levels.  I know that
hydroxyurea still has its place as a starter medication for CML when
there are other complications to deal with, but Gleevec has become the
starter drug of choice.

--Trey


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