Thanks for your response, Terry.  It's uncanny, the similarities
between our side effects, as well as the feelings of guilt and
self-criticism about being out of work.  Like you, I had an office job
(I'm a lawyer -- same law firm for 15 years), where my most important
assets were (1) my ability to read and write, retain and analyze
complex information, and make persuasive arguments, and (2) my
endurance to put in long hours, including late evenings and occasional
weekends.  With the fatigue and cognitive side effects, it's exactly
those strengths that I don't have anymore.

For me, any physical pain I have is secondary and fairly sporadic.  I'm
sorry to hear that you're also experiencing serious physical pain.  My
other physical side effects are things I could work through if they
were the only side effects I had.

It's strange how, for so many CMLers, the side effects come early and
gradually dissipate.  For me, it was the opposite.  I worked, pretty
problem-free, for the first 6 or 7 months after diagnosis.  In fact, I
felt so good that I was in total denial about having an illness.  I
barely learned a thing about CML (purposely), and I studiously avoided
these bulletin boards, thinking that they were for people who just
liked wallowing in their sickness.  (Needless to say, I no longer feel
that way about the bulletin boards.  I'm still only an occasional
participant, but I enjoy reading what others have to say and I've
encountered some pretty incredible people on them.)

Anyway, after about 6 or 7 months, the fatigue started to kick in, and
I started noticing memory loss and a growing inability to focus and
concentrate like I used to.  I kept telling my wife, half-jokingly,
that I felt like I was getting stupid.  By April '06, it wasn't very
funny anymore -- I was constantly scared that I was going to commit
malpractice (I've read your story about catching a potentially costly
error at work, and it really resonated with me because of my fears that
I would end up doing something like that; of course, then I'd have
gotten fired and been without disability insurance -- I shudder to
think of the possibilities).

My doctor sent me to a neurologist, who did a battery of tests to
determine if I had any neurological problems.  When those came up
negative, there was nothing left to attribute it to but the Gleevec.
Since then, I've searched the boards a lot and found numerous
discussions by folks who have experienced memory loss and other
cognitive deficits from Gleevec.  (I've even found one person who is
suffering from similar side effects on Sprycel.)

It must be tough moving to a new state after having developed a pretty
good relationship with your doctors.  I hope the new doc works out well
and you don't find yourself permanently having to travel 4 hours just
to see your onc.  I live on Long Island, in NY, and my doctor, whom I
like a lot, is just about a half-hour away.  I plan on staying put.  I
hope your Oct. 20 appointment goes really well.

Be well.  You hang in there, too.

David


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