Marcie...I would get on Tasigna or Sprycel as soon as you can.  Both  are 
thought to be stronger and more effective in fighting some CML  mutations.  I 
didn't development resistance to Gleevec...just had severe  rashes as side 
effect and had to switch to Sprycel.  Tom in KY
 
 
In a message dated 2/28/2010 6:29:25 P.M. Eastern Standard Time,  
[email protected] writes:

This is Marcie from Baltimore.  I was  diagnosed March '09, started Gleevec 
and other than getting used to the side  effects which have not been too 
bad, I have done well.  That is until my  January bloodwork when my hem/onc 
said that all of my numbers were slightly  off.  They ran the blood again 
early Feb and he told me that he was very  unhappy with what he was seeing.  I 
had reached a point where only 7%  cancer cells were showing and now suddenly 
that doubled to 14%.  I am  waiting for results of new tests, one that has 
to do with something called "p  loop" and my best understanding is that I 
may have developed Gleevec  resistance.  I have had of this but it seems like 
most people develop  that years into it, not 11 months.  My doc mentioned 
that, pending what  the new blood results show, he may switch me to Tasigna.  
Has anyone else  on this site developed resistance that quickly and does 
anyone understand the  meaning of the p loop test?  Thanks very much.




-----Original  Message-----
From: Martin Gartenberg <[email protected]>
To:  [email protected]
Sent: Thu, Feb 25, 2010 9:19 pm
Subject: Re:  [CMLHope] Re: Paying the donor of Bone Marrow

Hi Suzieq,  


Please forgive me for my error. In any event you read it and brought up  
some rather interesting questions. As you mentioned, you are doing well on  
Gleevec, and that is very good. A bone or stem cell transplant is like a life  
preserver on a sinking ship. While the ship is going down there are people  
trying to hang onto that life preserver, and no one really knows if there 
is  another ship nearby to pick them out of the water. This should be the 
absolute  last thing that someone wants to do especially if another therapy is 
working  well.


I am sorry to hear about your brother and he is probably still watching  
over you. Think about it as your doing well on the Gleevec, and not needing a  
transplant. 



I still think about my donor who unfortunately has passed away, but not  
from the marrow donation. The story would take me hours to explain, so I will  
just leave it at that... 





In the time I had my transplant the 6 out of 6 Human Leukocyte Antigen  
(HLA) match was considered a "perfect" match. Now there is a 10 out of ten  
HLA. Times have changed and so has the ways a transplant is given. How long  
ago were you dx'ed?


Finally, as far as the immuno suppressive or anti rejection drugs, I  had 
to take huge doses for the first year, then it tapered to  nothing after that 
first year. So, in my case it was not a "for life"  situation. However, 
since my kidneys are failing I will require another  transplant probably within 
a year or so. Once this kidney transplant happens,  I will then have to be 
on immuno suppressive drugs for the rest of my life.  So, who ever said that 
life is fair, but I just roll with the  punches. 


I often get asked about all that I went through, and I always answer by  
asking if every one put their troubles into a paper bag and left all of those  
bags in a pile then which one would I choose... MINE!   


GOD bless,


Marty





On Thu, Feb 25, 2010 at 2:17 PM, Suzieq <[email protected]_ 
(mailto:[email protected]) >  wrote:

Marty:

You've confused me with Russel who is the  one who responded that he
had the bone marrow transplant and was looking  for ways to thank his
donor.  I still have the CML and on 400mgs of  Gleevec which is keeping
the CML at a very low range & I've done fine  on it since being dx'ed
in Jan. '04.  As long as it is working, I  have no thoughts of doing
anything different.  He is also the one  who spoke of "selling to the
highest bidder",  not me.  I only  wrote the article I read in the
paper.  I have no qualms with the  way they would like to pay.....I
think it would be a commendable way of  trying to generate more donors
rather than just giving the donor money  free and clear.  I think this
brings up some very good issues with  those of us who might one day
face this possibility of having a BMT as  some of you have already had.

And, Marty, you are so right about the  1 in 4 percent range of a
sibling match.  I have two older  brothers...neither of which matched
me. (smile)  I told my husband  that I felt pretty sure that my perfect
match lies in the grave yard back  where I'm from.  He was an older
brother who was hit by a car and  killed at six years old (I wasn't
quite 1 year old at that time).  The National Registry found twenty
four 6 for 6 matches to me back  when I was first dx'ed.  That was the
best they could do........at  that time, I didn't even know what that
meant.  And after reading up  on how they did BMT's,  I told my husband
then that I would never  want to put someone through that unless it was
the last option I  had.

By the way, Marty,  do you still have to take the  "anti-rejection"
medication?   I was just wondering if that was a  "for life" thing once
it was done.

Thanks,


Suzieq

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