Hi Maria,
I take my dose once daily in the morning with breakfast.  I am  considering 
asking my onc if I can go off of it soon to see how my body will  react.
My platelets and wbc go up when I try to reduce it, but I am going to try  
once more.
I had the same symptoms as you when I was first dx in 2004.
I was so tired I couldn't take my daily walks.  My platelets were in  the 
millions and wbc way too high.
I was put in the hospital right away, and they started doing the blood  
cleanse.  I was put on 400 mgs Gleevec along with Hydrea and some other  drug.  
I was very sick but manage to make it through.  I never reached  remission 
on Gleevec or Tasi.
I went into Blast in 2009 when Tasigna quit working for me and my potassium 
 went up too high.  I was once again hospitalized with the blood cleanses  
again for about 10 days; no fun at all, but again I came through it all and 
was  put on Sprycel.
Sprycel worked for me and I was soon in remission.
They quit the BMA when I went into remission and they take a PCR blood test 
 every three months.
Just keep fighting and you will make it through.
Blessings
Jeanie<3
 
 
 
In a message dated 7/16/2014 11:01:15 P.M. Eastern Daylight Time,  
[email protected] writes:

Dear Joyce:  
Consolidadtions are other chemotherapy treatments.  I had 3 after  the 
induction for a total of 4.  For all 4 I had to stay put in the  hospital for a 
month. As I mentioned, they first treated my CML as if it was  AML.  It was 
really ruff.  The othet thing is that I am at a  University Hospital (which 
in a way wxplains why so many doctors).  Here  in Puerto Rico this is the 
only hospital that really treats leaukemia  patients...they are a specialized 
unit. but sometimes I feel like running  away!!!!


The problem that I have is that my doctors keep making reference to my  
blast crisis and still handle my case as if I was in the middle of one!!! ONly  
one of them, who graduated last year told me that I no ,longer have a 
problem  with the blast crisis, that they took me out of it and that it is 
gone!!!  Everybody else still clasiffies me as CML/AML which is really not the  
case.


Now, about Sprycel. is your husband on a once a day or twice a day  dose?


I hate bone marrow aspirations :(


Maria :)



On Wed, Jul 16, 2014 at 10:47 PM, Joyce Mesnarich <[email protected]_ 
(mailto:[email protected]) > wrote:

Maria,  
You are truly a miracle!  So happy you had success with Sprycel.  But these 
meds are very powerful and do cause serious side effects.  It is a shame 
that our doctors do not always listen to our concerns.  The fact that you had 
to see different doctors during this critical  time is unfortunate....but 
you made it through.  
I am going to ask a question which may seem stupid, but I don't know  what 
you mean by the term "consolidations".  Can you explain that?  
You are questioning the advisability of continuing Sprycel at 70 mg.  I 
would think that as long as you have periodic bone marrow  aspirations to be 
sure you are not back-sliding, and Sprycel at that dose is  not negatively 
affecting you, I would be inclined to stay with it until and  if your bad side 
effects return.  My husband was allergic to Gleevec  and put on Sprycel at 
50 mg.  In 4 months he was PCRU (undetectable).  He has had some issure, but 
nothing so far that is serious.  I  think all of those on these TKIs are a 
little on edge wondering what the  long term effect of them might be since 
they have only been in use since  2000.
I hope you continue to do well.  God bless and keep you.
       Joyce in IL
 
 




On Jul 16, 2014, at 7:38 PM, Maria Cashion wrote:


Hi!  My blast crisis was terminal and was behaving as  AML.  I had high 
dose chemo and Sprycel.  After induction and  much praying, my 70-80% blasts 
went down to zero and have remained as such  until now. This happened in 1 
month.  I had 3 consolidations.  Worked Sprycel to 140 mg for a while, but was 
lowered to 100mg.  Right now I remain in complete molecular remission.  My 
doctors  consider me a miracle, for I am the first person in blast crisis 
that they  have been able to save. I believe that they learned from what 
happened  with me and have saved others. :)   


Last January I had a severe reaction to Sprycel.  Everything  that could go 
wrong went wrong.  Weight gain, edema (all over), heart  trouble, thyroid 
went crazy...I stopped Sprycel for a month and my doctor  told me that we had 
to change medications.  Had an additional bone  marrow aspiration and 
biopsy, resulting in complete molecular  remission.


What is important to note is that Sprycel had been causing problems  little 
by little.  I told my doctors about it, but they did nothing  until all 
went crazy.  The main problem that I see is that they treat  patiensts as if 
they were all stupid and wont really listen to you.


Well, back to the story...After being off Sprycel for a month,  everything 
went back to normal and I lost 37 pounds  of water in that  short 
time...Came to the clinic for my next appointment, another doctor  was 
attending, 
didnt know me or my clinical history (he is a student in  hematology/oncology)  
The main physician had only seen me once while  I was on a consolidation at 
the hospital...She told me that she was really  concerned about taking me 
off Sprycel bcause it had worked so well for  me...so I was put back on my 
regular 100 mg/day Srycecl dose.  Slowly, but steadily everything began agai, 
weight gain, When I went  to my clinic appointment early june, I told my 
doctors.  I wanted to  have Sprycel withdrawn and change medications as I was 
told earlier.  My hemo/onco, the one that really saved me at first; told me 
that  theres was nothing else other than Sprycel and that ia had three more  
years..


ON the following appointment, luck changed and I had the doctor that  first 
told me that there were other medications available for me. I told  her 
that I wante to try lowering Sprcel to 70 mg daily before changing to  another 
med.  The Hema/Onco in charge  agreed and told me that  if this didnt work, 
he would change me to Bosulif.


I am really feeling better with Sprycel at 70 mg daily, but have  concerns 
as to whether it is a good idea...


Maria Cashion



On Tue, Jul 15, 2014 at 9:37 PM, 'Marcie Goodman'  via CMLHope 
<[email protected]_ (mailto:[email protected]) > wrote:

Hi  Maria:

How have you progressed since diagnosis and what meds do  you take. I don't 
believe I've "met" (since we all know each other  through the internet) 
anyone dx'd in blast stage. What an awful fright  that must be. I relate to 
pushing off the symptoms and assuming it's  just tiredness because I did the 
same for over a year.

I hope  you'll let us know how you are doing and you and your family are in 
my  thoughts and prayers.

Marcie
Baltimore

Sent from my  iPad


> On Jul 15, 2014, at 8:10 PM, Marty Gartenberg <[email protected]_ 
(mailto:[email protected]) > wrote:
>
> Hi  Maria,
>
> First I am glad to see you posting. You might  have seen all of the
> people on here welcome you to the  group.
>
> It seems like a lot that you have been through  but everything worked
> for you and you have your family to take  care of. That was probably
> the main reason that you did so well.  You seem to be a very strong
> willed person.
>
> Most  people on here have similiar stories so your not alone, but the
>  main thing here is that your doing so well.
>
> I always end  any of my posts with two numbers, 1 and 8 which are the
> symbol  for life.
>
> 18's to you Maria, and don't be a stranger  here we all look forward to
> continue hearing from  you.
>
> Marty
>
>> On Tue, Jul 15, 2014 at  7:14 PM,  <[email protected]_ 
(mailto:[email protected]) > wrote:
>> Well  guys, here is how it all started, and how I was  diagnosed.
>>
>> I am an anthropologist (physical  anthropologist and archeologist), a 
wife
>> and a mother.  Of course, I am used to working hard, almost like a  slave
>> (all mom’s are J).  I guess about 7 years  ago, I started feeling a 
little
>> more tired than  usual...I mean, field work is hard, working from 7:30  
AM
>> until 3:00 PM at construction sites doing  archaeological monitoring, 
pickup
>> my daughter at 4:00 PM or  so and spending the rest of the day with her,
>> cooking,  waiting for my husband to come home from work.  Putting the 
kid  to
>> sleep at night.  Then, I would have to write my  reports and if lucky, 
slept
>> a couple of hours to start a new  day…
>>
>> Mom can’t get sick…I started to feel more  tired than usual, heavy night
>> sweats, pain in the back, left  side just above the waist…Doctors said 
it was
>> nothing,  probably my imagination…It got to the point that I would come  
home
>> exhausted.  I couldn’t even do house work.  I  would move the furniture 
to
>> sweep and mop, then I had to sit  for half an hour in order to be able 
to put
>> everything back  in place,  Once I had my white blood count high and my
>>  doctor told me that that only meant that I had an  infection…
>>
>> On December 18th  2011 I had to  go to the ER of my nearest hospital.  
After
>> examination  and testing, xrays, ct, etc, they even considered sending me
>>  home until the CBC arrived.  I was hospitalized just when the  x-mass 
season
>> was getting good and my 14 year old was on  vacation from school. WE had 
so
>> many plans that were never  accomplished!!!! Knowing that my daughter was
>> suffering my  absence was the main factor that gave strength specially
>>  because not even my family came through.  We were and still are  just 
3, my
>> husband, my daughter and  I…
>>
>> I was then transferred from the hospital I  was in to a government 
operated
>> hospital area known here in  Puerto Rico as CENTRO MEDICO.  The HOSPITAL
>>  UNIVERSITARIO DE ADULTOS has a specialized unit for leukemia patients.  
THEY
>> SAVED MY LIFE.
>>
>> I had my first  bone marrow aspiration and biopsy done at the first  
hospital.
>> Results were in soon, 2 days or so and results  were given to my husband 
to
>> take over to the new hospital.  Results were horrible, although at that 
time
>> I didn’t  pay much attention to them.  Thank GOD I did not!!! I would  
have
>> given up then and there.
>>
>> Final  Diagnosis:
>>
>> Comprehensive Assessment: BLAST PHASE  OF CHRONIC MYELOGENOUS LEUKEMIA 
WITH
>> T(9,22) AND DELETION OF  9Q.
>>
>> The patients peripheral blood smear shows  markedly increased blasts.  
The
>> bone marrow core biopsy  also reveals a large population of blasts; 
including
>> 80% of  the maroow spaces. The blasts are small to intermediate in size  
with
>> high N:C ratio, immature chromatin and a small amount  of cytoplasm with
>> occasional cytoplasmic granules… the  blasts are positive for MPO,CD66,
>> LYSOZYME  with no  significant expression of  CD34 AND  CD117…
>>
>>
>>
>> PRONOSTICATING  RESISTANCE TO TYROSINE INASE INHIBITORS AND UNFAVOURABLE
>>  PROGNOSIS…
>>
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