Hi Susan,

Reading your story, even though I already know it, is just awe inspiring!  You 
truly are a walking miracle. May God continue to bless you for many, many years 
to come. 

Hugs,

Marcie

Sent from my iPad

> On Jul 20, 2014, at 8:44 PM, "'Susan Zimmerman' via CMLHope" 
> <[email protected]> wrote:
> 
> Hi Maria,
> 
> Yes, I am now on bosutinib/bosulif.  I did read your post about switching, 
> and I kind of hope your docs decide to do it!  I've heard so many stories on 
> this site about problems with sprycel.  I took sprycel myself for fifteen 
> days.  I never went into my background with you, since you were on sprycel.  
> So here's a brief synopsis:
> 
> Dx'd Feb. 14, 2005 in Orlando, FL
> two weeks on hydroxurea
> Began gleevec 400 mg and never missed a day for 2 yrs - complete with all the 
> side effects.
> November, 2005 complete remission sustained until March 2007
> 
> March 2007 had a brain bleed, just short of being called a stroke.  (only 1% 
> have brain bleeds, they say) They found at that time that I had had another 
> brain bleed somewhere in the last year or so, not as significant.
> I stopped the gleevec, went through getting into clinical trial for tasigna 
> at MD Anderson, Orlando branch
> Two weeks from brain bleed in March 2007 took 1/2 dose of tasigna, had an 
> instant severe eye bleed.
> Stopped tasigna against the recommendations of the doctors. They were not 
> convinced the brain bleed was caused by the cml medicine.  I was convinced. 
> (Not wanting another brain bleed.)
> 
> Went three years without any medicine for cml......tested first every 2 mos, 
> then six months, always in cellular remission, continuing to slowly come out 
> of molecular remission.  Went from 9 bcr/abl to 15 to 23.  Still CBC's are 
> normal. 
> Diagnosed after much investigation of brain thru neurologists, hematologists, 
> and oncologists, with cavernous malformations being the only explanation.  (I 
> still think it was exacerbated by the former medicine).
> 
> March of 2010 had a complete stroke, rushed to E.R.  Thank goodness I 
> regained my eyesight and use of left arm and leg.  
> Continued to have blood checkups, with CBC always showing normal, but bcr/abl 
> continuing to rise.
> Held the bcr/abl number of 23 for over a year.  Was watching all the 
> medicines coming out, etc.
> 
> 2013 summer, began sprycel with a local oncologist in South Bend, IN.  Had 
> moved back to South Bend, IN in 2010 Sept.
> Was on sprycel for fifteen days and on that fifteenth day had my eye freeze 
> as if I was having a reoccurence of the stroke where my eye had to be covered 
> with a patch for three months.  Immediately stopped the sprycel.  Local onc. 
> did not care whether I stayed on it or not.
> Continued monitoring blood counts.  As it continued to increase, I decided to 
> contact Dr. Javier Pinilla from Moffitt Cancer Center in Tampa. (my former 
> onc who I loved).  He recommended Dr. Jessica Altman at Northwestern in 
> Chicago for me.  
> 
> July of 2013 began at Northwestern with Dr. Altman just checking blood counts 
> for about nine
>  months.  She talked me into trying bosutinib so I did not take the  risk of 
> going into blast phase. Believe it or not, before the bosutinib even was 
> started, my bcr/abl count went from 23 down to 9 with no explanation!  Even 
> Dr. Altman said it was a miracle with no other explanation.   I thank God for 
> all your prayers and the prayers of my intercessors.
> 
> After 7 yrs and 2 mos without any medication:  (I am a walking miracle)  No 
> one I know has been off it that long without problems!!!
> 
> Began bosutinib April 30, 2014.  The last bcr/abl test showed that after one 
> month I went from 9 to 5.86!!!!  THIS ON the lowest dose of bosutinib, only 
> 100 mg instead of 500 mg!  I agreed to increase the dosage if the numbers did 
> not improve.  So far I have not had to increase!!!  I owe it all to our dear 
> God and the prayers of you guys and my friends and family.  
> 
> I have had a few issues since beginning bosutinib.  One, my blood pressure 
> has gone up which had me start on that medication. (ugh) Two, I've had some 
> nausea probably due to the five prescriptions of different medications I am 
> taking.  Dr. Altman tells me there is no indication that bosutinib causes 
> high blood pressure.  So now on a nausea med, a high blood pressure med, two 
> diabetic meds, and a small dosage of antidepressant.  It's all good!!!  
> 
> Sorry this is so long.  Hope this helps, and know that God is sure in your 
> corner as well, Maria!!!  You can private message me anytime by using the 
> listing of my e-mail up above.
> 
> We are all watched over by our Sovereign Lord, and He knows all our triumphs 
> and troubles.  I reiterate a great thought I've said before for all to 
> reflect upon:  We can either TRUST HIM or worry, but we can't do both!!!!  
> 
> Great love to you all and 18's,
> Susan F. Zimmerman
> 
> -----Original Message-----
> From: 'Marcie Goodman' via CMLHope <[email protected]>
> To: cmlhope <[email protected]>
> Sent: Sun, Jul 20, 2014 8:49 am
> Subject: Re: [CMLHope] Sprycel and bosulif
> 
> Hi Maria:
> 
> Susan Zimmerman on this site is now on bosulif, I think. She is a sweetheart 
> and I'm sure when she sees your post she will respond. Wish I could be of 
> more help but I've only been on Gleevec. 
> 
> Hugs,
> 
> Marcie
> 
> Sent from my iPhone
> 
> On Jul 20, 2014, at 3:25 AM, [email protected] wrote:
> 
>> Hi guys!!!! I hope that all is well with you!!!! I have some concerns, and I 
>> am hoping to share them with you and perhaps get some answers.  I might 
>> eventually be switche fro Sprycel to Bosulif.  Have any of you any 
>> experience with this kind of change?????
>> 
>> Maria :)
>> 
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