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 <joy...@htc.net> 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 <
> cmlhope@googlegroups.com> 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 <wa2...@gmail.com> 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,  <mariacash...@gmail.com> 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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