So – ended up seeing Prof yesterday with H, to try and get a clear picture of the path forward. I’ve now had 8 solid and very frustrating months of chemo and am feeling physically fairly buggered, a mixture of tiredness and feeling like my body has been poisoned to the point that my skin hurts to be touched and am emotionally getting to the end of my patience as well. spending a year doing this is no-one's idea of fun.
So – asked him what he needs the magic numbers to look like – you know, the simple question of ‘what are we trying to get to and when will we know we’ve got there?’ The answer – as ever – not so simple – ‘well, it’s hard to say’. Oh goodie – let’s just keep going forever then! Noooooot.
It seems the vaguely understandable path (let’s get your paraprotein down to zero because that’s technically remission, and get the new reading of the Dara band in your blood to go up – the more you have, the higher the number should get and the better that in theory is’ – is no longer the path. The road into the Myeloma woods has got darker, less clear and seems to have some unknown forks in it.
Apparently my PP score is now going up (wrong way, idiot) because some of the Dara may be appearing in it. Which means the desired increase in the Dara score may not be visible because its in the wrong place. Confused? Yes, join the club. So, the numbers can’t show the way because there’s no way to get a clean reading. And hence we don’t quite know what we need them to say, or if they would ever say it even if they should. Hmm, not so handy.
‘So – what do we do now then Prof?’ – ‘Yes, it is hard to say’.
At which point I chipped in with my POV – ‘At the 8 month point post diagnosis in 2008, I had had treatment, harvesting, my Stem Cell Transplant, had recovered and was back at work by then. While I am always enormously grateful to be relatively well and alive, I am not living at the moment. My quality of life is rubbish – I can’t work, I am taking each week as it comes and crawling through the days from Monday to Sunday, have to be at the hospital 4 days a week for bloods, tests or treatment and feel like a bag of shit, not to put too fine a point on it. I look hideous and have put on a lump of weight since treatment started and the steroids kicked in. Having been away for a lovely weekend, my legs and feet are so swollen still that I can't get my shoes on. There is a very small chance my breathing issues might improve post transplant and I’m keen to see if they will as otherwise we need to look for alternative solutions – breathing has been a problem for 1.5 years now, so the sooner we check out this option, the better in my book. So. I’d like to move forward towards transplant…’
And as if by magic – we agreed to do it after Xmas so I can have several more cycles of Dara and Velcade (oh lucky me) and Mr H can have his Jan ski weekend with the boys before I go in. At the moment the plan is to go ahead on Jan 16th – and as apparently nothing has changed with the SCT process, drugs, effects or timings since 2008 (really???!!) I would expect another c 19 day incarceration in the Deeply Dark Side 3rd floor Hellhole.
But at least it is half a plan. Which could be scuppered by anything ranging from him changing his mind to me getting ill between now and then or perhaps exploding with the amount of food Mr H and I ordered on Waitrose and M&S while we were at CCL today, for our Christmas lunch and Boxing Day, yes we were indeed caught debating if the turkey for 6-8 was enough (for us two!!!)…. Still, I for one won’t be eating for a week to 10 days in Jan if the last transplant is anything to go by – although they did then fill me with enough fluid to blow me back up to Billy Bunter size, which was unbelievably annoying and which I am hoping to negotiate to a minimum this time round.. We will see.
So – anyone planning Dry Jan or fewer nights out for meals in Jan/early Feb – I am offering the perfect solution – a trip to Parkside to see your bald chum looking like death warmed up. What better way to feel good about yourself post Christmas excesses? See, I am SO thoughtful, sometimes. Tee hee.
More to follow when we get it pinned down.
Oh – and the big conundrum seems to be whether to use the spare stem cells which were harvested from me in 2008 (in my book, a bit stale as they’ve been frozen for 8 years and my PP level was 8 then, though hopefully they have spun the blood enough to get rid of some/all of that) or to go fresh and take some now. Prof seems to think frozen is good ‘as fresh as the day when the Scotty pod went pop’ but I’m sort of thinking fresh is better, although that involves a 6 week process of coming off drugs, taking more different ones and 4 days on a mega blood circulating and plasma spinning off machine – a blood combine harvester if you like. So frozen def easier – but as Liz T pointed out today when she kindly sat with me for Dara, ‘’that means you’ll have none left in the blood bank if you need a third SCT’ – a damn fine point in case I ever do get that far. Hardly anyone does but I have some chance if SCT 2 works and lasts well…. So that’s a Prof question for 8 Nov when I next see the old coot.
Right, rambling now. Just eaten half my supper as Liz also filled me with a dazzling array of biscuits, toffees, chews and other bad stuff, which I then continued to eat in bed this afternoon while escaping the builders and having a post chemo nap (no, even I can’t eat while asleep, the cookies that Valentina brought round ‘fell into my gob’ just before that). Oh dear. H is watching Bristol City play football, I’ll have to hide the wrappers before he gets in.… Bad wife – it's not the best weight loss move before e go to Abu Dhabi next week for my birthday break.
Off to watch TV upstairs now as downstairs the main one has been disconnected – probably for a month, just to be even more annoying. And no wifi tonight as builders have chopped that off too – grr – so hope to send this in the morning!
Night all – Fatty Signing Off x x x
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I’ll belatedly add I did also offer you strawberries and melon but to no avail 😉 (largely due to your healthy tuna/salad/fruit salad lunch PS lunch) xx