{"id":1298,"date":"2011-06-09T10:30:03","date_gmt":"2011-06-09T10:30:03","guid":{"rendered":"https:\/\/scottysblog.com\/worrying\/"},"modified":"2011-06-09T10:30:03","modified_gmt":"2011-06-09T10:30:03","slug":"worrying","status":"publish","type":"post","link":"https:\/\/scottysblog.com\/home\/worrying\/","title":{"rendered":"Worrying&#8230;"},"content":{"rendered":"<p>So, here I am back at work, more&#39;s the pity, trying to get my head around having to do it all &#39;once more with feeling&#39;, like every other person who comes back from sabbatical.<\/p>\n<p>But I&#39;m finding it bloody hard, to be honest. I can&#39;t get the next Prof appointment out of my mind, given that I decided not to get the results from the last one in April and that I know the results at the previous on in February had moved in the wrong direction.<\/p>\n<p>So this month&#39;s results could of course be fine &#8211; back to normal, with Feb just a funny blip&#8230;. or the end of this month heralds the return into the shittier than shitland of treatment, worries, fears, being drugged up to the hilt like a zombie again. And knowing that whichever course of treatment I choose to take (assuming they give me the choice of heading towards another STen Cell Transplant or perhaps considering the Donor Transplant) that I will be damned if I do and damned if I don&#39;t.<\/p>\n<p>Option 1: If I go Stem Cell again, I almost certainly won&#39;t ever be able to the DOnor Transplant &#8211; my body will have been weakened by the high dose chemo and all the other drugs that come with it, such that it would be less able to tolerate a DOnor transplant. And I would be too short on time &#8211; aged 42 as I already am &#8211; to have the Allo, which they prefer to offer to under 40s only (and its pretty bloody rare). 50 seems to be the absolute cut off, but it depends on a whole bunch of medical circumstances, none of which I have up to date &#39;reads&#39; on right now. Upside &#8211; the fatality rates are very low. Downside &#8212; it might only buy me a year or so before it fails, as you get less remission with a second SCT than the first one.<\/p>\n<p>Option 2: I go for the Allo &#8211; the donor transplant. Upside: A small chance that it might buy me up to 10 years remission, although for most people who have had this and lived, it hasn&#39;t worked. Even over these last 3 years when I have had Myeloma the ALlo does not seem to be gaining in popularity\/success but losing it. Downsides: Dreadful &#8211; up to 50% chance of dying in Year 1 (I would be given a figure relevant to me if I go for this route, but its a minimum of 25% chance of dying in Year 1). Very restricted lifestyle &#8211; extremely limited diet, no alcohol, limited social contact outside the home, major anti-rejection drugs, liklihood of lots of medical issues e.g. skin problems, lung problems &#8211; everyone gets somethign as your body tries to reject the donor cells. It&#39;s called GvHD &#8211; sadly not a hair straightener, but Graft vs Host Disease &#8211; where the graft (new cells from a donor) attack the Host (me) and vice versa. Its like&#0160;a political power battle where no-one ever wins.<\/p>\n<p>Anyway &#8211; I can&#39;t get this out of my head. The wedding and honeymoon were so wonderful, the perfect bubble to live in and try and push Myeloma out for as long as possible,&#0160;but now it&#39;s looming like a fucking bad smell.<\/p>\n<p>Appointment is Tues 21st June and I will prob not get the paraprotein results for a week afterwards. Arse, piss, poo, bum, shite, pants.<\/p>\n<p>In the meantime, off to Le Touquet to distract myself through life-threatening quantities of Vodka &amp; Grapefruit<\/p>\n<p>Sx<\/p>\n","protected":false},"excerpt":{"rendered":"<p>So, here I am back at work, more&#39;s the pity, trying to get my head around having to do it all &#39;once more with feeling&#39;, like every other person who comes back from sabbatical. But I&#39;m finding it bloody hard, to be honest. 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