I've Finished my Chemo

Hello, As of this month, I'm done with chemo for my SLL.

The scans are clear. No organs were ever affected, and the lymph nodes have either shrunken to the point where they are invisible on the CT scan, or show up as being normal.

Nine months and two hospital stays later, my onc said that I will return to see him in two months.

I was reaching the limit on taking the Treanda, and the fact that the scans showed excellent results made it all the better. Better than my half-empty glass mindset would have allowed. But, seeing is believing.

A word about the drug Dapsone... I don't know how commonly this is prescribed, but, I had a severe reaction to it after taking it for several months.

It seems that, in some people, you can develope what's called methemoglobinemia.... a big name for a simple, but potentially deadly condition.

In a nutshell, your hemoglobin is replaced with methemoglobin, which does not collect oxygen molecules, and therefore does not oxygenate red blood cells.

I brought this up several times before, two months later, I was in ICU with atrial fibrilation. The docs concentrated on my heart and lungs, which were totally fine. The pulmonologist, whom I have to thank for his wisdom, checked for methemoglobin, and, sure enough, I was at 22%, and 50% can kill.

I was starving for oxygen, and couldn't walk ten feet without my O2 level dropping to 87% and my heart racing to 180.

The cure was to, obviously, stop the Dapsone, and go on oxygen for several weeks, which I did and made a full recovery.

Apparently this is quite rare. Out of the four docs looking after me, not one has seen such a case, although they've all heard about and know about this condition.

If you are on Dapsone, and you feel short of breath if you shouldn't for any other reason, check into the Dapsone. If I had known about this two months or more before it became so bad, I would have saved myself quite a nasty episode.

Good luck to you all,

Tony.

Ok Tony this is good news, finished with the chemo, congratulations! We've exchanged quite a few emails and I know you've been through an especially tough treatment regimen, so I'm pleased to hear it's finished and I hope it's finished for good.

Thanks for bringing up methemoglobinemia. I've never heard of it either. Thankfully someone had.

So what's up next for you?

Ross

Thank you, Ross. It feels good to imagine the possibility of never needing a treatment again, which my onc said was a distinct possibility. No guarantees, though!

Yes, it has been a long road, even if it has been only been ten months. You’d be surprised how slowly time can go by when you must concentrate one one thing, and one thing only.

But, it was worth it, I would think. Next is to just allow my body to heal itself from the beating it took from the Rituxan and Treanda. I think maybe 2 months should go a long way to that end, give or take. My blood counts need to return to normal.

Thank you again for your support, Ross. How are things with you?

Take care,

Tony.

What great news, Tony!
You had an especially rough ten months. I think we all went through a bit of your hell with you. So glad it's over, that the prognosis is good and that you can finally return to your "other" life!
Congratulations!

Thanks, Vikki! I don’t think that anyone who’s going through what we are can help but go through it, in some way, along with them…

How are you? I haven’t followed the Group in a few months, and don’t know what’s going on with everyone who responded, and who I responded to, when I was.

I hope all is well with you. Thanks again!

Tony.

Congrats Brutha! Remission at last, here's hoping for a NO-Chemo future. I was getting worried about you since I hadn't seen a post in a while, but glad to hear the good news. I finished my chemo last Feb and so far so good with the scans. I had a routine blood check last week and my white counts were finally back to normal, so don't be surprised if it takes a while. If I'm ever out East we'll have to get together for some of that famous NY Pizza you're always raving about.

Take care and God Bless
-Andy

Thanks, Andy! I’m glad to hear that you’re doing well.

Even though I’ve had a “positive response” which is akin to remission, but not in quite the same way as most people know it to mean, it does still signify a very favorable outcome after my chemo is ended.

My lymph nodes no longer showed up on scans. Add to the fact that I couldn’t take any more chemo, and this is the result someone like me has to accept.

In my case, the outcome was very favorable, as I’ve said. I am happy about it. Even though the NHL may return, my doc says it may or may not… there’s no telling. So, I’m rollin’ with it!

Six months to normal white cell counts, huh? Well, I suppose I’ll just have to wait till then.

Did you feel tired right after your chemo was done? I mean, for a few weeks afterwards? That’s how I feel now, and I think it’s just my body trying to rebound from the pounding of the treatments… Yeah, I’ll go with that!

New York pizza… oh, brudda! What I wouldn’t give for just one slice… As you can tell, I am not in NY at the moment… I’ll let you know when I might be there… we’ll get that pizza… and some vino…!

Nice to hear from you, Andy. Take care and post again with any other thoughts or insights you may have for me and others like me.

I’m still mad, Andy… But, the results are so positive that maybe I should think about a different mindset? I’ll think about that…!

Take care, Andy!

Tony.

Tony-
Things are good on this end. As I mentioned in an email, my wife is rebounding from her surgery like an all-star, it's insane how well she's handled everything.

So you're still holding on to that anger? Well no one could blame you, although at this point (and I know this is easier said than done) the longer you hold on to it, the less it's doing for you. it's inefficient. there's a great section in the current Esquire magazine on making self-improvements and although somewhat tongue-in-cheek one of them is how to

"Bounce Back, On Command ... It's what A-Rod is trained to do after a strike-out." It gives three steps:
1- Close your eyes
2- Lower your chin and think about whatever's making you upset
3- Raise your chin to the sky and open your eyes

According to the performance coach they consult, "By doing this, 75% of people forget whatever was bothering them."

Is it BS? There's probably some practical value in it.

So any thoughts on Steinbrenner?
Ross

Hi Ross, It’s so great that your wife is doing this well. It sounded for a second like it would be a little worse…

Yeah, the anger issue… I’m still holding on, but I am seeing a therapist. I can be pretty stubborn no…:wink:
I “wasn’t supposed to get cancer!” “All I have to look forward to now is feeling bad and being sick.” Etc.

Maybe it’s some kind of coping mechanism for me? I dunno? I have a great support system… And that means you and everyone else here, as well… So, what’s my problem? Eh, I’ll tell it to the shrink…

I think that the exersize you mentioned definitely has merit, although, on the surface, it may not seem so. I have a friend who can fix your hiccups by just saying a few words to you, then by doing a little waving action (or whatever it is) with his index finger. I swear it works like a charm, every time!

It’s a sad day for baseball, given the deaths of Steinbrenner and Bob Sheppard, “The voice of god” I remember when he bought the club (for only $10M LOL) and how he was always firing Billy, then re-hiring him! He made the team into the juggernaught it is today. Seems odd that he’s gone… I wish I coulda met the man, er, The Boss

Tony,
Congrats! I am prepping for Bone Marrow Transplant. 12-15 months until normal again.

Rose

Hi Rose,
I can’t tell you how bad I feel for you. After a year of remission, you now have 15 months of BM transplants to go through… I can’t stand it.

Thank you for your congrats to me. It was one heck of an ordeal… don’t we know it?

Yeah, I want the cure, too! It’s an impossible task at this stage, but, maybe one day, in our lifetimes…

Rose, you’ll be fine and in remission once again… I remember when you first posted that you were in remission. You said “Remission feels good.” I thought, yeah! I bet it does. You gave me a lot of hope with those three words.

I’m waiting for you to post those words again…

Keep us posted.

Tony.

Remission felt good for a year :)

Tony,
I just have to wonder what they hope to accomplish with this Bone Marrow Transplant. I will speak to the transplant specialist the beginning of August in Miami. I need to write all of my questions down.

I am glad you are finished chemo and in remission... keep us all up to date on how well you are doing :)

Rose

Hi Rose,
You know a lot more than I do, I’m sure, about bone marrow transplants… I suppose they take good marrow and replace the “bad” is this right?

I forgot which lymphoma you have? My doc never mentioned any marrow transplants, stem cell deals, transfusions, nothing… just chemo and that’s all…

It’s funny, because I was at the end of how much chemo I could take before it really took its’ toll on me. And, so, I was fortunate that the latest scans didn’t show any nodes.

So, I think it’s a combination of the Treanda working pretty well and good timing. At least this scenario has crossed my mind… You know how these docs can’t (not won’t) give any definitive answers most of the time… they simply do not know.

Rose, why have you relapsed? Seems like a silly question, I know… But I’m curious. Is it your specific dx? I would think that you couldn’t possibly do anything conciously or unconciously to bring it back, so, the dx must be the reason.

When I was finishing up with my last appointment, I asked the doc, half jokingly, if I should just go home now and wait until my lymphoma comes back? He sorta laughed (very rare for this guy!) and said “No, it may never come back.”

Now, I don’t buy that for one second, because that’s my nature. These oncologists sure are a different breed… I can’t imagine the kind of mindset they must have being around people whose dx is not so good. So, when my doc doesn’t have an answer for me, I don’t take it like he’s holding back. He simply doesn’t know, and, he’s a professor of medicine!

Rose, please let us know what your doc says about your situation. I keep coming back to why you are symptomatic again after only one year… You certainly are a trooper. My friends say that about me, and I tell them, “No, I’m not.” I’m just going along with a program that I would do just about anything to get rid of…

Rose, take care, and let us know how you are doing!

Tony.

Tony,
In Oct 08 I was diagnosed with Follicular Non-Hodgkins Lymphoma. My organs were enlarged, it was in my nodes, liver, spleen and bone marrow..which made me stage IV, grade II, they never took a node for biopsy though..guess they got the grade from the bone marrow they took. I did the R-CHOP and in March 09 I was finished chemo, they had to wait a few weeks to do the bone marrow biopsy and in May 09 it was a definite complete remission. My Dr. told me that my type of Lymphoma usually comes back, so he sent me to Univ. of Miami Sylvester Cancer Center to have a consultation with a transplant specialist. She took blood to get my markers and said that we will have that information just in case. My Dr. does not know why it came back, just that my type usually does. So I had it in my mind that it could come back, I put the in the back of my mind and went on with my life. Fast forward to March 09 and I have pain again near my kidneys but on the other side of my back. My Dr. is also thinking about taking a piece of one of the diseased nodes to see if we are dealing with the same type of Lymphoma, but I see him on Tues. and will find out then. One thing... I just had my port put in last week, its a different port with more pain than the last one, weird that I actually had to take pain pills they gave me this time. Last time it was a power port, this time its a MRI Bard Port. I have no idea what happened, but I wish it didnt. I just got married on May 22 and now here we are with a bone marrow transplant. My husband is a great person and does what he can to keep my spirits up, my son is not taking it so well.
You take care as well.

Rose

Hi Rose, Congratulations on your marriage! All the best to both of you…

I have heard that your type of cancer seems to want to come back, yes. Most NHL do, don’t they?

Since your docs are taking marrow, they must be taking a different approach with you this time. One that may keep you in remission longer…

Taking a biopsy of a lymph node may be worthwhile, as long as you have a super-qualified pathologist/oncologist who can give an accurate dx. Maybe the docs are barking up the wrong tree? (I’ve learned to question everything!) I think you should ask about it. Just my $.02

How old is your son? It must be really hard on the kids when this stuff happens. Scary business…

Ports, yes! I still have mine (Bard Power Port) and I’d like to get rid of it. I will ask the doc… it’s been roughly 6-7 months since it was put in, and I would like to be rid of it.

Did they open the same incision as when they put it in, Rose? Or is the pain stemming from the port itself? Maybe it’s too early to tell what’s going on? I remember when I had mine put in… the pain was high. I didn’t think it was going to be that bad. I think, in my case, the incision was causing most of the discomfort. Now, the idea of re-opening the thing is not very pleasant, but, what can a guy do?

Take care, Rose.

Tony.

Hey Tman

haha I am back to bug you...lol

Hi Linda, Well, this is what makes for an interesting thread… and, I’m sure everyone else loves it too… lol

I guess support can come in many forms? Just as long as it keeps coming!

Stay well,

Tony.

You bet cha Tony...we are all in this together and help
each other keep it together.

Tony,

Hi and any congrats!

Is Treanda also called Bendamustine? Maybe I am getting my facts mixed up! My husband was dxd w/ FNHL and went thru six rounds of Bendamustine and Rituxin. Though it is said to be less toxic, he has had some definate side effects to include his veins (both hands and feet) really bothering him. He is 3 weeks out past his last treatment.