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Hi Everyone,
I live in the west of Ireland and cannot find a support group in this country. I have been reading your stories and great advice and decided to introduce myself and say something about my CML story so far.
I went on a v rare visit to my GP at Halloween 2017 after suddenly developing numbness in my right hand and arm. I returned there the following morning for routine bloods to start investigating the numbness. I then received a phone call from my GP late afternoon and the rollercoaster of test and scans began in hospital the next day.
My w.c.c was high and r.c.c low but the platelet count was of most concern. It was extremely high. I had flown to England the previous weekend so I guess I was lucky I didn't have a clot! I was promptly started on aspirin plus Hydrea. The haematologist was very sure it was CML and when the blood and bone marrow results finally confirmed this I was changed to Nilotinib. The Hydrea had reduced the white cells but the platelets did not budge until after the Nilotinib was commenced and then came down dramatically.
To cut a long story a bit shorter I have been tolerating meds quite well so far. My energy levels aren't great and some initial itchy skin has eased. I may get bone pain one day in the month! My haemoglobin results dropped to 8.1 but gradually returned to normal range with the help of galfer on alternate days.
Neurological tests and MRI found inflammation in neck area of the spinal cord but no cause was found! I had IV high dose steroid treatment followed by oral steroids which improved the numbness by about 70% but I still don't have full feeling in my hand or full arm strength. It's a nuisance and a mystery.
Prior to the diagnosis I was tired but I was working long days and caring for my elderly parents on days off. I didn't feel "ill" and still don't. However, I take life a lot slower now. I have returned to caring for my parents but not to work yet.
I am anxious about returning to the manic lifestyle that I had before but financially I may have no choice. At the moment the neurological problem means I cannot do the "paid" job as it involves manual handling and report writing which is difficult with a numb hand but if this gradually improves as the neurologist has predicted the thought of 12/13hr day/night shifts with my current energy levels and the two fasting periods required for Nilotinib is quite scary.
I guess I will continue to take it week by week and see how things develop from here. My job involved years of having to stay cool and calm on the outside whilst I may be internally combusting!! Maybe it's time for a change of career. But in the rural west of Ireland my options are somewhat limited.
Bye for now and thanks for reading my story.
Joanne.

Hiya Joanne - 

I am Irish too, and there are a few of us on this forum. I live in London, though.

There is, or at least was, a sort of informal CML group in Ireland. I've no idea if it's still going. Here's the details:

http://www.cmladvocates.net/cml-groups-list/19-europe/57-ireland-cml-soc...

Regarding the two fasting periods for nilotinib ... if this is really a big problem, could you talk to your doctor about dasatinib? (or even imatinib). Both should be available through the HSE. I take dasatinib as opposed to nilotinib because my job would have been hard with nilotinib.

David.

I was diagnosed in October, with a really high WBC.  I was offered either Dasatinib or Nolotinib, but chose Dasatinib because I didn't fancy the whole fasting for two hours before/after business.  Too much of a curfuffle especially with trying to live a normal life!!

I am interested to see you've got numbness.  I have developed really cold hands and feet- although neither are numb.   I will be asking my consultant about that next week when I get the results of my first PCR test (having been on dasatinib for all of three months now!).

 

 

Thanks for replying David and Libby.
I will make contact with the link you sent David as well as following this forum. All the technical CML language is still a bit overwhelming but knowledge is a good way of feeling more in control. It wasn't really explained to me why Nilotinib was chosen for me. However, I am doing well so far so will persevere with it. It's a matter of timing the tablets well as meal breaks are unpredictable at work. Realistically I won't be going back to work full time soon. Hopefully I will be able to progress to taking Nilotinib once daily at some stage??
Libby. My arm numbness has been caused by inflammation pressing on a nerve in the spinal cord. No cause has been found with blood tests and lumbar puncture! No link has been found with the CML either. My right hand and right foot do get very cold tho compared to the left side! I am also awaiting results of the 3mth PCR test. Cold fingers and cold toes crossed for us both eh!!

Welcome to the forum Joanne.  We are based in the UK (Scotland), so pretty close across the small pond!  Thank you for sharing your story.  My husband Tim was diagnosed in September 2017 and is now on Imatinib.  We have had a roller coaster ride of things but gradually getting there.   He has been really battling fatigue but thankfully runs an IT business from home so we have been able to adjust accordingly.  Your thinking and how you run your life does change, doesn't it?  We have let some things go and enjoying the slower pace. 

We also are in the middle of nowhere, our closest CML help is a 3 and a half hour drive but we have a number we can call 24/7 and a great clinical nurse that is one email away.  All the best.

Michelle

Hi Michelle,
Thanks for getting in touch. It isn't as isolating when you read stories of others who have had very similar experiences.
There seems to be a few like Tim and I that were diagnosed within the last 6mths so we are at a similar stage on the CML journey.
For the first few months I thought I would wake up and it was all a dream as it was surreal.
I think I now need to start asking more questions when I get the chance so I feel more in control of my own treatment and make plans for the future as you two have.
Bye for now.
Joanne.

Though the staff were remarkable and got us through the first 3 weeks in hospital, we felt abandoned when we came home.  They even mentioned this would happen and they were on the end of the phone all the time.  It took me 2 months to start looking for help and I was relieved to find this site and a UK based facebook CML site.  I do everything for my husband because he is just too tired to do it.  I am the ferreter of information anyway and it is my way to cope and get him through it.

Our team that are helping us said from the beginning they wanted to start Tim on Imatinib because first of all it is the cheapest and has the least side effects.  He is responding well but they think this exhaustion might be too much so a switch to the one you are one might be on the horizen in 6 weeks.  Our specialist told us that it is a faster one and after two years a lot of people can come off of it or at a reduced dosage.  The fasting looks daunting though!!

Take care and stay in touch.  There does seem to be a lot of people in the same bracket from September 2017 till now and yes, it does make the world a little smaller.

Michelle

Hi Joanne 

My husband was also diagnosed at the end of Sept 2017 as a result of a prolonged and very painful gout attack. Now we are so thankful the doctor decided to run extra blood tests as his WBC was over 200k and he had an extended spleen. He has been on Dasatinib since the start of Oct and has responded really well . He was very tired the first two months and still has some days where he feels very tired but on the whole is almost back to normal and he def has way more energy than he did in the 6 months leading up to dx.  He swears by drinking copious amounts of water and for the last month has taken Curcumin to help with some inflammation , mainly around the eyes. I think that has improved his colour as well. He feels the cold a lot more than he used to do as well. 

He doesn’t want to think about or be defined by CML so I am the one who has done all the research. It was initially a very steep learning curve but his doctor has been  great about answering all my questions. And this site and before that the LLS message board were a godsend to me, who never took a biology class past the age of 13.  We make sure to get all the blood test results back prior to meeting with his doctor so that I could go through them in advance of the mtg and have my list of questions ready. I think because I am advocating for my husband and not myself I am much more assertive than normal. 

I am from Scotland and my husband is German with some Welsh and Irish thrown in. Living in California for ten years now , his diagnosis made us feel very homesick,  esp being so far away from family. 

Best wishes to you.

louise 

 

Thanks Michelle and Louise for your replies. I am finding the tiredness has much improved since my haemoglobin is bk within normal range.
I should have asked why Nilotinib (Tasigna) was chosen for me. I was so relieved to get something that would finally bring down the platelet count from over 2000 that I would have taken anything!
The fasting is now part of life but I do have to set alarms on my mobile if I have a busy day planned. Otherwise I haven't had any serious side effects. I also try and drink lots of water as I found it helped with initial morning headaches and keeps things nicely "flushed" out!
Wishing both your husband's all the best with the treatment. They are lucky to have two assertive ladies looking out for them.
Joanne.

Hi Sligo Jo,

 

i commend you on on your strength of sharing your story. I hope that you can continue to come on these forums to gain support. It is a great way to channel feelings because you feel as if your family and friends do not understand.

I live in Ny (U.S.) and have been diagnosed with CML for 12 years now and it’s still a battle. I was first on gleevec and that led to me having some bad side effects that I am still dealing with today. I then switched to sprycel (dasatinib) which has been working better. I have read everyone replies and everyone’s story will be different. The best thing that you can do is to research, research, research. I actually researched my information and went to the doctors with it early on. I can be off my meds but I’m afraid of my WBC coming out of remission in the molecular stage. I decided to channel all thoughts and feelings into a book. I am now an aspiring author and helping others self heal. My book relates to my journey and what I went through as a CML patient while dealing with normal life. Right now you may feel as you are alone and I can relate.  My book actually allows for self-healing by allowing the reader to write their thoughts by answering questions. If anyone who is reading this, male or female, are interested in purchasing the book I can leave the details below. If you have any further questions you may want to ask me since I have been dealing with it for so many years so I am open and willing to answer. Praying for strength and humility for all of us!

Colorful Ribbons Presents The Orange Journey: The Beginning volume 1 can be found on Amazon.com, Amazon.ca, Amazon.co.uk, Amazon.de, Amazon.es, Amazon.it and Amazon.fr. 

Hello Sligo Joe, I'm an irishmammy myself from Co Armagh! I'm sorry to hear about your diagnosis. I've a wee girl with CML and although we can never be complacent, TKI therapy has been revolutionary for CML patients. I really wish you the best of luck in your treatment and for the future. Kind regards

Hi Sligo Joe,

I also live in Sligo. I was diagnosed with CML in Sept 2015 and have been taking Tasigna, if you want to meet up for coffee just to chat pm me and we can meet up.
Anytime after 11:30 as that is when I finish fasting!!

Liz

Hello again and thanks for the recent replies. It is starting to feel like a much smaller world now and your good wishes are very much appreciated.
Liz I am not sure that there is a pm element to this forum as it is support/advice and medical knowledge based.
However, You are so nearby and two years along the CML journey. If you can find a pm link if would be great to meet up for a chat.
Joanne.

If you want to send someone a private message, you can click on their name beside a forum post, then on the next page you can press "contact" and that will allow you to send a private message.

David.

Hi David,

I'm not seeing a contact button when I go to your profile.  Here's what I'm seeing:

 

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David Fitz
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