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awaiting results of philedelphia test

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Hey-I'm brand new here-though I was born with major urological birth defect causing 19 major surgeries  and so many complications-it's crazy!!  So, I am very familiar with dealing with health issues and I know too well that the best answers will come from the voices of experience! (That's you!)  Here's where I'm at: 

I had a cbc differential come up saying "metamyeloocytes, promyelocytes, myelocytes <5, .  It was done at Stanford for routine testing for other issues I deal with.  Noone seemed to think too much of it (these were gastroenterologists, mind you!) but the voice of experience told me not to let something this new just go-so I followed up with my primary care-but about a month later-as I was without a general doc for awhile.  Anyhow-he didn't think too much of it-but asked a hematologist, just to be safe.  Well, now the hematologist has ordered the PCR/FSH, etc...blah blah test...evidently he is a little more concerned.  My family has looked after me so carefully through all my health issues (52 years) and is now very concerned (especially my twin sister) about the meanings of these tests.  from the research they have done, we really shouldn't have ANY of those "myelocytes" in our peripheral blood, right?  ...and if we do-then it's high probability that this is CMML-also evidenced by the fact that hematologist went straight to the philedelphia test-which I can only assume is very expensive and not done lightly? 

 

I'm not the type to freak out-just the type to want to know ASAP so I can start doing whatever it is that needs to be done!!  I know, of course I have to wait for the test to come back-but basically, I think the writing is on the wall, right?

 

Any insights would be so appreciated...I know you are all going through really serious, difficult times....best wishes and hugs to all!  Thanks, glo-

replying to my own post-sorry-forgot to mention-I also have an enlarged spleen, swollen lymph node on my left underarm and new significant decrease in my kidney function-which thankfully is watched closely due to my other issues!  ...these combined with other test results are what make me feel it is more likely than not that I have CMLoor some other L!

 

Whatver it is-I'll deal with it-I pride myself on getting through tough diagnoses-some people ru marathon's to challenge themselves-I walk the first day after  12-hour abdominal surgeries!!  who-hooo!

Hi... you are in one of the right places if it turns out that your PCR testing shows you are positive for the Ph chromosome... the acquired (not inherited) abnormal chromosome that is the drive of CML... which has a different disease profile than CMML which you mentioned in your post. This may have been a typo. However, I think before you can act your need to get that test result back in order to be clear that you are dealing with PH+ CML and not another leukaemia/myeloproliferative disease. 

If your test is positive then you will be in the fortunate position of being able to choose between 5 tyrosine kinase inhibitors (TKIs) - which for the vast majority of cases of chronic phase CML is the most effective treatment. These TKis - imatinib; nilotinib; dasatinib; bosutinib or ponatinib - are very effective targeted therapies... but you need a diagnosis first. 

You mention that your spleen is enlarged, so you will also need to ask your haematologist which phase of disease your are in - this will be determined by a complete overview of your symptoms. 

Have you taken a look at our CML Facts page? this may help with your understanding of disease phases etc.

Please update us when you have your diagnosis so we can advise you further. Ph+CML is managed very effectively in upwards of 90% of those diagnosed in chronic phase. 

Well done for being so proactive.

Sandy

You sound like a seasoned realist and I'm sure you're anticipated what other seasoned campaigners are likely say.

Of course the test you're having isn't taken for no good reason.... you know that I know that.  You may well have an answer.   In the meantime "Keep calm and carry on"..... It's good that you're getting tested.  It may well provide answers to the questions about the health problems you've been more recently experiencing.

All the best

WOW!!  Thanks for the clarification!  Here, I thought I was such a wonderful researcher and I was fairly mixed up.  I really thought CMML and CML were really both the same thing...that either people just used them interchangeably or the difference was a language thing, as I am from the US.  Now, please correct me if I'm wrong-but I think the difference is that CML is the one where the chromosomes 22 and 9 break and translocate, respectfully; while the CMML also has trouble with chromosomes, but can be different ones and don't necessarily translocate, right?  

 

OH-forgive my manners; FIRST;  THANK YOU,  THANK YOU for setting me straight, and for the support from both of you, Sandy and Darley.  I can see that you are both very active here and have helped a lot of people...Bless YOU!!

A couple more questions...as that is the main "action" I can do now, is get informed on the front end-so when (and hopefully IFF) a doctor calls to tell me I have this, I'll be prepared with the right follow up questions, requests for tests, info-etc.

1)  does the BCR/FSH test for both CML and CMML?

2)  I'm pretty sure it doesn't test for the myeloproliferative diseases...so if this comes back negative my twin sister (AKA: ANNIE) is pretty firm that I HAVE to press my new doctor for a test for those.  I was thinking of taking a wait and see approach.  The whole reason I have a new doctor is that my last doctor accused me of "looking for new problems"  ;( saying I have enough going on without looking for new problems) so I am really self concious about not wanting to act like a hypochondriac to my new doctor.  When your body lives with a major birth defect for 52 years, there are a lot of side effects (or co-morbidities, as doc's say) so it seems I am always going in with some new lump or horrible pain I.... I really try to pick my battles.  Sorry getting a little side-tracked, just thought it might help for you to know background before helping to guide me as to whether to push for further testing-if this comes back negative.  I am developing a new relationship with a doc-so I don't want to start off acting like I need every reassurance under the sun, if not necessary now..at this point-I can wait; but don't want to wait if it would make a big difference in my outcomes.

3) Is there a way to go directly to your stories...I've seen messages of people being inspired by them-but didn't see a direct link...although I didn't check again after logging in-only from the public sight; which brings me to 

4) I don't know who the site designer is-or if they are open to ideas for it-but I think it would be helpful for new forum members if there was a button or highlighted area that would remind people if they want to post they have to log in.  I completely forgot that is what I had done last night and I spent quite a bit of time trying to figure out how to reply to your posts (there was no reply button because I hadn't logged in)  Of course, that is probably well known among people who use the internet/forums a lot; but I am on disability due to my other health issues-and other people like me might be a little flustered with this whole thing...so a nudge about logging in might be helpful

That being said-THIS IS SUCH AN AWESOME SIGHT!!!  Yes-I did read the CML facts-and was just a little mixed up (because of my own confusion on the acronyms)-BUT YOU GAVE ME HOPE RIGHT AWAY!!  I have been doing lots of research, and these new TKI's are just not being talked about very much-till I came here-and hit the Motherlode-Thank you, so much-this is incredible news!  Not only is it there (the new drug class) but there is a whole body of people with experience that I can ask questions to about it.  Because of my other issues-I tend to have troubles tolerating drugs.  One of the biggest is that I do have chronic kidney disease.  So, if they affect kidney's at all, It's probably not an option for me-but I haven't seen anything like that-I will do more research of course!  I also have a lot of trouble with belly pain and absorbing drugs-due to the fact I've had over 6 feet of my intestines removed due to bowel obstructions. 

If anyone knows of side effects that have been most prevalent among the group-that would be invaluable to me.  ...as opposed to "drug facts" that post statistical mumbo -jumbo that may or may not be evident in the real world) this really helps me so that when the time comes-if a doc says take drug "X" and I know quite a few of you have already had "tummy trouble"  I will ask for a different drug, instead of wasting time and possibly going into a flair up of horrible intestinal spasms that can sometimes take a week or two to get calmed back down.

THIS is the sort of action I'm talking about-being educated enough to talk to doctors and not have have every thing they say go in one ear and out the other....it just feels so much better going into this armed with voices of experience! 

Oh dear-I just realised how long this note is-I'm sorry-I'll try and keep it down in the future-I'm just so happy to have found you!  I also forgot to check the text to see if you asked me questions that I needed to reply to-so I'll do that and reply on a new string if so.  Anyway, thank you so much.  AS i said, I would love to hear your stories, I'm sure they are full of hope and comfort, as is the rest of this site.

 best wishes, glo- 

Hi-Thank you so much for validating my thoughts/concerns, etc.  I sent a lenthy reply to Sandy's message, which of course the thoughts, cudos, etc are meant for you as well!  I really appreciate all you are doing here.  best wishes, glo-  

Hi-Thank you so much for validating my thoughts/concerns, etc.  I sent a lenthy reply to Sandy's message, which of course the thoughts, cudos, etc are meant for you as well!  I really appreciate all you are doing here.  best wishes, glo-