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Introducing Stuart 39yo

Hi my name is Stuart.
This is my story so far.
For the last 8 years I have been suffering from rheumatoid arthritis.
I have been on constant medication to help to control the Arthritis this has consisted of Dicolfenac Sodium 75mg daily occasionally up to 150 mg depending on my joints.
On top of this I was also on various disease modifying drugs to try to control this condition
The drugs which I have taken were as follows are Plainwell for 2 years then Methotrexate for 2 years (I did not take this as often as I should of due to the way it made me feel)
Then I started on Sulfasalazine in November 2008.
none of these drugs helped with my arthritis or rather no benefit was ever felt.
All of these drugs required regular blood test to monitor the effects on my system my wcc was always around 6.3
from November to march my white blood cell count started to increase. Initially we thought that this was because of the Sulfasalazine so that drug was stopped on the 3rd march 2009
I was then referred to a hematologist who took a blood sample
then another sample after a few weeks to eliminate the Sulfasalazine as the cause for the increase in white cells.
when it became apparent that the white cell problem was something new he requested that I underwent a bone marrow biopsy
that was done the same day. I then waited for the results.
once the results come through I was contacted and then went to see the consultant who then informed me that he suspected CML as being the cause of the white cell increase.
This was a bit of a shock to the system to say in the least.
I then started on a course of Hydroxycarbamide and Allopurinol I had blood test done on a weekly basis, after 2 weeks I went back to the consultant who took another blood test and found that my white cell count had come down to a white cell count of 46
He then suggested that I stay on Hydroxycarbamide on a higher dosage for a further 2 weeks to reduce the white cell count further before starting with Glivec.
On a positive note since starting with the Hydroxycarbramide my joints improved noticeably to the point where I now feel better than any other time in the last 8 years.
I am getting used to the idea that I have CML
Generally I felt slightly numb and confused at first
(bit of a shock to the system)
But I am now feeling a little more optimistic after reading all the information that has been presented to me from the hospital and from information I found on the web relating to CML.

thanks to the site and for the chance to express myself.
Stuart.

Hi Stuart - sorry to hear of your CML diagnosis, and other problems.

You have foudn a pretty good place to come and ask questions about CML as I have found out over the last few years

It is very good fortune (if you look at it that way) that you have been probably diagnosed early on, and it would seem you are on the standard treatment of first Hydroxycarbomide and allopurinol and then onto Glivec.

Also sounds like maybe a nice side effect of the drugs on your other problems.

Where are you based and where are you being treated.

rob - http://cmlblog.spaces.live.com

Hi Stuart and welcome to this forum... although I would like to echo Rob and say I too am sorry to hear you have a diagnosis of CML.
It do hope your discomfort and pain from RA resolves at least a little with your new therapy for CML and you are able to stop taking the other drugs... about which I know little!
It would be good to know where you are being treated and how you get along with imatinib/Glivec when you eventually start therapy. Please stay in touch and use this forum for any advice and support that you might need.

Stay informed and stay healthy,

Sandy

Hi Sandy
thanks for the response.
I am being treated for CML at wigan hospital Hemaotology unit (Parsons walk Wigan)
If all goes well i should be starting glivec next friday.
the good news regarding the RA is that i have not had this much mobility for 8 years now.
in relation to the drugs for the RA when it became apparent my wcc was increasing the hospital stopped the drugs till the blood cell thing come under control.
however the dicolfenac is still to be used when required.
the really good news is for the last 8 years I have been taking diclofenac on a daily basic in order to be able to function, on average I was taking 1 tablet every 18 to 24 hours depending on the pain and swelling of the joints.
since the 24th of April i have only needed 3 diclofenac tablets in order to function but now i have less pain and swellings
its ironic but i feel better now than any other time in the last eight years.
which becomes amusing when i see the specalist at wigan.
He always says how are you feeling and i understand what he means but after struggling for eight years and suddenly starting to ache less,recover some mobility and not be as dependant on the pain killers i was on.
its like being a kid in a sweet shop its the best feeling in the world lol
take care and stay healthy.
Stuart

Dear Stuart... I am a northerner too and brought up in Liverpool so not far from Wigan - although I have lived in London for over 25 years my parents and wider family still live in the north west ;o) There is a CML patient support group based in Liverpool. Liverpool Royal Hospital is one of the centres of excellence for CML- (Prof. Richard Clark)

good to hear you are finding there is less pain without the RA drug... this must be interesting to your doctors.. I would like to know what their explanation might be. Please keep us updated on your progress especially over the next few weeks. We are here to support and help should you need advice.

Wishing you a good early response to imatinib/Glivec ;o))

Sandy

Hi Stuart
Welcome to the club - there are loads of us so please don't feel alone - many of us are doing very well too and for those that aren't there is lot of hope so please try to stay very positive.
I was dx in 2000 with CML and underwent an unsuccesful BMT at the Royal Liverpool but then thank God Glivec came along. Life is pretty normal now and I have just dropped from 600mg to 400mg.
Prof Richard Clark at the Royal Liverpool (Sandy! - Hi!) is my haematologist - couldn't hope to come under a more expereienced guy - he has been a revelation and I have a lot to be grateful for to him and his team.
Good luck to you and your treatment - if we can help in any way please just ask. I'm based in Southport by the way so if you ever need to talk please just ask and I'll give you a call.
God bless
Peter Miles
Southport UK

Dear Peter... so good to hear from you and that all is well. I agree that Prof. Clark is a really great CML doctor and is pretty much at the cutting edge. He is very supportive of patients and whenever I have seen him speak I have been impressed.
I hope that next time I visit my mum and dad (in Formby) I will let you know and hopefully we can meet up for a coffee in Southport.
Is the Liverpool Patient Support Group still up and running? let me know and I will try to get up for a visit.

Best to you,
Sandy