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what to i ask?

I was wondering if anyone could help me with the questions i should be asking the doctor on Tuesday when i go back. I have general questions to ask but what sort of questions do i ask about my initial results? Do i ask them for a print out or something? Will they explain the Brb thing and the pcr thing automatically and will this give me the percentages that i need to look at?

Sorry if i sound thick but i really don't have a clue what i should be asking about my initial results.

 

Thanks All

Naomii

Hi Naomi; welcome the club none of us applied to join, but with some great therapies which are now available and the support of each other through this site many, many members are leading very normal lives.

As someone who was brought up in a medical household I've always asked all the questions I wanted, and never had a problem getting the answers. I suggest you read the FAQ section on this site which deals with results, and it might be an idea to print it to take with you. You can then write any notes of further explanation on them, and understand them better when you get home. I would suggest writing down all the results they give you at your appointment - I've never been offered a printout.

The initial results at diagnosis are the base from which we start measuring the impact of your treatment. Key ones are the white cell count which you have in your first post, and the result which you will get about what % of your current white cells are carrying the abnormal gene. 


I was personally fortunate to be picked up on a routine test for something else nearly 4 years ago when my white cell count was 180, but I had 99.9% of my white cells showing the Philadelphia mutation. My % of abnormal cells fell in 6 months to below 2%, and stayed there for around 6 months and then dropped to less than 0.1%. The tests where I am treated in the NE only test to two decimal places (some test to 3 or even 4 decimal places), and for the last 21 months they have not been able to detect any abnormal cells.


Keep asking questions - you need the info to get your head round this disease and everyone - medical professionals and the folks on here - will do all they can to help.


Hope Tuesday goes well.


Alastair

Hi Naomii

Welcome to our club. It really depends on which tests you have had, as to what questions you can ask. If at the moment you have had only blood count tests you will need to know if the white cells, red cells and platelets ect. are within the expected parameters. Once these are back to normal you will probaly have BCR/ABL tests, which detect the ph+ cells in the blood.  These are shown as a percentage.   You will then need to know what the datum percentage for the Lab which is doing the tests is. I am at Kings and theirs is 70%. So the magic number to reach is a 3 log reduction, i.e 0.070%. I keep all my results on a spread sheet. Best of luck for Tuesday.

Tony.

Hi Naomii,

Welcome to the club that nobody really wants to be a member of.

Make sure that you get a copy of all your results. Don't worry about understanding the first report. After getting your second results and comparing the two of them you will find it very easy to understand. Also, remember that it takes 3 consecutive results to establish a trend.

 

Good luck and I hope to enrol you in the Zero Club real soon.

 

Zavie

zmiller@sympatico.ca