Patty’s APL Survivor Story

I’m so happy to have found this site! My name is Patty Chambers and I was diagnosed with APL November 2005, when I was 19 years old. I’m now a 21 year old college student and am currently in the “maintenance” phase of treatment (taking oral chemotherapy such as Atra, Methotrexate, and Mercatopurine). I was apart of a research study where I also got treated with Arsenic 5 times a week for 6 weeks. I am so happy that this website is dedicated to all of the people that have or have had APL, we all have gone through alot and continue to live through it everyday, atleast we have somewhere to share our own experiences.

Patty

When is it time to give up? Help with the fight!

Picture drawn by Zach McNutt from his caring bridge pageFirst a very short Anita update; Anita is doing great!! She is 8 months post transplant and while her treatment wasn’t easy, we are fortunate to be where we are now in terms of her health.

Anita just had a clear PCR test result come in today – this was most welcome news. The test result means that there is no detectable trace of cancer in Anita’s blood right now.

You are never quite out of the woods with leukemia – it can always come back but a negative PCR test means that you are probably in a very high state of remission.

This post is going to wander a bit from the specific topic of APL. That’s OK though because there are many aspects of APL that are similar to any life threatening disease.

From time to time I am going to grab posts from the LLS forums that may be of interest to the APL community. There is a tremendous amount of helpful information on the LLS discussion forums, but like any busy forum, only the most current stuff is readily visible and older posts just get buried and lost over time.

So here we go – I am going to spotlight a lengthy thread about my hero “Zach Man” Zach is a 25 yr old guy that is seriously fighting for his life right now. He is fighting a very aggressive form of AML that isn’t giving an inch of slack or respite. Throughout the early part of the post, Zach is rolling with the punches, dealing with his treatments as well as can be expected. Pay special attention to his post on 03-13-2008 04:19 PM though. Zach is 25 yrs old and seems ready to give up the fight and “head home.”

Please read Zach’s post and I want you to think about what it would be like to have a brother, spouse, or any loved one in his position. It happened to me – it could happen to you too.

I want to stress that I deeply respect any decision Zach might make in terms of giving up the fight or carrying on…

So here’s the post… (note that I’m pasting only part of the post here ). Zach’s CaringBridge page is here too: http://www.caringbridge.org/visit/zachmc

Author Topic: Relapse at day +60
ZachMan
Member
posted 03-07-2008 08:59 AM


Well my disease is just doing weird stuff, my bone marrow envolvement has gotten worse and super fast, but not any real lymph node sweelings or tumors. Hmmm I dunno…. What good is once dose of steroids and my WBC went from a crazy 74.5 to 0.32 in one dose!
So I find out what my bone marrow looked liked the other day today. I also have 2-3 days left in the hospital then hopefully go to the condo for 5-6 days and then same protocol I am having now, but maybe outpatiant.
They may add on the 2nd part of HYPER-CVAD which has had good results with this trail and if so I will want to go home to Birmingham for that just to help me menatally. If something pops up though right back to MDA of course.

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mlpastorello
Member
posted 03-07-2008 10:30 AM


I follow your posts and I want to tell you that you are so amazingly brave. You are stronger than this disease so you will beat it. I hope you get the “mental” break you deserve.

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ZachMan
Member
posted 03-07-2008 03:14 PM


Here is my caringbridge page if anyone missed it:
http://www.caringbridge.org/visit/zachmc
[This message has been edited by ZachMan (edited 03-07-2008).]

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ZachMan
Member
posted 03-10-2008 04:29 PM


Well back at the condo, been eating alot since the steriods I was/am on haha.

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leawedge
Member
posted 03-10-2008 10:21 PM


Zach-
Keep eating as much as you can- what are the things that are tasting good? Or is everything tasting good???
I am happy you are at least back at the condo. STAY STRONG- you are a warrior.
Lea

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ZachMan
Member
posted 03-12-2008 01:33 AM


Everything tastes good haha, pizza, pancakes, cheese, soup, etc.
I forgot the name of this last protocol I was on, but it wasn’t too bad, I get another round of it the 19th-24th, except outpatiant this next time. We’re just keeping my counts as low as possible….its getting old being transfused 2-3x a week though sigh….

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Jeri
Member
posted 03-12-2008 07:07 AM


Zach,
Glad you’re back at the condo and eating well. Keeps the strength up! Enjoy it! I’ve learned you take small pleasures where and when you can. Hugs – Jeri

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potterp
Member
posted 03-12-2008 07:35 PM


Hey Zach,
I know it is hard going in all the time for transfusions but isn’t it great to be out of the hospital. Just reading your posting makes me hungry. Glad the food taste good.
Paul

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courtneyssister
Member
posted 03-12-2008 09:26 PM


Zach,
So glad to hear that you are back in the condo! And enjoy the pizza, pancakes, and everything else that sounds good (I know I am definitely craving pizza after your post!).
All the best.

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cgrobin
Member
posted 03-13-2008 01:11 AM


Glad to hear you’re eating. Don’t forget you need extra protein to rebuild the damage from chemo, so put extra pepperoni on the pizza. ;-)
I found eggs were a good easy way to get protein.
Just make sure you cook everything hot and if you like pepper, add it during the cooking not after.

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Tex
Member
posted 03-13-2008 12:57 PM


Zach, you do so well with the changes. I’m glad you’re doing well (enough) I’ve been thinking a lot about you while I was gone.
Blessings

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ZachMan
Member
posted 03-13-2008 04:19 PM


Thanks everyone, yeah I just take the hits in stride, but it sucks being the guy at MDA in a room of 50 patiants and they all listening to you about what all has gone wrong and everyone feels bad for you.
I mean I have no clue whats going on with me, I am on something new every month and right now the plain is to just keep my counts zero and get another round of whatever it is I had (see I am getting lost I’ve had so much chemo, lol)
I tol Dr. T I was getting tired and really needed to go home soon, not sure if a few days will do it either. I like being alive, but these consistant struggles everyday to get nowhere is getting old. One week zero blast, next week 80% blast, etc..I keep fighting cause my stuff is so so sensitive still to chemo, but man its aggressive and the 18+ rounds of chemo in 1.5 years is taking its toll.

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mlpastorello
Member
posted 03-13-2008 04:49 PM


Please don’t ever give up Zach. You are too young and you can beat this. Just always remember you are stronger. My sis was told by her nurse to freeze her Ensure shakes and that might make it seem more like a treat. It is kind of funny though – my sis said after being the patient now (she is a clinical nutritionist specializing in oncology) she wishes she could go back and take every lecture she has ever given. You never know until you are in the bed. She now would go back and tell them, “I will be happy with any calories you can put in and however you want to get em”

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mlpastorello
Member
posted 03-13-2008 04:52 PM


Sorry cgrobin – obviously following the neutropenic diet! Do you guys also have to throw away unopened food after 48 hours? Getting fatter on my sis’s leftover Little Debbies

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chrisgru
Member
posted 03-14-2008 01:57 AM


Zach,
Your life is precious and there are many that have no choice about when to stop fighting for survival. You still have a choice and a chance to live.
The medical literature is full of stories about patients that have survived all types of terrible health challenges. You could certainly be one of them. Grab one of your Dr’s and ask them – “Could this turn around?” Don’t ask how likely – just ask them if it is possible. I know what they will say – hang on to their answer and run with it.
Also, its great to see all the support from the community here on this board for you. At the same time, I hope you are getting excellent and forceful support from your family and loved ones.
I would like to hear more about how your loved ones are supporting you.
Things are rough for you now, maybe even terrible at times. I think the hardest thing is just no relief for you – for such a long time. Handling tough events is one thing, but when troubles drag on for so long that’s another matter.
I admire anyone that has fought as hard as you have already. In my eyes, you are a special and powerful person. Guys like you are the real super-heroes – not “pretend” heroes.
Despite all this hardship, your health could still improve. You are young and a lot of smart people are fighting along side you to help you get better.
I have seen what leukemia can do. I have gone through some very difficult times with Anita. Pale, terrible mouth sores, so weak she cannot walk, seemingly endless fevers – I think many of us here know too much about this stuff already.
Anita won’t ever be fully out of the woods either – but then who will? The answer is simple – no one. We all live without any certainty about what tomorrow will bring.
There are moments though where living pays big. For example, last weekend, Anita and I traveled to the desert near San Diego. We saw an incredible bloom of wildflowers that literally carpeted the desert sands around us for thousands of feet in every direction.
The sweet smell of the flowers was incredible. The Wildflower experience somehow seemed to balance some of the hardship we have been through this last year – even though it was such a brief thing.
Wildflower moments of all kinds could be in your future.
Its difficult to close this post. I’ll add one more thing. I want you to challenge your loved ones to entertain and encourage you. Have them bring movies that you want to watch – and watch them with you. Bring pictures from the past – and look at them with you. I want you to ASK for your loved ones to help you get through this. It almost sounds stupid and sort of impossible – but you have to find a few ways to have a little fun as you muck through this leukemia crap.
So many people asked if they could help Anita during her treatments. My usual thing was “Oh no – we’re fine etc.” I didn’t want to put anyone to any extra trouble. Slowly, in more recent times, I have become a little smarter about this.
People want to help and many actually consider it a great honor to help someone fighting for their life.
I’m pulling for your Zach – please keep fighting!
Chris
www.aplblog.org [This message has been edited by chrisgru (edited 03-14-2008).]
[This message has been edited by chrisgru (edited 03-14-2008).]

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Tex
Member
posted 03-14-2008 01:07 PM


Hey Zach,
Just think of all the people in the future you’re helping by being the Guinea Pig for them to figure this stuff out.
I know it’s got to be a pain. I still have moments where I’m just sick and tired of being sick and tired. And I had a smooth SCT experience. I can’t imagine what it’s like to be in your skin right now.
But the good thing is that, while you’re not necessarily making any headway, you’re not losing any ground at this point either. That in itself is remarkable.
You are a remarkable guy. Your strength is an inspiration to many. Just remember that when it gets to be too much. You are bigger than this disease.
Blessings

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LadyLouise
Member
posted 03-14-2008 01:25 PM


Hello to all on Zach’s team! Go, Zach, Go! I’m just back from a trip so had to get caught up here. I have such a mix of disappointment and hope but I will never give up on you Zach. Your strength and courage is such an inspiration.
Chris, what a lovely post you put on here. I am hoping for many wildflower days in the future for Zach too. I can’t wait for the day he gets to go back to Alabama for a break.
God bless you all through your journeys.

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KyGuy
Member
posted 03-14-2008 02:37 PM


Zach,
Hang in there buddy. You can still fight through this. I’m sure it can get frustrating when your days are filled with nothing but treatments, docs, nurses, etc. but keep your mind focused on the fight – big picture thing.
I remember my sister saying that she felt bad because she kept encouraging me to fight and since she wasn’t in the bed, she really didn’t understand what is was like for me. I told her that when no one was there physically, I always felt that someone was with me in the room in spirit and I counted on that. So when you’re alone, count on us being “with you”.
Kelly

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courtneyssister
Member
posted 03-14-2008 06:54 PM


Hi, Zach.
I know I can’t understand what you are going through– but I do know that you are fighting an amazing battle and are young and strong. And we are all here supporting you and praying for strength and healing. Just know that while we aren’t in H-town with you (I’m a displaced Texan) we are there in spirit cheering you on.
Best.

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cgrobin
Member
posted 03-14-2008 07:22 PM


quote:


Originally posted by mlpastorello:
Sorry cgrobin – obviously following the neutropenic diet! Do you guys also have to throw away unopened food after 48 hours? Getting fatter on my sis’s leftover Little Debbies


I believe I was told three days. So often I’d keep eating the same thing to try to finish it in 3 days.
If you have too much of something, take off portions that first night and freeze them. Then when you don’t feel like cooking you have things ready to eat.

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Wattle
Member
posted 03-14-2008 08:12 PM


I’m on W&W until it either “blasts off” or goes away, so I don’t watch this forum much, but I’m on your team Zach for what it’s worth! and anyone else who needs an ear or someone to lean on. If mine goes wild it will be a T-cell thing too, so I have a special interest! (((hugs))), Yvonne

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How can you help Zach?

I encourage you to wish him well, but the unfortunate fact is that we can’t do much for Zach. The good news is that he is being treated by one of the best cancer treatment centers in the world – MD Anderson in Houston TX.

Cancer can’t always be successfully treated for individuals, but through collective effort we can make progress, slowly moving toward better treatments and more successful outcomes that will give individual patients a better chance of survival in the years to come.

Please take the time to learn more about cancer and how you can make a difference. There are many great resources to reach out to.

Here are a few for you to consider:

There are countless ways we can all help.

Remember when you support health related causes you are really giving to the entire world. Improvements in cancer treatments eventually reach many areas of the world, indeed reaching some areas better than others (yet another problem).

Chris

Billy’s APL survival story, CLL that transformed to APL

brooklyn.jpgHi. My name is Billy. I was diagnosed with APL in December of 2005.

I was in the hospital for 5 weeks in January and 6 days in March. I’m now in remission and and on maintenance therapy since April of 2006. I take 2 mercaptopurine a day, 1 methotrexate a week and vesanoid (the worse of the 3). I take 10 vesanoid pills a day for 15 days every 3 months, which I just finished taking the other day. I have 18 months left of this maintenance treatrent.

I was first diagnosed with leukemia in early 2001 (Chronic lymphocitic leukemia). I went through 8 months of rituxin and fludarabine therapy for CLL. I relapsed about 18 monts later and went through rituxin ,fludarabine and cyclophasmine and trasformed into APL. I’m 49 and live in N.Y.C. Hello to everyone ! Thank you for this message board.
Billy

Pauly’s APL Survivor Story

Bridge to healthI want to thank you for making this site on APL survivors.. I’m one of them- they call me the miracle mann and million dollar man. I was hit with APL in April of 2004. I relapsed in Sept 2005 and in CR since then. I want to let anyone that wants to talk about there story or to say hi, I would love that. I went through the ringer at first. I was at Stanford hospital and had a bad reaction to the chemo and was put in a coma for 15 days. While in the hospital a total of 89 days and had a mild stroke -double bleeding ulser and blood clot in my leg all within a month, I’m here to tell the story. More to come LIVESTRONG and WE WILL ALL GET THROUGH THIS.!!!!

Hope to hear fro some more survivors and GOD BLESS

PAULY

David’s APL Relapse Survival Story

Hi Chris,
I’m so sorry to hear about your wife’s relapse, but I’m proud to stand here with you in solidarity.My dad was diagnosed with APL in March of 2004, and through all my research in that frantic time, I was comforted by the fact that APL was unique for its very low relapse rate. So we were shocked when he relapsed nearly 2 years to the day in March 2006.

My dad’s relapse was more complicated than most because leukemia cells were also found in his central nervous system. So in addition to the usual protocol of arsenic, he received cranial radiation as well as intrathecal methotrexate injected into a port implanted in his head (I know, doesn’t that sound gruesome?). But my dad was a hero and his treatment, thankfully, was successful in eradicating the cancer. He achieved molecular remission in April. He was found to be PCR negative for the PML/RAR-alpha transmutation as well (You might already know that this is really important for APL, so be sure your wife gets PCR testing after she acheives remission! There are some really good explanations about how this test works in other areas of this forum)

I remember the bone marrow transplant consultation that I accompanied him to. It was really scary to learn about the long treatment process and the even longer recovery time– allogeneic was a little more daunting then autologous. And since all my dad’s siblings are in Taiwan, the allogeneic situtation would have had to be even more complicated by international travel. I referenced to the doctor a few papers about relapsed APL that I had found, and I’ll post the links here!:
http://www.jco.org/cgi/content/abstract/23/1/120
http://www.nature.com/bmt/journal/v28/n3/full/1703119a.html
http://www.bloodjournal.org/cgi/content/full/90/3/1321

The general consensus in the literature is that PCR negative APL patients have really good outcomes with an autologous stem cell transplant, while patients who convert to PCR positive should elect for the allogeneic route.

My dad’s BMT doctor initially recommended the allogeneic, but after a few days and conferring with her colleagues, they agreed to go autologous instead. So, my dad received his autologous transplant on July 19. His story was complicated by severe neurological setbacks as a result of the intrathecal methotrexate, but that’s a WHOLE other ballgame (neurologists, neuropsychologists, MRIs) that I might tell in another post. Aside from these difficulties, my dad went through his auto SCT with flying colors– he was in the hospital for exactly 30 days and he’s currently on no medication.

Most importantly, today, he’s recovered (miraculously!) from his neurological condition, and his last blood test showed his counts in the normal ranges post stem-cell transplant! We had a scare this week because his doctor had told us his PCR was “weakly positive,” and so we’re still praying that it’s a false positive since his bloodwork, energy level, well-being are so awesome.

I know your wife will come through like my dad did. I’m so sorry that you guys are back on this roller coaster, but, as Tex said, you’ve done it before and you’ll do it again. Thank you so much for your efforts in putting together the APL blog. Information is so powerful! An avid Googler myself, I really appreciate that. Please let me know if there’s anything I might help with, and I’d be honored to contribute.

LisaP’s APL Relapse Survival Story

Hi Chris,It sounds like Anita and I were originally diagnosed with APL around the same time. For me, it was September 2001. I had ara-c, daunorubicin and atra, and had an induction and 2 consolodations, followed up by atra maintenance for 2 years.

After 26 months in remission, I found a small, but very dark, bruise on my outter thigh and just knew it was a leukemia bruise. The next day I had blood work and my wbc had dropped to 1.8. My counts from the blood test 3 weeks prior were completely normal. I then had a bmb to confirm and my doctors were certainly surprised that I had relapsed after 2 years.

I was admitted and the same induction was started that I originally had in 2001. Unfortunately, this time it didn’t work. Next they tried arsenic (was not available here in Canada at the time, but dr got special approval for me and ordered it in from South Carolina). I received it everyday for 28 days (2 hour IV per day) as an outpatient and a week later the bmb showed complete molecular remission. I did not have a sibling match, so they decided to do an auto-bmt. I had the harvest and then 2 weeks later started the chemo for the auto-bmt. I received my cells back on June 14, 2004.

I have great faith in the arsenic after my experience with it. I have met another lady on these boards who relapsed after 3 1/2 years in remission and then received arsenic as well and acheived a second complete molecular remission.

Best wishes to you both, LisaP.