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Oh Yeah, That’s What It Feels Like

That’s what I’m starting to say to myself.

It’s been awhile since I’ve felt like writing anything. I’ll have to try and remember what’s been going on, post CAR-T, in the last month or so.

I had my second infusion of antibodies and another round of myeloma blood tests. All my light chains were still about zero, below normal. My M-band is still hanging around with a reading of .5. That means that I still have cancer cells circulating in my blood. The doctor said since my light chains are basically zero, they expect my m-band to continue and drop, and hopefully disappear completely.

I have another round of blood tests this week. I’m very curious what my blood will say. I was scheduled to have a bone marrow biopsy a month ago. I was telling my doctor I didn’t see the point, since my blood was saying there was myeloma still circulating. Of course I was going to have a myeloma reading from my marrow. The thing I’m going for is MRD zero, which is no trace of myeloma in my marrow. So I got them to postpone the test.

I did end up having a few minor neurotoxicities, which turned my mind a bit sluggish. The extreme fatigue was a challenge, but I seem to be over both. I was on the antibiotic bactrim after my hospital stay, but it was dropping my platelets and red blood cells too much. Doctors are concerned with pneumonia post Car-t, so it was precautionary. They switched me over to another antibiotic, atovaquone, which is a liquid (?) type. It was basically like eating a sweet, good quality yellow paint. Gloppy, thick, and gross.

I ended up having an abnormal reaction to that stuff. It caused my inflammation to rise significantly, and it felt like I had thriving active myeloma again in my bones. It was painful, and I certainly didn’t want to feel like I had lots of cancer having a party inside of me after doing Car-t. I couldn’t help wondering if the treatment had bombed, because it sure felt like it. So it was a good mental struggle and stress, and was another hurdle to overcome. My last blood test said the opposite, so that took my load off.

So in the meantime of not doing anything medically related, I’m finding my body restarting its systems. Recently, I find myself saying “Oh yeah, that’s what it feels like to be normal”. I have energy again. My mind is sharp again. I’m not tired after doing a simple task. I’m not combating a steady dose of side effects from chemo. It’s funny what a person gets used to and becomes their version of “normal”.

I’ve been off chemo a few times in my myeloma marathon. I got Covid around 3 years ago, and the doctor stopped my Revlimid while I was dealing with that. I had a blood test before I was going to restart, and it showed the revlimid actually wasn’t doing anything. I decided to stop all chemo for about 8 months and try some alternatives.

The difference between then and now is that I knew the myeloma was increasing (very slowly) and contained somewhat, but I was getting worse over time. Now again, I’m off chemo, but it feels like the reverse is happening. I seem to be getting better over time.

So far, that makes me a big fan of Car-T. I’m still waiting and hoping the cancer zeroes out, and I don’t have to deal with myeloma. What kind of story will my blood write for me?

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Labs 08/18/22

Here is my last set of labs. I back dated the labs a bit just to show the trend. Looks like Dara/Pom/Dex is having a good effect for me. 8/18 test is after one cycle. 7/15 is my baseline.

I was thinking things were working a few weeks earlier, because my monocytes were way above normal range on the weekly blood tests. Monocytes are basically your body’s garbage trucks. So I have a large amount of dead cells needing to be processed, I was just hoping they were dead myeloma cells and not too many healthy cells. I still have a ways to go. I wonder how long it will take to get the light chains/M band punched back down?

Kidney’s and Liver still working well, High five!

Standard range6/17/227/15/228/18/22
KAPP/LAMB FR 0.26 – 1.650.050.040.06
KAPPA LIGHT CHAIN FREE 3.30 – 19.40 mg/L7.165.706.71
LAMBDA LIGHT CHAIN FREE, SERPL 5.71 – 26.30 mg/L135.98142.52117.49
Name Standard range6/17/227/15/228/18/22
M-BAND-1 <=0.0 g/dL1.31.41.0
SPEP INTERPRETATIONSEE ABNSEE ABNSEE ABN
Name Standard range8/5/228/12/228/18/22
HCT 39.0 – 51.0 %34.536.336.8
HGB 13.0 – 17.0 g/dL12.413.313.6
MCV 80 – 100 fL929291
NRBC <=0 /100WC000
PLT 140 – 400 K/uL119117137
RBC’S 4.10 – 5.70 M/uL3.763.934.03
RDW, RBC 12.0 – 16.5 %12.812.912.6
WBC 3.7 – 11.1 K/uL3.93.14.2