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Is This Guy Still Even Alive?

I’m sorry, but if I don’t see someone I follow for a long time, dealing with a health condition, I start to wonder. I haven’t post since March, so if I followed me, I would wonder.

We bought a house in the country in April. We knew it was a fixer when we bought it, because that’s what we could afford for something we liked, but it ended up being more of a fixer than we were counting on (hidden water leaks everywhere, broken drain pipes in the crawl space, etc). I have a construction background so we have been doing the fixing ourselves mostly, because again that’s what we can afford.

But I’m grateful. I can go outside and not hear traffic. There is virtually no air pollution. We have land and a sky full of stars at night. We have a fruit orchard and a forest. I have space to take my mushroom business to a new level (if I ever stop having house projects to fix 😅). There are good doctors not too far away if need be.

This is something I’ve wanted for years. Pre-cancer, I remember working working working and then go on vacation, enjoy my time and start to dread going back to the grind. I came across a concept early on in my cancer, which was “better my normal life”. Instead of looking forward to my vacation, make my every day life better, and pretty soon, you have a better life. My wife and I identified what that would be for us and we set out after that goal.

I confess, I have a hard time not doing anything. So with so much work to be done, that had priority over writing.

So why am I writing now? I’m sick with some airway cold and I have a fever that is forcing me to lay around because I’m too weak. Fevers make a person suffer, although a “normal fever” is better than a chemo fever.

But again, I feel grateful for the suffering.

Why?

It makes me appreciate when I’m well. And I’ve been well for a long time now. Appreciate life, which I can take for granted. I also find it good for my ego to get taken down a few pegs when something microscopic sends me to my bed.

It also reminds me that I am strong enough to handle germs. I’m strong enough to handle myeloma. I’m strong enough to handle my life as it has played out.

Ok, a quick myeloma update.

CBC is pretty normal, I even have normal red blood cells now, low platelets. IGG is still low, and I don’t get an infusion until I’m really low. I don’t mind too much though. I react to other people’s antibodies now, so it’s not been a pleasant infusion.

I had another MRD bone marrow test, I think back in April. I was stressing leading up to it. My m-band read “detectable but not quantifiable” in March. My pain was increasing. Makes a person go through the what “ifs”.

It came back clear with no myeloma cells in my marrow.

I still have abnormal protein in my blood, but zero in my marrow. I had a meeting with the doc yesterday, and he wants to know the reason for the protein. Is it cancer or my proteins being weird? (yes, fyi, you can have a m-band reading and it not be cancer, good to remember that!).

He wants me to have an MRD test done on my blood. I heard about this test awhile ago, that they were working on it, for a potential replacement for a marrow MRD test. They would have to send the blood sent to Dana Farber, which I’m not sure where that is exactly. Oh, it’s in Boston. Well that would be a plane trip for my blood. The only hang up is, to see if insurance will approve and pay for it.

Alright, I’m going to go back to appreciating my fever and phlegm. I hope you are doing well. Cheers.


My Grandparent oak tree that watches over us now.
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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