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  #1  
Old Thu Jan 1, 2015, 04:06 AM
Birgitta-A Birgitta-A is offline
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Neutropenia

Hi All!
My poor bone marrow is now very tired. X-mas I spent in hospital due to neutropenic fever and erysipelas. I got antibiotics iv 3 times a day. My neutrophils increased from <0.1 to 0.1 though I received a drug like Neupogen every day. I know that I can't manage long with so low neutrophils so I control my temp and wait for next hospital visit.

I wish you all a calm new year!
Birgitta-A
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  #2  
Old Thu Jan 1, 2015, 05:16 AM
Chirley Chirley is offline
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I'm sorry to hear that you are no longer responding to treatment. You have done very well for many years on supportive care and then thalidomide, Revlimid and prednisone.

This disease does sometimes hold some surprises though and you may be surprised and rally through this crises once again. I wish you all the best and hope that you can pull through this time too.

Rest well, my friend.

Many hugs.

Chirley
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  #3  
Old Thu Jan 1, 2015, 11:51 AM
Birgitta-A Birgitta-A is offline
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Neutropenia

Thank you Chirley!
Birgitta-A
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  #4  
Old Thu Jan 1, 2015, 12:24 PM
bailie bailie is offline
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Birgitta-A, we are with you. You have provided so much for us. I wish you the very best.
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age 70, dx RAEB-2 on 11-26-2013 w/11% blasts. 8 cycles Vidaza 3w/Revlimid. SCT 8/15/2014, relapsed@Day+210 (AML). Now(SCT-Day+1005). Prepping w/ 10 days Dacogen for DLI on 6/9/2017.
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  #5  
Old Thu Jan 1, 2015, 01:25 PM
Birgitta-A Birgitta-A is offline
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Neutropenia

Thank you bailie!

I wish you the very best too!
Kind regards
Birgitta-A
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  #6  
Old Thu Jan 1, 2015, 02:23 PM
maggiemag maggiemag is offline
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Birgitta, do I remember correctly that certain drugs like Vidaza are not available where you live? Are there any trials that you could qualify for? When was your last marrow? Yes, I am full of questions! You supply so much technical knowledge on this forum; we need you around for a long time.
Mags
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Margaret, age 68, dx MDS 5 q- 5/09- now RCMD; also MGUS. TP53 and TET2 mutations
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  #7  
Old Thu Jan 1, 2015, 02:32 PM
Hopeful Hopeful is offline
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Birgitta, I am so sorry to hear this news! You are such a wealth of knowledge and inspiration. I will pray that the new year brings you a "second wind". Know you are loved.
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55 yo female, dx 9/08, AA/hypo-MDS, subclinical PNH, ATG/CsA 12/08, partial response. small trisomy 6 clone, low-dose cyclosporine dependent
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  #8  
Old Thu Jan 1, 2015, 03:02 PM
Marlene Marlene is offline
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I hope you are able to kick this infection and rebound soon. Will be wishing for speedy recovery for you.
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Marlene, wife to John DX w/SAA April 2002, Stable partial remission; Treated with High Dose Cytoxan, Johns Hopkins, June 2002. Final phlebotomy 11/2016. As of July 2021 HGB 12.0, WBC 4.70/ANC 3.85, Plts 110K.
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  #9  
Old Thu Jan 1, 2015, 04:42 PM
Sally C Sally C is offline
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Dear Birgitta,
I always read yours and Chirley's posts as they are always so knowledgeable, informative, and courageous. You both are so strong and resolute in your battles with these diseases as well as concerned and compassionate for all those on the forums. Keep it up - I know you'll both win these battles as well.
I wish you and Chirley the best of wishes in this New Year. Keep the faith!!
Thank you both soooo much!
God Bless,
Sally

Last edited by Sally C : Thu Jan 1, 2015 at 04:57 PM.
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  #10  
Old Thu Jan 1, 2015, 05:05 PM
Cheryl C Cheryl C is offline
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Hi Birgitta - I'm so sorry your neutrophils have dropped to a dangerous level. Like everyone else on this forum I want to express my appreciation for your interest in all of us and for all the knowledge and wisdom you share with us. You have shown me that its possible to live and to help others for much longer than the statistics show, and that has been very encouraging for me personally.

I wish you a speedy recovery. I know from my own experience that there can be sudden unexpected jumps in neuts and I truly hope that is the case for you. You are in my thoughts and prayers.
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Dx MDS RAEB 10% blasts + hypogammaglobulinemia, Sep 2011. Jan 2012 BMB - blasts down to 2% w/out treatment so BMT cancelled. Re-diagnosis RCMD. Watch and wait from Feb 2012. IVIg 5-weekly. New diagnosis Oct 2019 AML 23% blasts in marrow, 10% blasts in peripheral blood.
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  #11  
Old Thu Jan 1, 2015, 07:23 PM
slip up 2 slip up 2 is offline
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Birgitta Stor Vacker Dam.....

Thank you for all your kindness and wisdom.....wish you well.....

Kate
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  #12  
Old Thu Jan 1, 2015, 10:51 PM
kyis kyis is offline
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I too am sorry. I was in the hospital last year over new years with neutropenic fever etc. It was a scary week.
I wish you the best.
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Male 56, MDS 2008, pre SCT Hypocellular 5-30%, Normal Cytogenetics. WBC 500, anc 45, Blasts 15%, Platelets 45, HGB 7, RBCC 1.71, HCT 20.5, MCV 120. Became Transfusion dependent 3/2016. 5 cycles VIdaza started 3/14/16 which reduced Blast counts. . Marrow Transplant 9/1/16, Hereditary MDS/AML.
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  #13  
Old Fri Jan 2, 2015, 02:21 AM
JordanN JordanN is offline
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Dear Birgitta,

I'm so sorry to hear your news! You've been there for so many of us and have amazed us all with your knowledge, strength, and compassion, and we are all thinking of you and wishing you all the best for a quick recovery from this current illness and a happy year to come! Sending lots of hugs your way!
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  #14  
Old Fri Jan 2, 2015, 03:51 AM
Susan Susan is offline
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Birgitta, I have my finger crossed for you that your count will improve soon. I like what maggiemag wrote about trying to find a med that may help. I just hope that wouldn't require travel away from your city.

Looking at my old posts here I came across and old entry about my ANC being 0.3. Not as low as yours but it did go back up to safer range and I had since forgotten it was that low. I hope you recover and that the lowest counts will become but a memory from the past.
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  #15  
Old Fri Jan 2, 2015, 08:49 AM
joesmith joesmith is offline
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Quote:
Originally Posted by Birgitta-A View Post
Hi All!
My poor bone marrow is now very tired. X-mas I spent in hospital due to neutropenic fever and erysipelas. I got antibiotics iv 3 times a day. My neutrophils increased from <0.1 to 0.1 though I received a drug like Neupogen every day. I know that I can't manage long with so low neutrophils so I control my temp and wait for next hospital visit.

I wish you all a calm new year!
Birgitta-A
Hi Birgitta - I am saddened by your news but also hopeful that you will fight your way out. Have you considered Vidaza followed by SCT? You have and will continue to be a beacon of hope for all of us here.
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  #16  
Old Fri Jan 2, 2015, 12:20 PM
DanL DanL is offline
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Birgitta,

As with everybody else on the forum, I am hoping for your speedy recovery.
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MDS RCMD w/grade 2-3 fibrosis. Allo-MUD Feb 26, 2014. Relapsed August 2014. Free and clear of MDS since November 2014 after treatment with Vidaza and Rituxan. Experiencing autoimmune attack on CNS thought to be GVHD, some gut, skin and ocular cGVHD. Neuropathy over 80% of body.
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  #17  
Old Fri Jan 2, 2015, 12:27 PM
mausmish mausmish is offline
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Birgitta,

Sending healing thoughts your way! You've been such an inspiration for all of us here. I'm sorry to hear your recent news. Wishing you the best always.

Karen
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Karen, age 62, dx MDS RAEB-2 1/8/10: pancytopenia WBC 2.7k/Hgb 7.4/Hct 22.1/Plt 19k; complex cytogenetics -3,del(5)(q14q33),-6,+8,+mar,17% blasts. MUD BMT Johns Hopkins 11/30/10. Dx tongue cancer 8/31/12. ok now. blog mausmarrow.com
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  #18  
Old Fri Jan 2, 2015, 12:54 PM
Barbara K Barbara K is offline
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Hi, Birgitta--So sorry to return from winter travel to see this news from you. I, too, will be holding you in my thoughts. Barbara
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  #19  
Old Fri Jan 2, 2015, 12:57 PM
Birgitta-A Birgitta-A is offline
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Neutropenia

Hi All!
Thank you for the very kind words !

To those who asked about the possibility to receive Vidaza I will answer that Vidaza isn't approved in EU for low risk patients. My dr is a specialist in Vidaza and wrote his dissertation about Vidaza. He should prescribe Vidaza off record if he thought that Vidaza would help me - Thalidomide and Revlimid (very expensive) are not approved for my type of MDS either but I got those drugs. I have had very severe bone marrow fibrosis since dx.

I have never wanted a SCT due to the risk for complications. I am 75 yo and have lived a good life. I am very thankful for that.
Warm regards
Birgitta-A
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  #20  
Old Fri Jan 2, 2015, 01:38 PM
Neil Cuadra Neil Cuadra is offline
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Birgitta,

You know from the outpouring of messages here how much you are admired in these forums.

Ruth and I are as concerned as everyone else, but we have confidence in you and your doctors, that you'll eliminate the infection and do whatever is needed to get your neutrophil count back up.

It's a new year and a good time to wish you the best of luck.
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  #21  
Old Fri Jan 2, 2015, 01:54 PM
Birgitta-A Birgitta-A is offline
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Neutropenia

Hi Neil!
You know that I like Marrowforums very much - it's an interesting forum where we get important info and the members care for each other .

I will thank you and Ruth very much for Marrowforums!
Warm regards
Birgitta-A
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  #22  
Old Sat Jan 3, 2015, 03:17 AM
Mseth Mseth is offline
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Dear Birgitta-A,

Hope you will be able to find the right treatment to get your neutrophils count up.

Thankyou for all the information and support you have been to everyone here.

Wish you a very happy New Year.
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Mother age 79, dx MDS RCMD low risk del 20q April 2013, no response to EPO, Danazol. pRBC tx dependent - 2 units every 3-4 weeks, exjade Dec 2013 - Mar2014, restarted Dec 2014
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  #23  
Old Sat Jan 3, 2015, 06:02 AM
Birgitta-A Birgitta-A is offline
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Neutropenia

Hi Mseth!
You know I am already taking a drug like Neupogen every day but my bone marrow isn't responding any longer. Now I stay at home and only take a walk once a day. I dare not go to shops etc so my daughters do the shopping.

The problem is that with neutrophils as low as 0.1 my own bacteria, virus and fungi can give infections. We follow the counts every week.

Hope you and your mother will have a peaceful new year!
Kind regards
Birgitta-A
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  #24  
Old Sat Jan 3, 2015, 06:15 AM
Mseth Mseth is offline
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Hi Birgitta-A,

It is wise to stay away from possible infections.

When my mother took prednisone over 2 months, her white cells and neutrophils became very high temporarily. Can a low dose prednisone help with your neutropenia, if neupogen is not working well?

She had low grade fever for several months after prednisone was tapered, it did nothing for her Hb as well. She continues to be tx dependent.

Thanks for the new year wish.
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Mother age 79, dx MDS RCMD low risk del 20q April 2013, no response to EPO, Danazol. pRBC tx dependent - 2 units every 3-4 weeks, exjade Dec 2013 - Mar2014, restarted Dec 2014
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  #25  
Old Sat Jan 3, 2015, 03:06 PM
Birgitta-A Birgitta-A is offline
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Neutropenia

Hi Mseth!
You know I have been treated with Prednisone - initially 30mg/day - until I got neutropenic fever 12/24 2014. We hoped that Prednisone should increase my counts when Revlimid stopped working. As you know Prednisone and similar drugs increase the risk for infections so now I only take a drug like Neupogen and antibiotics.
Kind regards
Birgitta-A
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