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MDS Myelodysplastic syndromes

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  #1  
Old Sat Sep 6, 2014, 05:59 PM
Smarti54 Smarti54 is offline
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35 and MDS

Hello all, I have been following this forum for a few months and have drawn great strength from reading your stories. In November of 2013 I passed out while driving.... One of three episodes of losing time within a few weeks. I am a nurse anesthetist and this was the final straw that led me to realize this was an issue. I could not risk having a patient under anesthesia and have this happen. Luckily I was not hurt but was run through a battery of test all of which were neurologically and cardiac centered. During this time I was advised to take a medical leave. My heart showed some fast rhythyms that were short lived and my brain scan was abnormal.... Well the cervical spine portion. They called me and asked me to get and MRI with and without contrast of my cervical spine. I assumed I had cervical stenosis and that was why I had some tingling in a few fingers every now and again. After the MRI I got a copy and took it to a Radiologist I knew to glance at it. I was told I needed to see a hematologist/oncologist. I either had mutilple myeloma, lymphoma, leukemia, or some hematological issue. When I called the neurologist I was informed he would be out of town and address the issue in two weeks.... This was Christmas break. This was not good enough for me. I needed answers I had to get back to work..... Surgery doesn't just stop. I had a friend order the appropriate tests that ruled out multiple myeloma and lymphoma and had an appointment set up with hem/onc..... Two months later... Again this wouldn't work. I wasn't allowed to work until cleared. I called in another favor and had an apt in a week, and a BMB the next week..... Low risk MDS. No chromosomal abnormalities, just myeloid dymaturation, non specific myeloid dyaplasia and non specific erythroid changes. At first I was terrified. In my training I had never heard of this. Upon reading all I saw was AML.....depression set in. I went back to work and told no one but family. Within a week or so I realized it wasn't all that bad. CBC WBC normal H and H 12/36 plts 115. A month later I got a GI bug for two weeks plts dropped to 82...H and H 10/30 but still ok. Then July 4.. Acute pyelonephritis. CBC WBC 3.1 H and H 8/23 plts 56 temp 104.2. One week of IV antibiotics. Upon discharge I was so short of breath I couldn't do anything. My HR was up to 150 when I moved. Worked for a month then developed a GI Bleed with colitis. That was Aug 6th. I have been home since learning to decrease stress, eat right, meditate and see a shrink. Stress is a must in my job.... I have someone's life in my hands. I have used this forum as a wonderful insight that life can go on. I have two children 17,14 and a husband that is also a nurse anesthetist. I will stay home another month and then.... I will continue on doing what I love.... Putting patients to sleep and doing pain procedures. Thank you all for posting and sharing and keeping on keeping on. Watch and wait for me!
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Sunny age 36 diagnosed Jan 2014 with low grade MDS. Recurrent infections: GI, pyelonephritis and sepsis, then lower GI bleed. PoT syndrome January 2015. WBC 4, RBC 2.6, Hgb 9 Hct 27 platelets 62 MCV 107. Watch and wait. 11/15 BMB showed del(13)(q12-q14)

Last edited by Smarti54 : Sat Sep 6, 2014 at 07:01 PM.
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  #2  
Old Sat Sep 6, 2014, 06:46 PM
amyangel amyangel is offline
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Hi Smarti54,
We are kind of new to this group too , and I am also enjoying the wonderful HOPE stories I have heard so far !!
Our prayers are with you too .

My daughter was septic too from her gallbladder
Just wanted you to know I am very thankful for the anesthesiologist we will be needing that this coming week as my daughter undergoes a full body CT and a Muga scan in preparation to her SCT .
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Mother of a daughter 27 with MDS . Cognitively delayed at birth 1987 , seizures 5 days old . pancytopenia 2006, AIHA 2013, EVANS 2013 , CVID 2013, ALPS 2014. MDS 2014
8/18/2014
WBC .3 , hemoglobin 7.3 , hematocrit 2, platelets 60 , neutrophil .21 Mag 1.6, Potassium 4.6
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  #3  
Old Sat Oct 25, 2014, 07:43 AM
kyis kyis is offline
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Great story Smarti,
The positive attitude makes the difference I think,
What's next for you?
I'm surprised you had some of those problems with pretty good wbc.
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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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  #4  
Old Sat Oct 25, 2014, 09:47 AM
maggiemag maggiemag is offline
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Smarti, I see that this post is from September, but if you are still checking the forum now and then, I have a comment. You might have your physician draw some immunoglobulin levels, like the IGG3 subclasses to see if that's why you are getting frequent infections. Maybe you have a hypogammaglobulinemia.
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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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  #5  
Old Sat Oct 25, 2014, 11:03 PM
Cheryl C Cheryl C is offline
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Agree with maggiemag. It's worth checking that out. Since being diagnosed with hypogammaglobulinaemia and going on 4-weekly IgG I have had far fewer infections.
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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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  #6  
Old Mon Oct 27, 2014, 03:55 PM
Smarti54 Smarti54 is offline
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IGG3

I have not had this checked. I do have a follow up with my hematologist coming up in a few weeks. There was a question as to whether I was more susceptible simply because of working in a hospital. I will ask at my next check up. All else is doing well. Thanks for positive support.
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Sunny age 36 diagnosed Jan 2014 with low grade MDS. Recurrent infections: GI, pyelonephritis and sepsis, then lower GI bleed. PoT syndrome January 2015. WBC 4, RBC 2.6, Hgb 9 Hct 27 platelets 62 MCV 107. Watch and wait. 11/15 BMB showed del(13)(q12-q14)
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  #7  
Old Sun Feb 15, 2015, 10:37 AM
Smarti54 Smarti54 is offline
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Prices of a Puzzle

I have elevated IgG level and am
Showing antibodies to mono aka Epstein Barr. My Dr. ordered a "fatigue" panel to see why I am so tired and achy with normal hemoglobin and hematocrit. My liver levels are elevated more than six months ago but still normal and my CT shows fatty deposits on my liver. It's like a puzzle and we keep finding peices. I don't know what all of it means yet but pray for more answers.
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Sunny age 36 diagnosed Jan 2014 with low grade MDS. Recurrent infections: GI, pyelonephritis and sepsis, then lower GI bleed. PoT syndrome January 2015. WBC 4, RBC 2.6, Hgb 9 Hct 27 platelets 62 MCV 107. Watch and wait. 11/15 BMB showed del(13)(q12-q14)
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  #8  
Old Mon Feb 16, 2015, 12:07 PM
Birgitta-A Birgitta-A is offline
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MDS

Hi Sunny!
Too bad that you are so tired.

I wonder how you could be so short of breath that you couldn't do anything and have a HR of 150 when you moved as you wrote in your first post. Is is something wrong with your heart that makes you so tired?
Kind regards
Birgitta-A
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  #9  
Old Wed Apr 29, 2015, 06:19 PM
Smarti54 Smarti54 is offline
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I always read these threads even though I do not respond. I am thankful for each of you sharing your story. I have been home from work since pretty much August of last year (anesthesia) just because of shortness of breath and passing out with a slew of other ailments. I know who doesn't want their nurse anesthetist passing out during a procedure? 😁 I have officially been diagnosed with postural orthostatic tachycardia syndrome. (Also called orthostic intolerance or autonomic dysfunction) Basically I stand up and my heart rate jump to 130-210. I was told for years I was "high strung" and "anxious" and I was blaming it all on anemia and sepsis last year. I am wondering do any you have any other strange or rare diseases that coincide with your MDS? I truly believe that God will not give me more than I can handle.
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Sunny age 36 diagnosed Jan 2014 with low grade MDS. Recurrent infections: GI, pyelonephritis and sepsis, then lower GI bleed. PoT syndrome January 2015. WBC 4, RBC 2.6, Hgb 9 Hct 27 platelets 62 MCV 107. Watch and wait. 11/15 BMB showed del(13)(q12-q14)
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  #10  
Old Thu Apr 30, 2015, 12:58 AM
maggiemag maggiemag is offline
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Hi Sunny! I am sorry you have to deal with these challenges. For me, I have a slew of other medical issues, some rare,some still undiagnosed even after 8 years; some quite serious (lung cancer x 2 for example). But I am still doing well enough to go to NYC for a 5 day holiday! My heme/onc says I'm the healthiest train wreck she cares for. What works for me is to not focus on any illnesses/side effects/ blah, blah, blah. I do not want to become my disease; I try to act as if I have nothing wrong with me, and live each day very grateful to still be hanging around. Carpe diem baby! Sometimes it's easier than other times, but I just focus on the positives and leave the rest for God.
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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  #11  
Old Thu Apr 30, 2015, 01:08 AM
Cheryl C Cheryl C is offline
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I agree with you Maggie. While ever I feel well I behave like a normal human being and don't restrict myself from doing anything. I'm going to Papua New Guinea 4-29 June to do a volunteer stint with my husband. I volunteer at a local school a couple of times a week helping kids who are struggling with reading. I find these types of activities keep my mind off the prognosis. If an individual doesn't feel well, then that's a different matter I guess.
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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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  #12  
Old Wed May 6, 2015, 08:54 PM
Smarti54 Smarti54 is offline
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Join Date: Aug 2014
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Thank you for your encouraging words!!! I plan on living life as well as I can. I know that knowledge is power and I will fully educate myself and be prepared for whatever this process may through my way. I do all I can with what energy I have and know those that matter most know I will do all I can. Thanks again for listening!!!
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Sunny age 36 diagnosed Jan 2014 with low grade MDS. Recurrent infections: GI, pyelonephritis and sepsis, then lower GI bleed. PoT syndrome January 2015. WBC 4, RBC 2.6, Hgb 9 Hct 27 platelets 62 MCV 107. Watch and wait. 11/15 BMB showed del(13)(q12-q14)
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