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Drugs and Drug Treatments ATG, Cyclosporine, Revlimid, Vidaza, Dacogen, ...

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  #1  
Old Mon Aug 30, 2010, 09:54 AM
Susan L Susan L is offline
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Vidaza after Dacogen

Starting Vidaza today after problems with Dacogen and wondering what type of side effects anyone has experienced with Vidaza. Good effects also.
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Susan Patient, 58, MDS, UPDATED 9/13
Now have RAEB-2, Firbrosis 3+, blasts 18% peripheral, 10 - 14% blasts marrow, chromosomes now T 1:21, trisonomy 16 and 1.- Match found ---10/10 -couldn't believe when I heard - Tentative day is 1/09th!!!! Admit date changed to 11/12. WOW -
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  #2  
Old Mon Aug 30, 2010, 03:12 PM
Birgitta-A Birgitta-A is offline
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Vidaza

Hi Susan,
I have not been treated with Vidaza but read a lot about that drug. It is considered to be the best drug for most MDS patients - a little more than 50% are responding. As you have understood low counts and nausea are common adverse reactions. Vidaza like Dacogen is evaluated after 6 months because it usually takes several cycles before the drugs have effect on the bone marrow.
Kind regards
Birgitta-A
71 yo, dx MDS Interm-1 May 2006, transfusion dependent, Desferal and Exjade for iron overload, Neupogen for low WBCs, Thalidomide and Prednisone for bone marrow fibrosis, asymptomatic
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  #3  
Old Mon Aug 30, 2010, 08:59 PM
Susan L Susan L is offline
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Birgitta

Thank you for the quick response. I am hoping it will do the trick. I can handle the low counts and nausea. The problem with the dacogen was that I got to a point where anytime I exerted myself I could not breath. I also increased a bit in my blasts and chromosome abnormalities. Thank you again for replying. Continue to do good yourself.
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Susan Patient, 58, MDS, UPDATED 9/13
Now have RAEB-2, Firbrosis 3+, blasts 18% peripheral, 10 - 14% blasts marrow, chromosomes now T 1:21, trisonomy 16 and 1.- Match found ---10/10 -couldn't believe when I heard - Tentative day is 1/09th!!!! Admit date changed to 11/12. WOW -
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  #4  
Old Mon Aug 30, 2010, 09:03 PM
Debbie W Debbie W is offline
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Susan

New thread and new wishes for successful treatment!

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Debbie, wife of Mike age 58, diagnosed RAEB 2 April 2010. Initial blast count somewhere between 10-15% then 20% after two treatments of Dacogen. Completed induction therapy 8/2/2010. BMB 8/31/10 - 4% blasts. SCT 10/1/2010. Relapsed in 10/2014, second transplant from same donor on 12/31/2014.
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  #5  
Old Tue Aug 31, 2010, 08:15 AM
Susan L Susan L is offline
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Debbie

Thank you - 1st day was ok - had a problem w/insurance for awhile but all ended up ok. (errr) Abit nauseated this morning but it'll be ok. Good luck w/Mike's biopsy - it is today I think? Have a good day and we all will strive to make things work.
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Susan Patient, 58, MDS, UPDATED 9/13
Now have RAEB-2, Firbrosis 3+, blasts 18% peripheral, 10 - 14% blasts marrow, chromosomes now T 1:21, trisonomy 16 and 1.- Match found ---10/10 -couldn't believe when I heard - Tentative day is 1/09th!!!! Admit date changed to 11/12. WOW -
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  #6  
Old Fri Sep 3, 2010, 06:07 PM
Debbie W Debbie W is offline
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Susan

I'll be sending you positive thoughts next week as you start the bottoming process. Enjoy your weekend

Kind regards,

Debbie
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Debbie, wife of Mike age 58, diagnosed RAEB 2 April 2010. Initial blast count somewhere between 10-15% then 20% after two treatments of Dacogen. Completed induction therapy 8/2/2010. BMB 8/31/10 - 4% blasts. SCT 10/1/2010. Relapsed in 10/2014, second transplant from same donor on 12/31/2014.
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  #7  
Old Fri Sep 3, 2010, 07:55 PM
Susan L Susan L is offline
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Hi Debbie

Thank you and I will be keeping my thoughts on you both getting ready for the BMT. I finished my first week and am certainly hoping it will be working. I am keeping my fingers crossed. I took Monday off so this will be a long weekend and with the weather planning on being alittle cooler, I am hoping to take care of some end of the season chores out dooors. I hope you both get some together time while you are getting ready for the BMT. I am sending hugs and best wishes your way. Susan
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Susan Patient, 58, MDS, UPDATED 9/13
Now have RAEB-2, Firbrosis 3+, blasts 18% peripheral, 10 - 14% blasts marrow, chromosomes now T 1:21, trisonomy 16 and 1.- Match found ---10/10 -couldn't believe when I heard - Tentative day is 1/09th!!!! Admit date changed to 11/12. WOW -
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  #8  
Old Thu Sep 16, 2010, 06:32 PM
Debbie W Debbie W is offline
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Hi Susan

Responding from the older Dacogen thread in your newer thread.

So happy that you continue to fell better with the Vidaza, before you know it the next cycle will be here again.

Just trying to get things ready around the house, the latest BMB showed a slight decrease in the blasts from 4% to 2%, I'm mainly thankful that they did not show an increase! His sister will be his donor. Mike is CMV negative and although the local lab result for his brother was also negative, the test at Sloan came back positive, so they are going with his sister.

Continue to feel well and stay in touch,
Debbie
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Debbie, wife of Mike age 58, diagnosed RAEB 2 April 2010. Initial blast count somewhere between 10-15% then 20% after two treatments of Dacogen. Completed induction therapy 8/2/2010. BMB 8/31/10 - 4% blasts. SCT 10/1/2010. Relapsed in 10/2014, second transplant from same donor on 12/31/2014.
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  #9  
Old Fri Sep 17, 2010, 06:42 AM
Susan L Susan L is offline
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Debbie

Good morning - I too am very happy w/the Vidaza so far. I am not so tired and I am making it thru my first whole week at work since May! That is a mile stone. I do get tired but not so bad, and I have cracks around my mouth for some reason - but I can deal with this.

Its good to hear the blasts went down and not up. Its also great that Mike had someone else to fill in as the donor. That really is something huge having two matches. I know you both are getting nervous, but try to stay calm. Its hard I am sure. You have alot of people routing for you both. Take care.. Susan
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Susan Patient, 58, MDS, UPDATED 9/13
Now have RAEB-2, Firbrosis 3+, blasts 18% peripheral, 10 - 14% blasts marrow, chromosomes now T 1:21, trisonomy 16 and 1.- Match found ---10/10 -couldn't believe when I heard - Tentative day is 1/09th!!!! Admit date changed to 11/12. WOW -
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  #10  
Old Fri Sep 17, 2010, 07:35 PM
Debbie W Debbie W is offline
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Susan

That is quite an achievement making it through an entire week since May. Glad you can manage the problems, but feel able to deal with them.

They chose his sister because they had confirmed results she was also CMV negative, as is Mike, and there were conflicting lab reports for his brother on the CMV tests. He is very fortunate to have a large family and a couple of matches.

Guess remaining calm does not include tearing things apart, but all windows, curtains, drapes have been washed (or taken outside for a good beating) now I have to get things back together before we leave on Monday. Regular cleaning can be done later, but wanted to take advantage of the weather.

Have a great weekend!

Debbie
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Debbie, wife of Mike age 58, diagnosed RAEB 2 April 2010. Initial blast count somewhere between 10-15% then 20% after two treatments of Dacogen. Completed induction therapy 8/2/2010. BMB 8/31/10 - 4% blasts. SCT 10/1/2010. Relapsed in 10/2014, second transplant from same donor on 12/31/2014.
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  #11  
Old Sat Sep 18, 2010, 10:49 AM
Susan L Susan L is offline
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Debbie

Hi There ! Yep I am pretty happy and encouraged that I made the whole week. Felt like my old self again!! I sure hope the Vidaza is the cause, seems weird after only one treatment thou. I had to chuckle alittle regarding your early spring cleaning bit - I seem to do that when I am deep in thought about a situation, that nervous energy just explodes. You most certainly have alot going on - but like someone else said, it sure will be bliss when its over and you have your hubby safe and healthy. I know you wont be able to write in the beginning but I will be wishing and praying for all success. I am sure you are packing snack items for yourself too, cards, note paper, toilet articles etc.... take care. Dont exhaust yourself too much. Susan
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Susan Patient, 58, MDS, UPDATED 9/13
Now have RAEB-2, Firbrosis 3+, blasts 18% peripheral, 10 - 14% blasts marrow, chromosomes now T 1:21, trisonomy 16 and 1.- Match found ---10/10 -couldn't believe when I heard - Tentative day is 1/09th!!!! Admit date changed to 11/12. WOW -
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  #12  
Old Wed Sep 22, 2010, 10:14 PM
Debbie W Debbie W is offline
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Hi Susan

Still feeling OK, I sure hope so! That nervous energy propelled me to get some things ready beforehand.

Not much new, settling into another room for the next month. More cards, backgammon, puzzles and some exercise in the room.

Be well!!!
Debbie
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Debbie, wife of Mike age 58, diagnosed RAEB 2 April 2010. Initial blast count somewhere between 10-15% then 20% after two treatments of Dacogen. Completed induction therapy 8/2/2010. BMB 8/31/10 - 4% blasts. SCT 10/1/2010. Relapsed in 10/2014, second transplant from same donor on 12/31/2014.
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  #13  
Old Thu Sep 23, 2010, 06:42 AM
Susan L Susan L is offline
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Debbie

Good morning - Been thinking about you both. Boring I am sure but the outcome of all of this will be so grand!! I am actually feeling better, almost like my old self. (It is kindof scarry - this dang disease.) Hoping things continue to be good. Best wishes to you both. Hang in there!! I know it has to get so frustrating --
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Susan Patient, 58, MDS, UPDATED 9/13
Now have RAEB-2, Firbrosis 3+, blasts 18% peripheral, 10 - 14% blasts marrow, chromosomes now T 1:21, trisonomy 16 and 1.- Match found ---10/10 -couldn't believe when I heard - Tentative day is 1/09th!!!! Admit date changed to 11/12. WOW -
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  #14  
Old Sat Oct 2, 2010, 12:34 AM
Debbie W Debbie W is offline
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Hi Susan

This was the second week of Vidaza??? Hope all is going well for you and more importantly that the Vidaza is working.

Things moving quickly here, transplant was tonight around 5 and as everyone has said it is rather anti-climatic, all going well.

Hugs,
Debbie
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Debbie, wife of Mike age 58, diagnosed RAEB 2 April 2010. Initial blast count somewhere between 10-15% then 20% after two treatments of Dacogen. Completed induction therapy 8/2/2010. BMB 8/31/10 - 4% blasts. SCT 10/1/2010. Relapsed in 10/2014, second transplant from same donor on 12/31/2014.
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  #15  
Old Sat Oct 2, 2010, 06:53 AM
Susan L Susan L is offline
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Debbie

Quote:
Originally Posted by Debbie W View Post
This was the second week of Vidaza??? Hope all is going well for you and more importantly that the Vidaza is working.

Things moving quickly here, transplant was tonight around 5 and as everyone has said it is rather anti-climatic, all going well.

Hugs,
Debbie
No this was my second round of treatment. (Every 3 weeks) So far it is going well. I will be having another biopsy next month to see if this is working. I seen your post that it only took 15 minutes. That was fast, I hope you are some rest too! Take care
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Susan Patient, 58, MDS, UPDATED 9/13
Now have RAEB-2, Firbrosis 3+, blasts 18% peripheral, 10 - 14% blasts marrow, chromosomes now T 1:21, trisonomy 16 and 1.- Match found ---10/10 -couldn't believe when I heard - Tentative day is 1/09th!!!! Admit date changed to 11/12. WOW -
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  #16  
Old Sun Oct 3, 2010, 12:32 AM
Debbie W Debbie W is offline
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Hi Susan

I meant second round of treatment and glad things are still going well. Just as a matter of interest there is woman a few rooms down from my husband who had blasts just over 20% when she was diagnosed. She did the same original trial my husband did (Dacogen and Tretinoin) but with much better results, after four rounds her blasts were reduced to the low single digits and she had her transplant on 9/30. Wish there was some way to tell in advance how our bodies would handles certain treatments.
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Debbie, wife of Mike age 58, diagnosed RAEB 2 April 2010. Initial blast count somewhere between 10-15% then 20% after two treatments of Dacogen. Completed induction therapy 8/2/2010. BMB 8/31/10 - 4% blasts. SCT 10/1/2010. Relapsed in 10/2014, second transplant from same donor on 12/31/2014.
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  #17  
Old Sun Oct 3, 2010, 07:45 AM
Susan L Susan L is offline
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Debbie

Hi - It would be nice to know what treatment would work on certain people. If only - I have a really good feeling about this treatment. I sure hope it is working, Dr said if not I would be put on another treatment (?) and be put on a transplant list. I am happy that Mike is doing well thus far, it is so hard on his body I am sure. Hope he is getting some nourishment now. Take care
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Susan Patient, 58, MDS, UPDATED 9/13
Now have RAEB-2, Firbrosis 3+, blasts 18% peripheral, 10 - 14% blasts marrow, chromosomes now T 1:21, trisonomy 16 and 1.- Match found ---10/10 -couldn't believe when I heard - Tentative day is 1/09th!!!! Admit date changed to 11/12. WOW -
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  #18  
Old Sun Oct 3, 2010, 11:18 PM
Debbie W Debbie W is offline
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Susan

I keep on knocking on wood and do not want to jinx anything, but so far so good. He is back to ordering something to eat three times a day and today added afternoon exercises. Friday he is scheduled to start Neupogen shots to help his WBC, so hoping this week passes quickly.

I'll be thinking of you this week during your potential down week after treatment last week - hoping that it goes quickly for both of you.

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Debbie, wife of Mike age 58, diagnosed RAEB 2 April 2010. Initial blast count somewhere between 10-15% then 20% after two treatments of Dacogen. Completed induction therapy 8/2/2010. BMB 8/31/10 - 4% blasts. SCT 10/1/2010. Relapsed in 10/2014, second transplant from same donor on 12/31/2014.
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  #19  
Old Mon Oct 4, 2010, 05:27 PM
Susan L Susan L is offline
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Hi Debbie

Quote:
Originally Posted by Debbie W View Post
I keep on knocking on wood and do not want to jinx anything, but so far so good. He is back to ordering something to eat three times a day and today added afternoon exercises. Friday he is scheduled to start Neupogen shots to help his WBC, so hoping this week passes quickly.

I'll be thinking of you this week during your potential down week after treatment last week - hoping that it goes quickly for both of you.

Hi - Sounds like Mike is making good strides. Fantastic - He is going to lick this thing yet!! Keep your spirits up too. I am keeping my fingers crossed hoping all goes well with myself. Thank you.
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Susan Patient, 58, MDS, UPDATED 9/13
Now have RAEB-2, Firbrosis 3+, blasts 18% peripheral, 10 - 14% blasts marrow, chromosomes now T 1:21, trisonomy 16 and 1.- Match found ---10/10 -couldn't believe when I heard - Tentative day is 1/09th!!!! Admit date changed to 11/12. WOW -
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  #20  
Old Wed Oct 6, 2010, 01:14 AM
Debbie W Debbie W is offline
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Hi Susan

Still OK, hope you are well!

Hugs,
Debbie
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Debbie, wife of Mike age 58, diagnosed RAEB 2 April 2010. Initial blast count somewhere between 10-15% then 20% after two treatments of Dacogen. Completed induction therapy 8/2/2010. BMB 8/31/10 - 4% blasts. SCT 10/1/2010. Relapsed in 10/2014, second transplant from same donor on 12/31/2014.
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  #21  
Old Wed Oct 6, 2010, 04:58 PM
Susan L Susan L is offline
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Hi Debbie

Quote:
Originally Posted by Debbie W View Post
Still OK, hope you are well!

Hugs,
Debbie
Hi - I am doing ok - alittle more tired than last month but still doing good. I am working full days (alittle hard) but atleast I am doing so. Continue your success story. Best Wishes - Susan
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Susan Patient, 58, MDS, UPDATED 9/13
Now have RAEB-2, Firbrosis 3+, blasts 18% peripheral, 10 - 14% blasts marrow, chromosomes now T 1:21, trisonomy 16 and 1.- Match found ---10/10 -couldn't believe when I heard - Tentative day is 1/09th!!!! Admit date changed to 11/12. WOW -
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  #22  
Old Wed Oct 6, 2010, 05:08 PM
mausmish mausmish is offline
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Susan

I'm glad the Vidaza is working out better for you than the Dacogen. I'm in the midst of my 10th cycle.
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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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  #23  
Old Thu Oct 7, 2010, 09:38 AM
Susan L Susan L is offline
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Karen

Thank you - Have you had any side effects? I am so happy it isnt as bad as the other on me. That was getting pretty rough. Good luck in your donor search.
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Susan Patient, 58, MDS, UPDATED 9/13
Now have RAEB-2, Firbrosis 3+, blasts 18% peripheral, 10 - 14% blasts marrow, chromosomes now T 1:21, trisonomy 16 and 1.- Match found ---10/10 -couldn't believe when I heard - Tentative day is 1/09th!!!! Admit date changed to 11/12. WOW -
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  #24  
Old Thu Oct 7, 2010, 11:50 AM
mausmish mausmish is offline
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Susan

Thanks. I haven't had any bad side effects. Each month is slightly different. I had a fine rash all over for a couple of months. My injection sites in my stomach always get inflamed but they look worse than they feel. They dry and peel about a week later. I take anti-nausea med an hour before I get the shots and have had no nausea or appetite problems. I get a bit constipated by the end of the week but stool softeners take care of that. I'm a bit more tired than usual mid-week. Sometimes my joints are a little achy and my gums slightly tender. All in all, it's very easy and I'm very grateful that it works so well.
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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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  #25  
Old Sat Oct 9, 2010, 09:02 AM
Susan L Susan L is offline
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Karen -

Hi - I wonder what the difference is between getting the IV 5 days off 21 and the injections? I get the IV. It is so much better than the dacogen. I get tired, no appetite problems to speak of - but the constipation is really bad. I use softener everyday, and get mouth sores. I am taking a medicine for the sores but not working this month. Still I am sure grateful, I get another BMB in a month to see if it works. Keeping fingers crossed. Have a blessed day.
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Susan Patient, 58, MDS, UPDATED 9/13
Now have RAEB-2, Firbrosis 3+, blasts 18% peripheral, 10 - 14% blasts marrow, chromosomes now T 1:21, trisonomy 16 and 1.- Match found ---10/10 -couldn't believe when I heard - Tentative day is 1/09th!!!! Admit date changed to 11/12. WOW -
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