In Praise of Immunotherapy

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Last week I was told that the results of my latest CT scan showed a Complete Response and that I would now stop my ongoing immunotherapy treatment around 9 months earlier than the planned two year course.

Complete Response is defined as - The term used for the absence of all detectable cancer after your treatment is complete response (CR). Complete response doesn't necessarily mean that you are cured, but it is the best result that can be reported. It means the cancerous tumor is now gone and there is no evidence of disease.

I will now continue to have CT scans at regular intervals over the next three years to keep a check. 

I’m writing this blog because when I faced the start of immunotherapy treatment back in late 2018 I was pretty nervous, worried about the side effects, the damage it would do, and of course if it would work. It was an agonising time, but there was no alternative, I had multiple lesions in my lungs, the largest of which were 16mm in size.

Throughout my cancer journey I’d tried to prepare myself to be strong enough to face it, quite a rigorous regular exercise regime, a mainly vegetarian diet, daily doses of manuka honey and goji berries, a positive mental outlook, helped by studying philosophies like Stoicism and Zen, and meditation to keep a calm mind.

That was my part, all I could do, the rest was down to treatment, the monthly infusions of Nivolumab. I don’t know to what degree any of my preparation helped, but I have gone through immunotherapy with little reaction. It’s taken the pigment out of my hair and skin so I’ve gone quickly to grey/white, and I’ve had some ongoing itchiness on my arms and legs, but that’s a small price to pay for getting rid of the cancer.

This treatment of course can affect different people in different ways, all I can offer is my own case. In my opinion if anyone is facing this now, do trust and believe in this treatment, and consider what you can do yourself to help it succeed. I think we can play a bigger part than we might believe we can, by our mindset and our actions. Immunotherapy is the science we must be very thankful for, but the hidden science is what is within us to help it to succeed.

  • Thank you for that, it arrived when I was just getting despondent about my treatment having hit a few snags recently. You have helped to give me a well needed boost! 

    Diane

  • Thank you for such a positive and encouraging story.

    For me it’s very timely as earlier today I had to agree to move from dual immunotherapy to just Nivo because of Covid-19. I’ve had 1 dual infusion and some side effects and my Dr thinks I’m highly likely to be hospitalised if I continue with Dual - and therefore placed at greater risk of contracting the virus. So we’ve no choice really but to downgrade to Nivo, albeit with 3 more dual doses in reserve if we need them later.

    The other odd thing is that I had 2 mets, one in each lung, and one is 16mm. Seems a strange coincidence and I take great encouragement from reading how well you’ve responded.

    I hope you continue to get good results.

  • Hello

    Exactly the same thing has happened to me this week too. I have had 2 dual infusions but my third will be a single one for the same reasons as you. I also have mets in both lungs but unsure of the sizes. Unfortunately my bloods have come back with problems so have had to postpone my 3rd infusion until the steroids I have been prescribed take effect.

    Like you I found   's post very encouraging.

    It's good to have the support on here.

    Diane

  • Hi Diane 

    I'm very pleased it's had a good effect on you, I hoped it would give some positivity to people in similar situations. Keep believing in it, and do what you can to help yourself be strong physically and mentally, so you have the best chance of seeign good results.

    Best wishes

    Tim

  • Hi 

    Thankyou, and I hope it gives some positive encouragement for going through your treatment. That is a coincidence on the size of the lesions. I was lucky that I responded well to the treatment (I did do the 4 rounds of dual infusions), and at the end of that stage a CT scan showed this lesion had reduced by 50%, then continued to reduce further under just Nivolumab. I hope the treatment works well for you of course, keep doing what you can physically and mentally to help it along, that's very important!

    Best wishes

    Tim

  • Hi 

    What a great post, and wonderful to see great results for you from the treatment. Thanks for sharing.

    Take care

    J  

    Don't wait for your ship to come in, swim out and find it!

  • Thanks  very kind of you. I hope all is well with you and I think your signature is spot on!

    Best wishes

    Tim

  • I had a complete response to Ipi in 2015. I am NED (No Evidence of Disease).

    I just had to respond to your post because I did not go vegetarian or vegan, or take any food supplements, or exercise. I am overweight. I do not practice mindfulness or meditation. I just turned up for the infusions and, with the help of my specialist nurse, managed the side effects. Day by day, one foot in front of the other.

    The immunotherapy still worked.

    All the best,

    Moira

  • Wow Tim, that's a great result.

    I have been awake half the night nervous about starting immunotherapy (dual) in a couple of weeks, so reading this has made my day...and it's only 8.30!

    I'm very much a facts person so was planning to read up on the therapy before starting - other than the dermatology appointment where I agreed to the treatment I haven't got very far in my aim, as I had to go for brain surgery to wash out a wound infection following tumour removal...then I had a fever from flu/pneumonia jabs on Monday. Both my SRS and IT have been delayed but the good news (she says optimistically) is I'll be starting both this month.

    Every time I look at my immuno booklet it worries me that any of the side effects could make me ill and I came here looking for positive stories to counterbalance that so thank you for sharing your experience.

    Apols for the long reply but as this is my first post I thought I'd outline my situation briefly. Feels like a weird way to introduce myself, but anyway... Hello melanoma people :-)

    Clare

     Believe in the possible and good things will happen.
  • Thanks Clare 

    It sounds like you've had a bit of a time of it, and I hope you're recovered enough to start the treatment on plan. I think the booklet is enough to put anybody off, and it put me off too I have to admit! But at the end of the day it's pointing out things that could happen and I came to the conclusion that it as it could be pretty much anything, and a pretty daunting prospect when it was all put together, get myself as fit as possible mentally and physically, and just get on with it and see. But I can only offer my experience, and that is it wasn't bad at all for me. I did get an extensive rash from the dual treatment but it cleared with the creams given and didn't hurt or irritate, my vision over distance got worse, I had an eye examination, but no damage was seen, and it restored to normality very quickly, I had no sickness or pain. So pretty minimal really. I know some people find it a lot more problematical than that, so there are no guarantees, but from my own experience it went well and after the course of four treatments I was able to move onto the single Nivolumab infusions. I hope yours works well for you, and if you'd ever like any more information, just message me

    Best wishes

    Tim