Mum to have aaggressive chemo and stem cell transplant

FormerMember
FormerMember
  • 3 replies
  • 37 subscribers
  • 4128 views

Hi all!

I'm new here!

My mum was diagnosed with asymptomatic myeloma on December 9th 2015. Her initial paraprotein count was around 12 .

Aside from lowered immune system which resulted in pneumonia in 2016 and 2017, she has been well 

.Last year, she was asked to take part in a research study looking into the possibility of curcumin being used for myeloma.

Her count slowly rose - in March it had risen to 35, and although still asymptomatic, her consultant recommended chemo while her body was strong. She had velcade and cyclophosphamide, plus a box full of other drugs.

During the first cycle, she suffered nausea and fatigue, and after the last injection of the first cycle, she developed a very high temp and went into hospital and was immediately put on a cocktail of broad spectrum IV antibiotics. Aside from the high temp, she was well in herself but gradually deteriorated - by the 4th day, we were sure ste wasn't going to make it - she was on 7L of oxygen and could hardly get a word out. I had prayed over her, and a couple of days later, my friends visited and she allowed them to lay hands on her and pray. Her oxygen needs reduced and the next evening she was discharged.

She had a gap of several weeks between her hospital stay and the next cycle of chemo, but bloods she had done after the first cycle showed an 80% reduction in her paraprotein levels - down from 35 to 7 - lower than when she diagnosed. We were thrilled to hear this!

During her second cycle, she had absolutely no side effects - she was gardening and eating well - we were amazed. Her levels continued to fall, but the oncology consultant said they would do a minimum of 4 cycles, and her count has continued to fall since she completed her 4th cycle at the end of July. Her most recent count was 3,2

When the doctors said they wanted to do chemo, my mum had just had a tooth removed. She told us the doctor wanted her to have some slightly more aggressive treatment but due to the recent tooth extraction, she had to wait until July, then in June she told us she was having more aggressive chemo and a stem cell transplant, requiring a 3 week hospital stay in protective isolation and that she had  to limit her visitors to just 4 people. 

I suffer with anxiety and depression, and my mum didn't tell me about her count rising because she didn't want me to worry,  however, I explained to her that telling me what's going on means I can gradually deal with things.  She also knew when she started the first round of chemo that she would be having aggressive chemo and a stem cell transplant, but despite me explaining that I can deal with things better If I know sooner rather than later, she kept it from me. Her treatment could start as soon as 7th Oct and I'm struggling to deal with it all.

I had a fall 4 years ago which ended my nursing career, so I know it's going to be a rough time and 3 weeks in hospital is only going to be the start.

My mum is 73, she has refused to apply for PIP, she has refused to contact Macmillan for support for herself and all of us, despite knowing how fantastic they were in supporting my aunt and uncle when my aunt had ovarian cancer - they advised on benefits they could claim and helped them fill in all the applications.  She doesn't see her situation as being as bad as my aunts and won't look into anything that may help her.

Sorry I've waffled on so much here - just felt a need to vent a bit.

  • Hi Nicki,

    Welcome to this corner of the forum, although I am really sorry to read about your Mum.

    I wanted to reassure you that your Mum’s experience with myeloma and it’s treatment so far seems to be relstively normal. I can understand that the reactions your Mum had after the first cycle must have been very traumatic. I hope it provides you with some comfort to know that adverse reactions, especially on the first cycle, can happen quite a lot, so you are not alone in that experience. It is also brilliant to see the results that your Mum has had, this is the main thing to hold on to.

    A stem cell transplant is the standard of care in myeloma, and it is thought to give the best chances of the longest possible remission. If the medical teams think your Mum is strong enough for it, that is a good thing. She will go through a bunch of tests to confirm this, and if she comes through them with good results, I would take this as a good sign she is ready for it. 

    Infection risk is quite high when doing an SCT, and so your Mum will need to be in isolation for periods of time to protect herself. I have done two SCTs and whilst I would never describe them as fun, they are doable and the medical teams are excellent at knowing what to do - I’m sure they’ll do the same for your Mum.

    As to benefits, I don’t have much experience as I had sick pay from my employer and my mobility wasn’t too bad, but I’ve attached a link below to Macmillan’s guidance on this which I hope is helpful.

    www.macmillan.org.uk/.../benefits-and-financial-support

    I hope my post gives you some form of reassurance Nicki. A cancer diagnosis definitely brings with it some unsettling times, but please know that your Mum appears to be in good hands and is getting the treatment she needs to get her into a good remission.

    Please stick around to keep us updated as to how she gets along, and please use this site for support, questions or just venting, whatever is helpful during this time.

    Greg

  • FormerMember
    FormerMember in reply to greg777

    Hi Greg

    Thank you so much for your reassuring words.

    Mum had an angiogram a few weeks back and was given the all clear from that perspective. She had G-CSF on sept 5th, 6th, 7th and 8th and they harvested sufficient stem cells on the 9th for the transplant.

    She's just returned from a break at her sister's, via the nursing home where her brother is - she was insistent that she needed to see him before her chemo and STC - think she had it in her mind that if she doesn't make it, she'd at least seen her brother one last time. He has end-stage parkinsons with parkinsons dementia, but moved to wales many years ago, but close enough to get there in under an hour and a half, but the nursing home is further away so they haven't been able to get there as easily (my dad is disabled and has a DVT so can't drive for long periods - the journey when he was living independently was do-able with a quick coffee stop half way there). 

    She's seeing her consultant on Thursday and hoping to get a date for admission then so she can plan ahead, although I have warned her that they can only admit her if there is a bed available so she may not have a concrete date because our bodies are too unpredictable to guarantee they will have a room exactly when they tell her, as someone else may be in longer than expected or they may have a more urgent case than hers to prioritise.

    She and dad are going to cleethorpes on Monday and back Friday, and she will want to see my niece on the weekend of 5th/6th so she's asked for it to be after that. The team have been excellent in caring for her and she was assured right from the beginning of treatment that she will never be asked to give up a holiday that is booked because these are essential to give her a good balance of rest between treatments. 

    I will get her to read your email and look at the link you included. 

    My uncles sister in law had MM and has been in constant contact and told her about her experiences - unfortunately, she is much younger than mum and had what is likely to have been an easier time than mum might have (she was discharged after 12 days) so I'm trying to impress upon her the huge difference this may have made. She was also employed so entitled to sick pay and her husband was also employed  whereas both my parents are pensioners with no savings to speak of 

    Once again, thank you so much for your encouraging words!

    Nicki

  • Hi Nicki,

    I’m glad my words helped in some way and I hope your Mum has had a good week away this week. If either you or your Mum would like more information, or would like to connect with others going through the same process at the same time, please continue to post here and hopefully you can connect with people going through similar thoughts and experiences. It is over 3 years now since my SCTs so the memory is getting fuzzy, but I hope this of itself provides some hope and comfort as to the potential success of the procedure.

    Greg