Acute myeloid leukemia (AML): What can I expect?

Posted by dell @dell060969, Aug 16, 2017

Newly diagnosed with AML, what to expect?

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@claireb

<p>My 74 year-old husband was diagnosed 1 day ago with Acute myelogenous leukemia (AML). He is hospitalized right now and will be transferred to the U of MN tomorrow. He is in otherwise good health. He is weighing whether or not to proceed with treatment. He's been told if he doesn't have treatment, he has weeks to live. Does anyone out there have this diagnosis? Treatment experiences? I am numb since hearing of this diagnosis. What a time to be hospitalized in this age of the Covid-19 pandemic!</p>

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Claire, I’m happy you’re able to get the virtual visit. At least you’ll be able to connect with the oncologist and have a few questions answered. Have a note pad handy. The isolation is a concern but frankly, through the 5 weeks i was in the hospital last year for the initial chemo, only my husband could visit and occasionally my adult daughter. That was long before CV-19. He would stop up once a day for maybe an hour. The rest of the time i was quite content to stay in touch with friends and family via my iPad. The chemo nurses were so caring and truly, became my family while I was in the hospital. Your husband may not have to be in that long and really, it’s nothing compared to “not being alive’ if you put it into perspective! As for quality of life afterwards? After the initial chemo, within a month he’ll probably feel fairly normal again. Occasionally there is some nausea during treatment. There are many meds available for that. Also he may lose his sense of taste for a few weeks. Our bodies regenerate quickly. There is a period of about a week where he’ll feel extreme tiredness and weakness while the blood count is low. Within days, however, the body starts recovering, making new white blood cells and it’s quick rise back to feeling pretty well again. Fear of the unknown is what is the most threatening. It’s daunting and scary. But many of my friends (whom I met during this journey), are alive and thriving. Some with transplants, some without. Depends on the type of AML. So don’t lose hope! This is survivable! Reach out anytime and don’t hesitate to send a private message. Good luck tomorrow.

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@colleenyoung

Hi @claireb, I'd like to add my welcome to @loribmt's. You mention that your husband will be starting with a virtual visit. You might find the advice from fellow members in this discussion to be useful:

- Telemedicine: How to make the most of a virtual doctor visit https://connect.mayoclinic.org/discussion/covid-19-telemedicine-its-a-brave-new-world/

If you scroll to the end of this web article, you'll also find further information about questions to ask and more. This might be a good starting place to read before talking with someone at the American Cancer Society. They will be able to prepare more in-depth questions specific to your husband.

I'll let Lori and @grandpabob share their experiences about precautions he'll have to take because of the compromised immune system and isolation from family. That is tough. But that is a reality of leukemia with or without COVID. Those will be important and wise questions to ask the care team, too.

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Thank you, Colleen, for your information. It will definitely be useful. Also, thank you for changing the title of this thread. I wanted to go in and edit it, but didn't know how. This is my first time actually posting something!

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@loribmt

Claire, I’m happy you’re able to get the virtual visit. At least you’ll be able to connect with the oncologist and have a few questions answered. Have a note pad handy. The isolation is a concern but frankly, through the 5 weeks i was in the hospital last year for the initial chemo, only my husband could visit and occasionally my adult daughter. That was long before CV-19. He would stop up once a day for maybe an hour. The rest of the time i was quite content to stay in touch with friends and family via my iPad. The chemo nurses were so caring and truly, became my family while I was in the hospital. Your husband may not have to be in that long and really, it’s nothing compared to “not being alive’ if you put it into perspective! As for quality of life afterwards? After the initial chemo, within a month he’ll probably feel fairly normal again. Occasionally there is some nausea during treatment. There are many meds available for that. Also he may lose his sense of taste for a few weeks. Our bodies regenerate quickly. There is a period of about a week where he’ll feel extreme tiredness and weakness while the blood count is low. Within days, however, the body starts recovering, making new white blood cells and it’s quick rise back to feeling pretty well again. Fear of the unknown is what is the most threatening. It’s daunting and scary. But many of my friends (whom I met during this journey), are alive and thriving. Some with transplants, some without. Depends on the type of AML. So don’t lose hope! This is survivable! Reach out anytime and don’t hesitate to send a private message. Good luck tomorrow.

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Again, thank you Lori. I'm so glad you had a positive experience and that you are willing to share.

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@claireb

<p>My 74 year-old husband was diagnosed 1 day ago with Acute myelogenous leukemia (AML). He is hospitalized right now and will be transferred to the U of MN tomorrow. He is in otherwise good health. He is weighing whether or not to proceed with treatment. He's been told if he doesn't have treatment, he has weeks to live. Does anyone out there have this diagnosis? Treatment experiences? I am numb since hearing of this diagnosis. What a time to be hospitalized in this age of the Covid-19 pandemic!</p>

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Hello @claireb

I did not have AML, my cancer was Large B cell Lymphoma that in the end had to be treated using Car T therapy.

I was 62 years old when diagnosed. I did spend about 1 week in isolation when receiving one type of Chemotherapy, so not as long as one would be isolated if receiving a transplant for instance.

Chemotherapy can be tough, but as Lori stated, it can extend life, it is so worth it.
Lori outlined some of the side effects very well. in my case, after a few treatments I became extremely tired a few days after the infusions. Nausea was not a serious side effect for me, the meds that were provided post treatment were a huge help to combat that. Bodies react differently to Chemotherapy, joint paint, muscle aches, rashes can all be side effects of cancer treatment. Of note, it could be the associated medications that contribute to some of the side effects.

I had no interest in eating which was really hard on my wife not knowing what to make, I found small servings was best, also it is OK to just have cottage cheese some times. As difficult as it was getting daily exercise was critical, I feel to this day, if I had not been in great physical and mental shape prior the the diagnosis, I would not be here today.

Receiving the diagnosis is difficult, there are in many cases a lot of options for treatment, the success rates are better all the time.

I understand your appointment is tomorrow, I would suggest when attending the meeting, use the mindset that no question is a silly question, they are all important to your husband and to you.

If you are willing, let us know how things go for you tomorrow.

Feel free to reach out at any time.

All the best tomorrow.

Bob

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@grandpabob

Hello @claireb

I did not have AML, my cancer was Large B cell Lymphoma that in the end had to be treated using Car T therapy.

I was 62 years old when diagnosed. I did spend about 1 week in isolation when receiving one type of Chemotherapy, so not as long as one would be isolated if receiving a transplant for instance.

Chemotherapy can be tough, but as Lori stated, it can extend life, it is so worth it.
Lori outlined some of the side effects very well. in my case, after a few treatments I became extremely tired a few days after the infusions. Nausea was not a serious side effect for me, the meds that were provided post treatment were a huge help to combat that. Bodies react differently to Chemotherapy, joint paint, muscle aches, rashes can all be side effects of cancer treatment. Of note, it could be the associated medications that contribute to some of the side effects.

I had no interest in eating which was really hard on my wife not knowing what to make, I found small servings was best, also it is OK to just have cottage cheese some times. As difficult as it was getting daily exercise was critical, I feel to this day, if I had not been in great physical and mental shape prior the the diagnosis, I would not be here today.

Receiving the diagnosis is difficult, there are in many cases a lot of options for treatment, the success rates are better all the time.

I understand your appointment is tomorrow, I would suggest when attending the meeting, use the mindset that no question is a silly question, they are all important to your husband and to you.

If you are willing, let us know how things go for you tomorrow.

Feel free to reach out at any time.

All the best tomorrow.

Bob

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Thank you for sharing your experience.

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@claireb

Thank you for sharing your experience.

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Update: After our virtual visit with the oncologist at the U of M last week, my husband made the decision to not proceed with therapy. The oncologist we spoke with was incredibly knowledgable, kind, and patient as she addressed our questions and concerns. She laid out all the options without sugar-coating anything. It was a difficult decision for my husband, but one that I expected from him. He said the discomfort of therapy and the weeks of isolation from family would kill him.
He started receiving hospice care at home on June 20, two days after his 74th birthday. Our two out-of-state daughters came "home" to be with us and will be here for the duration. We are so lucky to have them in our lives. He is able to have ongoing FaceTime visits with our grandchildren. One of our daughters said the silver lining in all of this is that we have time to reminisce and say good-bye. We are making the best of the remaining days/weeks of his life. Thanks to all of you for your support.

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@claireb

<p>My 74 year-old husband was diagnosed 1 day ago with Acute myelogenous leukemia (AML). He is hospitalized right now and will be transferred to the U of MN tomorrow. He is in otherwise good health. He is weighing whether or not to proceed with treatment. He's been told if he doesn't have treatment, he has weeks to live. Does anyone out there have this diagnosis? Treatment experiences? I am numb since hearing of this diagnosis. What a time to be hospitalized in this age of the Covid-19 pandemic!</p>

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@claireb, A very difficult decision. I am so glad to hear that your family is OK with it.

Your daughters are really special committing to spend this time with you. You and your husband have obviously done wonderful work raising your children.

You are most welcome for the support you have received on Connect,
Take care, Please feel free to continue to reach out on Connect as you see fit.

Bob

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@claireb

<p>My 74 year-old husband was diagnosed 1 day ago with Acute myelogenous leukemia (AML). He is hospitalized right now and will be transferred to the U of MN tomorrow. He is in otherwise good health. He is weighing whether or not to proceed with treatment. He's been told if he doesn't have treatment, he has weeks to live. Does anyone out there have this diagnosis? Treatment experiences? I am numb since hearing of this diagnosis. What a time to be hospitalized in this age of the Covid-19 pandemic!</p>

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There is always a level of comfort when we can take charge of our own lives. This certainly wasn’t an easy decision for your husband but truly one to be respected. It’s wonderful your daughters are able to come and cherish this time together. Not everyone is blessed with that opportunity. It sounds like you have an amazingly supportive family, but as Bob said, don’t hesitate to reach out should you feel the need. Wishing you and your family peace, Lori

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@claireb

Update: After our virtual visit with the oncologist at the U of M last week, my husband made the decision to not proceed with therapy. The oncologist we spoke with was incredibly knowledgable, kind, and patient as she addressed our questions and concerns. She laid out all the options without sugar-coating anything. It was a difficult decision for my husband, but one that I expected from him. He said the discomfort of therapy and the weeks of isolation from family would kill him.
He started receiving hospice care at home on June 20, two days after his 74th birthday. Our two out-of-state daughters came "home" to be with us and will be here for the duration. We are so lucky to have them in our lives. He is able to have ongoing FaceTime visits with our grandchildren. One of our daughters said the silver lining in all of this is that we have time to reminisce and say good-bye. We are making the best of the remaining days/weeks of his life. Thanks to all of you for your support.

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@claireb, I echo what @grandpabob and @loribmt said. While you may accept your husband’s decision and support him, it doesn’t mean you have to like it. My father made the same decision, which we all supported. My mom still cherishes the special moments that the clarity of the decision allowed them to have. At the same time, she appreciated being able to voice with me that she experienced an array of emotions and needed to be able to talk about those feelings with others. If you’re ever feeling things like “I’m not ready for this” or “this isn’t what I want” or anything else that no one can predict, know that you can talk about it here - without judgement.

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I was diagnosed with AML last year in the first week of August. Here it is the end of Feb and the last biopsy I had said I was cancer free. I am still on bag chemo for 4 days a month and home chemo pills for 14 days on and 14 days off. My question is the longer I am on chemo the more things are happening to me. My skin is breaking out in bumps and dry skin. At night my tummy feels like I want to vomit. I haven’t done that yet but depression is setting in and I feel like it’s slowly killing me not just the cancer.

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