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I don't know, but hope that he has a very experienced doctor in MM. Does he have a follow-up appoinment soon so that he can ask about it. Does he belong to a MM support group. When I was dx'd with MGUS, they told me not to worry about it, but my M spike has crept up. Now SMM. I can give you great links for MM doctors and support groups.
Replies to "I don't know, but hope that he has a very experienced doctor in MM. Does he..."
Thank you Carole. That's very kind of you to offer me the contacts. We hail from a tiny state in India called Goa. Here in Goa we do not have access to many specialists. So from the very beginning we have been taking advice from a haematologist in Mumbai. So last Saturday we made a trip to Mumbai to clarify our doubts. The doctor told us that we do not have to be worried about the rise in Kappa as long as the kappa to lambda ratio is around 2:1. The ratio is marginally off the limits. It was a relief to hear this from the doctor. The course of treatment still remains the same. He is on lenalidomide 10mg
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@carolee888 How long between your diagnosis of MGUS to smoldering myeloma, please? Most people go for many years of watchful waiting and monitoring, and many never morph into a more complicated stage.
Ginger