Want to talk about Multiple Myeloma: Anyone else?

Posted by Frazer 1 @frazer1, Apr 11, 2012

Asking anyone who is going thru this experience to share any pro's or con's of this disease. As of now I'm in MGUS, will find our next week if it has progress to Smoldering Myeloma.

Interested in more discussions like this? Go to the Blood Cancers & Disorders Support Group.

I was diagnosed in 2020 did chemo for 5 months then a Stem Cell Transplant which lasted for just over 37 months
I am now receiving immunotherapy wit Sarclisa,Kyprolis and Dexamethasone I have only just started this therapy a week ago
I am still able to walk every day about 2 to 3 miles or 4 to 5 km
And still work out at the gym with light weights 10 to 25 pounds
It can be challenging at time as I have neuropathy in my feet Hans and up my calf’s hope this helps you take care

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Profile picture for marj1956 @marj1956

THANKYOU for your honest input I found your shared experience very uplifting and helpful. I have been fighting MM since 2023. Not gotten to remission yet.

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@marj1956 Welcome to Mayo Clinic Connect. As @colleenyoung asked, I am curious what treatments you might be on? I have been on treatment since Aug 2021, and have not achieved remission, either. There are comorbidities that I deal with, and my medical team and I have decided to do a very conservative approach to any treatments because of how things overlap themselves. Every mm patient is different, it seems, which is why we hear about so many different lines of therapy.
Ginger

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Profile picture for marj1956 @marj1956

THANKYOU for your honest input I found your shared experience very uplifting and helpful. I have been fighting MM since 2023. Not gotten to remission yet.

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@marj1956, what treatments are you on for multiple myeloma? How are you doing?

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Profile picture for khnielsen @khnielsen

Dear Frazer 1 (and any other MM patients, family members, and caregivers),

I am a 58 year old woman who was diagnosed with Multiple Myeloma on June 15th, 2000, only three weeks after graduating with my Master's degree in Counseling (at age 46). I was in the later stages of the disease: I believe Stage B4 would be the correct term? My skull, spine, ribs, upper arms, pelvis, and femurs had tumors. I seriously don't know how I managed to work 20 hours a week and go full-time to graduate school and STILL graduate with a perfect 4.0 (simply bragging here, folks!)

The main point of my reply is the date of my diagnosis....JUNE 15th, 2000... over TWELVE YEARS AGO. And, after having having a double "mini" transplant (my own stem cells and my sister's stem cells) at Fred Hutchinson Cancer Research Center in Seattle, I am STILL IN REMISSION. More good news: last June I went to a reunion weekend at "The Hutch" as we Hutch patients call it, and I met a woman who had had a FULL stem cell donor transplant and SHE was still in remission after FIFTEEN years.

When I was diagnosed in 2000, the blankety-blank hematologist/oncologist (now HE is another other story) informed me I had only eighteen months to two years to live. I wasn't willing to accept that so I started making phone calls to the nearest big medical centers (not being close to the Mayo Clinic). One call led to another and I found out that I had a lot more options than I thought. M.M. wasn't the "terminal" cancer I had been told it was. Yes, there is no specific "cure." But at least I had a chance.

What to expect...it depends...it depends on the specific treatment, on your individual body, and your attitude...and (I can't believe I'm typing this) prayer. Research has shown that patients who were prayed for had statistically significant improvement over patients who weren't prayed for...and these patients were not aware they were receiving organized prayer.

NUMBER ONE: YOU MUST ABSOLUTELY GET ANOTHER OPINION and ADVOCATE FOR YOURSELF. iF you are too ill and/or overwhelmed to do so, assign tasks to your family and friends...doing something for you will aid in their feeling helpless and out-of-control. For example, my brother took care of all the research for me, since "chemo brain" reduced my computer skills to a big fat zero.

NUMBER 2: You need to talk to your oncologist or G.P. about being on blood thinners. It is part of the recommended treatment but one that my blankety blank oncologist didn't bother with and it almost killed me. M.M. patients throw clots. Clots cause pulmonary embolisms. P.E., can kill a person. Watch out for the blood thinner cumadin (warfarin)...I had real problems with it working not enough and then way too much (another near death experience). The "Hutch" put me on daily Lovenox shots, which worked much better with my M.M. body.

NUMBER 3: HYDRATION!!! HYDRATION!!! HYDRATION!!! The Hutch recommended 3 litres of fluids a day (that includes coffee, tea, watermelon, whatever). I couldn't manage to do anywhere near that amount it orally, so for almost two years (due to complications) I had IV. fluids using my central line. I went through 4 months of V.A.D. chemotherapy plus the transplant chemo regimens. Thanks to the fluids, my kidneys are normal! Even though I still need to take meds for other cancer related side-effects (like Addison's Disease) my kidneys are handling all of them! NOTE: My caregiver was a hospital respiratory therapist, very experienced, and she went to war for my fluids. I'll never be able to thank her enough.

#4 Diet: Yes, I tried the super healthy cancer diets and vitamins and naturopathic supplements. They simple made me throw up. And the nutritionist at the Hutch did educate me on good nutrition, but I was just one of those patients who threw up at the blink of an eye. I got very good at it, and could even knit and barf at the same time! Hey, you HAVE to develop a good sense of humor if you don't already have one. The nutritionist finally said, "Eat anything, whatever you can keep down, and don't stress about it."

#5 Exercise: IF YOU DON'T USE IT, YOU'LL USE IT. Even one or two days down can cause muscle wasting (and blood clots). I tried to walk as much as I could...1/2 to one mile almost every day that I wasn't in the hospital, and then I walked the halls if I could summon up even an ounce of energy. I used a walker, which helped support my back. It was an exercise in courage as well, as it was the last thing I wanted to do. The pool was out because of the transplant issues and central lines.

#6 Support: I tried the local women's cancer group, but I was the only one there without breast cancer. No one could even relate. I didn't even get to talk to and MEET anyone else with MM until over a year after my diagnosis, when I started a support group myself after being discharged from the Hutch (The transplant program is out-patient, but you have to be in the area, within half an hour of the clinic and hospital, and my transplants took about 8 or 9 months.)

That being said, finally getting some support, getting some questions answered, and being able to GIVE support to other patients, was so very, very helpful.

I'm not going to kid you. The M.M. journey is long and arduous...that's the truth. There is no pink ribbon for us, no M.M. "month." (M.M's ribbon is burgandy--not a widely known fact.) While I would be happy to tell you more about my personal experience, side effects they didn't tell me about (or I didn't remember or hear), and the length of time the healing process can take, it would only be that...MY experience. Everyone is different. "It depends" is a phrase you will hear again and again. Just know that I am happy to be available to M.M. patients who are just beginning their journey with this weird disease, or who just need another M.M. survivor to talk to. I am grateful for my counseling skills and grief therapy training as they helped me manage my healing process with a positive attitude and a grateful heart (or so I've been told). And, while general cancer support groups have their place, M.M. is a unique experience. Check with the M.M. Foundation and find a support group close to you. Not a support group person? Feeling too ill to make it to a meeting? Online support and informational telephone "conferences" are also available. Thank Heavens for the Internet!!! And if you would like to message me with questions or you just need to vent, I would be happy to offer anyone (patients, caregivers, family members) the support I so dearly wished someone had offered me and mine way back when.

Stay positive, laugh, and learn to knit or meditate (actually knitting has been found to have the same beneficial effects as meditation)!!!

Karen

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THANKYOU for your honest input I found your shared experience very uplifting and helpful. I have been fighting MM since 2023. Not gotten to remission yet.

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Profile picture for Lori, Volunteer Mentor @loribmt

Hi Gloria, Welcome to Connect! It’s very encouraging that you’re having success with your treatments for Multiple Myeloma. I’m sorry to hear you’re having swelling after the Dexamethasone infusions. That is one of the potential side effects of Dexa. It’s a good idea if you can, to take frequent walks during the day and then elevate your feet over your heart for 20 minutes or so, every couple of hours. (Lie on a sofa with your feet up on the back, for example) That can help reduce swelling your feet are puffy. Is this primarily in your feet and ankles or your hands too?

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Hello Lori, thanks for your advise. Fortunately, It’s only with my feet. My hands are perfect. I will try to walk. And of course I put my feet up. Gloria

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Profile picture for gloriafuerza @gloriafuerza

Hola, si, a mi me detectaron Mieloma Multiple en Setiembre y estoy en tratamiento desde Octubre. Me ha ido bien anque me hincho mucho por la Dexametasona que me ponen por la vena muy seguido durante el tratamiento. Saludos, Gloriafuerza

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Hi Gloria, Welcome to Connect! It’s very encouraging that you’re having success with your treatments for Multiple Myeloma. I’m sorry to hear you’re having swelling after the Dexamethasone infusions. That is one of the potential side effects of Dexa. It’s a good idea if you can, to take frequent walks during the day and then elevate your feet over your heart for 20 minutes or so, every couple of hours. (Lie on a sofa with your feet up on the back, for example) That can help reduce swelling your feet are puffy. Is this primarily in your feet and ankles or your hands too?

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Hola, si, a mi me detectaron Mieloma Multiple en Setiembre y estoy en tratamiento desde Octubre. Me ha ido bien anque me hincho mucho por la Dexametasona que me ponen por la vena muy seguido durante el tratamiento. Saludos, Gloriafuerza

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Profile picture for Ginger, Volunteer Mentor @gingerw

Yep, I learned to do that, also, Makes a huge difference! Took a concentrated effort for me to relax. and, I usually try to talk about something unrelated to the injection. Even something as simple as complimenting the nurse on the color of her uniform that day.

In my old age now, I sometimes talk, and remind myself out loud to relax my shoulder and arm before an injection. Of course, I have to do that when I am using a curb also, to step right foot first, since left leg/foot has no feeling. More than once I have taken a tumble, even with my cane!
Ginger

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Verbal reminders are a GREAT idea.

For some strange reason, just reminding myself to relax doesn't work. So I just pretend that my arm doesn't belong to me; I let it literally hang from my shoulder socket as it were a puppet arm or just a sleeve.

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Profile picture for patientpainter @patientpainter

Ahh: this is good advice!: If it is possible to convince them to separate vaccinations more, with separate visits. A lot more trouble for everyone. I did fight for that for my baby son, 27 years ago etc!- so why don't I feel comfortable asking for that for myself, and standing my ground??!- Partly because I know how busy and stressed all the nurses and doctors are, with the patient load they have ( I am in NYC, which makes you feel like a tired ant in a booming anthill, often!)- so if it works for them and their schedule, and it isn't dangerous, I feel I should follow their lead. I could definitely be wrong though( or rather, They might be!) and it might be worth it to insist on separating the shots more. Hmm.

Thanks for the reminder to Relax the arm: that is one thing I have never done!- and I'll certainly try it.

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PatientPainter, that's an excellent question: We feel comfortable asking for our kids, so why not for ourselves?

I just allow my arm to hang - really hang, as if it were just a puppet arm. Once, a nurse came at me with a needle before I was ready (she probably thought it was best to 'get this over with') and boy did I pay! The injection was painful and I did ache afterwards.

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Profile picture for buckaroobanzai @buckaroobanzai

For painless vaccinations: Let your arm drop, be a dead weight, at your side. When your muscles are totally relaxed there will be no pain and your arm will not swell.

My nurse always says, “Ben, I wish I could have you here each day to coach my injection patients!”

Well, here you go. You’re welcome. 😎

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Yep, I learned to do that, also, Makes a huge difference! Took a concentrated effort for me to relax. and, I usually try to talk about something unrelated to the injection. Even something as simple as complimenting the nurse on the color of her uniform that day.

In my old age now, I sometimes talk, and remind myself out loud to relax my shoulder and arm before an injection. Of course, I have to do that when I am using a curb also, to step right foot first, since left leg/foot has no feeling. More than once I have taken a tumble, even with my cane!
Ginger

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