Bet You Don’t Know What 9/22 Is!

You know how every month is now some kind of cml dayawareness month? Everything from
ethnic group history to diseases to food and activities. September has its share. It includes Suicide Prevention Month, Prostate Cancer Awareness Month, Childhood Obesity Awareness, Traumatic Brain Injury Awareness, Alzheimer’s Awareness, Ovarian Cancer Awareness, Backpack Awareness (this is by Occupational Therapists so I guess they’re concerned with the effects of too-heavy backpacks), Sepsis, Atrial Fibrillation, ITP (involving blood platelets) and lots more. One thing I didn’t see on this list was Blood Cancer Awareness Month.
Blood cancer is not as prevalent as breast, lung or prostate cancers. I’d post some statistics, but honestly, I think it’s too late in the day for me to do that without too much thinking (my brain can only handle math between 8 and 11 AM) so I’ll post some links below.

What I really want to talk about is today, 9/22 is World CML Day. This is actually pretty clever. CML is Chronic Myelogenous Leukemia. It’s of particular interest to me because I am surviving this thing. Yay!

Somewhere along the way, a couple of my regular chromosomes decided to do something funky:

philadelphia_chromosomethu_jpg

The Mayo clinic explains it:

An abnormal chromosome called the Philadelphia chromosome is associated with chronic myelogenous leukemia. Your cells each contain 23 pairs of chromosomes that are made of DNA and hold the instructions for every cell in your body. The Philadelphia chromosome forms when chromosome 9 and chromosome 22 break and exchange portions. This creates an abnormally small chromosome 22 and a new combination of instructions for your cells that can lead to the development of chronic myelogenous leukemia. (here is Mayo’s page on this)

So, this is where the 9 and 22 come from.

Why did this start happening to me? Don’t know. I don’t have any of the common risk factors: exposure to certain chemicals or excessive radiation, a family history or past chemotherapy.

If left untreated, the uninvited Philadelphia chromosome would cause the stem cells of my blood to create many more white cells than needed. These funky white cells would take over because they live longer that regular white cells plus they don’t do their job of killing off germs. As time goes on, I would make fewer red cells to do their oxygen carrying thing on top of my body being unable to fight infection.

Blood cancers are often discovered in people by accident, as was my case. I had elective surgery and my white blood cell count was found to be a little high. A few months later I was hospitalized for an unrelated infection. The heavy duty antibiotics didn’t take lower my elevated white count. I’d also had other infections in the previous months such as several UTIs of which I’d had one previous in my entire life. So this was concerning and further testing, including a bone marrow biopsy, were done, and well…here I am.

For which I am grateful. CML is one of the very first cancers to have responded to targeted therapies. My treatment, Gleevec, went into us in 2001. It was considered a magic bullet. Before that, someone diagnosed with CML in the early stages, as I was, had a 3-5 year life expectancy. The five-year survival rate for CML today is about 60%. I’ve been on Gleevec for 6 years. I had an early complete response and went into remission within the first 9 months with minimal side effects. Since then, there had been no detectable glitches in my chromosomes/DNA. I take a Gleevec pill once a day. It targets the causes of the overproduction of defective white cells. There are several other similar treatments available, now, too. Each has potential long-term side effects. But hey, I now get to live long enough to see if I’ll develop them or not.

It was as first thought it would be necessary to be on this treatment for life, but clinical trials are being run to see if it’s possible to go off as long as careful monitoring is done.

Gleevec and drugs like it are very expensive–$90,000 a year and more. Really. What a round of normal chemo might cost, is what one year of this kind of therapy costs. The quarterly blood tests are expensive, as well.

So, how does this knowledge affect you?

  • Monitor your health. Don’t ignore unusual fatigue, infections and other changes to your good health. I’ve met people (men!) who almost died because they waited until they could barely get out of bed to see a doctor. The further the disease progresses, the more complicated and risky the treatment. It could involve stem cell transplants. Folks have died waiting for a compatible stem cell donor. This goes for people in your care, too. Don’t wait for odd symptoms to go away.
  • Support legislation that provides for parity of cancer treatment costs, oral and self-administered vs. traditional chemotherapy and delivery.
  • Support control of prescription costs and coverage by insurance companies.
  • Know, that while rarer than other cancers, blood cancer can strike at any age. Some are more common to certain age groups.
  • Know that if it hasn’t happened already, you will be affected by cancer, either you or someone you love. It’s a sucky fact, but true.
  • When you are affected by cancer, yours or a loved one’s, get educated. Don’t panic. Deal with your emotions, but don’t dwell on the negative. Reach out for support.

I’m grateful I’m still healthy and that despite job setbacks I have never had to go without my treatment.

Well, 9/22/2015 is over for most of the world. Today, about 8 people found out they have CML. Tomorrow, the same and on and on until there is no such thing as cancer.

cml awareness day uk

Leukemia Lymphoma Society

Leukemia–Hemotolgy.org

National CML Society

Writing What You Know

When I started my first novel, A Box of Rain–well, technically the second–in 2008, I followed the old advice-write what you know. I knew very little about novel writing or myself as a writer at that point. I knew about teaching and schools. So, it started out about a teacher who’s marriage is going to hell fast. She develops a relationship with another teacher who helps her through and they fall in love, etc. In the end, she ends up a teacher married to a teacher, which is actually quite common. And boring and predictable–to me, anyway. It didn’t help that I was disillusioned with the education field, big time.

I devised an alternate ending which involved a relationship with somebody who wasn’t a teacher and that was better, but…meh.

So I thought, who would take my MC, challenge her to the nth degree and put her in an environment she never planned on. Hmm. I remember sitting on my sofa, laptop on lap and thinking…an actor. Meh…maybe. Ah! A movie director! This became Another Place on the Planet.

But, I knew very little about filmmaking. But this director character stuck with me. He wasn’t going away. So, I researched filmmaking.

For about a year, I checked out and read books from the library about directing, producing, assistant directing, the language and little recognized but important areas of making movies. I found websites and studied a lot about the politics and lifestyles. I am by no means an expert, but I know more than I used to and it was enjoyable.I appreciate movies on different levels so much more. It made me wish I wouldn’t have given up on my theatrical leanings in my college days and would have pursued some field of it like costume or set design. Much like my MC wishes she wouldn’t have dropped her music.

My next stand alone novel, What Doesn’t Kill You, involves filmmaking, too, to a degree. I figured why waste all that new knowledge I had acquired? I threw in dressmaking, of which I know a bunch. And Leukemia, which I also am familiar with.

My sequel to Another Place on the Planet is Places Bright and Dark and has me researching sex addiction, co-addiction and recovery. I’m slightly amazed at how some of the knew information I’m already familiar with. Writing what I know. Hmmm…