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> I can't get a straight answer from a Dr. about a Lyme

> PCR. I just found out it is still positive. My Neuro

> said that because I had Lyme that I will always have a

> positive PCR. I have been told by other Dr's that this

> isn't true.

I have the 'luck' of always showing positive on Lyme tests, be it PCR,

LUAT or Western Blot. From what I understand the PCR takes and amplifies

the Bb DNA that is present in your blood. So it has to be there, literally,

the bug has to be there, for it to show positive. Where as with an antibody

test you dont have to have a current infection to show positive, these

results are shown by the Ig's , one is for current and one for past

infection. So, if you show positive with a PCR, you have to have an

infection, how else does the DNA get there? Does that make sense? I have a

bad habit of thinking one thing and another comes out that isnt all that

logical LOL I would switch Drs, go see one of the ones that thinks you

are still infected.

My Dr 'knows' that I still have lyme, not only from the test standpoint,

but because of sympoms. I have been on several rounds of abx and was in a

good remission for about a year, but the symptoms have come back. I am

'sick' , in that I want a herx, if I take an abx that doesnt produce one, I

will ask for another. So when that herx happens, its just another flag that

I am still infected. Take care,

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  • 4 years later...

Efrem,

Do you have any numbers??? Percentages?

Was this a PCR Quantative or Qualatative?

sharon

_____

From: [mailto: ] On Behalf Of

fischer

Sent: Wednesday, December 09, 2009 10:21 AM

Zavie

Subject: [ ] Positive PCR

I was diagnosed with CML in Jan. 2007, and achieved complete remmission in

March 2008, with Gleevec. I had completely negative PCR till a couple of

months ago.

Unfortunately, my last 2 PCRs were positive. My doctor is now telling me

that she my switch me to Tasigna or Sprycel, and I have a consult with a

Transplant specialist. The consult is just a precaution, to begin to get me

into the transpant system.

She is confident that new drugs will work.

Has anyone had a similar experience where you were in complete remmission

with Gleevecm, but then it started to come back and you switched to a

different drug?

I would love to hear some feedback, I feel kind of low today.

Efrem Fischer

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I have a weird one to add..... J When I was DX'ed on 10.22.09 my fish

and PCR came back positive. Since then my Fish has been positive but my

PCR negative. I have had three tests from the same lab. I go in for my

next test on Friday which they are sending to a different lab. The

reason this is weird as most of you I'm sure know, is that the PCR test

is more sensitive than the Fish...

I'll keep you posted on my blog! Good luck!

" Chemo-Sabi "

From: [mailto: ] On Behalf Of

Sharon Teichera

Sent: Wednesday, December 09, 2009 10:49 AM

Subject: RE: [ ] Positive PCR

Efrem,

Do you have any numbers??? Percentages?

Was this a PCR Quantative or Qualatative?

sharon

_____

From: <mailto:%40> [mailto:

<mailto:%40> ] On Behalf Of

fischer

Sent: Wednesday, December 09, 2009 10:21 AM

Zavie

Subject: [ ] Positive PCR

I was diagnosed with CML in Jan. 2007, and achieved complete remmission

in

March 2008, with Gleevec. I had completely negative PCR till a couple of

months ago.

Unfortunately, my last 2 PCRs were positive. My doctor is now telling me

that she my switch me to Tasigna or Sprycel, and I have a consult with a

Transplant specialist. The consult is just a precaution, to begin to get

me

into the transpant system.

She is confident that new drugs will work.

Has anyone had a similar experience where you were in complete

remmission

with Gleevecm, but then it started to come back and you switched to a

different drug?

I would love to hear some feedback, I feel kind of low today.

Efrem Fischer

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>

> I was diagnosed with CML in Jan. 2007, and achieved complete remmission in

March 2008, with Gleevec.  I had completely negative PCR till a couple of months

ago.

>  

> Unfortunately, my last 2 PCRs were positive.  My doctor is now telling me that

she my switch me to Tasigna or Sprycel,

>  

> Efrem Fischer 

_______________________________________

Hi Efrem,

You do not say how much of a change the PCR showed? is it ten-fold (or one log)?

or something minor?

If it has been a significant increase over the last 2 PCR tests, then it is very

important that you have a mutation test to see if you have

developed or uncovered a mutation. This is important BEFORE you move on to

another drug, because if you do have a mutation, this can determine what drug

you should be put on.

Your doctor may have to send a sample of your blood to a specialized lab or

cancer center to get this test done....but it is the next step.

C.

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>

> I have a weird one to add..... J When I was DX'ed on 10.22.09 my fish

> and PCR came back positive. Since then my Fish has been positive but my

> PCR negative. I have had three tests from the same lab. I go in for my

> next test on Friday which they are sending to a different lab. The

> reason this is weird as most of you I'm sure know, is that the PCR test

> is more sensitive than the Fish...

_______________________________

,

FISH is a test that can have a false positive and some people never see negative

on a FISH test. Each lab should know what their sensitivity is for this

test.....and even 5% on FISH can still be a negative.

I would not worry about this test at all....in fact, most cml specialists are

not doing it anymore.

Your PCR test is the accurate test.

C.

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Thank you nancy.

 

I was at my doctor yesterday, and she drew more blood, to further test it, so

see what if any other drug I should switch to.

From: hey00nanc <ncogan@...>

Subject: [ ] Re: Positive PCR

Date: Thursday, December 10, 2009, 1:43 PM

 

>

> I was diagnosed with CML in Jan. 2007, and achieved complete remmission in

March 2008, with Gleevec.  I had completely negative PCR till a couple of

months ago.

>  

> Unfortunately, my last 2 PCRs were positive.  My doctor is now telling me

that she my switch me to Tasigna or Sprycel,

>  

> Efrem Fischer 

____________ _________ _________ _________

Hi Efrem,

You do not say how much of a change the PCR showed? is it ten-fold (or one log)?

or something minor?

If it has been a significant increase over the last 2 PCR tests, then it is very

important that you have a mutation test to see if you have

developed or uncovered a mutation. This is important BEFORE you move on to

another drug, because if you do have a mutation, this can determine what drug

you should be put on.

Your doctor may have to send a sample of your blood to a specialized lab or

cancer center to get this test done....but it is the next step.

C.

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