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My blood counts were good today - WBC (3.9) not escalating and I did check with

my Consultant today about being off Glivec. He said until we have the results I

should stay off the med.

I will only be going to the HH once their lab have got the results (there was

something wrong with the second batch and they have had to do them again!) My

Consultant meanwhile speaks to the HH.

Silly question from a beginner!... can you explain what is tested for in a)

blood (which i know) b)bone marrow and c) cytogenic pcr? I am confused!

Thanks for your help - eternally grateful!

" What strikes the oyster shell does not damage the pearl "

Rumi 13th c mystic

Love Beth

> >

> > Three weeks ago when my blood levels suddenly dropped and the leukemia cells

seemed to be increasing, I was taken off Glivec as it seemed to be not

working/causing a problem.

> > Since then I have had a BMB and have been referred to the Hammersmith

Hospital in London.

> > BUT I am still waiting for the results of DNA tests (I presume looking for

resistance/mutations) and have not had any medication for 3 weeks. I am

naturally concerned and wondered whether anyone 'out there' has had periods of

no meds at all?

> > It's difficult waiting!

> > Keeping chin up ...

> > Beth

> _____________________________________

>

> Hi Beth,

> I was wondering how your visit to the Hammersmith went? I hope they are able

to figure out the best plan for you, they are a top notch cml center.

>

> First, do you know for sure that they want you still off meds? sometimes this

is worth checking, because there can be some mis-communication, so I would just

varify this with them.

>

> I have been off meds for periods of time....and I think it depends on how

active your cml cells are. When I was off meds, usually for 2 weeks at a time

(because of pleural effusion of Sprycel), my pcr did go up......for other people

it can be a much slower increase. Dr. Druker was not real concerned (but he

always checked for mutations when I had an increase) because he knew that when I

was back on a TKI the pcr would go back down again.

>

> I hope you will get all your questions answered soon.

>

> C.

>

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