So now the journey begins, we met with the specialist today and the diagnosis of Polycythemia Vera was confirmed by by the bone marrow biopsy and the JAK2 gene mutation tests. Ultrasound on Friday to check that the spleen is not overly enlarged and to set a baseline for future investigations
Starting today on a tablet form of chemotherapy which is taken everyday to help slow the bone marrow overproduction of red blood cells and to help scarring of the bone marrow. Red blood cells should make up under 45% of your blood volume, Lorraines is at 58% so it puts her at considerable risk of blood clots, strokes and heart attacks. In addition to the chemotherapy, low dose aspirin is to be taken daily, venesection of blood will continue weekly until the red blood cell levels stabilise and hopefully reduce, then maybe fortnightly or monthly thereafter.
This combined with Lorraines Parkinsons means she will be somewhat immunocompromised, so we need to jump on any illness or infection quickly.
We need to constantly monitor bloods on a monthly basis to ensure that there are no signs of myleofibrosis in the bone marrow or any signs of acute myeloid Leukemia.( a rare effect in 5% of Polycythemia patients)
The aspirin and chemotherapy will hopefully help to reduce her symptoms. The cancer is not curable but in his words can be managed to give a reasonable quality of life for hopefully an extended period.
Stay safe everyone and listen to what your body is telling you.
Cheers
Starting today on a tablet form of chemotherapy which is taken everyday to help slow the bone marrow overproduction of red blood cells and to help scarring of the bone marrow. Red blood cells should make up under 45% of your blood volume, Lorraines is at 58% so it puts her at considerable risk of blood clots, strokes and heart attacks. In addition to the chemotherapy, low dose aspirin is to be taken daily, venesection of blood will continue weekly until the red blood cell levels stabilise and hopefully reduce, then maybe fortnightly or monthly thereafter.
This combined with Lorraines Parkinsons means she will be somewhat immunocompromised, so we need to jump on any illness or infection quickly.
We need to constantly monitor bloods on a monthly basis to ensure that there are no signs of myleofibrosis in the bone marrow or any signs of acute myeloid Leukemia.( a rare effect in 5% of Polycythemia patients)
The aspirin and chemotherapy will hopefully help to reduce her symptoms. The cancer is not curable but in his words can be managed to give a reasonable quality of life for hopefully an extended period.
Stay safe everyone and listen to what your body is telling you.
Cheers