I'm
sure all of you have been following the topic of second primary cancers in
myeloma which has recently been in the news. If you have not yet had the chance to read the IMF's "Frequently Asked
Questions" as well as the follow up "Statement," I highly suggest you do so. Here are the direct links:
Frequently
Asked Questions:
http://myeloma.org/ArticlePage.action?articleId=3245
Follow
Up Statement from Support Group Leader Conference Call on Second Primary
Cancers and myeloma treatment:
http://myeloma.org/ArticlePage.action?tabId=0&menuId=0&articleId=3247&aTab=-1
My
husband Michael and I discussed the ASH studies and above articles at
length. Of course, just like all of you,
we are concerned about any issues on myeloma treatment.
Michael
is an 11-year myeloma survivor, diagnosed in 2000 at the age of 36. He was fortunate enough to be diagnosed with
myeloma at the best possible time. Sound
crazy? Well, when you look at what
treatment options were available prior to 2000 and that statistics were showing
average 3-5 year survival rates; compared to what treatment options are
currently available, where we are looking at much longer average survival rates
and better quality of life...well,
yes, that's positive progress!
Our
feelings are that we need to be "patient" patients. Based on the IMF's teleconference for support
group leaders in which we took part, it was clear that Dr. Durie, Dr. Anderson
and all the International Myeloma Working Group's scientific advisors are hard
at work gathering additional data. We
cannot and should not jump to conclusions and change our treatment plans until
we have clear data. Clinical trials are
set up to gather particular information in each phase of the trial. Post-trial data has not been tracked in the
past. As patients live longer because of
new treatments being approved which give us better quality of life, longer
remissions and overall survival, trials are also pointing to other aspects we
need to pay attention to and learn from. That is what the experts are doing now.
This
is all good news for myeloma patients!
We are living longer and learning what treatments are the best options
with the least side effects. As corny
as it may sound, I totally go back to the IMF's motto of "Knowledge is Power." The more we learn the better off we will all
be. So let's try our best to be
"patient" patients and caregivers. Talk
to your myeloma expert, read the IMF website for updates and trust that the
scientific advisors are reviewing all the data feverishly and thoroughly on
behalf of us all.

Let me end with Michael's primary
thought: "When I relapsed in 2005,
Revlimid was in the Expanded Access Phase of the clinical trial. My myeloma expert, Dr. Ruben Niesvizky at
Weill Cornell Medical College, Robin, and I discussed all available options at
that time. There is no doubt in my mind
that Revlimid was my best option. I have
enjoyed the last 6 years in complete remission and a good quality of life. Who knows where I would be today if I did not
go on Revlimid. Of course, I will keep a
close watch to see what the experts learn and advise."


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