[Tigerboy74]

Re: 100 days post SCT - M-spike in blood but not in urine

by Tigerboy74 on Wed Aug 10, 2016 10:43 am

I am on a 3 rounds of Kyprolis and Pomalyst with 1 day of dex, 21 days on, 1 week off.

I had them run additional tests and my light chain ratios are all normal.

I feel great about the results and hope that this last blast of the 3 rounds gets me to the zero M-spike so I can start the maintenance therapy.

Thanks for you responses.

Fight on!

Mike

[Tigerboy74]

Re: 100 days post SCT - M-spike in blood but not in urine

by Tigerboy74 on Mon Aug 15, 2016 8:29 am

Crazy thing. When I first posted this, my M-spike was a 0.4 g/dL. I had them run a second test BEFORE chemo and it came back at 0.14 g/dL.

Could this mean this was residual? Or does is mean that LabCorp is just unreliable?

[goldmine848]

Re: 100 days post SCT - M-spike in blood but not in urine

by goldmine848 on Mon Aug 15, 2016 2:28 pm

I think that it means that M-spike tests are not precise when measuring such low concentrations.

[Tigerboy74]

Re: 100 days post SCT - M-spike in blood but not in urine

by Tigerboy74 on Tue Aug 16, 2016 9:10 am

I like the sound of that, "low concentrations".

[Tigerboy74]

Re: 100 days post SCT - M-spike in blood but not in urine

by Tigerboy74 on Fri Sep 02, 2016 10:23 am

100 days after my stem cell transplant and 1 round of Chemo, I pulled a perfect lab! I am beyond happy and blasted music this morning!

Hoping to go straight to maintenance skipping the planned round 2 and 3!

Immunoglobulin G, Qt. 938 mg/dL 700 - 1600 mg/dL
Immunoglobulin A, Qt. 112 mg/dL 90 - 386 mg/dL
Immunoglobulin M, Qt. 71 mg/dL 20 - 172 mg/dL

Albumin 3.5 g/dL 2.9 - 4.4 g/dL
Alpha-1-Globulin 0.2 g/dL 0.0 - 0.4 g/dL
Alpha-2-Globulin 0.8 g/dL 0.4 - 1.0 g/dL
Beta Globulin 1.1 g/dL 0.7 - 1.3 g/dL
Gamma Globulin 1.1 g/dL 0.4 - 1.8 g/dL

M-Spike Not Observed g/dL Not Observed g/dL

Globulin, total 3.2 g/dL 2.2 - 3.9 g/dL
A/G ratio 1.1 0.7 - 1.7

[Mike F]

Re: 100 days post SCT - M-spike in blood but not in urine

by Mike F on Fri Sep 02, 2016 11:25 am

Congratulations on that great news! I'd be blasting the music, too.

[Tigerboy74]

Re: 100 days post SCT - M-spike in blood but not in urine

by Tigerboy74 on Wed Sep 07, 2016 8:46 am

I went back yesterday and my doctor was out of town for an emergency. His back up is following the plan and having me do another round of Kyprolis, Pomalyst, and dexamethasone for 21 days. I was hoping to go right into maintenance, but I have no issues of handling 3 more weeks of chemo!

They wanted to see if they can get my M-spike to zero, which it has hit after 2 to 3 rounds. I feel like my decision not to go for another stem cell transplant was the right one for now, having 2 more sets of stem cells saved for the future.

Praying for long remission period. Once on maintenance, I will now be able to get a hip re­place­ment, which has been a long time coming ...

There is a light at the end of this tunnel!