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Multiple myeloma and work

by Beacon Staff on Sat Sep 05, 2015 11:25 am

It's Labor Day weekend in the U.S. and Canada and, since many Beacon participants are from those two countries, we thought it might be an appropriate time to start a discussion about multiple myeloma and work.

Here are some topics and questions it might be interesting to discuss in the thread:

  • Were you still working when you were diagnosed with multiple myeloma?
  • If you were still working, how did your diagnosis affect your work? Did you continue working full time, reduce your hours, or perhaps even retire early?
  • If you continued to work, how did you handle telling colleagues and your employer about your diagnosis?
  • If you weren't working when you were diagnosed, did your diagnosis affect your feelings about working at some point in the future?
There are probably other topics and questions related to the issue that we haven't mentioned. Feel free to raise and address them if you think of any.

We'll also point out that there have been some discussions in the forum on this topic in the past. For those who are interested, we've listed some of those previous discussions below.

Happy Labor Day Weekend!

Some previous forum discussions related to this topic:

"Can't meet work requirements - options, suggestions?" (started Aug 29, 2014)
"'Coming out' at work" (started Feb 24, 2014)
"Can you still work during myeloma treatment?" (started Feb 6, 2014)
"Time to get back to work?" (started May 7, 2013)
"Do you have smoldering myeloma & work full-time?" (started Apr 2, 2015)
"Returning to work after a stem cell transplant" (started Sep 25, 2014)

Beacon Staff

Re: Multiple myeloma and work

by Carol D. on Sat Sep 05, 2015 1:08 pm

I was diagnosed February 2013 and ultimately decided not to go back to work. It was a very difficult decision. Initially, I was determined that I would go back to work, because I was a "young" 59 year old and I really liked my job.

I was very fortunate in that I had about 2 months of vacation / sick leave built up, after which my very generous colleagues supported my full pay for 6 months with a catastrophic leave plan. Prior to my autologous stem cell transplant (ASCT), I was highly encouraged by the medical team social worker to apply for SSD. I reluctantly complied as a "back up plan". I was frankly disappointed that the SSD was approved in a matter of weeks! It was a very, very difficult decision to choose not to go back to work but to retire after my other leave was exhausted. I was very fortunate that financially I was allowed to live within my budget with my retirement benefits and SSD. My health insurance carried forward with me when I retired. I cried every time I thought about work for the first year afterwards.

Ultimately my decision was very personal. I was encouraged to take care of myself before putting work first. Not working has allowed me to rest well, maintain a low stress level, and maintain a remission beyond 2 years.

Just recently I was converted over to Medicare. It was a bit shocking to receive my Medicare card just prior to my 62nd birthday, even though I knew it was coming. I felt far too young to be Medicare eligible.

Could I have gone back to work? Probably.
Was it the best decision not to go back to work? Probably.
Do I regret not going back to work? Sometimes.
Was I blessed to not have to go back to work? ABSOLUTELY!

In the scheme of it all, I have been very blessed with having the choice. I realize a great num­ber of people don't have the options that I had, and I wish them all the best!

Carol D.
Name: Carol D.
Who do you know with myeloma?: Me
When were you/they diagnosed?: February 2013
Age at diagnosis: 59

Re: Multiple myeloma and work

by Jmiller on Sat Sep 05, 2015 1:22 pm

In our family, there was no choice. My husband had to go to work. He worked full time through radiation. Took only as much time as he had to for his surgery, and worked full time during chemo. He was able to work from home some, thus he could cut his days short if needed. We originally planned he would retire early, but that may not be possible now. We will have to take it day by day.

P.S. - He is very tired when he gets home and is usually in bed very early. Not like him. We just found out that the hospital I work for is making cuts and my department was one. No more in­sur­ance and half our income gone by the end of October. One more stressor for him.

Jmiller
Name: Harleygirl
Who do you know with myeloma?: My husband
When were you/they diagnosed?: January 2014
Age at diagnosis: 57

Re: Multiple myeloma and work

by Terrij on Sat Sep 05, 2015 8:09 pm

At the age of 31, my daughter signed up to pay into the disability plan at her work. At 32, she was diagnosed with multiple myeloma. During induction and her SCT, she worked about 20 hours from home and collected partial disability. 2 months after her SCT, she went back to work full time until her relapse 15 months later.

Things became difficult after relapse with hospitalizations and side effects of high dose treat­ments. Now she is on long-term disability. She maybe works 10 hours from home each week. Fortunately, her company has been wonderful all this time, and she has paid into the health insurance plan so she can keep such good insurance. Her company is merging with another in October, so I don't know what will happen now with insurance.

Terrij

Re: Multiple myeloma and work

by kullybunnny1 on Sat Sep 05, 2015 8:33 pm

I was 48 years old when I was diagnosed with stage III multiple myeloma. I had retired from the military at 45 after 26 years and had started the next phase of my working years. I started a career in retail and was trying to find my niche in this area. Then the disease all but destroyed my body (11 compression fractures of the vertebrae, lytic lesions throughout my body, severe osteoporosis). I was in bad shape.

After initial induction therapy, I had my ASCT and a total of 3 kyphoplasty procedures. I was able to receive SSD and at this time still just don't have the strength to go back to work. I'm in a catch 22 of sorts, because of the back and pelvic pain I can neither sit for a long time nor stand for any con­siderable time.

On this question in conjunction with the Labor Day holiday, I thank those who labored to get me to where I am today. I do want to return to the workforce and, with slow determination, hope to try and find my niche again.

Thanks for the topic MB!

Kully

kullybunnny1
Name: Kully
Who do you know with myeloma?: me
When were you/they diagnosed?: August 2013
Age at diagnosis: 48

Re: Multiple myeloma and work

by ColleenM on Sat Sep 05, 2015 9:50 pm

I was diagnosed at 41 years old. With a new home, toddler, and a ton of student loans, not working was not a choice. Since I was smoldering and still am, I welcomed the distraction. I'm not in pain yet. I am tired but, even without cancer, I think all Moms of toddlers are tired. I work two jobs and that can be exhausting. My second job is an adjunct professor. After working all day at the 1st job and lecturing for 2/ 1/2 hours, I literally fall over when I get home. Thank goodness the second job is only twice a week for 7 months.

What was upsetting to me is I felt that once I was diagnosed I no longer had a choice in my em­ployment. My employer has excellent medical and now that is my priority. I felt like that choice was taken from me when I was diagnosed. Not that I was planning to leave, but I liked knowing that I had the choice.

I did tell my employers at my primary job, as I had a lot of medical appointments and some days I was just sad and focusing was hard. I was lucky that my employers were understanding and eased up on my caseload. My teaching job, I never shared. Teaching in the university world can be competitive and I didn't want to jeopardize my classes. I actually lectured for 2 1/2 hours the day I was diagnosed. To this day I have no idea how I got through it.

I hope I am lucky enough to keep working. It keeps me grounded and we really need the two incomes. My dad died from cancer when I was young, I am very conscious of the image my child sees of me. I want him to see that, when faced with adversity, his Mom fought through it all. I know my modeling the behavior I want will have far more impact then any words I can say.

-Colleen M

ColleenM
Name: Colleen Mabasa
Who do you know with myeloma?: Myself
When were you/they diagnosed?: March 2015
Age at diagnosis: 41

Re: Multiple myeloma and work

by mikeb on Mon Sep 07, 2015 10:25 am

Good topic! I was very interested to read the comments from the previous respondents.

When I was diagnosed with MGUS and then with smoldering myeloma a year later, I did not share that information with my managers or co-workers. With one exception – I did tell one close friend at work. I didn't feel like those conditions were affecting my work performance at all. And I didn't want anyone that I worked with worrying about me or feeling sorry for me. In retrospect, I shouldn't have even told that friend because he worried a lot.

But when I progressed to symptomatic multiple myeloma, I did need to tell my managers and the people I worked most closely with at the time. It was not an easy conversation. It's very hard to tell anyone, "Hey, I've got a form of cancer." But I knew I'd need to rearrange my time to ac­commodate treatments, etc.

During my induction treatment, I continued to work full time. The main change I made was working almost all the time from home so that I could avoid the 1 hour + each way commute to and from the office. My manager and co-workers were great about this. Telecommuting was well established in our company partly because it was a global company, so that helped.

The company also provided good disability benefits during the time I was out following the stem cell transplant (SCT). I think I returned to work part time around Day +60 (after being in the hospital for a month). The HR people even insisted that I ramp back up to full time more slowly than I was planning on.

I continued to work through consolidation therapy and then through the first 6 months or so of maintenance therapy. During maintenance therapy, I drove into the office 1 or 2 days a week.

After around 6 months of maintenance, I was fortunate enough to be able to take advantage of what amounted to a "slightly early" retirement package. The multiple myeloma was a big factor in my decision in two ways.

Although I liked my job, there were lots of things outside of work that I wanted to have more time to do – especially travel, volunteer work, photography, and learning to play the trombone. I wondered whether multiple myeloma would cut short the amount of time I had for those and other non-work activities. And I thought I should do them now, while I could.

And multiple myeloma factored into the decision in a very different way. My job required quite a bit of analytic thinking and concentration. Following my SCT, it seemed to me that I never quite got back to the level of that cognitive performance that I had before. I felt like a professional athlete who had lost a step. None of my co-workers or managers ever mentioned to me that they noticed my performance declining, but it was apparent to me. I don't know how much of the decline was due to normal aging vs. chemo brain vs. whatever. I was still able to do my job, but I didn't feel like I was doing it at the level that I had been at for most of the 30+ years that I'd worked. And that feeling bothered me a lot. I didn't want to be like the athlete who hung on for way too long past his or her prime.

Like Carol D., I realize how fortunate I am to have been in a position financially and benefits-wise where I could consider the option of retiring.

And like Kully, I thank all my doctors, nurses, and other folks who have worked hard and helped me so much.

And I also thank the Myeloma Beacon staff for all your work in providing this forum and website for us to use to communicate and to learn from.

Happy Labor Day!
Mike

mikeb
Name: mikeb
Who do you know with myeloma?: self
When were you/they diagnosed?: 2009 (MGUS at that time)
Age at diagnosis: 55

Re: Multiple myeloma and work

by coop223 on Mon Sep 07, 2015 1:14 pm

I was diagnosed in October 2011, went through the whole chemo regime prior to my SCT in March of 2012. In June of 2012 I decided to retire at age 57. I was fortunate enough to have 35 years of federal service, so I was more than eligible. It was a tough decision, as I loved my work, but couldn't do it 100% and didn't want my two coworkers to have to pull my load, plus the uncertainty of how the SCT was going to work out helped make my decision.

I have some regrets about retiring, but I think I made the right decision.

In February of this year, my multiple myeloma returned to 30%. I've been on Velcade, cyclo­phos­phamide, and dexamethasone (VCD) ever since. Enjoy the time you have ....

coop223
Name: derek cooper
Who do you know with myeloma?: Me
When were you/they diagnosed?: November 2011
Age at diagnosis: 57

Re: Multiple myeloma and work

by goldmine848 on Mon Sep 07, 2015 8:40 pm

I was working when I was diagnosed. At first I only told a very few people with whom I worked but after several months I became more open about it. I had a bad reaction to Zometa which made it difficult for me to walk for about a month so it was obvious that something was wrong. This made it hard to hide.

I continued to work full time through induction treatment.

During my ASCT and through my recovery for about 5 weeks, I worked from home. It was not full time but there was only one day when I felt unable to at least log in to my email and respond..

I then returned to work full time.

In April of this year I retired although I continue to work part time. I decided to retire when I did because this disease is so unpredictable. Like Mike above, there are so many things that I want to do, not the least of which is to spend time with my young grandsons, that I felt I could not delay any longer..

goldmine848
Name: Andrew
When were you/they diagnosed?: June 2013
Age at diagnosis: 60

Re: Multiple myeloma and work

by RadiantTiger on Mon Sep 07, 2015 9:31 pm

I do complex analytical work on the computer, and my ability to concentrate was severely impaired during induction treatment. As I am self-employed, I was able to reduce my hours significantly (by two thirds), but I am not making ends meet, and will need to sell my house soon. There is no chance in hell I could have worked full time while on treatment, due to brain fog, fatigue and GI problems.

I was up-front about my condition with the group I sub-contract with. They have been extremely understanding - allowing me to continue working reduced hours. Once I got off treatment, my head cleared quite significantly, and I could concentrate again. But in a month I'm having an ASCT, so it will start all over again.

I applied for SSD but they turned down my application, saying that my 'disability was not expected to last more than 12 months'. I appealed, since I have no idea how long the transplant recovery period will be. Fortunately I am not dealing with much bone pain, as so many with this illness are.

I am quite concerned about my ability to continue in my profession which requires a lot of brain-power and concentration. Basically whenever I need to go back on treatment I will not be able to do this kind of work.

RT

RadiantTiger
Name: Radiant Tiger
Who do you know with myeloma?: Myself, my deceased uncle
When were you/they diagnosed?: Feb 2015
Age at diagnosis: 54

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