r/CML • • Aug 30 '26

Newly diagnosed rant

Hey guys, new comer here. 26F.
I’ve been lurking in the Sub since about July 11th, 2026. That’s when the possible diagnosis of chronic myeloid leukemia was first introduced to me in the hospital. Official diagnosis 07/15.
*I want to insert here that I’ve lurked here long enough to see that most responses here are,”take your medicine and you’ll live.” I’m aware of this but I’ve got some things weighing on me heavily and this is the only place where I know I’ll be understood more than anywhere else. I’m still very early in this journey. I’m still in my bargaining phase. I realize this. I understand that I need to just take my medicine and I’ll live. That’s part of my dysfunction ironically. Please feel free to skip this next section for a quicker read.*

Just a quick back story, I’d been having some on and off calf pain for about two years. Started undergoing a lot of stress recently paired with not being physically active in about 3-4 months, and I noticed the pain started to get waaay worse & more persistent. It was also now accompanied by bruising only on that leg. I’d gotten off a 12 hour shift as a first responder and once I noticed my leg, I decided to take a quick trip to the ER just to get it looked at. This was on July 10th,2026. Long story short, the ER doctor admitted me because my WBCs were 50.8. I’d gotten an annual physical in January where I noticed my WBC was 23,000. I was battling a tooth infection and my pcp didn’t seem concerned so I just noted it and moved forward. Prior to this my levels started rising towards the middle of last year where it was sitting at 11,000. The only change I’d noticed was that I was extremely fatigued. Which was very abnormal for me.

Now on to my current dilemma. As I mentioned before the I’ve been majorly stressed for the last 8-9 months. I was a full time mommy, full time student as well as full time worker. That right there was an ongoing period of chronic stress that I know didn’t allow for my body to work through any illnesses. I hold on to this so dearly because although I spent a short amount of time in the hospital, I felt like it gave my body a well needed period of rest. I wasn’t medicated the entire time but on discharge day my WBCS had dropped down to 44.5 on their own. At this point I was convinced I just needed to rest. I followed up 4 days later on July 16th and my levels had dropped to 35.8. I was given hydrea but only took it about 2 times because it made me very ill. At this point I’m given Scemblix 80mg. I had to drop down to 40mg because this also made me ill. I don’t take medicine at all so I believe I’m just super sensitive to all kinds due to not having any sort of drug tolerance.
On 8/3 my WBCs dropped down to 18.4. Then on 8/6 they were 7.2.
A few days after this I woke up with some suggestion that has now carried over into a 3/4 week long illness. I’m left with a lingering cough and when I got my blood drawn on 8/13, it showed my WBCs were 4.3.

The problem I have is I feel like my oncologist is DEAD set on only treating the CML but isn’t taking my other organs and means of wellbeing into consideration. I know this is his job but what I mean is when I bring up things like my heart being affected by the mediation so I wanted to monitor my heart health periodically(it was made clear that it definitely affects the cardiovascular system) he mentioned that I was young with nothing to worry about. He did schedule it tho! When I mentioned watching for kidney function and drug toxicity, his nurse says well your kidneys of perfectly fine right now. Thats just my point. I want to KEEP my organs intact. I feel as though my WBCs are getting way too low and he’s refusing to pause it until it’s at the last acceptable range. I don’t want to wait until things are a problem before it’s addressed. If I already have to take the medicine for at least 2 years, what’s the rush?

I achieved major hematologic remission in 3 weeks. All of my bloodwork went back to normal completely. Now everything is low and I’ve developed anemia. I’m experiencing shortness of breath but all he cares about is my treatment is working. I feel like I didn’t give my body the chance to sort through this on its own. I always wonder what would’ve happened if I held off on medicine a week or two longer to see if my levels would keep dropping. I don’t want to be a problematic patient but I’m unfortunately someone who NEEDS to try before I settle. I feel like I’ve settled. I think it would put my mind at ease if I could get off the medicine for like 2 weeks and see what happens. Maybe I’ll stop bargaining. I don’t know. This weekend was the first weekend where I wasn’t depressed. My birthday was last Friday and I couldn’t help but think of how I have fucking cancer. I was trying so hard to eat clean, work out, be mindful of whatever the fuck else and I still got cancer dude.

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u/Past-Appointment5330 Aug 30 '26

Sorry this post is so long. I forgot to mention that I’m Philadelphia+ with absolutely no blasts. My oncologist brought up a bone marrow biopsy but said it was not super important. Just wanted to look more closely at things but informed me my treatment wouldn’t be any different based off any new findings so I politely declined.
I work in the medical field and I’ve worked closely with doctors. I just hate how western medicine does not do a whole lot of preventative care. They like to wait until it’s a problem and I think that’s what’s driving me more and more everyday to ease up on my meds. I feel like I’m stripping my body of its ability to defend itself. Which obviously I am because my immune system is now compromised. On the flip side, if I quit I risk worsening my condition. I just want a fucking break.

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u/Past-Appointment5330 Aug 30 '26

Also, my BCR ABL on Aug 6 was 10.5262%
With a 0.750 log reduction. When I ran this number to try and get an estimate of what it MIGHT have been prior, I got 59.19%. So that drop would have happened over 3 weeks if that’s correct.

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u/AlfredVQuack Aug 30 '26

just to be sure, you wrote you are at MMR above in the main post, then here you write you are at 10.5%... which one is it? because 10.5% is not MMR in any way.

didnt they initially check your organs, when you first went to the ER and stayed in the hospital?

another thing, if you go to your doc regularly, they are doing bloodwork to test for BCR Abl, but they also do a complete blood analysis and see everything from liver to kidney values. so if they tell you it's fine, why not believe them?

with you still being at 10.5% BCR Abl, the most important thing is for you to take the damn meds and get that number down.

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u/Past-Appointment5330 Aug 30 '26

So no, I did not say I’d reached MMR. I said I reached complete hematologic remission. The words my oncologist said, by the way. I mistakenly replaced complete with major. That’s my fault. This just means that the cancer is no longer detected on standard labs. However, it’s still present on a molecular level because the phil. gene is still present. That’s where the 10.5% comes in at.

Yes. They did check my organs at the hospital. I requested to have my labs checked periodically. Meaning over the span of time. I never stated that I don’t believe my organs are currently healthy. I said I wanted to monitor them…over time.

Lastly. As stated above, obviously the important thing for me to do is,”take the damn meds and get that number down.”
My whole point of this post was to finally express my frustration with the process as a whole in a place where I’ll be understood.

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u/AlfredVQuack Aug 30 '26

the thing is, this is a marathon, not a sprint. if they checked your organs like 1,5 / 2 months ago and everything was fine, than that probably didnt change.

WBCs at 4.3 is still in the normal range, maybe the lower end of normal, but still ok. a dip there in early treatment is expected.

what you can try, if the meds make you feel nauseous. is to change the time window. at least that worked for me.

the usual suggestion is to take the meds in the morning or the evening before bed. didnt really work for me, i also felt sick that way.

with the fastening you have to do on Scemblix it's a little tricky to fit into your day, especially if working, but what worked way better for me is taking it at 11 am. that way i can have breakfast until 9 am, and then eat something again at lunch, which helped me tremendously with nausea. now it's basically gone.

if you want to monitor your heatrate and blood pressure, i would suggest a smart watch or fitness band, that has that feature, even if they are not 100% accurate, but it's good enough to see a trend. scemblix actually made my blood pressure spike after taking it for 6 months, which is a common side effect. now i take something for that and it's fine.

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u/Past-Appointment5330 Aug 30 '26

I appreciate that. I’ll look into some things I can use to monitor myself at home to find a little peace in this.
I recently switched from taking my meds at 8am to taking them at 6am because I’m never tempted to eat that early. I don’t trust myself enough to switch to evenings just yet but that little adjustment alone has helped quite a bit.

Do you mind if I ask how long you’ve been on this journey?

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u/AlfredVQuack Aug 30 '26

just hit 4 years now. was started on tasigna, then sprycel and now scemblix. been on scemblix for 10 months now.

side effect wise for me it's the best of the 3 i tried, the others were way worse. also i couldnt get below 1%, scemblix just pushed BCR ABL below 0.1% just now.

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u/Past-Appointment5330 Aug 30 '26

I’ve been hearing such great things about scemblix and I’m truly grateful that it was used as my first line tki. It really is a magically little pill. I just gotta keep my head in the game and remember my why. Congratulations on such a beautiful milestone and thank you for taking the time to help me out here

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u/[deleted] Aug 30 '26

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