Diagnosed today with CMML

Hi there,

Well after many weeks of waiting, I finally have a diagnosis of Chronic myelomonocytic leukaemia (CMML). Despite the consultant telling me this is “low risk” and not to worry, I am of course flapping a bit and trying to find out as much as I can about this rare form of blood cancer. One of the things I read is that the average life expectancy is 8 years which made me feel very glum. Is there anyone out there who has had this type of blood cancer and can say anything positive to me about the prognosis, treatment etc.? I know everyone is different but I think I just need to read what those of you with Chronic myelomonocytic leukaemia (CMML) have experienced and to be told that it’s not all doom and gloom! Thanks :slightly_smiling_face:

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Hi @CathyP

For attention also of @Sisi @Lyndam @Logsie @Unclejack who may wish to share experiences too.

I’m Chrissy. Welcome to this Chat Forum - though sorry for you that you have joined because of your recent Chronic myelomonocytic leukaemia (CMML) diagnosis.:cry: I have copied in (using @and username ensures people get alerts on their emails) several people from other Chronic myelomonocytic leukaemia (CMML) chat threads who have shared their experiences about Chronic myelomonocytic leukaemia (CMML). If you search for Chronic myelomonocytic leukaemia (CMML) you may be able to pick up the chats on the other threads.

Firstly, I wanted to say I completely understand why you would feel glum reading abut median survival of 8 years. I don’t know how old you are but when I was diagnosed, aged 58, I read about a median survival of 12-18 months which threw me into a terrible depression! Please remember though that a median is a funny sort of average and just represents the middle value in a wide range of survival years. Annoyingly, we are never told the range of survival and remember that many people diagnosed with Chronic myelomonocytic leukaemia (CMML) are over the age of 72 and have other medical problems.

Secondly, I want to give you a bit of hope as my Chronic myelomonocytic leukaemia (CMML) kicked off in 2008, it took a year to get diagnosed and I’m now pretty certain I had undiagnosed symptoms about 5 years before that, so we are talking 22 + years! I am also defined as low-risk and have never needed any treatment, just active monitoring.

Thirdly, I’d like to share some resources which I hope you would find helpful and apologies if you have already found them.

  • This is a video about Chronic myelomonocytic leukaemia (CMML) by Dr Dan Wiseman who is pretty much the UK expert on Chronic myelomonocytic leukaemia (CMML). He works at the Christie in Manchester and is available for an additional opinion should you feel you would like one. 'CMML Diagnosis & Treatment' - A Presentation By Consultant Dr. Daniel Wiseman | MDS UK Patient Support Group
  • This is a link to online support meetings hosted by Leukaemia Care for people affected by Chronic myelomonocytic leukaemia (CMML). Sadly, you just missed one this week but the next one is 13 November. If you register, you will be on their mailing list for future Chronic myelomonocytic leukaemia (CMML) support meetings. Many of us go along Support Groups - Leukaemia Care
  • This is a link to a Leukaemia Care booklet on Active Monitoring which is very reassuring in handling the concept of not needing any treatment Active monitoring - Leukaemia Care

Don’t want to bombard you too much. It’s easy to say “Don’t worry” and I know from experience that it’s so hard to put it out of your mind when first diagnosed (and I tend to catastrophise a lot!). But this disease can be a slow burner that does not have that much impact on everyday life but there are strategies you may like to adopt to keep yourself as safe and healthy as possible. Ask away and people will respond to you.

Wishing you all the best

ChrissyD

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@CathyP Firstly a big hello & welcome to the forum :hugs: You have definitely come to the right place! Like @ChrissyD, sorry that you find yourself here. But please know that you are not alone & ask as many questions as you like. I’m supporting my husband ( 74 yrs ) who was diagnosed last autumn. I can really understand what you must be going through. It’s a massive shock. I think I googled so much initially, desperate to find anything / everything about Chronic myelomonocytic leukaemia (CMML) in the first few months, that there wasnt any more to Google! This forum has been such a huge support. Like ChrissyD has said try not to take the survival rates too literally. That was the first thing that my husband asked the clinical nurse when he was diagnosed “How long have I got left” & she replied she didn’t know. Which in some ways was scary but in other ways hugely hopeful. He’s currently on watch & wait & hasn’t started any treatment. All the info that ChrissyD has shared will be a huge support to you, as it has to me. For now, try & take it one step at a time. Best wishes x

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Hi @CathyP and welcome to this wonderful forum, in particular the people Chrissy listed. It’s been a saviour! And reassuring that you are most definitely not alone. I’m like @Sisi and supporting my husband who back in Feb 25 (gosh only 6 months ago!) was diagnosed with Chronic myelomonocytic leukaemia (CMML) 1 (low risk). He’s 55 and has no symptoms. The reason for the diagnosis was just low platelets showing up on his annual well man blood test. Like yourself and like others, we went into complete panic mode. My husband even suffered his first and very scary panic attack where he thought he was having a heart attack and nearly drove himself to A&E. We have researched so much and my hubby has changed his diet and continues to keep fit. At the beginning I was obsessed with googling everything and hoping to find a miracle cure but you realise that makes the anxiety so much worse and all you can do is eat healthily and exercise. The biggest challenge for my husband has been the mind! You are told it’s low risk and you have no symptoms but it could get worse in the future and it’s called blood cancer but infact it’s not cancer and go and live your life and put it to the back of your mind! Easier said than done! But we’ve both got our heads around it now and this forum has really helped as has Dr Dan Wiseman and obtaining a second opinion from Kings. My husband takes papaya leaf extract capsules, vit D and C and cod liver oil. Tries to stick to a Mediterranean diet. Lots of broccoli! And cycles and lifts weights. Any worries, questions or if you just want to rant or fill us in on your appointments, please do come on here and chat. Also I must add, that progress on treatments and clinical trials are happening all the time so it’s looking very hopeful for the future xx

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@CathyP. Welcome to the forum. I was diagnosed with Chronic myelomonocytic leukaemia (CMML) in September 2021 and genetic testing puts me in the low to intermediate risk as I am carrying some markers known to mutate to Acute myeloid leukaemia (AML). I was 70 3 days ago, a birthday I thought I might never see. I was told at the start that my bloods had been deteriorating for the previous 3 years so I likely have had Chronic myelomonocytic leukaemia (CMML) for 7 years. I am on watch and wait and have had no treatment to date. On the plus side I have a very good haematologist and any slight problem with my health is investigated very quickly, so I consider my self luck. When I was first diagnosed I went in to fright mode, asking why me, then thought why anyone. I am a Google fan, but it does not frighten me, I find it helpful, but everyone is not the same. I have learnt to take each day as it comes, as if you are fit or healthy tomorrow is not a given for anyone. What I can say is that this forum and the virtual forums we can join in with have been a great help. ChrissyD as I have told her is a great inspiration and hope, having had this disease for so long that we to can live with this well. Take care lyndam

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@CathyP

Hi Cathy welcome to the forum. I am 74 and my symptoms started in January2022. Took 15 months to confirm diagnosis. I am on watch and wait and have no symptoms yet.

I slumped into shock mode when diagnosed.

I asked about prognosis and was told no I am not terminal YET!! Apparently I am at high risk of mutations. I was worried a few months ago as I was suffering night sweats absolutely soaked. I had another bone marrow biopsy which the haemotologist said was remarkable (good). The sweating settled and hasn’t returned. My platelets have been the main problem usually in the 40s. I totally changed my diet and my blood count stabilised and improved dramatically. The first thing I did was have a vitamin D test at the G.Ps. Then took supplements to get it to the optimal level. I have spent weeks studying leukaemia web sites all over the world for information. The foods I eat contain antioxidants and anti inflammatories. Fortunately as yet as I am not on treatment have not had any reactions. I always check foods for reactions with any medication. You can’t be to careful. I exercise regularly, have cut alcohol down to about 8 units per week. Alcohol can suppress platelets! I look for foods which have evidence of strengthening the immune system. I found out that the reason most cancers occur above the age of fifty is because T. Cells are getting exhausted above that age. Anyway stay positive if you can. We are all in the same boat. We are lucky to have Chrissy D, and Dr. Wiseman on our side. Chronic myelomonocytic leukaemia (CMML) is quite rare. Couldn’t find much out about it untill I mentioned it on this forum not looked back since.

Yours and best wishes unclejack.

M

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Thanks to everyone who has taken the time to reply to me. I feel very happy to be here and I am obviously in the right place! The transformation in my mood since I read all of your positive comments has been wonderful and I no longer feel the sense of doom that I had before. So, as I understand it, I could be around for a long while yet (my poor husband! :joy:) and it’s just a case of watch and wait and managing my symptoms.

I have the most incredible lady consultant at the Churchill Hospital in Oxford looking after me. She has already emailed me twice since my appointment on Tuesday to check on me and discuss a plan of action going forward. I have also been called by a nurse telling me the blood tests I had on Tuesday show an improvement in my haemaglobin levels and that they won’t need to see me now for another three months. All this is positive but I am still stuck in the meantime with some debilitating symptoms.

I have had the “dodgy” blood test results for about 15 months, different levels going up and down which initially my doctor attributed to post concussion syndrome. I fell down a lot of stone steps in France in October 2022 and landed on my head so was out of action for four months, unable to get out of bed, constant vertigo, it was all pretty awful. I gradually got better to about 60% capacity I guess and have been suffering “brain crashes” ever since if I do too much physically or mentally. The thing that seems to eliminate the brain symptoms after a crash over the course of a few days is a lot of sleep so I am kind of living two thirds of my life. But I’m accepting of it and very lucky in that I’ve been able to retire and I don’t have grandchildren or a hectic life, I live a very quiet existence with my husband and the only thing I begrudge is not being able to walk my dog for miles as walking was my passion.

So I was bobbing along for a couple of years dealing with that and then the blood test results I was having for my underactive thyroid and HRT check ups (yes I have that to deal with as well, I’m very attention seeking!) started to cause the doctors concern. This was followed by more new symptoms in January of this year both with my digestion and my joints. Also I developed thick, scaly dandruff all over my scalp and my hair was breaking as well some raised itchy bumps on my arms and legs where the skin was rubbing off the top of them and there was blood underneath, almost like a blister (I still have the dandruff and the itchy bumps despite trying medicated shampoos and creams). So because of these symptoms and the continued problem with my blood, I was referred for a bone marrow biopsy. This showed that genes TET2 and SRSf2 had mutated so I was sent for a PET scan where no inflammation was found, just some swollen lymph nodes in my neck but nothing major. So far so not very good I thought.

Then in January, I started to have serious digestive issues. I felt like my stomach had shrunk and if I put too much in it, the contents after eating were just shooting straight back up like a big burp. This has continued and become worse on and off ever since and I have lost 2.5 stones in weight. I learned that I have something called “water brash” which is excess saliva, so one of these episodes is preceded by a lot of spitting foamy saliva into a bowl after 20 minutes of eating even the smallest amount. This gets over worse over the course of about an hour and then food comes up with the saliva. I have very bad belly ache with it and if I’m really unlucky the entire contents of my stomach comes back up. So since March I have had lots of tests including a barium swallow which showed “uncoordinated motility” in my oesophagus, a gastroscopy which showed nothing sinister just a very reddened stomach lining and gastritis and then a colonoscopy which showed mild diverticulitis. Nothing that might cause this ongoing regurgitation.

At the same time, I started getting joint pain, initially in my wrist and fingers and then my ankles and toes. Then bizarrely both my jawbones ceased up and my knees and hips became really painful. This is crippling on some days and manageable on others, it is very much a case of “flare ups” and then remission from the symptoms and moves around my body so one part of my body will be inflamed when another is not. I’m sleeping half the time now as all of these symptoms are exhausting. I’m only able to keep “dry and beige” food down and I try not to have anything with too much fluid in it as if I do I am bloated and it comes back up.

So yesterday after a long six month wait I finally saw a rheumatologist who was quite dismissive of my symptoms and said oh just a bit of osteo arthritis, we can give you a steroid injection in your wrists and he also said he thought it was nothing to do with any blood or digestive issues. I still have no idea how to sort the digestive problems going forward. BUT I am one of those people who googles everything and I have found one article of interest relating to the possible cause of my joint paint which I’ve popped below for any of you who are still reading this after this ridiculously long ramble! I promise all posts will be shorter in future, I am just giving my history and I’m not very good at using 10 words when 100 will do (ask my husband, I told you he was poor!)

Thanks to all of you once again for making me feel more positive and less alone with my diagnosis.

Cathy x

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Oh crikey @CathyP

You’ve really been through the mill with all those discomforts to contend with. So sorry to hear that. The AI info re Inflammatory connections re your joint pains with Chronic myelomonocytic leukaemia (CMML) is very interesting. Thank you for that. I cannot help thinking that your digestive issues are not related to the Chronic myelomonocytic leukaemia (CMML) as I’ve certainly not heard of anybody with these sorts of issues…. but who knows :woman_shrugging:t2:and you’ve clearly had a lot of investigations but with no real conclusions? It sounds really horrid and must be really spoiling your enjoyment of food? :sad_but_relieved_face:I hope you can continue to manage it by your choice of foods.

It sounds as though you have great clinical support at Oxford which is a centre of excellence.

Keep us updated with how you are and know that we are thinking of you. :heart_eyes:

Take care

Chrissy

X

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Oh gosh @CathyP what a journey you’ve been on! I’m so pleased to hear you have good support from your consultant in Oxford. And please don’t worry about long messages. We are all used to them here! Really interesting the information you shared about inflammatory arthritis, thank you. My husband has arthritis in his knee & I often wondered if there’s a link with his Chronic myelomonocytic leukaemia (CMML), or maybe not. Please take care & keep us all updated. Best wishes Sisi

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@Lyndam Just wanted to say a belated Happy Birthday for the other day! :face_blowing_a_kiss:

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@Sisi thank you for you kind wishes.

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Hi @CathyP

I also have some gut-related issues (IBS) which I don’t believe are linked with my Chronic myelomonocytic leukaemia (CMML) as they started 12 years after diagnosis! By coincidence, I also got a mailing a couple of days ago from a charity, Guts UK, which supports people with gut-related issues and I wondered if that also might be helpful to you? This is a link to their website. https://gutscharity.org.uk/

Sadly, there seem to be so many horrid debilitating conditions for which there are very few, if any, treatment solutions! You’re really not an attention-seeker at all :joy:-just somebody who has been really unlucky with multiple health issues arising! :cry::cry:

Let’s hope you get some solutions soon. :crossed_fingers:t3::crossed_fingers:t3:

Chrissy

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Thank you ChrissyD :slightly_smiling_face:

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Hi everyone, such a long time since I posted here. I was diagnosed with Chronic myelomonocytic leukaemia (CMML) in August and you were all so great at putting my mind at rest and offering advice. I hope all of you are doing well. Ashamed to say I haven’t been keeping up on here or helping anyone, just back on here because I need a question answered which is very selfish of me! Must try harder!

I have been getting slowly and steadily worse with the fatigue and the night sweats which I said “oh no I don’t get those” when they asked me back in August are here with a vengeance! They seem to be getting more extreme and I still have terrible joint pain, especially in my knees so it’s such an effort to get out and do anything which is making me very tearful at times. Then last week I was told that as I am immunocompromised, I should have the flu and covid jabs so off I went to the doctor’s surgery at 11 a.m. on Saturday and had the flu jab in my right arm and the covid jab in my left. Had a swollen upper left arm within hours where the covid jab went in but all ok. Then at 5 a.m. on Sunday morning I woke up with teeth chattering, freezing cold but sooo sweaty it was ridiculous. Sore to the touch skin everywhere, glands up, headache etc. Turned all the heating up in my bedroom and thankfully got back to sleep but then woke up too hot. All of this went on for all of Sunday and then after that I was just left with a runny nose and a bit of sneezing and aching but I have quite literally been mostly asleep since as it has completely wiped me out. So my questions are, have any of you had the double jab and had a similar reaction? In the weeks before the jabs, I had definitely got much more tired and was struggling much more to do anything and the night sweats were worse so I don’t know whether to get in touch with the Myeloid Clinic and let them know as my next blood test is not until November or whether I am worrying unnecessarily. I seem to have recovered from the flu like symptoms but I am just exhausted and every time I nap I have the most vivid dreams and wake up covered in sweat again. Do any of you have any remedies for the sweats, i.e. cool blankets or special sheets? Sorry for long ramble, I am just thinking out loud here. Thanks in advance for your thoughts and advice x

Hi @CathyP copying in @Lyndam @Logsie @Sisi and @Unclejack too in case they have any comments to make.

At your next appointment, you should certainly tell your team about the night sweats you are having- though you mentioned menopausal symptoms previously so it might be tricky to identify whether the cause is your Chronic myelomonocytic leukaemia (CMML) or hormonal?

As for the combined vaccines, I have not had a flu jab but I understand you are more likely to have those sort of flu-like symptoms after that one. I’ve never had anything more than a tender arm from the (many, many !) Covid jabs I’ve had but people do react differently.

So sorry to hear that your knee pain is stopping you going out and making you feel depressed. I’ve been a bit housebound myself recently ( because of a bad long period of IBS-type symptoms) and it certainly gets me down! Maybe try some little outings - just to get some fresh air?!

Have you seen my post on another thread reminding people about the Chronic myelomonocytic leukaemia (CMML) support meeting on Nov 13th? I gave you a link to register when you first posted on here. It might help you to get some support and also be able to ask Dr Dan Wiseman some general questions about Chronic myelomonocytic leukaemia (CMML).

Hope you soon come out of this horrid fatigue and night sweats. Your Haematology team will probably want to review all your blood tests to see if there have been any changes.

Hope you get some comfort and support soon.

Chrissy

Hi @CathyP Good to hear from you. Sorry to hear you’ve been suffering recently. Like Chrissy has said, definitely mention these issues at your next appointment or check up. My husband who has Chronic myelomonocytic leukaemia (Chronic myelomonocytic leukaemia (CMML)) had his double jabs, Covid & flu a few weeks ago. The only issue he’s had is that he had an achy arm for quite a while on one side ( not sure which vaccine it was ) I hope things get a bit easier for you. Keep in touch with us all. Best wishes

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Hi @CathyP I am sorry you have had this reaction to the Covid/flu jab. I to have suffered in the exactly the same way, I came to the conclusion it was due to being given a live virus and my compromised immune system trying to attack it. Whether that is the case I don’t know, I stopped having the Covid vaccine around 18 months ago as I could not face it, as it made me ill for about 5 days. Exactly as you said with the teeth chattering and sweating and headache. By the way I am not suggesting you don’t have it, as this was my choice. I do still have the flu vaccine and that, last year made me feel like I had the flu. I have had Chronic myelomonocytic leukaemia (CMML) since 2021 and deal with the fatigue by pushing myself to do things, even just going for a walk, but will rest when it gets o much. I hope this has helped you as you are not alone, and this forum and the zoom meetings are such a lifeline for so many of us. Please keep posting if you have any worries as someone will always be there to answer you. Take care. Lynda

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Hi @Lyndam and @CathyP

Just to let you know that neither the flu vaccine nor the Covid vaccine is a live virus so they are both suitable for people who are immunocompromised. The only flu vaccine which is live is the nasal spray type usually given to school age children.

Having said that, there is no doubt that some people do have very strong and unpleasant reactions to vaccines. One person I know of with Myelodysplastic syndrome (MDS) had such awful reactions each time to the Covid jabs that he too reluctantly stopped having them. On the plus side, maybe the strong reaction is a sign that the immune response is working well? Who knows? The flu jab each year uses a vaccine to combat the flu variant that is predicted to be the one we get. However, this is not always correct and in some years people are not protected as the powers that be backed the wrong contender! The error is not always very well publicised though! And there still has not been any research on the effectiveness of the Covid vaccine particularly on people who are immunocompromised. So whilst I’m still having the Covid jab we are still being very cautious this winter about mixing with people we don’t know in enclosed spaces!

Hi @ChrissyD thank you for this info, I always thought it was a live virus. Maybe my immune system is working well.

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@CathyP @Lyndam @Lyndam @ChrissyD @Logsie @Sisi .

Hi Cathy . Apologies for not replying sooner. I have been a Chronic myelomonocytic leukaemia (CMML) sufferer since February 2022 not diagnosed until April 2023 via bone marrow biopsy, I am still on watch and wait and feel well. I had a period last winter of dreadful sweating. I had another bone marrow biopsy which my haemotologist said was a remarkable result. No progression and seemingly improved since original bone marrow biopsy. Sweating lasted about a month and has not returned. Perhaps foolishly I do not take COVID vaccine due to a dreadful reaction to the Pfizer mRNA vaccine. I was actually okay with the Astra Zeneca shots but after the first two it was withdrawn. I do have some quite bad bruising occasionally due to low platelets. That is a recent development as my platelets have been low for 4 years. I do take Vitamin D after GP sent me for a test. I do monitor my diet fruit, veg, Mediterranean style diet. My knees are dreadful but I do have osteoarthritis. I use a exercise bike regularly which has been a great help. Worried now about my monocytes increasing to 431 from 259. Haematology not overly concerned. The prognosis I received initially was dreadful. Apparently I am very vulnerable to cellular mutations, I was told I had 8 to 24 months. Then I joined this Forum and Chrissy D and Erica dragged me out of depression and I’m still here nearly 4 years later and well. Try and stay positive, I know that’s easy for me to say I have been lucky up to now. I do study Dr. Dan Wiseman’s U

.tube videos for latest developments and I study every reputable medical sites, like Harvard medical school etc for new treatments and research. Wish you the very best of wishes unclejack.

.

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