Transferring to maintenance treatment

Hi guys

It’s been a while since I posted here so thought I’d update.

I completed my ‘active treatment’ or the hospital stays part of my treatment depending on what it’s called.

I had full MRD Remission confirmed for a second time on my bone marrow aspiration which was good news. Unfortunately my FISH test failed so I don’t know if I have the IK1 deletion however it wouldn’t change my treatment pathway apparently.

My hair has just fallen out for a third time which really hit me hard this time as I’m not staying in hospital now and I has started to cultivate a lovely thick head of hair so I’ll be starting all over again and probably have little to no hair for Christmas which for vanity reasons I’m gutted about.

So today I officially started my 2 year maintenance period for my ALL treatment. It’s a great step forward but it’s also causing me real anxiety and worry about potential relapse and being away from my safety blanket of the hospital. Don’t get me wrong I hated staying in hospital but with daily blood tests I always knew where I was. I’m on weekly bloods atm until they finalise the dosing of my medications and then I will be on monthly bloods and quarterly IV/IT chemo treatments.

Did anyone else find the transition scary? It’s a step towards getting my life back, a very differnt life to what I had before but more control of my life at least. However it’s so scary especially now Iv lost my hair yet again I feel like I look very much like a cancer patient once again. My PICC line is still in place but due out in a few weeks time and that will be a huge change after having the thing for a year!

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Oh @Tara thanks for your update and I am sorry that you have lost your hair again and I am not surprised that you are gutted. The emotional effect is not talked about enough, and I am do not feel it is vanity, it is part of us and so important.
As for your feelings of anxiety about potential relapse.
Perhaps we get institutionalised being hospitalised and we are looked after all the time and then suddenly you are out in the big wide world so all the scary thoughts and emotions can come out.
But, as you say having lost your hair you feel that you look like a cancer patient and still having your picc line in you feel like one too.
Yes, it is a step towards getting your life back, but it feels a very different life.
Really look after yourself and be very kind of yourself
I reckon everything you have said is so natural and please do keep posting

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Hi @Tara

Thank you so much for your update.
It’s great to hear that you have had full MRD remission confirmed!

We are sorry to hear your FISH failed as this must be frustrating, but some reassurance by the fact it would not change your treatment pathway.

We are so sorry to hear about your hair loss and can understand that this can be upsetting and can remind you of difficult times/ going through treatment etc. It is normal to feel this way as your hair is often a big part of body image and how you see yourself. Please know that you are not alone and it’s important to be kind to yourself. We have a page that may be useful Hair loss and blood cancer | Blood Cancer UK which includes information about how to cope with hair loss, how to get a wig if this is something you would like and questions you could ask your team about hair loss. Your CNS may also have information about wig referrals in your local area if you are interested in this.

It’s understandable that you may feel a mixture of emotions as a lot happens on a treatment journey and it can take some time to adjust/ process all of this. It’s important to take time to process your emotions and be compassionate and kind towards yourself for everything you’ve been through.

When hospital treatment/ long stays end, it’s not unusual for people to find it hard to feel that they are ‘getting back to normal’ as some parts of blood cancer treatment can be quite traumatic and therefore require a healing process which can take time and a lot of mental space to do this.

It’s understandable to feel anxious, as you have said you will have been getting bloods more frequently and have the haematology team around you. But please know that they are still there and I’m sure if you needed to speak to the team about how you are feeling, they would be able to as it can be overwhelming at times. During treatment, hospital staff are there to look after you and there are often other patients around to talk to, who may be going through similar things. When finishing inpatient treatment, you may feel you don’t have the same level of support from people who understand what you’re going through and can be an isolating experience. However, by continuing to talk to your treatment team and others (such as on the forum) may help alleviate this feeling.

Please know that you can always call us for further support on 0808 2080 888 and for further information about maintenance treatment and ALL we have a webpage that may be useful to read over Active treatment for acute lymphoblastic leukaemia (ALL) | Blood Cancer UK.

Take care & warm wishes,
Emma (Support Services Nurse)

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Hi @Tara.
I’m glad to hear that things are going well but am sorry you have had to go through it all again. All the side effects are so tough to deal with aren’t they and I completely get the vanity sides of things. Hopefully it will grow back bigger and better than last time!
When I finished treatment for lymphoma I was at my lowest. I felt lost, anxious and really scared that I wasn’t going to see my medical team as often. After speaking to others I found I wasn’t alone.
I accessed counselling at this point because I was finding things so difficult, especially worrying about relapse. It may not be for you but it’s there if you need it, along with the support line.
Please take really good care of yourself and treat yourself as much as you can. You definitely deserve it.
Sending lots of love X

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Thank you. I have accessed some councilling and trying to access some other support currently to help with the transition.

I feel ok in myself mostly but my appetite is right down currently but I am putting that down to the extra medications I’m just starting. I’m not complaining as with the steroids I’m on usually I eat everything in sight and have put on so much weight so not being hungry is a novelty.

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Oh @Tara I hope that you can get some other support.
Please do keep posting how you are getting on.
Don’t forget about the Blood Cancer UK support line, it is there for you on 0808 2080 888.
Look after yourself and be ever so kind to yourself

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