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“Translocation t(14;16) and multiple myeloma: is it really an independent prognostic factor?”

(Hat Tip, Margaret @ Margaret’s Corner, see sidebar for blog link)



Appeared in Blood Journal October 20, 2010

Abstract:

Many trials in myeloma are stratified on cytogenetic abnormalities. Among them, the most commonly chosen are the t(4;14), the del(17p), and the t(14;16). If data are well established for t(4;14) and del(17p), very few data support the use of t(14;16). In order to address this issue, we retrospectively analyzed 1003 patients with newly diagnosed myeloma for this abnormality. We identified 32 patients with the t(14;16). When compared with patients lacking the t(14;16), we did not observe any difference in overall survival (p=.28). Moreover, in multivariate analyses, the t(14;16) was neither prognostic (p=.39). In conclusion, our data do not support the use of t(14;16)-specific probes in the diagnostic panels of multiple myeloma.

Translocation(14,16) (.pdf of paper)


Dirty Dozen

“We are living in a world today where lemonade is made from artificial flavors and furniture polish is made from real lemons.”  – Alfred E. Newman

We are debating treatment in Myeloma, Stem Cell Transplant vs management. We are debating maintenance therapy or not. Politics, terrorism, all manner of things. It seems that it is simply what we do. In many respects I think its a good thing, to debate. It meats out truths and the opportunity to gain more knowledge, but sometimes it is also very exhausting.

So there is debate about eating “organic” fruits, veggies, eggs, dairy, meat. The latest view is to try to buy food closer to it’s source. Moving away from all the prepared foods that made the lives of harried parents easier starting somewhere around the time of the invention of TV with the TV Dinner. Originally intended as a once in awhile treat to be free of cooking, it has moved beyond that for too many. Continue Reading »

“Music washes away from the soul the dust of everyday life.”  – Berthold Auerbach

Over at workingwithme.com there are blog feeds (mine), The Myeloma Beacon and others. When I visited recently I saw he posts a little too. I was surprised to discover he had taken some choice excerpts Continue Reading »

Dental Hygiene

“Happiness is your dentist telling you it won’t hurt and then having him catch his hand in the drill.” – Johnny Carson

Most of us on are on biophosphates to strengthen the bones after the onslaught of Myeloma. Before you got on this infusion, done every several weeks or few months, you needed to get a clearance from your dentist. There are all sorts of complications if you need significant dental work if you have been on these biophosphate infusions. Continue Reading »

“When we feel love and kindness toward others, it not only makes others feel loved and cared for, but it helps us also to develop inner happiness and peace.” – Dalai Lama

A bit of “fluff” today, you say? Well, there are those who find this stuff annoying and silly, and those who find it deep and meaningful. I fall into the latter group. And for those of you who read my blog with some regularity, already know this about me. It is not something I say, it is the walk I do, everyday, and its rewards do not go unnoticed by me. Continue Reading »

A lucky shot

“A daughter is a little girl who grows up to be a friend.”  – Author Unknown

I stayed home while Dave flew for a fast and furious, in Montana’s words, “fleeting” weekend to University of Maryland, home of the Terrapins, better known as the TERPS, to attend her Senior Day recognition ceremony for her final diving meet, ever. We couldn’t both afford to go so far, (one of the many things you face in financial stress dealing with cancer) to be there on her very special milestone. But we took it all in stride, like we have so many other things in our lives. Which by the way, I’m very proud of us in that regard. Continue Reading »

“Prescription drugs kill some 200,000 Americans every year. Will that number go up, now that most clinical trials are conducted overseas—on sick Russians, homeless Poles, and slum-dwelling Chinese—in places where regulation is virtually nonexistent, the F.D.A. doesn’t reach, and “mistakes” can end up in pauper’s graves?”


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Tumblr

“Tumblr makes it effortless to share anything you find or create. Post text, photos, quotes, links, dialogues, audio, video, slideshows, and more…”

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“Obstacles are those frightful things you see when you take your eyes off the goal.” – Hannah Moore

As I have written in the past, and recently for Pat Killingsworth over at Living with Myeloma, the need to get opposing views on treatment in your consultation process… Continue Reading »

“The Internet is just a world passing around notes in a classroom.”  – Jon Stewart

I don’t mean to be flip… I LOVE the internet and its ability to share cool things and things of value. Continue Reading »

“If we knew what it was we were doing, it would not be called research, would it?” – Albert Einstein

At 9:45 pm tonight, The Myeloma Beacon released an update after receiving a statement from one of the other researchers on another similar though different study utilizing Revlimid. They have also had some concerns regarding the secondary cancer issue and whether it is directly related to the extended use of Revlimid.

Story here

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“We must look for the opportunity in every difficulty instead of being paralyzed at the thought of the difficulty in every opportunity.” – Unknown

Boy it was a bit hard to find a quote for this post. All I could think was what wisdom and optimism could you offer someone who was facing a secondary cancer as a result of treatment to attack the first cancer?

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Mission: to provide effective mediation and arbitration services to patients to remove obstacles to healthcare including medical debt crisis, insurance access issues and employment issues for patients with chronic, debilitating and life-threatening illnesses.

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“Somewhere, something incredible is waiting to be known.” – Carl Sagan

Wow! How things have changed for us dealing with Myeloma. For newly diagnosed patients, while we, who have been before you, are sorry for what you are facing now, we are really happy and sometimes envious of all the bloggers, The Myeloma Beacon, great websites, and now a new research tool that you have available to you in your time of distress and need for information. Continue Reading »

“Do what you can, with what you have, where you are. – Theodore Roosevelt

“What do you do to keep yourself in good shape and spirits as a caregiver, and what advice would you offer other caregivers about caring for themselves?” – a Q&A question at a recent talk I gave and a great question!

Continue Reading »

Myeloma Laughs…

“We don’t laugh because we’re happy, we are happy because we laugh.” – William James (1842-1910)

Disclaimer: If you are new to cancer or Myeloma, this post will not be for you. If curiosity gets the better of you and you keep reading, I hope that in your difficulties as a newly diagnosed patient you won’t allow my more “seasoned” quirky humor to prevent you from exploring the rest of my blog for helpful, more serious information of value. Continue Reading »

“Bureaucracy is the death of all sound work” – Albert Einstein

HIPAA, The Health Information Portability and Accountability Act of 1996, was enacted as a broad Congressional attempt at incremental healthcare reform. The Administrative Simplification section of HIPAA is designed to improve the efficiency and effectiveness of the healthcare system by standardizing the electronic data for specified administrative and financial transactions, while protecting the security and confidentiality of that information. Continue Reading »

Huntsman Cancer Institute’s Multiple Myeloma Program

“Hope Through Discovery”

Link here

Jon Huntsman, a self made billionaire and author of “Winners Never Cheat”, funded and created the Huntsman Cancer Institute in Salt Lake City, Utah at the University of Utah. Mr. Huntsman after battling his own cancer put his money where his heart is, as he has done so many times before, and created the Huntsman Cancer Institute in the vision he saw from someone who had been a patient. He firmly believes that they are going to find a cure for cancer at Huntsman. That is his mandate, that is his vision. In the process, he wooed Dr. Tricot from Arkansas. Continue Reading »

“In nothing do men more nearly approach the gods than in giving health to men.”  – Cicero

Most of you know by now the difference in an Autologous stem cell transplant and a Allogenic stem cell transplant. The Auto is using your own pre-collected stem cells to boost your wiped out immune system to help it recover. An effort to eradicate the Multiple Myeloma cells rampant in your body with high dose chemotherapy. When this is done, you have no more stem cells (White Blood, Red Blood and Platelets) in your bone marrow. Continue Reading »

The Hardest Part…

“Opportunities to find deeper powers within ourselves come when life seems most challenging.” – Joseph Campbell

As I alluded to in a recent post “Prayerful Thoughts”, two of my myeloma friends are struggling at the moment. One chose to manage his disease and has done it quite well for some time. Another who had failed treatment locally, went to Little Rock and enjoyed complete remission as a result. He is “high risk” in his presentation. With a little over a year of remission, his numbers were rising, and then rapidly. They were scheduled for a check up in LR and as they suspected, he was no longer in remission. Continue Reading »

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