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The Way to Improved LIFE EXPECTANCY for Multiple Myeloma Patients! Stay one Step Ahead of the Reaper!!

10/2/2013

9 Comments

 
The On Line Myeloma Support group hosted by Pat Killingsworth had a special guest who is a 14 year survivor.  Her name is Paula Van Riper.  She is the Assistant Dean at Rutgers University in New Jersey. As best as I can tell she has been constantly Ripping on the Reaper. You have to listen to her story, and she has had a remarkable myeloma journey if you CLICK HERE. 
Picture




The Reaper Unemployment Line brought to you by the skilled multiple myeloma specialists of the world.




I often have said, and everyone is probably tired of hearing it, that a skilled multiple myeloma professional and a knowledgeable patient can extend your life expectancy.  If you listen to Paula, she followed this formula to the letter.   She had a first opinion, then a second opinion, and then a third opinion.  She contacted the IMF(International Myeloma Foundation), became a group member, and then a group leader.  She chose an excellent doctor and myeloma treatment center.  Her doctor was none other than David S. Siegel, M.D., Ph.D., Chief of the Division of Multiple Myeloma at the John Theurer Cancer Center, Hackensack University Medical Center. Prior to this position he spent years at the UAMS center and worked hand in hand with Dr. Bart Barlogie.  Back in 1999, UAMS was considered and still is one of the best myeloma centers in the world.  So Paula chose well, and she needed to.  She found out that she had the chromosome 13 deletion, at the time a high risk prognostic indicator.  

High risk disease had an average life expectancy of 2 years or less.  So if Paula is already a 14 year survivor, how did this happen?  How has Paula been able to outrun the Reaper?  First off her doctor gave her an auto-mini allo, or two transplants, because of her chromosome 13 deletion. Few if any facilities would have recommended this plan, many more likely to recommend an auto-auto.  It was successful and gave her a drug free holiday of 5 years.  Now, without this very aggressive treatment plan provided by a skilled myeloma professional, she would most likely not made it to 5 years.  When she relapsed she went on RD (Revlimid and Dex) in 2007, and Revlimid was approved just 6 months prior to her treatment on 6/29/2006.  She dodged bullet one.  

In July of 2009 her disease progressed again and she went on VRD (Velcade, Revilmid, and Dex). In 2010 it progressed again and she went on a clinical trial for Pomalyst.  Pomalyst was not approved until February of 2013.  She relapsed again in late 2012, and  Kypolis had just been approved in July of 2012.  She went on KPD  (Kypolis, Polmalyst, and Dex) in July of 2013.  Paula has lived a blessed life,  just keeping one step ahead of the Reaper, but without an exceptional doctor and a center that is heavily into clinical trials, she would never have been able to be so agile in the face of the hand that she was dealt. Paula, thank you for your story and what is definitely the definition of "TRUE GRIT".


Two other posts you might be interested in," How to Beat the Myeloma Odds", and" How to get your Myeloma PHD." You can read it if you click on POST1 or POST2.

For more information on multiple myeloma go to the web site www.myelomasurvival.com or you can follow me on twitter at: https://twitter.com/grpetersen1


9 Comments
Cathy Soud
10/2/2013 11:17:10 am

A great post! And I like that reaper picture!!

Reply
Gary Petersen link
10/2/2013 12:04:51 pm

Thanks Cathy, Paula sure has been trough a lot, and the analogy seemed appropriate.

Reply
John W
10/2/2013 12:10:44 pm

Gary
I listened to cure talk.Paula did a great job.What an inspiration.I'm thinking that with all of the new drugs coming down the road,we will all be ripping the reaper for many,many years!
Thanks for all of your hard work.
John

Reply
Gary Petersen link
10/2/2013 12:27:26 pm

Thank you John, Paula is inspirational! With all the new drugs in the pipeline, I am hoping the Reaper unemployment line will getting longer, and we will all be around a lot longer too!

Reply
Mark
10/8/2013 07:55:41 am

Hi Gary,

Am I on the right blog? You said something positive about upfront allo transplant!?!?!?! It does seem like that is a "regional thing" here in the Northeast. I know a few patients that have gone to Dr. Siegel at Hackensack and Dr. Giralt at Memorial Sloan Kettering and they have discussed upfront allo transplant. I really think that the IMF and/or MMRF should really try and get Dr. Giralt to be a big part of their new initiatives since he is probably the best known Hem/Onc in the US today. You only have to turn on Good Morning America to see how great his patients do! A Doctor cannot get a better endorsement than this.

http://www.youtube.com/watch?v=YMYtyV9-Ev8

Mark

Reply
Gary Petersen link
10/8/2013 08:25:35 am

Mark, you are in the right place. Even old dogs can learn a new trick. I viewed your GMA endorsement of Dr. Giralt, and Robin Roberts obvious found him and MSKCC to be exceptional. Dr. Giralt just provided his survival rate data for myeloma for www.myelomasurvial.com. My issue with the allo was always the high Treatment Related Mortality, but it seems now the mini allo has gotten it to a reasonable level, and in the case of high risk myeloma I always thought it was worth the risk. Also some facilities seem to be much better than others. Best Regard/Gary

Reply
Chris
10/9/2013 02:50:03 am

Nice to hear of someone in the area who is "beating the odds". I am also a patient of Siegel's and Giralt's and will probably have an allo at some point in the future, being that I am ever so slowly relapsing. Can't say I'm looking forward to it though!

Reply
Gary Petersen link
10/11/2013 02:29:27 am

Chris, yes it is, and it should make you feel a little better knowing her doctor is your doctor. Sorry to hear about your relapse, however a slow moving relapse may be the best kind of relapse. You certainly have stacked the deck in your favor. You have two of the best myeloma specialists in the world on your team in Dr. Siegel, and Dr. Giralt. I believe they both are part of the CIBMTR, so they know what their TRM (treatment related mortality) is for their allo protocol and hospital. If you get an allo, I would find out which has the lowest TRM, and go with the best. For allos there seem to be a large difference in TRM from the best and all the rest. Good luck and may God Bless your myeloma journey.

Reply
Gary Petersen link
10/27/2014 01:11:39 pm

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    Gary R. Petersen
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