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... but the war's not over.
I am officially in remission :-D Yesterday, I met with probably the best
Stem Cell Transplant consultant in Britain* (every medical person I've
met sings his praises). After the usual verbal sparring (designed so
that he could measure my mental and emotional state) we got down to
business.
His opening statement was "You're in remission, so ...". I managed to
keep myself from bouncing off the ceiling - I knew that what he was
going to say next was important. My choices boiled down to:
1. Carry on with the regime I'm currently on.
2. Go for an Autologous Stem Cell Transplant
3. Go for an Allogeneic SCT from a relation
4. Go for an Unrelated Allogeneic SCT
The prognoses for each choice were:
1. You will relapse and probably (80%) be dead within 2 years.
2. As above but this time 5 years. No risk of GvHD**
3. GvHD raises it's ugly head. 15% mortality***. But 10 years#
4. Again as above but up to 20% mortality. However, who knows##
I've rejected 1 and 2 out of hand, but any input about 3 and 4?
* Dr Robert Marcus of King's College Hospital, London
** Graft versus Host Disease - a real killer
*** That is within 1 year from GvHD or associated infections
# Now we're heading for a cure.
## Not enough data, but it looks promising
John (now in possession of Sgt Harper's 7-barrel volley gun)
--
It's not about bravery.
It's about doing what I need to do to win
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On 8/13/2016 3:23 PM, Doctor John wrote:
> I've rejected 1 and 2 out of hand, but any input about 3 and 4?
Firstly, well done. :D
The drinks are on you. :)
For point #3. How evil were you to your siblings when you were young?
--
Regards
Stephen
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On 13/08/16 15:48, Stephen wrote:
> On 8/13/2016 3:23 PM, Doctor John wrote:
>> I've rejected 1 and 2 out of hand, but any input about 3 and 4?
>
> Firstly, well done. :D
> The drinks are on you. :)
>
Oops! Seem to have forgotten my wallet :-)
> For point #3. How evil were you to your siblings when you were young?
>
Me? Evil? No more than than the usual inter-sibling rivalry but with
serious battlefield weapons.
John
--
It's not about bravery.
It's about doing what I need to do to win
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On 8/13/2016 3:58 PM, Doctor John wrote:
> On 13/08/16 15:48, Stephen wrote:
>> On 8/13/2016 3:23 PM, Doctor John wrote:
>>> I've rejected 1 and 2 out of hand, but any input about 3 and 4?
>>
>> Firstly, well done. :D
>> The drinks are on you. :)
>>
>
> Oops! Seem to have forgotten my wallet :-)
>
Again?
I'll lend you a bullseye at the usual rate. :)
>> For point #3. How evil were you to your siblings when you were young?
>>
>
> Me? Evil? No more than than the usual inter-sibling rivalry but with
> serious battlefield weapons.
>
Prey that their memories are no better/worse than yours. ;)
--
Regards
Stephen
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On 8/13/2016 10:23 AM, Doctor John wrote:
> I've rejected 1 and 2 out of hand, but any input about 3 and 4?
well they say that attitude is most of it and i'd say you've qualified
... as for what's up next i'm thinking on the same lines as Stephen (#3)
... attitude and genetics sounds like a potent arsenal to me
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On 8/13/2016 8:08 PM, Jim Holsenback wrote:
> On 8/13/2016 10:23 AM, Doctor John wrote:
>> I've rejected 1 and 2 out of hand, but any input about 3 and 4?
>
> well they say that attitude is most of it and i'd say you've qualified
> .... as for what's up next i'm thinking on the same lines as Stephen
> (#3) .... attitude and genetics sounds like a potent arsenal to me
>
He certainly has an attitude. ;)
--
Regards
Stephen
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Am 13.08.2016 um 16:23 schrieb Doctor John:
> I am officially in remission :-D
Congratulations about that!
> I've rejected 1 and 2 out of hand, but any input about 3 and 4?
Can't give any recommendation, except for the obvious: Choose the best
one ;)
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On Sat, 13 Aug 2016 15:23:42 +0100, Doctor John wrote:
> ... but the war's not over.
>
> I am officially in remission :-D Yesterday, I met with probably the best
> Stem Cell Transplant consultant in Britain* (every medical person I've
> met sings his praises). After the usual verbal sparring (designed so
> that he could measure my mental and emotional state) we got down to
> business.
>
> His opening statement was "You're in remission, so ...". I managed to
> keep myself from bouncing off the ceiling - I knew that what he was
> going to say next was important. My choices boiled down to:
> 1. Carry on with the regime I'm currently on.
> 2. Go for an Autologous Stem Cell Transplant 3. Go for an
Allogeneic
> SCT from a relation 4. Go for an Unrelated Allogeneic SCT
>
> The prognoses for each choice were:
> 1. You will relapse and probably (80%) be dead within 2 years. 2.
As
> above but this time 5 years. No risk of GvHD**
> 3. GvHD raises it's ugly head. 15% mortality***. But 10 years# 4.
Again
> as above but up to 20% mortality. However, who knows##
>
> I've rejected 1 and 2 out of hand, but any input about 3 and 4?
>
>
> * Dr Robert Marcus of King's College Hospital, London ** Graft versus
> Host Disease - a real killer *** That is within 1 year from GvHD or
> associated infections # Now we're heading for a cure.
> ## Not enough data, but it looks promising
>
>
> John (now in possession of Sgt Harper's 7-barrel volley gun)
That is *EXCELLENT* news! Very pleased to hear this.
Jim
--
"I learned long ago, never to wrestle with a pig. You get dirty, and
besides, the pig likes it." - George Bernard Shaw
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On Sat, 13 Aug 2016 15:08:08 -0400, Jim Holsenback wrote:
> On 8/13/2016 10:23 AM, Doctor John wrote:
>> I've rejected 1 and 2 out of hand, but any input about 3 and 4?
>
> well they say that attitude is most of it and i'd say you've qualified
> ... as for what's up next i'm thinking on the same lines as Stephen (#3)
> ... attitude and genetics sounds like a potent arsenal to me
In my entirely non-medical opinion, option 3 certainly *seems* like it's
got the best potential. But I know very little about medicine. :)
Jim
--
"I learned long ago, never to wrestle with a pig. You get dirty, and
besides, the pig likes it." - George Bernard Shaw
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On 13-8-2016 16:23, Doctor John wrote:
> ... but the war's not over.
It never is; still, congratulations with this excellent state-of-the-art!
As said by others already, personally I would go for #3 and if
unavailable for #4.
Stephen is right of course (when is he not?) ;-)
--
Thomas
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On 8/14/2016 7:56 AM, Thomas de Groot wrote:
> Stephen is right of course (when is he not?) ;-)
23rd of March 1950. Made the biggest mistake ever. ;-)
--
Regards
Stephen
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On 14-8-2016 9:12, Stephen wrote:
> On 8/14/2016 7:56 AM, Thomas de Groot wrote:
>> Stephen is right of course (when is he not?) ;-)
>
> 23rd of March 1950. Made the biggest mistake ever. ;-)
>
Oh dear!
--
Thomas
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On Sun, 14 Aug 2016 08:12:55 +0100, Stephen wrote:
> On 8/14/2016 7:56 AM, Thomas de Groot wrote:
>> Stephen is right of course (when is he not?) ;-)
>
> 23rd of March 1950. Made the biggest mistake ever. ;-)
That was your choice?
--
"I learned long ago, never to wrestle with a pig. You get dirty, and
besides, the pig likes it." - George Bernard Shaw
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> I am officially in remission :-D
If a post ever deserves a smiley... glad to hear this!
> Yesterday, I met with probably the best
> Stem Cell Transplant consultant in Britain* (every medical person I've
> met sings his praises). After the usual verbal sparring (designed so
> that he could measure my mental and emotional state) we got down to
> business.
>
> His opening statement was "You're in remission, so ...". I managed to
> keep myself from bouncing off the ceiling - I knew that what he was
> going to say next was important. My choices boiled down to:
> 1. Carry on with the regime I'm currently on.
> 2. Go for an Autologous Stem Cell Transplant
> 3. Go for an Allogeneic SCT from a relation
> 4. Go for an Unrelated Allogeneic SCT
I thought allogeneic was a type of face wash. Probably best not to value
my opinion on this one :-)
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On 8/14/2016 10:52 PM, Jim Henderson wrote:
> On Sun, 14 Aug 2016 08:12:55 +0100, Stephen wrote:
>
>> On 8/14/2016 7:56 AM, Thomas de Groot wrote:
>>> Stephen is right of course (when is he not?) ;-)
>>
>> 23rd of March 1950. Made the biggest mistake ever. ;-)
>
> That was your choice?
>
>
>
No, I didn't really have much choice in the matter. But I must have
agreed to do it.
--
Regards
Stephen
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On Mon, 15 Aug 2016 09:26:46 +0100, Stephen wrote:
> On 8/14/2016 10:52 PM, Jim Henderson wrote:
>> On Sun, 14 Aug 2016 08:12:55 +0100, Stephen wrote:
>>
>>> On 8/14/2016 7:56 AM, Thomas de Groot wrote:
>>>> Stephen is right of course (when is he not?) ;-)
>>>
>>> 23rd of March 1950. Made the biggest mistake ever. ;-)
>>
>> That was your choice?
>>
>>
>>
> No, I didn't really have much choice in the matter. But I must have
> agreed to do it.
I guess that depends. :)
Jim
--
"I learned long ago, never to wrestle with a pig. You get dirty, and
besides, the pig likes it." - George Bernard Shaw
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On 8/15/2016 5:05 PM, Jim Henderson wrote:
> On Mon, 15 Aug 2016 09:26:46 +0100, Stephen wrote:
>
>> On 8/14/2016 10:52 PM, Jim Henderson wrote:
>>> On Sun, 14 Aug 2016 08:12:55 +0100, Stephen wrote:
>>>
>>>> On 8/14/2016 7:56 AM, Thomas de Groot wrote:
>>>>> Stephen is right of course (when is he not?) ;-)
>>>>
>>>> 23rd of March 1950. Made the biggest mistake ever. ;-)
>>>
>>> That was your choice?
>>>
>>>
>>>
>> No, I didn't really have much choice in the matter. But I must have
>> agreed to do it.
>
> I guess that depends. :)
>
On your point of view, yes.
--
Regards
Stephen
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