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Jessica Hodgkin lymphoma (HL)

Jessica

Last spring, I was a normal college junior. I had just returned from spring break in the Caribbean with my best friends, and my biggest problem was party planning my 21st birthday that was coming up.

I had a bump on my neck for a few months at that point. I visited several doctors who all assured me it was just a normal swollen lymph node and nothing to be concerned about. My family decided to fly me home for a weekend to get checked out by my pediatrician who we trust. My pediatrician took the lead for further testing.

Laura stage IVB Hodgkin lymphoma

Laura

I was diagnosed with stage IVB Hodgkin lymphoma (HL) about a week after my 30th birthday in 2018. I was a new mom to an 8-month-old baby and had been experiencing several symptoms of Lymphomas the months after having my son, but I assumed they were from having a child and would never thought in a million years that it was cancer. I received all of my care at The University of Michigan Cancer Center. My NP Dava and my doctor, Dr. Gitlin were top-notch in both my medical and mental treatment and care.

paul BL

Paul

I have had the opportunity to know Paul since he was diagnosed with B-cell lymphoma (BL). Paul has an energy that makes it so you will like him instantly and this is exactly what happened. I have had my share of patient's lose their battle over the years so I am very cautious now of who I allow in my bubble. I am certain that even if I had not allowed Paul and his wife Carrie into mine they would have found a way in anyhow. Paul sailed thru R-Chop like a champ. I introduced The Leukemia and Lymphoma Society (LLS) and the work that you do for the Cohen's at this time.

Pauline chronic myelomonocytic leukemia (CMML)

Pauline

I was diagnosed with chronic myelomonocytic leukemia (CMML) in February 2023. I was shocked, never having heard of this disease, and having always considered myself a healthy person. At my annual physical in January 2023, I told my PCP that I seemed to be getting colds more often and they tended to linger. My PCP ordered a CBC. When she got the results, she said they didn't seem quite right and ordered another blood draw. She then called me and told me to see a hematologist oncologist.

Philadelphia chromosome-positive acute lymphoblastic leukemia (PH+ ALL)

Kara

This story is about my girlfriend of six years, Kara. I was diagnosed with Philadelphia chromosome-positive acute lymphoblastic leukemia (PH+ ALL) in May 2021 and went into the ER on Kara's actual birthday, May 22. 

leukemia

Greg

Today I am a proud dad, avid skier, business owner and husband. For a moment though, let’s flash back to college. I wasn’t feeling well but I needed to take one last final just before winter break. After the final, I went to the school clinic and the next thing I knew it was January and I was in a hospital bed in Denver.

I was 19 years old and had been flown in a helicopter from my college town of Durango, CO to Denver. I had been in an induced coma for the last three and a half weeks. I woke up unable to speak or move my arms, legs - I couldn’t even lift a finger.

young white woman with short hair and a nose ring wearing a black sweater hand on her face

Kimberlee

On December 29, 2023, my life took an unexpected turn. My family and I were traveling to California for the holidays when, during takeoff back to Georgia, I felt a sudden pop in my chest as the cabin pressure changed. I was immediately struck by intense pain, unable to move or catch my breath. Determined to hold on until we landed, I braced myself through the agony.

middle aged white man wearing glasses and a hospital gown sitting on a hospital bed with his son and two daughers

Lori

When my husband Ken was first diagnosed and treated for AML it felt like we were trapped in a fierce storm and being tossed about in a fury of wind. My husband Ken was diagnosed with AML (acute myeloid leukemia) and received intense treatment, spending a total of 120 days in the hospital in 2019, culminating in a bone marrow transplant (BMT). We are so grateful that his only sibling was a viable match as many patients struggle for years searching for a donor.

Blood Tests

When your doctor orders a blood test, he or she chooses from a list of chemical studies to be performed in a laboratory on your blood sample. These lab tests can provide important clues about what's going on inside your body.

If your doctor suspects you may have cancer, he or she may test your blood to:

Diagnosis

An accurate diagnosis is one of the most important aspects of a person’s care. A precise diagnosis will help the doctor to

  • Estimate the rate of disease progression
  • Determine the appropriate treatment.
Physical Evaluation

The doctor will take a comprehensive medical history and ask questions regarding either the absence or the presence of B symptoms. Physical examination will include measurement of all accessible lymph node groups, as well as the size of organs, such as the spleen and liver. 

Dental Health

Dental care is an important part of overall cancer care. Good nutrition also plays a big role in dental health. Problems with the teeth, gums or mouth can interfere with eating well. Poor nutrition can lead to dental problems.

Visit the dentist at least four weeks before treatment begins if possible, and

Side Effects

Cancer therapy for non-Hodgkin lymphoma (NHL) can sometimes produce side effects. For most patients, treatment side effects are temporary and go away once therapy ends. For other patients, side effects can be more severe, sometimes requiring hospitalization. Some patients never have side effects.

Before you undergo treatment, talk with your doctor about potential side effects. In recent years, new drugs and other therapies have increased the ability to control side effects.

Diagnosis

Having the correct diagnosis is important for getting the right treatment. Hodgkin lymphoma (HL) may be difficult to diagnosis. You may want to get a second medical opinion by an experienced hematopathologist before you begin treatment. A hematopathologist is a specialist who studies blood and bone marrow cells and other tissues to help diagnose diseases of the blood, bone marrow and lymph system.

Chemotherapy

Chemotherapy

Chemotherapy is the use of potent drugs or chemicals, often in combinations or intervals, to kill or damage cancer cells in the body. Chemotherapy drugs are often called anticancer agents. The drugs must be toxic enough to kill leukemic cells, which is why chemotherapy can be hard on your body; the drugs' toxicity can harm your healthy cells as well. However, successful chemotherapy depends on the fact that cancerous cells are more sensitive to the chemicals in the drug than normal cells are.

Allogeneic Stem Cell Transplantation

Allogeneic stem cell transplantation involves the use of stem cells from someone other than the patient. The donated stem cells can come from either a person related or not related to the patient. 

Mental Health

The term “mental health” includes your emotional and psychological well-being. Your mental health guides how you handle stress, manage relationships and make decisions. Mental health, like physical health, is important to your overall well-being.

Emotions like sadness, anger or stress are normal and healthy responses to difficult life events, such as a cancer diagnosis. However, sometimes persistent feelings of sadness, stress or anxiety can be caused by a mental health disorder. Don't ignore any of these feelings. Talk to your healthcare team about how you are feeling.  

Chemotherapy and Drug Therapy

There are many different types of drugs used in the treatment of MDS.

Lower-Risk MDS

Immunosuppressive Therapy. Drugs that suppress certain parts of the immune system can help some patients with lower-risk MDS. In some types of MDS, lymphocytes, a type of white blood cell, may attack the bone marrow, causing it to stop making enough healthy blood cells. Immunosuppressive therapy lowers the body’s immune response to allow bone marrow stem cells to grow and make new blood cells. The main immunosuppressive therapy drugs used to treat MDS are:

Diagnosis

An accurate diagnosis is one of the most important aspects of a person’s care. Obtaining a precise diagnosis will help the doctor

  • Determine the MDS subtype 
  • Estimate how the disease will progress
  • Determine the most appropriate treatment

Since MDS can be a difficult disease to diagnose, you may want to get a second medical opinion by an experienced hematopathologist before you begin treatment.

Nausea and Vomiting

Many cancer treatments can cause nausea and vomiting. Nausea, also called feeling “queasy” or “sick to your stomach,” is that unpleasant feeling you have when you are going to throw up. Vomiting is throwing up what is inside your stomach through the mouth. Nausea and vomiting can happen together, or one can occur without the other. The severity of nausea and vomiting varies among patients. Sometimes these side effects improve as you adjust to treatment, and most side effects go away after treatment ends.

Hodgkin Lymphoma Staging

Doctors use physical examinations, imaging tests, blood test and, sometimes, bone marrow tests to determine the extent of the disease.  This determination is called "staging."  Staging provides important information for treatment planning.

Staging for Hodgkin lymphoma is based on the Lugano classification, which is derived from the Ann Arbor staging system.

Signs and Symptoms

In the early stages of myeloma, some patients have no signs or symptoms of the disease. It is sometimes detected before symptoms appear, when results of laboratory tests done as part of a routine medical examination show abnormalities in the blood and/or urine. When symptoms are present, the most common ones are bone pain and fatigue.

Signs of Myeloma 

Doctors sometimes refer to the acronym, CRAB, to describe signs of myeloma. The letters stand for

Legal and Financial

Advance Directives

Advance directives are a patient's instructions about future medical care in case he or she can no longer speak for himself or herself. Ideally, an advance directive should be in place before a person becomes ill or before a crisis.

Juliana

Juliana

Juliana is a vibrant, sweet, intelligent, and brave daughter to Judith and Jorge. She was born on May 24, 2017, in Houston, Texas. On December 30, 2021, Juliana was diagnosed with leukemia. On January 2, 2022, after three and a half days in the hospital and one full day in the ICU, her diagnosis was confirmed as B-cell acute lymphoblastic leukemia (ALL).