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OK I know this question is silly but I am curious anyway. We have

our apt to pick our DOC band up on Dec 11th. Noah was casted on

Monday. As we were leaving the lady at Cranial Tech said she would

call if it came in early. Did anyone have their bands come in

early? If so how early. We are very anxious to get it and start

treatment.

Thanks a bunch,

Mom to Noah 5/29/00

and 10/9/97

Carrollton, Georgia

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Averie's band did not come in early...we got it at the two week appointment

as scheduled (at CT in Atlanta).

lee

>From: " Bishop " <tbi3655190@...>

>Reply-Plagiocephalyegroups

>Plagiocephalyegroups

>Subject: Silly Question

>Date: Thu, 30 Nov 2000 04:01:22 -0000

>

>OK I know this question is silly but I am curious anyway. We have

>our apt to pick our DOC band up on Dec 11th. Noah was casted on

>Monday. As we were leaving the lady at Cranial Tech said she would

>call if it came in early. Did anyone have their bands come in

>early? If so how early. We are very anxious to get it and start

>treatment.

>

>Thanks a bunch,

> Mom to Noah 5/29/00

>and 10/9/97

>Carrollton, Georgia

>

>

>

>

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,

Josh's DOC Band did come in early. His appt was on

a Tues. and it was there the Fri. morning before......

Jill (New York)

--- Bishop <tbi3655190@...> wrote:

> OK I know this question is silly but I am curious

> anyway. We have

> our apt to pick our DOC band up on Dec 11th. Noah

> was casted on

> Monday. As we were leaving the lady at Cranial Tech

> said she would

> call if it came in early. Did anyone have their

> bands come in

> early? If so how early. We are very anxious to get

> it and start

> treatment.

>

> Thanks a bunch,

> Mom to Noah 5/29/00

> and 10/9/97

> Carrollton, Georgia

>

>

__________________________________________________

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  • 7 years later...

Hi Jill,

It is not a silly question. I continue to have WBCs done monthly and they

fluctuate between 3.5 and 5.5. This has been going on for several years. I

would only be concerned if I saw trend in one direction. To establish a

trend you would to have 3 consecutive WBCs going in the same direction. This

means that you need two more results where the WBC continues to go up and

pass 11 (normal being 4-11).

Keep watching them.

Zavie

Zavie (age 70)

67 Shoreham Avenue

Ottawa, Canada, K2G 3X3

dxd AUG/99

INF OCT/99 to FEB/00, CHF

No meds FEB/00 to JAN/01

Gleevec since MAR/27/01 (400 mg)

CCR SEP/01. #102 in Zero Club

2.8 log reduction Sep/05

3.0 log reduction Jan/06

2.9 log reduction Feb/07

3.6 log reduction Apr/08

e-mail: zmiller@...

Tel: 613-726-1117

Fax: 309-296-0807

Cell: 613-282-0204

ID: zaviem

YM: zaviemiller

Skype: Zavie

_____

From: [mailto: ] On Behalf Of

jillannt

Sent: August 28, 2008 1:45 PM

Subject: [ ] Silly question

I am so lucky to be in genetic remission in such a short period of

time. For some reason, though, I still get nervous with each blood

test. I have " graduated " to a blood test every 4 weeks and a

doctor's visit every 8 weeks. Because my blood draw this week was a

time I didn't have a doctor's appointment, I called the office and

requested a copy of my labs (I like to keep them). My white blood

count has been 4.8 or 4.9 for several weeks now (probably about 4

months). This time it went up to 5.9. I realize that this is still

in the normal range and this is probably silly, but I worry because

it started to increase and went up a point or so in a 4 week time

period. What stops it from going up and continuing to go up until I

have 95,000 white blood cells again? Does the gleevec keep it at a

safe level or does this mean the gleevec isn't as effective because

my counts didn't remain about the same this time? I would ask the

doctor, but I don't see him until toward the end of September and I

am probably making a mountain over a mole hill. My husband had a

rejection episode with his tranplanted kidney last week and I think I

have become paranoid for both of us.

Thanks for all of the help.

Jill in Illinois

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Jill,

From my experience, the Oncology team would not get worried by the WBC

rising until it got to about the 30.0 range.

As Zavie noted, your WBC count can fluctuate some. It actually cycles

up and down a small amount normally during the day. Depending on when

your CBC is collected during that cycling will effect the result

An interesting anecdote related to me that may or may not be true.

Some physical exertion (like climbing some stairs) that gets the heart

rate up just before the CBC is collected can cause a larger number of

lymphocytes that were stuck to blood vessel walls to float free. This

could have the effect to increase the WBC a few points and shift the

differential in favor of Lymphocytes.

If you are having PCR done, that will show a trend of rising levels of

CML cells months before the CBC will.

The CBC is also useful to see if any counts are getting to low. This

can be used to check to see if the bone marrow is working properly. If

anything suspicious is seen on the CBC, then a marrow aspirate can be

done to see what is happening inside.

Glad to hear your doing well

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Hi, Jill

I felt the need to respond to your post because my white blood

cells always tend to fluctuate since diagnosis. I have always been

between 11 and 13 despite the fact that my PCR, thank God, has mostly

been on a downward trend. Just to give you an example, my last four

white cell counts were 10, 10, 8, and this week 10.8. My FISH last

month was negative for the second time and my PCR, three weeks ago

was 0.02 which is what it has pretty much been. My doctor says that

he doesn't worry about what the white blood cells are doing as long

as the PCR stays low and continues on low trend. Ironically, my

white blood cells have always been on the border of normal or a

little higher than normal. As a matter of fact, they tested me for

Leukemia in 2000 because my whites were still a little high after

having my appendix removed. Little did I know that I would end up

having CML 7 years later. I hope my story makes you feel better

because I remember feeling worried all the time that my whites

weren't lower. I think that there is someone on the Asian list who

tends to run higher white blood cells on the CBC despite having a low

PCR and maintaining that, if I remember correctly. I have been told

by doctors that being overweight has been shown to raise your white

blood cells. They have noticed that most people who go in to have

bariatric surgery have raised white blood cells. Doctors think that

being overweight is like an inflammatory disorder for the body and

the blood cells treat it as such. Perhaps my being overweight has

been the cause of this but, in any case, I think as long as your PCR

continues to be steady or on a downward trend, I wouldn't worry too

much about what your white cells fluctuating. This is just my two

cents and what I have experienced personally.

>

> I am so lucky to be in genetic remission in such a short period of

> time. For some reason, though, I still get nervous with each blood

> test. I have " graduated " to a blood test every 4 weeks and a

> doctor's visit every 8 weeks. Because my blood draw this week was

a

> time I didn't have a doctor's appointment, I called the office and

> requested a copy of my labs (I like to keep them). My white blood

> count has been 4.8 or 4.9 for several weeks now (probably about 4

> months). This time it went up to 5.9. I realize that this is

still

> in the normal range and this is probably silly, but I worry because

> it started to increase and went up a point or so in a 4 week time

> period. What stops it from going up and continuing to go up until

I

> have 95,000 white blood cells again? Does the gleevec keep it at a

> safe level or does this mean the gleevec isn't as effective because

> my counts didn't remain about the same this time? I would ask the

> doctor, but I don't see him until toward the end of September and I

> am probably making a mountain over a mole hill. My husband had a

> rejection episode with his tranplanted kidney last week and I think

I

> have become paranoid for both of us.

>

> Thanks for all of the help.

>

> Jill in Illinois

>

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