(Thanks for your
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Back when we first
started our experience...
And, ten years later! (2007)
"These are the
moments I know heaven must exist. These are the moments I know all I need is
this. I have all I've waited for, and I could not ask for more. I could not
ask for more than this time together I could not ask for more than this time
with you. Every prayer has been answered. Every dream I have's come true.
And right here in this moment is right where I'm meant to be. Here with you
here with me. These are the moments I thank God that I'm alive. These are
the moments I'll remember all my life. I've got all I've waited for, and I
could not ask for more..." (Edwin
McCain)
Updated biography- at the bottom of this page. Ron is
undergoing some new therapies, had some surgeries, but is going strong, with the
support of his family. He retired from the Illinois State Tollway in
January of 2007, and is enjoying his grandchildren, who are now 11 and 13 years
old.
This web page is
dedicated to Grandpa Ron, who is very special to many people. His personal
experience of having Multiple Myeloma will be described for you.
Also, some beneficial MM related web links are listed at the side of this
page to help others to understand more about this Leukemia related cancer.
Thank you for visiting this special site...
Ron's Family BeginningsRon was born on April 12, 1941 at Cook County Hospital in
Chicago, Illinois. He was the eldest sibling of a family with three sons
and one daughter. His family lived on the northwest side of Chicago all of
his life, but they did spend one year living on a Wisconsin farm in 1954.
Ron spent his sophomore year of high school in that small town of Aniwa,
WI. In 1963, Ron was drafted into the U.S. Army. He had his basic training
at Fort Knox in Kentucky and was then relocated to Fort Sill in Oklahoma for
the remainder of his service. He completed his duties with the army and was
released in 1965. (Ron is pictured at the far left, next to his father.)
Ron's Wife, Children & GrandkidsOn April 23, 1966 Ron married his wife Carol. They had two
daughters Cheryl (born in 1968) and Rhonda (born in 1971). Rhonda has
always been "daddy's girl" and extra special to Ron because she was born
with
Smith Lemli Opitz Syndrome. She is profoundly mentally
handicapped. It was to him, that she took her first steps when she was
almost seven years old. It was also to her daddy, with his arms held open
and with his cheering who Rhonda ran across the finish line to with great
excitement- as she won her first gold medal in The Special Olympics. Ron
also walked his older daughter Cheryl down the wedding aisle in 1991, to
marry her husband John. He later became the proud grandpa of Rachael (1994)
and Timmy (1996).
Ron's Work
ExperiencesFor 24 years Ron worked
as a Damage & Claim Prevention Manager for The Milwaukee Railroad which
later became The Soo Line Railroad from 1965 until 1989. In 1992 he became
an employee with the state of Illinois and he remains in that position to
the present time.
The
Shock Of Multiple MyelomaOnly one month after his grandaughter's 3rd birthday in
July of 1997, as Ron was 56 years of age, Ron was diagnosed with a
Leukemia-related cancer called Multiple Myeloma. His family's whole world was turned
upside down. Nobody in his family had ever experienced a Leukemia related
illness. Ron had never smoked, rarely consumed alcoholic beverages,
exercised and he maintained a healthy diet and then...BOOM! He had Multiple
Myeloma. Prior to his diagnosis, Ron had been feeling tired all the time,
to the point of exhaustion. He would lay around and feel the need to sleep.
Ron was having some nausea spells and was having a poor memory. His wife
would become frustrated with these things and was also worried. Ron's
family doctor ran test after test. Finally, after some elaborate blood
work, it was discovered that Ron was dangerously Anemic.
Ron Is Admitted To The HospitalRon was admitted to Lutheran General Hospital in Park Ridge, Illinois in
July of 1997. It was one thing after another. He was in renal failure and
his kidneys were shut down. A Kidney Specialist was called in. Ron's
hemoglobin was dangerously low. His body was eliminating red cells faster than
his body was making them. His white counts were crazily high. An
Oncologist/Hematologist was called in. A bone marrow biopsy was done. "Ron has Multiple Myeloma
and in Ron's case, he has Myeloma Kidney- also recognized a Light Chain M.M."
His oncologist began high dose chemotherapy immediately. Ron received high
doses of Cytoxan. In conjunction with the chemo hewould receive a total of
9 Plasma Pheresis treatments to help remove the Bence Jones Proteins that had encompassed his kidneys
to restrict them from functioning. He received Epogen injections to improve his counts and his kidney
functioning. These treatments would all continue on until the end of
October. Ron also got into the new routine of drinking 8 to 10 oz. of water
based fluids/day to help flush out bad proteins from his kidneys and to keep
them in good functioning. Catheters were surgically inserted for these
procedures to be done. One, a "port
line catheter," for chemo and a "double line, or vascath
catheter" for the Plasma Pheresis. Ron received Vitamin B-12 injections
once a month too.
Compazine and sometimes Zofran were wondrous
anti-nausea medications. After 14 days of that first July visit, Ron was
released from the hospital and he continued to received the 9 Plasma Pheresis sessions as an outpatient. Every 3
weeks, Ron would have chemotherapy of different types. Neupogen injections
were administered to help boost his red cells. He orally took Dexamehtasone. Ron developed symptomatic Diabetes as a
result of being on this oral med, but he managed his blood sugar levels
through insulin injections that he was taught to use. Ron was on a list of
meds that his wife helped to create a schedule for. Some were taken
once/day, and some twice or three times/day! Cipro, Pepcid, Cardura,
Lopressor, Diflucan, Niferex, Dexamethasone, Reglan, and Zofran. The
commonly known VAD Regimen for treating Multiple Myeloma began...
Time For The Stem Cell
TransplantHurray! Ron's kidneys were at 85%
functioning! He was a good candidate for a Bone Marrow Transplant. His
M.M. had been managed agressively and early. He survived all the chemos
with great effort. His hair was thinning but his moustache still hung-on.
(Can you believe that?) He was puffy from his oral steroids, but in great
spirits. It was time to get on the roller-coaster for the ride of having a
BMT. Ron and his family had to make some difficult decisions about which
type of a BMT to go with. An Allogenic Bone Marrow Transplant was an option
because two of his siblings were a perfect match. But, due to Ron's prior
kidney damage, using a donor's marrow might cause related complications.
Graft Vs. Host would be a definate probability. Ron and his family had
decided that an
Autologous BMT would be the best way to go. Ron would have a
Peripheral Tandem Stem Cell Transplant.
On December 17, 1997
Ron began high dose chemotherapy of Cytoxan for an 8 hour session to help cleanse his bone
marrow as best as could be before the BMT. He received Neupogen injections every day for one week prior to the
chemo, to help prepare his stem cells for collection. On December 29th
he went through an Apheresis procedure and had his stem cells collected.
With that, a CD34 procedure was used to help pinpoint mother Myeloma
cells and to remove them once collected. A typical collection takes up to
5 days, but amazingly Ron had produced so many stem cells for his collection
that his oncologist was amazed to find that only one day was necessary. Ron
had generated enough in one day's collection for the entire Tandem PSCT!
Ron would now go on to have his pre-transplant tests, that checked out the areas of his
dental, heart, lungs, bone and blood.
On January 5, 1998 Ron
was admitted back to Lutheran General Hospital and received more high doses
of chemo- Alkeran along with Decadron. His room was decorated
with posters, family pictures and funny computer-created signs from his
family. On January 7, 1998 Ron received the first part of his Tandem Stem
Cell Transplant as his bag of stem cells were reinfused. Ron received his brand new
immune system on that day because of this. All the
effort, months of preparation and momentum... all coming down to one little
bag of yellowish fluid, dripping into his IV for only 4 1/2 minutes. All of
the months of preparation, the insurance battles and all of the mental and
physical effort involved. Wow, 4 1/2 minutes. After the bag was empty,
Ron's nurse, his wife and his older daughter all sang "Happy Birthday" to
Ron and the birth of his new immune system. (Ron became teary-eyed.)
The Roller Coaster Goes Up
& DownJanuary 7, 1998 was the day of Ron's PSCT
and it was considered as "Day Zero." Ron would be on a roller coaster ride
of fluctuating counts. You are about to read some excerpts from a personal
journal that will describe the personal experiences from Ron's Tandem
Peripheral Stem Cell Transplant, as logged by his wife Carol.
W= Whites. H=
Hemoglobin/Red Cells. P=Platelets.
1/5 (Mon.) Hospital Admission Day. High
dose chemos of Alkeran and Decadron. W-7.0, H-10.1, P-156.
1/6 (Tues.)
Bad day. Ron started late yesterday with severe shakes, all due to a drug
interaction. His Vascath may have an infection. 24-72 hours to culture the
infection.
1/7 (Wed.) DAY ZERO, PSCT Day. Ron looks pale and anemic.
He's getting weaker and acts spacey from the meds. At 11:20 a.m. he
received his new stem cells. It took only 4 1/2 minutes to
infuse. His body expired a burnt cream corn odor, which typically occurs
when one receives this kind of a BMT. Ron is vomitting from the chemos
still. W- 3.0, H- 9.1, P- 140.
1/8 (Thurs.) Day +1.
Counts are dropping more. Much vomitting. Kytril and Zofran aren't
managing the nausea and Ativan makes Ron like a zombie or he sleeps all day
when he's on it. He's off the IV and needs to drink more to manage his
kidneys! We continue to nudge him awake and tell him to "drink." Compazine
injections and Kytril are helping the nausea temporarily. Neupogen
injections are helping his counts some, though he'll be bottoming-out soon.
W- 28.7, H- 8.9, P- 146.
1/9 (Fri.) Day +2.
Ron's more coherant and off all the Ativan. Switched to Reglan and Kytril
for nausea. Eating small amounts of food today. He rides his exercise bike
4X/day since his admission, he's amazing. No catheter infections, just
reactions. W- 22.4, H- 8.6, P- 128.
1/10 (Sat.) Day +3.
W- 2.5, H- 7.8, P- 95. Keeping positive-minded. Ron's daughter Cheryl
maintains communication between Grandpa and his grandkids by video camera.
The kids are so happy to see Grandpa doing okay and it perks Grandpa up to
see them too!
1/11 (Sun.) Day +4.
Real weak. Blood transfusion needed, 2 bags. W- 2.5, H- 7.5, P- 74.
1/12 (Mon.) Day +5. Nasty sores in his mouth and going down his throat.
Burns to eat. Using Lanacane to swish and gargle with. W- 0.2, H- 9.5, P-
53.
1/13 (Tues.) Day +6.
101 fever. Doing more cultures. W- 0.1, H-
8.8, P- 36.
1/14 (Wed.) Day +7. Ron has infections in all 3 catheter
lines. Got a Platelet transfusion and also 2 bags of blood. Not
eating, but drinks Resource brand nutirional beverages. W- 0.1, H- 7.4, P-
11.
1/15 (Thurs.) Day +8. Still rides his exercise bike 4X/day.
101.5 temp still. Sores going down Ron's entire digestive tract and by
the rectal area. It's tricky having a new, unprotected immune system. All
of the baceria grows out of control. On several antibiotics. This is all
normal. Ron is encouraged to wear his protective mask and continues to take
walks around his hospital floor to exercise and enjoy the sitting area. He
goes to the refridgerator and kitchenette area for snacks. W- 0.2, H- 9.3,
P- 23.
1/16 (Fri.) Day +9. Some nose bleeds due to low platelets. Platelet
transfusion, 1 bag. Diarrhea for a few days now. W- 0.2, H-
8.7, P- 19.
1/17 (Sat.) Day +10.
The infection is isolated and he's on the
specific antibiotic to knock it out. Eating mushy foods. Hurting throat
sores. W- 0.5, H- 7.4, P- 11.
1/18 (Sun.) Day +11.
3 bags of blood, 1 of Platelets. W- 0.9, H-
7.4, P- 11.
1/19 (Mon.) Day +12.ENGRAFTMENT
of bone marrow begins. Ron's whites will double and triple
with each day now. "Hello new immune system- it's about time!" This was a
good day. His infection is almost gone and Ron has more energy. W- 2.5, H-
9.3, P- 23.
1/20 (Tues.) Day +13. 1 bag of Platelets. Tired. RON COMES
HOME! Valtrex
is added to Ron's list of meds. Ron went down to the basement to ride his
exercise bike. Ron is on 12 kinds of meds! Keeping the schedule straight
now.
1/21 (Wed.) Day +14. Went to the oncologist. Great counts!
W- 11.0, H- 10.2, P- 34. Still receiving catheter care and neupogen shots.
1/22 (Thurs.) Day +15. Again, to the oncologist. No counts
today. Ron is crabby!
1/23 (Fri.) Day +16. 2 days off the neupogen shots. HIs
whites will have to work all on their own for his new immune system. Eating
small meals and going down to the basement 3X/day to ride his exercise bike.
W- 5.4, H- 10.6, P- 37.
1/24 & 1/25 (Sat. &
Sun.) Days +17 and +18. Ron is bored at home.
January in Chicago, and having cabin fever. Going to the oncologist
Monday.
1/26 (Mon.) Day +19.
Still wearing the surgical duck mask. Everyone
is rigid with the continued hand washing as we've been since the first
diagnosis. Using bleach and alcohol to keep the house extra clean.
1/28 (Wed.) Day +21.
Again to the oncologist. W- 5.6, H- 11.0, P- 61.
1/30 (Fri.) Day +23.
Oncologist, cath care. Drinks nutritional
shakes between meals. W- 5.9, H- 11.3, P- 79.
2/2 (Mon.) Day +26.
Has a dry cough. W- 6.7, H- 11.1, P- 61.
2/4 (Wed.) Day +28.
Yeah! Ron's oncologist says that Ron is doing terrific. W- 7.5, H- 11.3,
P- 103.
2/6 (Fri.) Day +30. Ron will still visit the oncologist
3X/week for catheter care. In a few weeks they'll do another bone marrow biopsy to check his remission status. We
are very blessed. *Ron takes Valtrex Post-BMT and will be on this med for 6 months
to keep his immune system protected.
2/20 (Fri.) 6 Weeks
after the PSCT. W- 7.1, H- 11.0, P- 119.
On To The Tandem Part (Are you nuts? We're going to do
this all over again?)
3/16 (Tues.) Part 2 of Ron's Stem Cell Transplant. Ron
received high dose chemo again this time with Cytoxan and
Melphalan at the oncologist's office. We expect to do this second part of
the BMT "at home." The home care nurse is supposed to come to the house
later to set up his Zofran pump and drip. W- 3.8, H- 11.0, P- 82.
3/11 (Wed.) 2nd day of
the high dose chemo at the oncologist's
office. Ron is spacey and tired but still rides his exercise bike in
between everything. Tomorrow we'll have a day of recovery and the home
nurse should come out to check on his Zofran dosages.
3/13 (Fri.) Day Zero. Tandem PSCT Day. As an outpatient, a
continuation of adding the rest of Ron's stem cells at the oncologist's
office. BUT, Ron had so much nausea from the 2 dyas of high dose chemo and
the Zofran was just not managing it. Ron is dehydrated. He will be
admitted back into the hospital.
3/14 & 3/15 (Sat. & Sun.) Day +1 & Day +2. Ron's counts are dropping and he's receiving much hydration
through the IV. W- 1.9, H- 9.9, P- 21.
3/16 (Mon.) Day +3. Ron is off the Zofran and is receiving Compazine
injections before his meals. The throat sores are starting again like the
first part of this BMT. W- 0.3, H- 9.8, P- 19.
3/17 (Tues.) Day +4.
Ron's riding his exercise bike 5X/day, eating mushy foods, and managing the
mouth and throat sores as his counts continue to bottom out. W- 0.2, H- 9.8,
P- 24.
3/18 (Wed.) Day +5. Ron bottoms out. The diarrhea begins last night
and continues. He received a bag of Platelets. Hardly eating, but drinking
a lot of Resource beverages. W- 0.1, H- 9.5, P- 14.
3/19 (Thurs.) Day +6.
Ron's having a tougher time than the first part
of the BMT. Diarrhea all last night and today again. He's running a 101.5
temp and he's on precautionary antibiotics. W- 0.2, H- 8.8, P- 22.
3/20 (Fri.) Day +7.
Ron is so sick. He's back to vomitting and the diarrhea continues. His
temp is 101.7 and he has an infection. He received 2 bags of blood and one
bag of Platelets. We hope that tomorrow will be better. W- 0.1, H- 7.8, P-
11.
3/21 (Sat.) Day +8.
W- 0.1, H- 9.4, P- 14.
3/22 (Sun.) Day +9. W- 0.3, H- 9.0, P- 26.5. Ron is
receiving neupogen injections this whole time through again.
Ron stays on several
meds for a few more months. Valtrex,
being the most important one for a duration of three more months. His
counts continue to roller coaster, then stabilize. Ron had worn the "duck
mask" during the times he was neutropenic (or having low white counts.)
But, through it all Ron was amazing and very brave. He rode his exercise
bike and communicated with his grandkids through the video camera and on the
phone.
Getting back to normal...
what is that, anyway?
Look at Ron's chubby
belly! Hair! Ron began to enjoy going places with his family again. He
got to bathe and swim without having hoses in his chest (as the grandkids
would call them.) He stopped using several of his meds and was only down to
two by the end of July, 1998. Today he takes only one pill/day, Lopressor,
to maintain his high blood pressure which is not even related to his M.M.
Ron returned to his job in the beginning of July in 1998 (3 months after
his BMT) and continues to work full-time. He's doing great. He continues
to exercise, ride his exercise bike or mountain bike, takes walks every day,
and since his diagnosis (back in July of 1997) he drinks one gallon of
fluids each day to keep his kidneys at excellent functioning. Ron is a very
positive guy who always has a smile or a joke. He is dearly loved by
his family
and friends. He remains in complete
remission and maintains good cell counts. Ron says, "Be positive and
follow the program that your doctor gives you. Take it day by day."
June, 2007- Grandpa
Ron had surgery on his neck and spine vertebra, due to tumors in his C, T
and L vertebrae. A large C vetebrae tumor was removed from his C4- C7
section and other tumors were scraped off of his spinal column, through
surgery. He underwent another bone marrow biopsy, as Multiple Myleoma
was found to be aggressive, once more. He is receiving radiation to those areas, as of
July, 2007, and is undergoing Melphalan, Prednisone, Thalidomide, and
Aranesp protocols. We expect to knock his MM back into remission, or
get as close as we can, to achieving remission. Our family and friends
pray, send kind words of support, and support the research being done with
curing Multiple Myeloma.
February, 2008- In July of 2007, Ron's spinal cord was collapsed and he received emergency surgery to his vertebrae due to calcified myeloma tumors. He had a cage (fusing) procedure done to his C vertebrae, and had a cement-like procedure (percutaneous kyphoplasty) inserted to his T vertebrae, with more tumors removed from his L vertebrae. He also underwent radiation therapy for several weeks and has been treated with Thalidomide and Dexamethasone (unsuccessfully), and is now being treated with Revlimid. He receives biophosphonate therapy (Aredia) every other week and requires strict monitoring of his platelets. Through it all, his attitude is great, he stays busy with his family and grandchildren, and presses on, following his doctor's instructions and maintains a healthy diet, drinking still, a gallon of clear fluids/ day.
February, 2008- In July of 2007, Ron's spinal cord was collapsed and he received emergency surgery to his vertebrae due to calcified myeloma tumors. He had a cage (fusing) procedure done to his C vertebrae, and had a cement-like procedure (percutaneous kyphoplasty) inserted to his T vertebrae, with more tumors removed from his L vertebrae. He also underwent radiation therapy for several weeks and has been treated with Thalidomide and Dexamethasone (unsuccessfully), and is now being treated with Revlimid. He receives biophosphonate therapy (Aredia) every other week and requires strict monitoring of his platelets. Through it all, his attitude is great, he stays busy with his family and grandchildren, and presses on, following his doctor's instructions and maintains a healthy diet, drinking still, a gallon of clear fluids/ day.
UPDATE: September of 2009! Grandpa Ron and Carol are retired in Arkansas, having moved from Chicago, to where it's warmer. He still undergoes Aredia and sometimes gets his platelets boosted or has Epogen injections (but that has been only about twice a year.) The grand daughter is 15 and the grandson is 13. ALL IS WELL! Love, Cheryl (Ron's daughter and #1 fan...)
Grandpa Ron and Carol are retired in Arkansas, having moved from Chicago, to where it's warmer. He still undergoes Aredia and sometimes gets his platelets boosted or has Epogen injections (but that has been only about twice a year.) The grand daughter is 15 and the grandson is 13. ALL IS WELL! Love, Cheryl (Ron's daughter and #1 fan...)
We wear our IMF bracelets proudly, in Ron's
honor. You should too! Donate to the International Myeloma
Foundation by clicking on the bracelet picture, below.
Click on the IMF bracelets picture above, to donate and help "cure" Multiple Myeloma!
Words
From Ron's Wife Carol...On
April 23, 2009, Ron and I celebrated our 43rd wedding anniversary. It seems
like a lifetime ago that Ron had his bone marrow transplant. It was a very
difficult period of our lives. I won't kid, when I say that it was probably
more stressful on me than Ron. Ron is here, doing good and has his
cheerful, humorous personality back. But, it took a lot of coaching on my
part during the whole ordeal, to encourage Ron to drink, exercise and to be
positive. There
is no cure for Multiple Myeloma
yet, but we pray for one to be found soon. For all of the spouses who are
afraid to consider the PSCT option, please don't be afraid. Our
family is another example that this is a method of treatment that works.
We have also learned to appreciate each other even more and to take every
day one day at a time, positively. Good Luck to everyone.
Happy
66th Birthday To Ron! April 12, 2007
Please make a link to
our website with this logo:
https://members.tripod.com/bettyboxer/id27.htm
We'd love to help
others in learning more about Multiple Myeloma.
By Cheryl, Ron's daughter and #1 Fan!
Feel free to
e-mail me
with any of your questions or comments