Life Expectancy
of Newly diagnosed Multiple Myeloma patient:
My family’s
experience
Whenever a person, who in most
instance otherwise looks healthy, diagnosed Multiple Myeloma, the first fearful question comes to mind is how long he/she will survive. Same question also came
in my Brother’s mind who was just 48 when he was diagnosed for Multiple
Myeloma. He was just having low backache, no other symptoms.
I sat by his side and he asked me:
Bhaiya (Brother), everything is finished? As the articles on internet he read showed
that he would not survive for more than 9 months. It was painful for both of us
but being a doctor, I assured him that don’t go on what is written on net and
we will fight and I will not let him go.
He was thoroughly investigated and the
treatment started under the guidance of one of the finest Oncologist for
Multiple Myeloma at AIIMS, Delhi. First chemotherapy and later autologous Stem
Cell transplant, everything was going as planned. My brother was obese, moderate alcoholic and occasional smoker. He stopped these intoxications and
started light exercise to reduce weight. He stuck to a healthy diet as
prescribed to him.
Later, the symptoms gradually started
subsiding, Hb% improving and so was other parameters. Every one of us including
my brother started feeling relaxed, though we know that there will be
relapse someday. We all forgot that the literature says life expectancy
in current situation is 3 to 5 years. Gradually his daily routine started to what
it was before the disease including diet, exercise and other habits.
Do
we have to relax at this stage?
I still curse myself that being a doctor;
it was my responsibility to tell my brother (who was not a medical
professional) that the disease is still there in his body and that we cannot afford
to relax. It was my duty to realize him that on first occasion his body able to
bear the brunt of disease but next time when there will be relapse, the same
body might not be in a stage to bear the injury. So this should be the time
when we should be more focused to prepare a body system which is much
fitter.
Since there is no cure of Multiple
Myeloma till date, we should accept that the disease will take its own course.
There may be complete remission followed by early or delayed relapse. We should
be more focused especially in remission phase on how we can prepare our body to
fight the relapse.
If
the patient has to live longer, if he has to erase the 3 years survival
destiny, he has to continue all those instruction more stringently during
remission phase, which was advised to him when he was first diagnosed the
disease. Few of these are:
1. No Alcohol: Better would be no addiction including
smoking, chewing tobacco or Gutkha besides forgetting alcohol.
2. No Obesity: Gradual but
continuous reducing the weight with balanced diet and continuous exercise. It
would be better if the patient do exercise under medical supervision as he has
weak bones which are more prone to get damaged. The exercise should gradually
be increased over a period.
3. Strict diet Plan: A healthy diet
keeping more of fruits, vegetables, proteins and less of carbohydrates, sugar,
packed / processed foods.
4. Develop Muscle Mass: I believe that
the patient should gradually develop his/her muscles, especially of extremities /
weight bearing areas.
5. No shortcut treatment: There are many advertisements in which it is claimed that they can cure the patient. You may get many such examples. But
believe me, all of them are fake and I am telling you from my personal
experience.
Lastly,
just leave the medical part on physician treating you but much more important
is how you prepare your body against the disease.
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