BRIEF HISTORY
(Oldest History at Bottom of Page)

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FEBRUARY 25, 2010
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On February 12 & 13, 2010 I received chemo.  After effects from the chemo were minimal this time.  As a three member committee (Linda, myself and Doctor G), we decided to eliminate Rituximab from the 2-part chemo order because it's the chemical responsible for the neuropathy recently experienced.  None of us were comfortable with the risk of serious neuropathy from another dose of Rituximab.
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This morning (February 25, 2010) a CT scan was performed.  The scan along with current blood counts will help to determine if there is a need for more chemo or if I am in remission.
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Next meeting with Doctor G is March 5, 2010. 
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PRAYER REQUEST FOR LINDA'S COUSIN MIKE:  Mike is currently in the early stages of a bone marrow transplant.  He also was diagnosed with CLL a few years after I was diagnosed.  Please pray that The Father will heal Mike and restore him completely.
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2 Bless the LORD, O my soul, And forget not all His benefits:
3 Who forgives all your iniquities, Who heals all your diseases,
4 Who redeems your life from destruction, Who crowns you with lovingkindness and tender mercies,
5 Who satisfies your mouth with good things, So that your youth is renewed like the eagle's.
(Psalm 103:2-5)
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FEBRUARY 10, 2010
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My blood was drawn and tested yesterday.  We received a call this morning from U of M Cancer Center to report that my Absolute Neutrophil count is at 1.25.  Since the Neutrophil count is now above 1.0 we are back on track to receive chemo this Friday and Saturday, February 12 & 13, 2010.  It's been a pleasant break from the chemo in that my stomach has had enough time to return to normal. 
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After describing certain symptoms to the nurse this morning, it appears that I may have a mild case of Peripheral Neuropathy in my toes.  In other words, nerve damage complete with tingling and numbness.  Peripheral Neuropathy can be much worse than I am currently experiencing.  Please pray that it does not get worse!  Thank you.
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Bless the LORD, O my soul; And all that is within me, bless His holy name! (Psalm 103:1)
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FEBRUARY 4, 2010
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The treatment scheduled for January 22 and 23, 2010 did not take place because one of my blood counts was already too low to withstand another treatment.  My 'Absolute Neutrophil' count dropped from a dangerous .6 to a worse .1.  Neutrophils are responsible for combating infection.  Tuesday of this week (February 2, 2010) my blood was tested again and the Neutrophil count is back on the increase.  It has climbed back up to .9...Thank you for your prayers.  The target is 1.0 or higher before we resume treatments.

Linda and I had a good discussion with my oncologist on Friday about the transplant. He says I am borderline. In other words, we need just one more piece of evidence (risk factor) to add to my medical history before the insurance company would likely approve the transplant.  Maybe I should fake a head-twitch or claim memory-loss to put myself into the accepted risk zone.  Some of my family members say I don't have to fake a thing. Ha Ha Ha...thank you very much!

Current research reports...If a patient receives a transplant while he or she is still chemo-sensitive, they have a very high possibility of experiencing a cure. At present, it's kind of a catch 22 though. The insurance company says as long as standard chemo is working and the patient is not projected to die from the disease within the next 2 years, they will not approve a transplant.  We are seriously looking at submitting a 'Member Appeal' to Medical Mutual in order to achieve approval for the transplant. 
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I will praise the LORD according to His righteousness, And will sing praise to the name of the LORD Most High. (Psalm 7:17)
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JANUARY 12, 2010
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Last treatment went well.  Next treatment is January 22 and 23, 2010.
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Stem Cell Transplant is off the table.  We received a call January 11, 2010 from U of M transplant coordinator to inform us that our insurance company has rejected the transplant a second time.   The hospital had requested an independent review be done by a 3 physician panel.  The panel came to the same conclusion as Medical Mutual.  The transplant has been deemed investigational/experimental and has been denied due to that finding.
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DECEMBER 24, 2009
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On December 11, 2009 we met with the oncologist.  He was finally ready to discuss the possibility of a bone marrow transplant due to the fact that the treatments I'm taking are working well.  He wanted to see that I am heading toward remission first.  We discussed the fact that we have other options in addition to a stem cell transplant.  We could continue the treatments until in remission and hope to get some additional years before needing treatments again.  I would strongly consider the non-transplant option if my donor matched only 8 or 9 of the 10 markers that should match.  Yesterday I was informed by the U of M bone marrow transplant coordinator that my donor (brother Mike) matches all 10 of the primary markers.  Hooray!  The transplant is still on the table.  

Timing of a transplant is critical.  Too soon and it's possible that the healthy stem cells received would be overwhelmed by a large quantity of cancer cells and would loose the battle that goes on between the two.  If we wait too long after remission, the cancer cells could have rebounded and we would have the same problem as the too-soon scenario.

Had another CT scan on December 17 th.  We don't have results yet. 

Next treatment takes place December 30 + 31, 2009.

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WHAT DID JESUS EVER DO FOR ME?

Jesus Christ created the universe I live in.    3 All things were made through Him, and without Him nothing was made 
that was made. (Joh 1:3 NKJ)

Jesus Christ allows me to draw breath 24 hours a day.

Jesus Christ preserved me through a hernia operation that I received as a toddler.  The bigger miracle was The Lord helped my mother leave her crying baby at the hospital over night.  She later told me it was really hard to walk away.

Jesus Christ preserved the use of my left hand.  When I was about 1 year old, I reached up under our washing machine and succeeded to get my hand caught in the motor.  All four of the tendons on the back of my left hand were severed.  I'm told that my fingers dangled freely due to the cut tendons.  Back then we were blessed to have a doctor that could re-connect the tendons.  We were also blessed that the tendons healed correctly. 

Jesus Christ preserved my life a year later when I tumbled down a huge outdoor flight of stairs leading down from our second story rental.  My brother Mel tried to catch me which gave him a bloody nose.  What a scene that must have been for our parents, me with a broken arm and Mel with a bloody nose.  The doctor missed the broken arm on the first visit but nailed it 3 days later on the second visit, which was prompted by 72 hours of whining and crying.  I'm glad I don't remember it!

My 2nd birthday in a body cast.

Jesus Christ preserved my life when at the age of 16, I turned a farm tractor over. We farmed an island on the Maumee River and it was there that the accident took place.  I was knocked into a state of semi-consciousness, much like sleep walking.  My buddy swam across the river to get help while I wandered around the island bleeding and in a state of delirium.  I spent 3 days in a hospital and the rest of my life thanking the Lord for preserving me.  By the time I was 16 years old my religious foundation has started to crumble because it had been built on sand rather than the rock (The Word of God.)  I realized immediately after the farm accident that God had a reason for saving my life and that it must be really good.  I wouldn't discover that reason for another 6 or 7 years.

Jesus Christ performed a stunning miracle when in my early twenties he regenerated my heart, taking me from eternal death to eternal life.  3 Jesus answered and said to him, "Most assuredly, I say to you, unless one is born again, he cannot see the kingdom of God." (Joh 3:3 NKJ)
28 "And do not fear those who kill the body but cannot kill the soul. But rather fear Him who is able to destroy both soul and body in hell. (Mat 10:28 NKJ)

The incidents listed above are just a few of the many thousands to be thankful for.  It is Christ who has directed my steps and taken me through good and not so good times.   24 A man's steps are of the LORD; How then can a man understand his own way? (Pro 20:24 NKJ)

Today and tomorrow we celebrate Christ's birth into this world.  There is only one reason for his coming and that was to redeem us back into favor with his Father.  By believing in his birth, death and resurrection we bear his righteousness before God the Father.

Have a Merry Christmas and may your name be written in the Lamb's Book of Life!
Dan Simon

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DECEMBER 9, 2009
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Next treatment cycle begins this Friday and Saturday, December 11 & 12, 2009.  

It's kind of bizarre to think that I go back every 3 weeks for more chemicals to be pumped directly into my veins.  
On the other hand, the options are few and the chemo seems to be doing the job.
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Thank you for your continued thoughts and prayers.  
Blessed be God, Who has not turned away my prayer, Nor His lovingkindness from me. (Psalm 66:20 NAS)
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Dan Simon
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NOVEMBER 22, 2009
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We met with two different oncologists on Friday November 20, 2009 and received reasonably good news.
The news item we were waiting to hear about was the result of the CT scan of November 13, 2009.  Both 
doctors agreed that the CT demonstrated substantial reduction in size of lymph nodes since the previous CT in 
September.  This means the current treatment is working well and there is no reason to hit me with a stronger chemo.
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Remarks from CT report:  The liver, spleen, adrenal glands, appear normal. The pancreas also appears normal.
The previously demonstrated on lymph node enlargement at multiple sites in the abdomen and retroperitoneum 
show marked interval improvement.  Multiple sites of pelvic lymph node enlargement also demonstrate marked 
interval improvement.  The report goes on to name certain lymph nodes, calling out their previous size in centimeters
and their current improved (reduced) size. 
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My primary oncologist (Doctor 'G') has previously refused to talk about a stem cell transplant because we needed to 
address and fix certain problems in the proper order.  Now that both doctors have seen improvement in lymph node size, 
Doctor 'R' made the comment that the transplant is still on the table.  In reference to the transplant, Doctor 'G' commented, 
"We will discuss transplant details at a later time.  We don't want to miss an opportunity, but there are also risks 
involved that we need to talk about."

Results of Blood Work:  Blood levels are recovering nicely.  Hemoglobin is at 11.6 (normal 13.0-17.3). 
Hematocrit 35.3 (normal 39.0-50.2).  White Blood Cell Count is at 6.2 (normal 4.0-10.0).  
In August, due to a platelet count of 25 (normal 150-450), I was instructed to stay away from knives, sharp objects 
and was warned, DO NOT WASH THE DISHES :)   Platelets have rebounded nicely and are now at 226, well into 
the normal range.  Back to washing dishes :(       
Doctor 'R' commented that my bone marrow is recovering nicely.

After meeting with the doctors, I proceeded to the infusion area where I received the next round of chemo on 
Friday and again on Saturday.  The treatment went well with no negative reactions.
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A GREAT REMINDER FROM THE CREATOR

2 "I am the LORD your God, who brought you out of the land of Egypt, out of the house of bondage.
3 "You shall have no other gods before Me.
4 "You shall not make for yourself a carved image, or any likeness of anything that is in heaven above, or that is in 
the earth beneath, or that is in the water under the earth;
5 you shall not bow down to them nor serve them. For I, the LORD your God, am a jealous God, visiting the iniquity 
of the fathers on the children to the third and fourth generations of those who hate Me,
6 but showing mercy to thousands, to those who love Me and keep My commandments. (Exo 20:2-6 NKJ)

QUESTION...Can we, have we, made or worshiped other gods?  I have! And I repent of it.  In my youth
I prayed to another human being, in addition to Jesus Christ.  I knelt before a carved image of that person and prayed
to that person.  Am I mistaken or does verse 5 above, say that doing so is a way of demonstrating hate for GOD?

GOD ALSO SAYS IN ISAIAH
8 I am the LORD, that is My name; And My glory I will not give to another, Nor My praise to carved images. (Isa 42:8 NKJ)

If we praise and glorify one other than GOD for answering our prayer, are we not provoking GOD? 
Is that not getting directly in GOD'S face according to the verse in Isaiah?  If the bible is GOD'S word, and it is, 
we should give serious thought to the verses and precepts within it.

May GOD bless you all.
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NOVEMBER 4, 2009
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Haven't felt perky for a few days.  I'm either a big wimp or my body is telling me to rest.  The good news is, 
Lymph Nodes are reducing!  I also received a call yesterday from the Bone Marrow Transplant Coordinator.
She seems to be pushing for the transplant sooner than later.  Don't want it too soon!  We need to be in remission 
or very close to remission before the transplant.  The chemo that is used to kill all my remaining bone marrow 
prior to transplant will finish the job of remission.

CT Scan scheduled for November 13, 2009.  The doctors want to take a look at internal lymph nodes to 
see if they are reducing in size.  If I dare make a judgment based on the surface lymph nodes, then I can 
give them their answer....A resounding YES, they are reducing.

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OCTOBER 30, 2009
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Treatment again today and tomorrow. 
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OCTOBER 9, 2009
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The infusion of Rituximab went much better today with the exception of itching and hives.  My infusion nurse stopped the 
flow on Rituximab until the hives and itching went away.  It took about 2 1/2 hours for the hives to vanish.  Also received the 
other chemo, (Bendamustine) without any problems.  It was a nine hour day at the cancer center, but will shorten some in 
the future as my body becomes acclimated to Rituximab. 
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OCTOBER 8, 2009
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WOW!  That wasn't much fun! The prescribed amount of Rituximab for my body mass is 800 milligrams. Today I was 
to receive 100 milligrams and the remaining 700 milligrams tomorrow.  We couldn't get more than 50 milligrams in before 
experiencing a solid case of Rigors Disease.  Rigors Disease is similar to the chills and shaking that a Malaria
victim experiences.  
We're doing good now, but we have 700 milligrams of that same stuff scheduled for tomorrow.  Reactions are most severe
upon first dose, so maybe the 700 milligrams will go a little better.  
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OCTOBER 7, 2009
Treatments resume tomorrow
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PRAYER REQUEST FOR BEATRICE
Beatrice is the two year old granddaughter of a good friend.  She has recently experienced a second 
broken leg for no apparent reason.  She has a sweet countenance and refers to her cast as her boot. 
Once the cast comes off, she will have tests to help doctors understand what's going on with her bones.
Please support Beatrice in prayer!   
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OCTOBER 2, 2009
THE NEW PLAN IS THE OLD PLAN
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We had our meeting today at U of M concerning the biopsy results and then developed a treatment plan.
The biopsy results came back and are viewed as rather good news compared to what they could have been.  
There was the suspicion that the CLL had transformed itself into a very aggressive form of lymphoma.  It has not! 
The CLL has remained as CLL but with aggressive tendencies.  YES, it is more aggressive than it used to be, 
but NO, it has not transformed itself into the really bad stuff...Thanks for your prayers!
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TREATMENT:
My case was presented to the U of M lymphoma doctors at their weekly conference along with biopsy results.  
Due to the great response that was achieved in the blood using Bendamustine on the first cycle of treatment, 
they believe that the same treatment will start to reduce lymph nodes after two or three more cycles.   Administering 
chemo to the lymph system is a much slower process that pumping it directly into the blood stream.  We will go 
back to using Bendamustine but will also add Rituximab to the treatment.  Rituximab is an antibody that will kill 
some cells on its own but more importantly will have the effect of painting a bull's-eye on cancer cells.  It marks the 
cancer cells with a marker that the chemo recognizes to go after for destruction.  *Antibodies are an integral part of the 
body's immune system.  Normally, the body creates antibodies in response to an antigen (such as a protein in a germ) 
that has entered the body.  The antibodies attach to the antigen in order to mark it for destruction by the immune system.
*www.chemocare.com

TREATMENT RESUMES OCTOBER 8th AND 9th.
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WHY LARGER
Why did my lymph nodes get much larger after the first cycle of treatment?  We don't know for sure.  One possibility 
that was suggested yesterday, is that my immune system recognized that something big (Chemo) was happening and it pumped 
a large number of infection fighting white cells into the lymph nodes, which after all, are part of the immune system. 
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WHAT ABOUT THE BONE MARROW TRANSPLANT
The doctor had commented, "The bone marrow transplant is postponed indefinitely."  I then said, "Let's clarify, 
do you mean, first things first, we have bigger fish to fry at this time."  To which he answered, "YES."
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SEPTEMBER 24, 2009
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We received two calls today from U of M Comprehensive Cancer Center.  

The main oncologist following me, wants to present my case at the weekly conference attended by all 
lymphoma doctors.  Since the biopsy results have not come back from the lab, the lymphoma conference 
and my meeting with the doctors have both been moved to October 2, 2009.  I'm okay with that.  Besides, 
the disease seems to be napping at the moment.  No night sweats and no pain.

We also received a call from the Bone Marrow Transplant coordinator.  She informed me that they will be 
sending another blood drawing kit to my two matches, Mike and Sue.  Their blood will be tested for additional 
markers to see which one of them would make the best match.  *Doctors look for a donor who matches their 
patient's tissue type, specifically their human leukocyte antigen (HLA) tissue type. HLAs are proteins — or 
markers — found on most cells in your body. Your immune system uses these markers to recognize which 
cells belong in your body and which do not. The closer the match between the patient's HLA markers and 
donor, the better for the patient.  
*www.marrow.org 

THE ULTIMATE MATCH
Jesus Christ is the Lamb of God who takes away the sins of the world! (Joh 1:29 NKJ)  The lamb has a book
of names referred to in the bible as the Lamb's book of Life.  The ultimate match is whether or not our name matches 
one of the listings in the Lamb's Book of Life. God is going to re-create the heavens and the earth and only those 
who's names are listed in the Lamb's Book of Life will be part of his awesome new creation.  
Read what God says about this new creation:  
Revelation 21:1 Now I saw a new heaven and a new earth, for the first heaven and the first earth had passed away. 
Also there was no more sea.  2 Then I, John, saw the holy city, New Jerusalem, coming down out of heaven from God, 
prepared as a bride adorned for her husband.  3 And I heard a loud voice from heaven saying, "Behold, the tabernacle 
of God is with men, and He will dwell with them, and they shall be His people. God Himself will be with them and be their God.
4 "And God will wipe away every tear from their eyes; there shall be no more death, nor sorrow, nor crying. There shall be 
no more pain, for the former things have passed away."
(Rev 21:1-4 NKJ)

Can you imagine a new creation where there will be no more death, nor sorrow, nor crying and no more pain.  How can
one be saved and your name match one of the listings in the Lamb's Book of Life? 

O
ne more piece of scripture to consider from the book of Romans:
8 But what does it say? "The word is near you, in your mouth and in your heart " (that is, the word of faith which we preach):
9 that if you confess with your mouth the Lord Jesus and believe in your heart that God has raised Him from the dead, you will be saved.  10 For with the heart one believes unto righteousness, and with the mouth confession is made unto salvation.
11 For the Scripture says, "Whoever believes on Him will not be put to shame." 
(Rom 10:9-11 NKJ)

Thank you for your prayers,
Dan Simon

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SEPTEMBER 22, 2009
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Biopsy went well.  We avoided severing blood vessels and nerves...That's a plus!  We will see U of M 
doctors this Friday to re-establish a plan for treatment.

ASK, SEEK, KNOCK
7 "Ask, and it will be given to you; seek, and you will find; knock, and it will be opened to you.
8 "For everyone who asks receives, and he who seeks finds, and to him who knocks it will be opened.
9 "Or what man is there among you who, if his son asks for bread, will give him a stone?
10 "Or if he asks for a fish, will he give him a serpent?
11 "If you then, being evil, know how to give good gifts to your children, how much more will your Father 
who is in heaven give good things to those who ask Him!
12 "Therefore, whatever you want men to do to you, do also to them, for this is the Law and the Prophets.
(Mat 7:7-12 NKJ)

One day in the early 1970's while walking under the stars, I sought God with all my heart, and guess what!
I found him!  His name is Jesus Christ.  That was a personal decision, not a religious activity.  Empty religious activity
will never put us on the path leading to the narrow gate that Jesus talked about, the gate into his kingdom.
God's plan from the beginning of time was for his son Jesus to take the punishment that was due Dan Simon,
redeeming me back into God's favor.  It's personal, it's simple, and it is repenting.

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SEPTEMBER 19, 2009
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No night-sweats, no pain, no infection, no spaghetti, no meat balls...shucks about the meat balls!  
On a serious note, the doctors want to be informed immediately when and if infection sets in.  I assume 
it can become a huge issue due to a suppressed immune system. 
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Don't Waste Your Cancer Click to read
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SEPTEMBER 18, 2009
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U of M called today with results of this weeks blood test.  White count is climbing again.  It's at 14,000.
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BIOPSY SCHEDULED for SEPTEMBER 22, 2009
We have a biopsy scheduled for September 22, 2009 in order to determine exactly what kind of cells we are dealing with. 
CLL, though very treatable has been know to transform itself into a different genetic makeup becoming more aggressive.  
The biopsy results will help doctors determine which treatments are not appropriate and what direction to turn to in the future.
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WEEK OF SEPTEMBER 7, 2009
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Because of the enlarged painful lymph nodes, U of M has requested that we get a CT Scan Thursday September 10, 2009. 
I am scheduled for a blood draw, checkup and chemo on Friday September 11, 2009.  The scan will help doctors determine 
what is going on in my abdomen and neck.

At Friday's appointment we all looked at the CT Scans and discovered that last months chemotherapy did nothing for the lymph 
nodes.  In fact they have become much larger since the therapy.  The doctors called off the chemo for Friday and Saturday.  
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AUGUST 25, 2009
ONE MORE TRANSFUSION
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My blood is drawn locally for testing once a week, with the results faxed up to U of M.  After receiving the 
results August 24, I was called back up to U of M hospital August 25, for one more transfusion of 2 units of blood.
My hemoglobin level had again dropped to 6 or 7.
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WEEK OF AUGUST 17, 2009
OUCH
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A Lymph node in my armpit has enlarged to the size of a golf ball and is painful.  Since that time it has gotten larger but 
is no longer painful.  After talking to U of M about the large lymph node, we all held out hope that it had enlarged due 
to treatment (dead cells) and not from disease.  My white count had gone from 292,000 to 3,000 in just a few weeks.  
Night-sweats have also increased.  That's not a good sign.  Also had some serious pain in my abdomen near my spleen.

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AUGUST 14-15, 2009
START CHEMOTHERAPY
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Received Bendamustine intravenously both days.

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AUGUST 5, 2009
VISITED ER AND WAS RE-ADMITTED FOR ONE MORE NIGHT
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Visited the Emergency Room on the advise of two different nurses and was re-admitted for another night.  The PICC line had 
become infected.  Received an intravenous antibiotic and went home the next day with a scrip for a very powerful antibiotic.

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AUGUST 4, 2009
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Was discharged with a PICC line in my arm for future use.   We went back to the hospital the next day to deliver a gift to 
my former roommate.  While I was there, we had two different nurses look at the PICC line in my arm and they both highly 
suggested that I go down to ER and have it removed, as it had become infected. 
 
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JULY 31, 2009
6-MONTH CHECK UP
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Arrived early to have blood drawn for testing and proceeded to my appointment. When the blood tests came in, the doctor 
informed me that he had the answer to the mystery of the pounding heart and shortness of breath.  My blood counts were so far 
from normal that the high white count had invaded my bone marrow to the point of crowding out and greatly reduced the cells 
that produce oxygen-carrying hemoglobin.

The doctor immediately admitted me to U of M Hospital where I stayed for 5 days receiving two different blood transfusions and 
having my blood tested 3 or 4 times a day.  Was approached by the Bone Marrow Transplant team and informed that a transplant is a possibility.  A Bone Marrow Transplant is considered curative which is a word that has never been used in the same sentence as CLL until now.   Had a bone marrow biopsy and was released August 4, 2009.  

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SUMMER 2009
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Shortness of breath and heart pounding slowly worsening over summer.  On one occasion, I walked back to our shed to get 
a friend’s garden tool and when I got back to the house my heart was pounding extremely hard.  I commented to Linda, “Either 
my blood counts are way out of kilter or I have a bad heart valve."  Linda made an appointment with a heart specialist for 
August 3, 2009 and I was also due for a regular check up at U of M Cancer Clinic three days before on July 31, 2009.

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FEBRUARY 2009
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Helped pastor Ron shovel snow from his driveway and noticed some shortness of breath.  
Boy do I need to get back into shape!
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.2007
3.5 YEARS OF PERFECT BLOOD COUNTS
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   August 2007 
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NOVEMBER 2004
STARTED TREATMENT
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Chemotherapy was Fludarabine and Rituximab.  Those two therapies brought the white cells down nicely but did not 
reduce the size of my lymph nodes. Cytoxan was added which successfully reduced the lymph nodes.
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1999 - 2004
PURPOSELY DELAYED TREATMENT

I held off as long as I could before having chemotherapy. There were advantages in waiting.

Prior to treatment, August 2004
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MAY 1999

UNIVERSITY OF MICHIGAN COMPREHENSIVE CANCER CENTER

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Met with the oncology team at University of Michigan Comprehensive Cancer Center.  After a blood test, a rather quick consensus was formed by a team of doctors. We were looking at the disease called CLL or Chronic Lymphocytic Leukemia.

I was told that CLL affects each patient uniquely.  My mother had been dealing with it for at least 10 or 12 years when I was diagnosed.  She had no visual signs of enlarged lymph nodes. In my case, it looked as though the disease was going to invade my lymph nodes as well as my blood.  We were told that CLL is very treatable but not curable.  When referring to various treatments the doctor commented, “There are only so many bullets in the gun.”  After you use a certain treatment it will likely be less effective next time you use it.  Eventually you run out of effective treatments, which is what happened to my mother.  Mom went to be with the Lord in October 2007.
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SEPTEMBER 1997

FIRST INDICATION OF CLL

In August or September of 1997 I was playing racquetball with a friend who noticed a small lump on my neck.