Physician and Nurse visits August 26 2011

Dr. Dan Pollyea came in for a visit this morning. He always asks such good questions and waits for my answers. He is pleased with how the nurses are controlling my nausea. He told me Dr. Han Myint and Dana Godec, RN would be up to see me this morning too.

A little bit later, Dr. Myint and Dana Godec, RN arrived.

Transplant Coordinator, Dana Godec, RN and Transplant Unit Director, Han Myint, MD        August 26 2011

I am scheduled for my next bone marrow on Thursday, September 1 2011 and Dr. Myint is sure the results will be back prior to my next scheduled stem cell harvest date of September 6 2011. If the bone marrow results are such that a second round of VDT-PACE would be necessary, Dr. Myint would like to do that prior to the stem cell harvest. I'm in full agreement even though this will extend my time here and away from home in Mackay, Idaho.

However, Dr. Myint thinks my bone marrow on September 1 2011 will be much improved because I am getting some many "NEW TO ME" chemotherapy agents with the VDT-PACE. The only chemo agents of those that I have received are Velcade and Decadron - all the rest are new. Dr. Myint likened that to hitting the cancer from many angles.

Dr. Myint reminded me that stem cell transplant will not cure me and that I will need chemotherapy maintenance after the transplant or tandem transplant if necessary. The tandem transplant would be done 60 days after the first transplant if my bone marrow was not showing the best response after the first transplant.

I reminded him that I live in Idaho and would prefer to get my maintenance chemotherapy after the transplant(s) in Idaho - preferably in Idaho Falls or Blackfoot and not Boise. He said he knows several Idaho oncologists and would work with me when the time arrives. Dr. Myint would remain my primary oncologist and would direct my care via the Idaho oncologists. I will still need to return to Colorado for followup visits with Dr. Myint.