M-spike is down and staying down!

The M-spike is the specific marker for multiple myeloma. It is secreted by mutant plasma cells, and Richie's initial value was close to 9.0. Once the initial Velcade/Doxil/Dextamethasone treatments were given, the M-spike dropped first to around 3.5, then to 1.5, then down below 1.0 to where it's pretty much been since June. In December, the M-spike was down to a point where it's referred to as being a "trace band" where the actual value is so low it cannot be reliably measured. Basically the take home message is that the myeloma has been knocked down to molecular remission. It's still there...cowering in the shadows, waiting for a moment when Richie weakens and it can pounce. But it has been effectively beaten down to the point where it is at a standstill. On the 10th it will be four months since the transplant. Awesome.

T+24: Looking good!

Richie went back for his week-after-release checkup, and his numbers remain in normal range. Dr. Forman is very, very happy with his progress, so much so that he told him the next checkup would be in three weeks rather than next week or the week after.

I forgot to send Richie with a list of questions from me, but I have Dr. Forman's email somewhere and I should email him my questions.

We have a box of face masks but basically Richie's immune system is settling in so well Dr. Forman thinks he can go about his everyday business without worrying about germs. He also doesn't have any more restrictions on his diet...fresh fruit and veggies are back on the menu.

I still have to get those shots though. Ugh.