Jean – Interview 23
Jean was diagnosed with chronic lymphocytic leukaemia after noticing swollen glands in her neck. After watching and waiting for a year she became tired and severely anaemic. She has since had regular blood transfusions and is taking chemotherapy tablets.
After having swellings in her neck for a couple of months Jean went to her GP. After having a blood test Jean was referred to a haematologist and was surprised how quickly the appointment came through. At the hospital Jean was shocked to be told that she had chronic lymphocytic leukaemia and could expect to live about 7 to 10 years.
Jean was started on a watch and wait regimen of check-ups with the specialist every four months. For about a year everything was fine, then she started to feel tired and had pains in her chest and arms on exertion. At her next check up the specialist explained that she had become anaemic and that the pains were caused by angina and she was at risk of having a heart attack. She was kept in hospital for three days where she was given blood transfusions and started on chemotherapy tablets.
Jean took the tablets for about two months but continued to need weekly blood transfusions because she wasn’t making any of her own blood cells. A bone marrow sample was taken and she was swapped onto stronger chemotherapy tablets (fludarabine and cyclophosphamide for 3 consecutive days each month), and the frequency of blood transfusions reduced as she had started to produce her own blood cells again.
Jean has had two courses of the fludarabine and cyclophosphamide so far and the swelling in her lymph glands has reduced considerably. The chemotherapy makes her feel nauseous and her hair is thinning. She also sometimes feels too tired to do the things she wants to do and has to pace herself and take afternoon naps. She also sometimes feels depressed.
Jean is due to see her specialist again in about two week’s time and hopes that no more blood transfusions will be needed. She expects to have two more courses of chemotherapy and then need no further treatment for a while.