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I learned two things today. First, my oncologist is just as goofy and rattlebrained as ever. Second, my M-protein level, which is a pretty good proxy for the level of cancerous cells in my bone marrow, is down from 0.9 to 0.7. That’s after two months on the new meds. Next week I’ll get a reading after three months on the meds.

Lower is better, so things are moving in the right direction. I’m not sure I’ll ever get to zero, but getting the levels down and slowing the recurrence of progression is still good news.1

1Actually, it’s the only possible good news. Generally speaking, multiple myeloma is not curable in the usual sense. The best you can do is reduce the level of myeloma as much as possible in order to delay the onset of “progression”—i.e., rapid growth of cancerous cells. Progression will inevitably recur at some point, and when it happens it probably means another round of chemotherapy. In the best case, it will take five or more years for this to happen, at which point there might be better therapies available than we have today. Another five years after that and maybe the nanobot revolution will have arrived. Stay tuned.

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