vendredi 8 avril 2011

Dr. Terry Hamblin la LLC dans son blog: Conseils et traitement

Conseil initiaux
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mutations of mortality: Why experts do better.: What has got the CLL world talking at the moment is a paper in Cancer from the Mayo Clinic which suggests that patients treated by the CLL t...
       En deux mots faites vous suivre par des spécialistes de le LLC...

*****mutations of mortality: Your first reaction to having CLL: "What do you do first when confronted with a diagnosis of CLL? The first thing is don't panic. Three quarters of cases are diagnosed because..."

*2006*mutations of mortality: What questions shall I ask the doctor?: "One of the commonest questions that I am asked is 'What questions should I ask when I see my doctor about CLL?' This is quite a difficult o..."

*2007*mutations of mortality: CLL Guidelines: "Guidelines for the management of CLL were issued in 1988 and 1996 and these are about to be replaced by a new set of guidelines produced by ..."
*2006*mutations of mortality: Who needs treatment?: "It seems a strange question to ask; surely everybody with cancer needs treating? Let me tell you a story about prostate cancer. This has sud..."


****2010*mutations of mortality: survival curves: "Despite having had cancer for more than two years now, I never look at survival curves for my type of cancer. Why not? Because they are not ..."

*****mutations of mortality: Where are we with prognostic markers today?:  "Who should have their prognostic markers done? When I first started working in this area, I was motivated by the fact that many people were..."
*2005*mutations of mortality: What is chronic lymphocytic leukemia?: "Almost every review begins 'CLL is the commonest leukemia in the western world'. I wonder who first wrote that sentence? And is it true? Tr..."


*2008*mutations of mortality: Surgery in CLL patients: "CLL mpatients have to have operations just like anybody else. Are they at particular risk? The answer is no, not unless they have reduced pl..."

*2008*mutations of mortality: High White Counts: "Patients and doctors get very worried about high white counts. Need they be? I remember one holiday weekend spending days at the hospital w..."

*2007*mutations of mortality: Why should I get my prognostic markers done?: "I think that this is a genuine dilemma for patients with CLL. In one sense whether you know what your prognostic markers say or not is not g..."

Quand commencer a traiter?
*2008*mutations of mortality: CLL: when to start treatment: "Most patients with chronic lymphocytic leukaemia present without symptoms or signs; they are identified simply because a blood test has been..."
2007*mutations of mortality: To treat or not to treat: that is the question.: "This is a point that confuses a lot of people so I need to spell it out clearly. It has become an accepted fact that the new treatments for ..."

*2007*mutations of mortality: Watching and waiting too long: "There is no evidence that early treatment improves survival in CLL compared to watching and waiting until symptoms arrive. Because the poten..."

*2006*mutations of mortality: Weight loss in CLL: "One of the criteria for treatment of CLL is weight loss. The criterion has been lifted straight from the criteria identified for the Ann Arb..."


S'aider a maintenir sa santé
*2008*mutations of mortality: Immunodeficiency 6: "Vaccines Patients commonly ask whether they should receive vaccinations. Their enquiries have two purposes; they want to know if vaccinatio..."

*2009*mutations of mortality: Vaccination for the coming winter.: "We are entering the flu vaccination period and I have been asked for advice for CLL patients. The first thing to say is that CLL patients a..."

**2010* mutations of mortality: Exercise for fatigue.: "I have just signed up for an exercise programme similar to this one reported from the University of Alberta, Canada The video is worth watch..."

*2008*mutations of mortality: Polyphenols: natural products to treat leukemia: "I was asked a question today about polyphenols which reminded me of an editorial I wrote about them a year or so ago. I don't think this has..."

Effets secondaires réels ou supposés
*2006*mutations of mortality: Fatigue in CLL: "Many patients with CLL complain about fatigue. It is also true that many patients without CLL complain about fatigue. The commonest reason..."
*2009*mutations of mortality: Leg cramps and CLL: "Back in 1972 when I was still a trainee hematologist, my boss, Jeremy Lee Potter, told me that leg cramps were a feature of CLL. I couldn't ..."
*2007*mutations of mortality: Quality of life: "It is becoming essential that clinical trials include estimates of quality of life improvements in their assessments. Recently published is ..."

Traitements
***2010/10/9*
mutations of mortality: The ultimate FCR advice: "After all those sleepless nights fueled by dexamethasone working on CLL8 I think it right that I should put FCR into context. In this I am h..."

***2010/09/04*mutations of mortality: Update on FCR: "There has been a great kerfuffle about FCR recently. I have to admit that I was very dubious about this drug combination when it first came ..."

*2009*mutations of mortality: Who now should get FCR?: "The German CLL8 trial continues to give us useful information. For the first time one treatment arm has lead to an improvement in overall su..."
*2008*mutations of mortality: FCR: No country for old men: "Outcome of treatment for chronic lymphocytic leukemia (CLL) depends more upon the nature of the disease than the type of treatment given. De..."
*2008*mutations of mortality: A good look at FCR: "Although fludarabine, cyclophosphamide and rituximab (FCR) has long been standard treatment for CLL in America, there has hitherto been no e..."

**mutations of mortality: Splenic irradiation for CLL: "Splenic irradiation is the forgotten treatment for CLL. Perhaps it is because there is no profit to be made from it by the drug companies, b..."

*2009*mutations of mortality: Side Effects in easier language: "After Paul's comment I have rewritten the last piece to make it more understandable by patients. Recently, there has been some discussion a..."
*2009*mutations of mortality: Side effects: "Recently, there has been some discussion among CLL patients about the side effects of drugs used to treat the disease. Are there any treatme..."

*2006*mutations of mortality: CLL mistakes: "How much do general haematologists know about CLL? I have just been consulted about a patient who died of complications of treatment and I i..."

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