Today I saw the lymphoma doctor at Jimmy's. I've always seen the same consultant in that clinic; I knew she was on holiday today so thought it would be someone new. I can't remember his name but I did see him when I was an inpatient and he was lovely.
Nothing really new. He was surprised the GP had only ordered B12, folate and ferritin bloods last week, thinks it may have been a mistake and they should have been add-ons to a FBC. But I had bloods taken today so they will get the FBC from that. I showed him the blood pressure readings from yesterday and he didn't seem too worried. He did say that I looked a bit pale, which is unusual as people normally say "ooh, you do look well" even when I feel like death warmed up. He said it's normally the systolic rate that affects dizziness and they're not too worried about the diastolic.
I said that my biggest worry is how I would know if I relapsed, now that I'm not having scans or even frequent bloods. CAR-T therapy has a less than 50% success rate, so relapse is more likely than not. I did the Aleta trial in the hope of improving those odds but, because it's a trial, we don't know. He said I'm right about all that but they will keep monitoring my bloods and, although there's no specific tests for lymphoma, they will look out for things changing, in combination with how I feel.
Originally I didn't have swollen lymph nodes in obvious places like neck, armpits and groin, they were all deep in my abdomen. He said if it does return, it could be anywhere, and at least I know what to look out for. In his experience, random scans (without other symptoms) rarely show anything. The first indicator is usually the patient "not feeling right." The danger is that every tummy ache will send me spiralling into panic.
I also asked about vaccinations. The schedule is normally determined by the CAR-T team starting six months after CAR-T. That will be September, but I'm not due to see them until October. He said he will get the schedule sent to my GP, cc me. Mind you, I believe it normally starts with flu and covid jabs and they might not be available until October.
They will discharge me from the lymphoma team back to my consultant at Dewsbury but I'll still have follow-ups in Leeds with the CAR-T team.
I think that was everything.