Life With HCL
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How my life went on with HCL

 After reading a lot of stories of HCL-patients on the net, I now want to tell about my experiences with this disease.  My name is Henk Schenning.  I am 68 years old and I am living in Bladel, a village in the southern part of The Netherlands. I am married to Corry. We have two lovely children and three adorable grandchildren. During our marriage, we have known several periods of serious illness, my dear Corry and me. Sometimes it even seemed that we would lose each-other.

 On February 8th 2000 I became ill again. I felt tired and sick and I had a fever. About a year before, it all started. I was often tired, but I thought that it was because of my age. I had several infections and fevers. Therefore I used antibiotics, but they didn’t help me much. After a few weeks, my local doctor who is called Lathouwers, sent me for a bloodtest to doctor Keuning. Keuning is an oncologist at the Saint Jozef Hospital in Veldhoven. We met in the end of March and on April 4th he told me that I had HCL. We were shocked, my wife and me. We knew what Leukemia would lead to. We knew several people in our village who had died of leukemia. However, we had never heard of HCL. After a couple of minutes we understood that HCL is a rare type of leukemia and that there was a big chance that I would stay alive. Nevertheless, this disease would never disappear. I was told that I would not die because of HCL, but rather because of all its complications, like infections. So I should be aware of pneumonia and so on. Keuning told me that I was his second HCL-patient in ten years. This kind of leukemia appears 12 to 15 times a year in The Netherlands. Our oncologist did the best he could, to comfort us. But I didn’t feel happy and I was worried about being only his second HCL-patient. The doctor replied that he had intervision with a team of specialists.

 Test results:

·        A lack of vitamin B12

·        Vitamin B12                   120 pmol/1         (min. 150 - max. 700)

·        Erytrocytes                     2.76 10E12/1      (min 4.5 - max 5.5)

·        Leukocytes                     3.6 10E9/1           (min 4.0 -  max 10)

·        Trombocytes                   40 10E9/1           (min 150 – max 400)

·        HB                                     5.7

 Because we didn’t know much about the disease, we surfed the internet and read medical literature. On internet we met Woody Hanford and Joop Pordon. They helped us, especially during these first frightening days, when we were thinking about death. But also later on they helped us, by answering our questions about chemotherapy and by telling their emotional experiences.

 In hospital they gave me injections with vitamins; I had a bony-marrow-punction and an X-ray check-up. My spleen seemed to be enlarged only 1 centimeter, so that was good news. I think that it was for this enlargement that I had had so much pain, especially in the beginning of my disease. Because of the pain I could not get into my bed alone, even when I was sitting upright. Nowadays I still have got pain in the spleen from time to time. To recover from HCL, I got several blood transfusions and afterwards also chemo-medication with pentostatin. That was to be the best cure in my case. The whole process would take one year. We weren’t happy, but the prospects weren’t that bad.

 In the end of May, the oncologist told me that the blood transfusion hadn’t worked out in the way it was planned. Testresults: HB 5.3, Leukocytes 3.0, Trombocytes 50. That’s why he proposed to start with pentostatine. After another two blood transfusions and five chemotherapies this were my test results: HB 6.6, Leukocytes 0.3, Trombocytes 75. Because of the risk for infection, my wife didn’t accept any visitors in our house. It was as if we lived in quarantine. In that period our son got married. Wearing a mouth-protection-mask, I could enjoy his wedding for a couple of hours. I couldn’t let this happening slip away through my hands, because I love my son! I had talked about all precautions with my oncologist and Joop Pordon. Thank you Joop!

 In July the oncologist said that I was doing well. He stopped the chemotherapy. I got very tired and the chemotherapy was troubling me: vomit and sleep. But from that time on the blood-test-results got better, despite the other symptoms as itch on my head, skin-infections in my face, and especially stress, forgetfulness, fever and pain in the spleen. Despite all I was getting better.

 Tuesday first of August. I had a quite good day. ‘Hopefully I’m over the lowest point,’ I thought. Slowly I got more and more energy and my condition was getting better. My blood had to be checked every month and later every two months. And now, after broad a year, on March 22nd 2001: HB 9.6, Leukocytes 4.0, Trombocytes 116! Keep alert for infections, so the doctor said. But I feel good and I hope the situation will stay like this fore a while.

 Thanks to my Corry, my local doctor Dr. Lathouwers and my oncologist Dr. Keuning. And last but not least our children.

 Henk Schenning

henk.corry.schenning@hetnet.nl