Bad news

The bad news. There is CLL in the blood again It is not welcome back.

Worse news. It is aggressive, ZAp 70 +, CD 38 +, and 11 q del.

Worst news. Nodes have grown everywhere, the biggest being a conglomerate mass that is 6.4 x 3.4 cm in right mesentery. The word conglomerate is never used in a pleasant contest, is it? When you hear the word conglomerate, you best keep your head low.

Dr. Miklos was right. Nodes jump from 3 cm to 6 cm because they conglomerate. They skip.

The touch of good news. My CLL is still the same old bad boy, Zap 70 +, CD 38 +, and 11 q del. No clonal evolution.

CBC and more lab tomorrow, followed by Rituxamab. Off to the races.

Off to City of Hope now.

The next chapter is being written.