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The Kreitler Compact
Peter Gwillim Kreitler

June 2, 2006 - Day 3 - Week 9 - Mantle Cell Lymphoma Compatriot

One of the great gifts to us all through life is family and friends opening doors to new opportunities, relationships, or experiences.  Three weeks ago at the St. Matthew’s Town Fair Harry McMahan suggested I call his business associate at Merrill Lynch. He emailed me his number, and opened the door to his friend Lee who has been struggling with  MCL – mantle cell lymphoma for over two years.

We have chatted and though separated by 3000 miles, he lives and works in New York City, we are now blood brothers, of a type.  I  share his story because he is blazing a trail I too may follow one day.  His words are already revelatory for me, and contained within his journey are perhaps pearls of wisdom for all of us.

Over two years ago his primary physician, at his annual physical check up, (learning #1 – have regular check-ups)  noticed irregularities in his white blood cell count.  This led to a diagnosis and his own personal quest to find the best possible treatment available in the United States. (learning #2 – listen to all suggestions and find what works best for you)  Since there are only 3000 new MCL cases a year, he assumed, and rightly so, that only a handful of experts were available for consultation.  In a 3 month learning process he visited MD Anderson Clinic in Houston, Fred Hutchinson Clinic in Seattle and the Sloan Kettering Clinic in New York and listened most attentively to a  Dr. Leanord.  Lee discovered that he could get the latest treatment at his local hospital 5 blocks from his home in the City,  because the top fellows all consult with one another, and he was pro-active about his own health.

After 6 rounds of chemo therapy the MCL was arrested but his spleen took a dive and he had to have it removed.  He then went on a regimen where rituxin (the key drug in my program) was a part of a pill maintenance program.  He did not take my breath away with the next statement, but close.  “You know Peter, there is really no cure for MCL, it keeps coming back,” or something to that effect.  He then went on to justify why he went into experimental therapy trials. “The historic stuff wasn’t lasting for me. MCL is a tough guy to beat.”

Lee, the first person I have talked to with my specific challenge, and no wonder with only 3000 new cases yearly, spread across the country, sobered me up pretty quickly.  When he went on to talk about the mathematical norms of life expectancy at around 3-5 years and that we are in the frontier of treatment of this type of cancer, I thought to myself all who travel the road with me will be called upon for support.  I am not hiding and going down the path all by myself, that is for sure.

Lee describes where he is today as functioning on ‘automatic pilot’.  “I do what the doctors tell me, while continuing to learn as much as I can,” he went on to say. (learning #3 – partnership with doctor without abdicating our own responsibility for our own well being is the right choice).

On a personal note I inquired about the impact of the treatments on his physical well being.  I told him I call it the yo-yo effect.  I said that I feel good one day, bad the next and never really know what to expect from day to day.  He said that in his case by the 6th round he had had enough.  For two to three weeks following treatment he was exhausted, had no interest in food, and was tired of the whole ordeal. Period!

This made me pause again as treatment #3 is in process.  Then I thought:  I bet Lee was not supplementing his diet with seaweed, miso soup, sea vegetables, and The Perfect Food – the green drink made from wheat grass, spirilina, and a variety of other healthy greens that tastes like you are eating grass, unless mixed with something sweet like carrot or beet juice.

Lee and I agreed to stay in touch.  We agreed to have lunch on Nantucket one day. The food for that lunch will not be selected from my current diet, that is for sure.

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