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    The Burden of Conrol – Chapter 11

    Story written on November 5, 2005 by tibette99.
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    39 votes, average: 3.46 out of 539 votes, average: 3.46 out of 539 votes, average: 3.46 out of 539 votes, average: 3.46 out of 539 votes, average: 3.46 out of 5 (39 votes, average: 3.46 out of 5)
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    Number of Comments: 10
    Words: 9889
    Story Shortlink: https://lesfan.com/?p=57452
    Author Notes:

    The LONG awaited Diagnosis

    Kit: But aren’t white blood cells good?

    Dr. Harris: Yes. One of the most important jobs of a white blood cell is to fight off infections. But
    that’s only the case when the cells are matured. The cells in Bette’s
    body aren’t maturing properly. When we classify leukemia, we first
    determine whether or not the cancer is acute or chronic. When
    a person has chronic leukemia the cells eventually mature but are not
    considered ‘normal’ and usually remain in the bloodstream longer than
    usual, hampering their ability to fight off infection. They are still somewhat able to function, although not as efficiently as a healthy, normally maturing cell.

    Kit: And Bette’s Leukemia is acute?

    Dr.
    Harris: Bette’s cells aren’t maturing at all and they’re accumulating
    rapidly in her bloodstream and marrow. It’s compromising her immune
    system and she’s already had a difficult time fighting off infection,
    so it’s imperative that we start treatment immediately.

    Kit: If you can’t operate, how do you treat it?

    Dr. Harris: The standard treatment for AML is chemotherapy. It’s
    a systematic management approach, treating the body as a whole rather
    than focusing on a specific area. Like I said before, the idea is to
    get the body into remission where it is producing normal blood cells
    once again.

    Bette: (suddenly) Will my hair fall out?

    Dr.
    Harris: The drugs used in chemotherapy are designed to destroy rapidly
    dividing cells, like cancer cells. Unfortunately, they also typically
    affect cells found in hair follicles and as a result many patients are
    faced with hair loss. It’s called alopecia and it is a temporary
    condition. Generally hair begins to regrow 4-6 weeks after treatment ends. And
    there are many factors that determine the extent of hair loss found in
    patients. It really can range from some hardly noticeable thinning of
    the hair to total hair loss.

    Kit: What ifwhat if the chemotherapy is unsuccessful? Can you try something else?

    Dr. Harris: Chemotherapy is broken into stages: remission induction phase and postremission phase. The object of the first is to destroy the leukemia cells in the bloodstream and marrow. On
    average, more than half of all patients with AML will have a positive
    response to the first round of treatment. Once in remission another
    cycle of chemotherapy will be given to destroy any remaining,
    undetectable leukemic cells to prevent a relapse. Then we determine if a stem cell transplant is warranted.

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    Comments

    1. First hurray!!!!!!!!!!!!!!! tina get your ass home now!!!!!!!!!!!!!!!!!! this is heartbreaking but good she can’t lose her but I know she willl post now!!!!!!!!!!!!!

    2. Thank you…thank you…thank you…I’ll forgive you for taking so long with this chapter ONLY if you promise to keep going with it. Thsnks for emailing and giving me the heads up on it.Well I assumed it was cancer from the get go…your CLIFFHANGER left us with the indication of what was to come.The medical terms were tricky…but you explained them well.Bette has to let Kit help her…she can’t take this all on by herself. What about Tina? And now that she knows about the baby. Glad she called Alice, to see her reaching out to a friend. She hasn’t talked to her or any other the other girls in a while, right?Ok. Now that you’ve left me wanting more…WRITE WRITE WRITE (j/k) :)

    4. So sad yet so real. Bette needs to talk to some one, Alice is the next best thing to Kit. What will Tina do,Bette will reject her now. She will fight this with Kit and Alice. Tina want give up tho. She will fight Bette every step of the way. she will want to be with Bette and Bette will not accept her pity. thanks

    5. this is very sad, i have a friend who just found out that her little 4 y.o. girl has a leukemia and it’s devistating, i hope you won’t kill bette, i’d rather her to be an alcoholic than dying…and i hope alice will tell tina so she can come home and be with bette

    8. when cancer is present it is realy rare, a happy ending is in site…As hard as it will be to read this story, do to the fact that some one close to me is going threw a simular situation, I am looking forward to where you take this and remember it’s fiction so realy Bette could bounce back.*wink* Thanks a bunch.

    9. tibette..so glad to see you back here. Promise not to leave us hanging as long this time? : ) Missed you. Please have her call Tina…she needs her the most.

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