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Cycle 2 Begins

Matt has officially begun Cycle 2.  He is actually already half way through his treatments for this cycle.  He went in on Friday and met with the doctor in addition to receiving his injection.  The doctor was once again happy with the response so far.  They drew blood, as they normally do, to look at his levels as well as look at his IGG levels.  The IGG levels are how they plan to monitor how the cancer cells are responding to treatment.  Although the IGG proteins are not the cancer cells themselves (his cancer cells stay in the bone marrow), they are indicative of the cancer cell production in his blood.  We, of course, hope to see that number decrease with each cycle of chemotherapy.  The results of that test will be given this coming Friday when Matt meets with his doctor again.  

As far as the results we did get, all are continuing to look great.  His hemoglobin is remaining constant at a 9.2 and Matt's nephrologist was happy with this number.  His creatinine (the toxins in his blood) is continuing to drop and is now at a 2.01.  The creatinine level is how the doctors measure kidney function.  I spoke with Ogb, Matt's nephrologist, over the weekend and he estimated that his kidneys are now functioning around 40% and expects that to continue to increase.  At one point, Matt's kidneys were functioning as low as 10-12%.  Ogb was hopeful that they would eventually function close to normally again.  

Matt seems to be feeling pretty good overall.  I think the week off really helped him reenergize and his body heal.  Matt's sister, Caroline, and her boyfriend Dave flew in on Thursday night to surprise Matt for his birthday.  So after Matt's treatment on Friday we were able to run some errands and hang out for the evening.  On Saturday Matt got up and went for a nice 5 mile bike ride.  He's slowly building up some stamina and feels well enough to exercise about once or twice a week.  The doctor suggested very low impact exercise because of the lesions on his bones, so biking is a great choice.  We then went out for a nice dinner to celebrate Matt's birthday.  Sunday we all went to Top Golf and saw some friends while playing some friendly games of golf.   Matt was even able to enjoy (well kind of, despite the Bears best effort) some time with friends at the bar watching the Bears / Packers game.  Both Matt's sister and I were equally impressed with the amount of energy he seemed to have the entire weekend.  

Matt will go back again this coming Friday for his next treatment and a visit from the doctor.  His last treatment for this cycle will be a week from today then another week of rest before Cycle 3 begins.  

Currently, the doctors are estimating that it will be about 4-6 cycles before he is ready for his first bone marrow transplant.  We are working with Matt's current doctors to get transferred over to the University of Chicago for both treatment and transplant as they have a Multiple Myeloma Specialist on staff and are much more familiar with bone marrow transplants.  We are hoping that will be approved soon so we can begin to meet with the transplant team who will determine when is the best time for Matt to undergo his first self-donated bone marrow transplant. 

As always, I want to thank everyone for their unwavering support.  Matt and I are left speechless so often by the amazing amount of texts, calls, and gifts that you all have given us.  We are so thankful for everything you all have done.  There is no way to ever repay you for the love and comfort you have provided us.  We love you all dearly.

Continue to pray/dream/hope/chant that Matt continues to respond well to treatment so that we can beat this thing!

All our love,
Matt and Mandy

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