tag:blogger.com,1999:blog-781671514856579833.post2223979157995209466..comments2024-03-27T08:59:24.243-04:00Comments on Lympho Bob: New Info on Transformation in Follicular LymphomaLymphomaniachttp://www.blogger.com/profile/17519575154615844854noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-781671514856579833.post-14372425571159836482015-08-19T15:11:52.035-04:002015-08-19T15:11:52.035-04:00Tom, I hear what you're saying -- diagnosis is...Tom, I hear what you're saying -- diagnosis is kind of an arbitrary starting point. In some ways, we're all watching and waiting, but don't know it. The unknown w and w point began when our lymphoma started, even though we didn't know it yet. So any studies that make comparisons between watching and waiting and beginning treatment immediately are kind of working on a false basis in the first place. <br />It's interesting -- now that you have me thinking about it, I'm not I've seen too many studies that, like this one, even put a limit of what counts as watching and waiting, and what counts as "immediate treatment." Saying "less than 90 days" is kind of unusual.<br />But I suppose they need to have some kind of starting point, especially when the whole observation vs treatment issue is still so controversial, with no real solid evidence that shows one is better than the other.<br />The most important thing is being comfortable with whatever decision you make.Lymphomaniachttps://www.blogger.com/profile/17519575154615844854noreply@blogger.comtag:blogger.com,1999:blog-781671514856579833.post-25588575510648122632015-08-19T02:06:45.037-04:002015-08-19T02:06:45.037-04:00Hi Bob
Great news !
There is one thing I always a...Hi Bob<br /><br />Great news !<br />There is one thing I always asked myself about the definition of watch and wait, and its implication on outcomes.<br />Watch and wait is generally delaying treatment to the point in time, when the clinical situation makes it necessary to treat.<br />I know its a simplification, but its a rough description of what it is. If the clinical situation is advanced to that point at first diagnosis, treatment starts immediatly. The only difference to the watch and waiters, which have obviously been diagnosed a bit earlier, is a time period they have been observed without treatment. If siagnosis is too late, than one could say, that makes the difference of outcome. But what is too late ?<br />What is the meaning of 90 days watching and waiting in such a context ?<br />What about someone whe has watched and waited for 60 days ? The only difference to the 120 watch and waiter was the time. But the process of Lymphoma growth in the 60 days difference between the two, would have been the same. One knowing it, and the other not yet for the difference of the 60 days.<br />Why in general to watch and wait is another story, that is clear. Because there is no benefit in immediate treatment.<br /><br />Best regards<br />TomTom68https://www.blogger.com/profile/06801257416999076633noreply@blogger.comtag:blogger.com,1999:blog-781671514856579833.post-30857974530029332862015-08-18T19:46:40.059-04:002015-08-18T19:46:40.059-04:00Loving all the positive news you are reporting. Pl...Loving all the positive news you are reporting. Please keep posting!Anonymousnoreply@blogger.com