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	<title>Comments on: Does Radiation Cause or Make CLL Worse?</title>
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	<link>http://updates.clltopics.org/357-does-radiation-cause-or-make-cll-worse</link>
	<description>Dedicated to the Fight Against Chronic Lymphocytic Leukemia</description>
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		<title>By: Wladyslaw Warnenczyk</title>
		<link>http://updates.clltopics.org/357-does-radiation-cause-or-make-cll-worse/comment-page-1#comment-4664</link>
		<dc:creator>Wladyslaw Warnenczyk</dc:creator>
		<pubDate>Fri, 22 Jul 2011 17:48:48 +0000</pubDate>
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		<description>This issue needs to be readdressed since October 2009 there have been many papers written on the subject....particularly since Cedar Sinai Hospital in LA California is fighting a class action suit from 209 patients, and the FDA is running checks on other x-ray machines manufactured by General Electric.   I will provide the reference cites if you like?</description>
		<content:encoded><![CDATA[<p>This issue needs to be readdressed since October 2009 there have been many papers written on the subject&#8230;.particularly since Cedar Sinai Hospital in LA California is fighting a class action suit from 209 patients, and the FDA is running checks on other x-ray machines manufactured by General Electric.   I will provide the reference cites if you like?</p>
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		<title>By: in_awe</title>
		<link>http://updates.clltopics.org/357-does-radiation-cause-or-make-cll-worse/comment-page-1#comment-1542</link>
		<dc:creator>in_awe</dc:creator>
		<pubDate>Sat, 03 Oct 2009 19:22:57 +0000</pubDate>
		<guid isPermaLink="false">http://updates.clltopics.org/?p=357#comment-1542</guid>
		<description>There is a link between proximity to high voltage power lines and CLL. This was long denied by the power industry and the federal government, but studies have shown the correlation. our local power company now distributes an annual risk statement that includes the risk of cancer from electric blankets, electric analog clocks, and power lines.

We deliberately avoided buying any home closer than 1/4 mile to high voltage lines, but my wife used her half of our electric blanket for years (mine was off) so she got nightly doses for decades. She was diagnosed in 2002 with CLL&gt;</description>
		<content:encoded><![CDATA[<p>There is a link between proximity to high voltage power lines and CLL. This was long denied by the power industry and the federal government, but studies have shown the correlation. our local power company now distributes an annual risk statement that includes the risk of cancer from electric blankets, electric analog clocks, and power lines.</p>
<p>We deliberately avoided buying any home closer than 1/4 mile to high voltage lines, but my wife used her half of our electric blanket for years (mine was off) so she got nightly doses for decades. She was diagnosed in 2002 with CLL&gt;</p>
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		<title>By: Harley</title>
		<link>http://updates.clltopics.org/357-does-radiation-cause-or-make-cll-worse/comment-page-1#comment-1055</link>
		<dc:creator>Harley</dc:creator>
		<pubDate>Tue, 07 Jul 2009 12:58:23 +0000</pubDate>
		<guid isPermaLink="false">http://updates.clltopics.org/?p=357#comment-1055</guid>
		<description>Retired Toolmaker...

BMT is easier to type than &quot;bone marrow transplant&quot;.  Sorry if I wasn&#039;t clear! 

Harley</description>
		<content:encoded><![CDATA[<p>Retired Toolmaker&#8230;</p>
<p>BMT is easier to type than &#8220;bone marrow transplant&#8221;.  Sorry if I wasn&#8217;t clear! </p>
<p>Harley</p>
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		<title>By: gjdavis60</title>
		<link>http://updates.clltopics.org/357-does-radiation-cause-or-make-cll-worse/comment-page-1#comment-1054</link>
		<dc:creator>gjdavis60</dc:creator>
		<pubDate>Mon, 06 Jul 2009 03:41:16 +0000</pubDate>
		<guid isPermaLink="false">http://updates.clltopics.org/?p=357#comment-1054</guid>
		<description>Sorry to come late to this discussion.  I was diagnosed w/ CLL/SLL in 2002, but then in 2004 was also diagnosed with seminoma (testicular cancer).  The cure rate for early-stage seminoma is &gt; 90%.  For stage 1 disease, such as mine, once the tumor is removed there is a surveillance protocol that monitors the retroperitoneal lymph nodes and the lungs for recurrence.  The protocol calls for CT scans of the abdomen and pelvis along with chest x-rays every 4 months for the first three years, with decreasing frequency after that.  

I brought my concerns, along with documentation supporting the accuracy of MRI, to my oncologists, who consulted with the medical center&#039;s radiologists and then agreed to go with MRI instead of CT for my surveillance.  In our discussions, I learned that my lymphoma doc was very comfortable reading CT films, but not so much with MRI (perhaps another reason that CT is more frequently ordered).  Also, as Chaya points out, the MRI is more expensive than a comparable CT (at least on my EOB&#039;s).  

The potentially harmful side effects of CT contrast are fairly well-known, but there are also serious possible side-effects from the gadolinium contrast given with MRI.  After my baseline MRI, we decided to forego any more contrast, as lymph nodes are apparently very easy to pick out on either CT or MRI without it.  

If it was just one or two scans, I probably would not have bothered lobbying for an alternative, but the prospect of more than 12 scans in less than 5 years motivated me to do something.  

I do not believe that exposing folks with compromised immune function to mutagenic agents like ionizing radiation is a good idea unless the benefits clearly outweigh the risks.  One only needs to review the literature detailing how we fare with skin cancers to arrive at this conclusion.

It is also interesting to note the differences in attitude between my GU and Hem. docs.  The GU guys have a treatment protocol that is 95% effective, even though it can involve fairly harsh radiation therapy, surgery, and/or platinum-based chemo.  When I raised my concerns about CT radiation with the GU staff, I was initially rebuffed and my concerns dismissed.  It was my Hem-Onc who first entertained my concerns and followed-up with the others, who then acceded to an alternative imaging modality.  I attribute this difference to the fact that CLL has no &quot;cook book&quot; solution and so requires a much more thoughtful and individually-tailored approach.</description>
		<content:encoded><![CDATA[<p>Sorry to come late to this discussion.  I was diagnosed w/ CLL/SLL in 2002, but then in 2004 was also diagnosed with seminoma (testicular cancer).  The cure rate for early-stage seminoma is &gt; 90%.  For stage 1 disease, such as mine, once the tumor is removed there is a surveillance protocol that monitors the retroperitoneal lymph nodes and the lungs for recurrence.  The protocol calls for CT scans of the abdomen and pelvis along with chest x-rays every 4 months for the first three years, with decreasing frequency after that.  </p>
<p>I brought my concerns, along with documentation supporting the accuracy of MRI, to my oncologists, who consulted with the medical center&#8217;s radiologists and then agreed to go with MRI instead of CT for my surveillance.  In our discussions, I learned that my lymphoma doc was very comfortable reading CT films, but not so much with MRI (perhaps another reason that CT is more frequently ordered).  Also, as Chaya points out, the MRI is more expensive than a comparable CT (at least on my EOB&#8217;s).  </p>
<p>The potentially harmful side effects of CT contrast are fairly well-known, but there are also serious possible side-effects from the gadolinium contrast given with MRI.  After my baseline MRI, we decided to forego any more contrast, as lymph nodes are apparently very easy to pick out on either CT or MRI without it.  </p>
<p>If it was just one or two scans, I probably would not have bothered lobbying for an alternative, but the prospect of more than 12 scans in less than 5 years motivated me to do something.  </p>
<p>I do not believe that exposing folks with compromised immune function to mutagenic agents like ionizing radiation is a good idea unless the benefits clearly outweigh the risks.  One only needs to review the literature detailing how we fare with skin cancers to arrive at this conclusion.</p>
<p>It is also interesting to note the differences in attitude between my GU and Hem. docs.  The GU guys have a treatment protocol that is 95% effective, even though it can involve fairly harsh radiation therapy, surgery, and/or platinum-based chemo.  When I raised my concerns about CT radiation with the GU staff, I was initially rebuffed and my concerns dismissed.  It was my Hem-Onc who first entertained my concerns and followed-up with the others, who then acceded to an alternative imaging modality.  I attribute this difference to the fact that CLL has no &#8220;cook book&#8221; solution and so requires a much more thoughtful and individually-tailored approach.</p>
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		<title>By: snovack31</title>
		<link>http://updates.clltopics.org/357-does-radiation-cause-or-make-cll-worse/comment-page-1#comment-1053</link>
		<dc:creator>snovack31</dc:creator>
		<pubDate>Mon, 06 Jul 2009 02:06:47 +0000</pubDate>
		<guid isPermaLink="false">http://updates.clltopics.org/?p=357#comment-1053</guid>
		<description>Hi Chaya,

I was recently looking at CLL Topics and rereading information and noted that this was the anniversary of PCs passing. Heartfelt thoughts go to you and your daughter and her family.

Endicott Johnson&#039;s in Dormont, PA did the &quot;cool&quot; X-Rays on my feet to see if my shoes were fitted correctly when I was a child. I don&#039;t know if this contributed to my CLL diagnosis or not. 

Wouldn&#039;t it be interesting if we made a grid of all the ways we were exposed to carcinogens and came up with a reason for CLL? Then, perhaps we could also have an impact on finding a cure or preventing more cases from appearing.

Stay well!
Stephanie</description>
		<content:encoded><![CDATA[<p>Hi Chaya,</p>
<p>I was recently looking at CLL Topics and rereading information and noted that this was the anniversary of PCs passing. Heartfelt thoughts go to you and your daughter and her family.</p>
<p>Endicott Johnson&#8217;s in Dormont, PA did the &#8220;cool&#8221; X-Rays on my feet to see if my shoes were fitted correctly when I was a child. I don&#8217;t know if this contributed to my CLL diagnosis or not. </p>
<p>Wouldn&#8217;t it be interesting if we made a grid of all the ways we were exposed to carcinogens and came up with a reason for CLL? Then, perhaps we could also have an impact on finding a cure or preventing more cases from appearing.</p>
<p>Stay well!<br />
Stephanie</p>
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		<title>By: Retired Toolmaker</title>
		<link>http://updates.clltopics.org/357-does-radiation-cause-or-make-cll-worse/comment-page-1#comment-1051</link>
		<dc:creator>Retired Toolmaker</dc:creator>
		<pubDate>Sun, 05 Jul 2009 20:42:09 +0000</pubDate>
		<guid isPermaLink="false">http://updates.clltopics.org/?p=357#comment-1051</guid>
		<description>Retired Toolmaker:

 Chaya, Thanks for all of the info on CLL. I really enjoy your articles. I especially enjoy reading all of the COMMENTS. I usually understand what the comments are about, but I somehow missed something on Harley,s comment on June 28th, 2009 at 8:23 am. What does BMT stand for ? 

Thanks for any help you can give me.</description>
		<content:encoded><![CDATA[<p>Retired Toolmaker:</p>
<p> Chaya, Thanks for all of the info on CLL. I really enjoy your articles. I especially enjoy reading all of the COMMENTS. I usually understand what the comments are about, but I somehow missed something on Harley,s comment on June 28th, 2009 at 8:23 am. What does BMT stand for ? </p>
<p>Thanks for any help you can give me.</p>
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		<title>By: ravengirl62</title>
		<link>http://updates.clltopics.org/357-does-radiation-cause-or-make-cll-worse/comment-page-1#comment-1049</link>
		<dc:creator>ravengirl62</dc:creator>
		<pubDate>Sat, 04 Jul 2009 00:31:56 +0000</pubDate>
		<guid isPermaLink="false">http://updates.clltopics.org/?p=357#comment-1049</guid>
		<description>I was diagnosed with CLL in March of 2008. March seems to be a bad month for me as I was diagnosed with a colloid cyst of the third ventricle ( in plain english its a brain tumor) in March of 1999. I cant even begin to count how many ct scans and MRI&#039;s I had while I was having this dealt with. Countless. Before the surgery and after. Now that I have been diagnosed with CLL my oncologist has mentioned to me that in his opinion, radiation is what causes CLL. He has asked me if I was exposed to radiation for any reason and when I told him of the brain tumor and the ct scans he just nodded and said hmm. This has been in the back of my mind ever since and coming across this very interesting article has brought it to the foreground once again. Although cancer runs rampant in my family, no one has ever had a blood cancer before. Thanks Chaya for such an informative article and for giving us something to think about once again. This site and the original site are immeasurable in its value to us dealing with the dragon. Thanks so much for your time and love for us all. We miss PC so very much as do you and your family I am sure. He was a treasure and so are you all.
Wendy</description>
		<content:encoded><![CDATA[<p>I was diagnosed with CLL in March of 2008. March seems to be a bad month for me as I was diagnosed with a colloid cyst of the third ventricle ( in plain english its a brain tumor) in March of 1999. I cant even begin to count how many ct scans and MRI&#8217;s I had while I was having this dealt with. Countless. Before the surgery and after. Now that I have been diagnosed with CLL my oncologist has mentioned to me that in his opinion, radiation is what causes CLL. He has asked me if I was exposed to radiation for any reason and when I told him of the brain tumor and the ct scans he just nodded and said hmm. This has been in the back of my mind ever since and coming across this very interesting article has brought it to the foreground once again. Although cancer runs rampant in my family, no one has ever had a blood cancer before. Thanks Chaya for such an informative article and for giving us something to think about once again. This site and the original site are immeasurable in its value to us dealing with the dragon. Thanks so much for your time and love for us all. We miss PC so very much as do you and your family I am sure. He was a treasure and so are you all.<br />
Wendy</p>
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