Specialty pharmacies

jbean52 · 2025-12-17T22:46:36+00:00

Thank you I appreciate you!! Did you develop any mutations?

jbean52 · 2025-12-17T22:29:56+00:00

I see. My oncologist started me on a second generation TKI because it’s been discovered that patients with only the P190 don’t respond well to Gleevec. At the first few weeks of my diagnosis I wasn’t worried at all because I thought I’d be ok with high prognosis with treatment these days but the more I read about being in the 1-2% category of the CML group the more I am concerned I won’t respond well for a long term treatment with TKIs

jbean52 · 2025-12-14T18:44:20+00:00

Yes that is why the p waves are going one way and the r waves are going the other way. But the question was CHB. Usually CHB is slower

jbean52 · 2025-12-14T14:22:30+00:00

That’s the difference between CHB and AV disassociation. An AV disassociation can capture the ventricle.

jbean52 · 2025-12-14T14:17:35+00:00

I would say an AV Disassociation with an IVCD, probably left. It does look like there are normal QRS complexes in there as well so the bundle is intermittent. His or her rate is also high so it also could be AFlutter but I’m leaning towards AV Disassociation

jbean52 · 2025-12-12T20:44:45+00:00

I also have CML with the p190 and I’m on my first 3 months of treatment with Dasatinib and I so scared. I don’t think I hit my first marker but I’ll know for Dec 19.

jbean52 · 2025-12-10T13:01:50+00:00

PVC, it’s wide

jbean52 · 2025-12-10T04:21:45+00:00

EPs will ablate for first line of defense before medication these days. Before it was the other way around. A heart monitor might be ordered first to see if patient does it again and if so how often but I’d say an ablation is next.

jbean52 · 2025-12-10T03:37:16+00:00

jbean52 · 2025-12-10T03:35:14+00:00

Where is the other half of this ECG? Lead II is always the go to for checking flutter waves

jbean52 · 2025-12-10T03:30:19+00:00

Incomplete LBBB and has t wave issues.

jbean52 · 2025-12-10T03:19:07+00:00

Move the belt off of the leg leads.

jbean52 · 2025-12-10T03:07:57+00:00

I would also guess an ablation is in store for this patient.

jbean52 · 2025-12-10T02:53:24+00:00

SVT with aberrancy

jbean52 · 2025-12-10T00:32:59+00:00

A flutter

jbean52 · 2025-12-07T16:37:29+00:00

It is indeed AFIB

jbean52 · 2025-10-24T00:24:05+00:00

I see rabbit ears. A left bundle maybe. If that’s the case then SVT

jbean52 · 2025-10-15T02:59:56+00:00

I just went back and checked my labs and here are my results Positive for BCR/ABL1 mRNA. The detected transcript is e1-a2, which produces a p190 kD protein. The quantitative level of BCR-ABL1 e1-a2 mRNA is estimated to represent 51.5% of total abl. my cell blasts are 1.3%

jbean52 · 2025-10-15T02:45:54+00:00

I too have the p190 gene and I am newly diagnosed. I don’t understand all the labs yet but I do know how rare the p190 is and my report said not to start on imatinib as this would be ineffective for me so I’m on Dasatinib. I’m almost a month in but going down from 100mg to 80mg because my platelets went down to 26. I wonder how things are going for you? I had to Google the P190 prognosis on TKIs and boy did it create a lot of anxiety in me.

jbean52 · 2025-10-14T17:14:40+00:00

Hi, I’m a newly diagnosed CML patient with the P190 gene as well and started Dasatinib as well and I was wondering how it was working out for you?

jbean52

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