{"id":9925,"date":"2023-10-31T09:26:57","date_gmt":"2023-10-31T08:26:57","guid":{"rendered":"https:\/\/diario.m-achermann.com\/who-i-was-and-who-i-am\/the-diagnosis-cml\/"},"modified":"2026-04-01T17:00:09","modified_gmt":"2026-04-01T15:00:09","slug":"the-diagnosis-cml","status":"publish","type":"page","link":"https:\/\/diario.m-achermann.com\/en\/who-i-was-and-who-i-am\/the-diagnosis-cml\/","title":{"rendered":"The diagnosis &#8230; CML"},"content":{"rendered":"\n<p>I had started the new school year (2020-2021) proud of having planned and organized everything in the best possible way.<br\/>For a few weeks, however, I had not been feeling well.<br\/>At night, I often had to get up because I was drenched in sweat; I had to change my shirt and sheets, but I wasn&#8217;t too worried as the temperatures were still summery, almost tropical. At least, that was my sensation.<br\/>As the days and weeks passed, however, I became increasingly tired and struggled to make it to the evening.<br\/>But even then, I blamed it on everything done in the months prior due to the pandemic; indeed, the workload and stress had been considerable.<br\/>I do not understand those who say working from home is more relaxing and manageable; in my case, there was a situation to resolve at every moment\u2014a teacher, a student, or a parent to answer\u2014and then I had to plan and carry out normal routine activities. In addition to being deputy director, and on that occasion acting director, I was also one of the campus IT specialists, and during that period the IT infrastructure was under great strain due to the remote learning that teachers had to conduct.  <\/p>\n\n<p>It was a Wednesday morning (October 21, 2020); I got up as I did every day around six in the morning, but I was very tired; it felt as though I hadn&#8217;t rested at all during the night.<br\/>I hopped onto my motorcycle and headed toward Chiasso, about thirty kilometers from home.<br\/>When I arrived at school, I dismounted the bike with difficulty and could hardly put it on the stand because I felt so exhausted.<br\/>On that occasion, I realized something was wrong; I went to the office and told the secretary that I was going back home because I didn&#8217;t feel well.<br\/>My intention was to go to my family doctor, whose office was a few steps from my house, and ask for a few days of sick leave to recover and return to work as usual.<br\/>The doctor performed a brief examination; given the situation, he took a swab and blood samples, and then told me to stay home in isolation until he had the results of the swab and the tests.<br\/>Around three in the afternoon, he called me and said he would come to my house because he needed to speak with me and give me the test results.<br\/>I wasn&#8217;t worried; I thought he wanted to come over to tell me I was positive for COVID and check if I had isolated myself from the rest of the family.<br\/>When he arrived, I saw that he seemed embarrassed, and after a short while, he told me that the tests showed an unusually high white blood cell count.<br\/>I didn&#8217;t understand what that meant; I thought it was something temporary, but shortly after, he told me that an ambulance would be coming to take me to the Civico Hospital for further investigation. <br\/>His decision seemed exaggerated to me, but in the end, he convinced me; he said it was for further testing and to verify his analysis more precisely.<br\/>I arrived at the hospital and between infusions, blood tests, an electrocardiogram&#8230; in short, they performed all types of analyses and investigations.<br\/>On that occasion, I overheard what the doctors and nurses were saying; there, I heard the word LEUKEMIA for the first time!<br\/>Until then, I thought it was something passing, treatable with a bit of paracetamol or a similar medication.<br\/>My family doctor had not uttered the word LEUKEMIA, but rather an unusually high white blood cell count.<br\/>I began to worry and think about what would become of me; until then, I had always known leukemia as a disabling disease with a high mortality rate.<br\/>I had to spend the night in the hospital, even though I initially did not agree.<br\/>They told me that if I stayed in the hospital, the next day I could be seen by a female hematologist from IOSI and receive more precise information regarding what was happening to me and what I would be facing. <br\/>Even the doctors at the Civico Hospital had not confirmed the diagnosis, but only hinted at the possibility that it was leukemia.<br\/>I spent a sleepless night thinking about all the possible scenarios that I and my family would face.<br\/>My children were still dependent on me; they were finishing their high school studies and had not yet defined their future.<br\/>Not knowing what their future would be like worried me and frightened me beyond belief. <\/p>\n\n<p>The next day, the doctor explained that the tests showed this abnormal white blood cell count and that, most likely given such high values, I might have developed chronic myeloid leukemia.<br\/>What a big word&#8230; I didn&#8217;t like the term chronic at all; it meant I wouldn&#8217;t get well and that there was no hope.<br\/>But no! The doctor told me that the disease could have a slow course and could be &#8220;controlled&#8221; with specific medications.<br\/>In any case, to confirm the diagnosis, I had to undergo a BMB (Bone Marrow Aspiration and Bone Marrow Biopsy); the term was not inviting, and indeed, it was not pleasant at all. <\/p>\n\n<p>On September 23, the diagnosis was &#8220;definitive&#8221;; we were waiting for the BMB confirmation, but by then it was a done deal.<br\/>My body was weak, and I felt like I was regressing instead of improving, perhaps also because I hadn&#8217;t started therapy yet.<br\/>To start therapy, I had to wait for the BMB results, and that took a couple of weeks.<br\/>In those weeks, besides being physically weak, my morale was also at rock bottom; I didn&#8217;t see a future, or at least I didn&#8217;t see it as I had imagined and desired it until a few days before.<\/p>\n\n<p>Following this were the first certificates of inability to work, initially as suspected AML (Acute Myeloid Leukemia)\u2014an acronym I didn&#8217;t initially know the meaning of\u2014and later with the diagnosis of chronic myeloid leukemia.<\/p>\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/diario.m-achermann.com\/wp-content\/uploads\/2023\/10\/Certificato_20200921_Walder.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Embed of Certificato_20200921_Walder.\"><\/object><a id=\"wp-block-file--media-bcc1e6f4-a90d-4a84-8612-8a17fa4c1fd6\" href=\"https:\/\/diario.m-achermann.com\/wp-content\/uploads\/2023\/10\/Certificato_20200921_Walder.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Certificate_20200921_Walder<\/a><a href=\"https:\/\/diario.m-achermann.com\/wp-content\/uploads\/2023\/10\/Certificato_20200921_Walder.pdf\" class=\"wp-block-file__button wp-element-button\" download=\"\" aria-describedby=\"wp-block-file--media-bcc1e6f4-a90d-4a84-8612-8a17fa4c1fd6\">Download<\/a><\/div>\n\n<p><\/p>\n\n<div data-wp-interactive=\"core\/file\" class=\"wp-block-file\"><object data-wp-bind--hidden=\"!state.hasPdfPreview\" hidden class=\"wp-block-file__embed\" data=\"https:\/\/diario.m-achermann.com\/wp-content\/uploads\/2023\/10\/Certificato_20201003_Bianchi_IOSI.pdf\" type=\"application\/pdf\" style=\"width:100%;height:600px\" aria-label=\"Embed of Certificato_20201003_Bianchi_IOSI.\"><\/object><a id=\"wp-block-file--media-f0f432c2-1789-43ac-82f1-a13e098b189f\" href=\"https:\/\/diario.m-achermann.com\/wp-content\/uploads\/2023\/10\/Certificato_20201003_Bianchi_IOSI.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Certificate_20201003_Bianchi_IOSI<\/a><a href=\"https:\/\/diario.m-achermann.com\/wp-content\/uploads\/2023\/10\/Certificato_20201003_Bianchi_IOSI.pdf\" class=\"wp-block-file__button wp-element-button\" download=\"\" aria-describedby=\"wp-block-file--media-f0f432c2-1789-43ac-82f1-a13e098b189f\">Download<\/a><\/div>\n\n<p>  <\/p>\n\n<p>The BMB confirmed the diagnosis, so I had to start therapy with Imatinib.<br\/>Initially, this medication caused me several problems: nausea, vomiting, joint pain, asthenia, skin rashes, and itching.<br\/>But after a few weeks of patience and endurance, the side effects began to subside.<br\/>Initially, I couldn&#8217;t drink alcohol, and this bothered me as I appreciated and still appreciate a good glass of wine (and in company, even more than one) while eating.<br\/>Being immunocompromised, COVID did not allow us to gather as a family, so giving up the glass of wine didn&#8217;t weigh on me too much.<\/p>\n\n<p>One of the few physical contacts I had during that period was with Grandma Terry (my mother-in-law); she also had to be very careful as she had several cardiac and other pathologies that made her very fragile and at risk of infection.<br\/>The pleasant weather of those months encouraged us to leave the house, so we took advantage of the beautiful days to take short walks in the surroundings.<br\/>Nothing comparable to the physical activities that occupied me in previous months and years, but equally pleasant to remember.<br\/>I remember that before the pandemic, I would leave home (Agno) and go to work in Chiasso by bicycle without any problem; once I arrived, I would go to the gym, have a shower, change clothes, and be ready to start the workday.<\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"768\" height=\"1024\" src=\"https:\/\/diario.m-achermann.com\/wp-content\/uploads\/2023\/10\/IoeNonna.jpeg\" alt=\"\" class=\"wp-image-634\" srcset=\"https:\/\/diario.m-achermann.com\/wp-content\/uploads\/2023\/10\/IoeNonna.jpeg 768w, https:\/\/diario.m-achermann.com\/wp-content\/uploads\/2023\/10\/IoeNonna-225x300.jpeg 225w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/><figcaption class=\"wp-element-caption\">Afternoon walk with dear Grandma Terry<\/figcaption><\/figure>\n<\/div>\n<p><br\/>But soon I would again have the strong desire to sit around a table with my loved ones. <br\/>Risky? Irresponsible? Selfish?<br\/>In hindsight, I have asked myself this many times, but I have not yet found an answer.<br\/>In a few pages, you will understand the meaning of these questions of mine.  <\/p>\n\n<p>Like it or not, I had to live with the disease and with the risks and dangers to which it exposed me.<br\/>During that period, I was rather pessimistic, which, by the way, is one of my distinctive traits.<br\/>I didn&#8217;t feel well, and by then it had been more than a month since I had the energy and enthusiasm of the past to face challenges.<br\/>The Imatinib therapy was working from a hematological standpoint\u2014the values and numbers were working\u2014but my body was not saying the same thing.<br\/>I don&#8217;t know if it was the therapy or the disease; I felt tired and without energy, and over time I didn&#8217;t have the impression that things were changing much, even though the doctor was optimistic given the blood results.<br\/>At each visit, in addition to routine procedures such as temperature (due to COVID), pulse, blood pressure&#8230;, she would look satisfied at the computer screen and then turn it toward me, showing me a graph with a clear downward curve.<br\/>This curve gave her much satisfaction, or at least that was my impression\u2014an impression, however, that my body did not share; it still felt fatigued and with little energy available. <br\/>I had to &#8220;accept&#8221; the fact that I was healing, even if physically and morally I did not feel that way.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I had started the new school year (2020-2021) proud of having planned and organized everything in the best possible way.For a few weeks, however, I had not been feeling well.At night, I often had to get up because I was drenched in sweat; I had to change my shirt and sheets, but I wasn&#8217;t too&hellip;&nbsp;<a href=\"https:\/\/diario.m-achermann.com\/en\/who-i-was-and-who-i-am\/the-diagnosis-cml\/\" rel=\"bookmark\">Read More &raquo;<span class=\"screen-reader-text\">The diagnosis &#8230; CML<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":9489,"menu_order":30,"comment_status":"open","ping_status":"closed","template":"","meta":{"_editorskit_title_hidden":false,"_editorskit_reading_time":0,"_editorskit_is_block_options_detached":false,"_editorskit_block_options_position":"{}","om_disable_all_campaigns":false,"_lmt_disableupdate":"","_lmt_disable":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","neve_meta_reading_time":"","_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[],"tags":[],"class_list":["post-9925","page","type-page","status-publish","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO Pro 4.9.7.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"Experience the journey of a battle against leukemia, between fear and hope. 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Un messaggio di empatia e forza."],"socialPosts":{"email":[],"linkedin":[],"twitter":[],"facebook":[],"instagram":[]}},"created":"2026-04-01 15:00:09","updated":"2026-04-01 18:10:01"},"aioseo_breadcrumb":"<div class=\"aioseo-breadcrumbs\"><span class=\"aioseo-breadcrumb\">\n\t<a href=\"https:\/\/diario.m-achermann.com\/en\/\" title=\"Home\">Home<\/a>\n<\/span><span class=\"aioseo-breadcrumb-separator\">\u00bb<\/span><span class=\"aioseo-breadcrumb\">\n\t<a href=\"https:\/\/diario.m-achermann.com\/en\/who-i-was-and-who-i-am\/\" title=\"Who I was and who I am\">Who I was and who I am<\/a>\n<\/span><span class=\"aioseo-breadcrumb-separator\">\u00bb<\/span><span class=\"aioseo-breadcrumb\">\n\tThe diagnosis \u2026 CML\n<\/span><\/div>","aioseo_breadcrumb_json":[{"label":"Home","link":"https:\/\/diario.m-achermann.com\/en\/"},{"label":"Who I was and who I am","link":"https:\/\/diario.m-achermann.com\/en\/who-i-was-and-who-i-am\/"},{"label":"The diagnosis &#8230; CML","link":"https:\/\/diario.m-achermann.com\/en\/who-i-was-and-who-i-am\/the-diagnosis-cml\/"}],"_links":{"self":[{"href":"https:\/\/diario.m-achermann.com\/en\/wp-json\/wp\/v2\/pages\/9925","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/diario.m-achermann.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/diario.m-achermann.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/diario.m-achermann.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/diario.m-achermann.com\/en\/wp-json\/wp\/v2\/comments?post=9925"}],"version-history":[{"count":1,"href":"https:\/\/diario.m-achermann.com\/en\/wp-json\/wp\/v2\/pages\/9925\/revisions"}],"predecessor-version":[{"id":9926,"href":"https:\/\/diario.m-achermann.com\/en\/wp-json\/wp\/v2\/pages\/9925\/revisions\/9926"}],"up":[{"embeddable":true,"href":"https:\/\/diario.m-achermann.com\/en\/wp-json\/wp\/v2\/pages\/9489"}],"wp:attachment":[{"href":"https:\/\/diario.m-achermann.com\/en\/wp-json\/wp\/v2\/media?parent=9925"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/diario.m-achermann.com\/en\/wp-json\/wp\/v2\/categories?post=9925"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/diario.m-achermann.com\/en\/wp-json\/wp\/v2\/tags?post=9925"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}