Spotlight on Cyndi Logan:
The difficult challenge of weighing my options amidst uncertainties
February 2022
Cyndi Logan, 2019 
I was diagnosed with multiple myeloma in 2015 when I was 39 years old. I suffered excruciating back pain for months and the doctors could not figure out why. I thought I had pulled a muscle. I had been doing a lot of running training for a half marathon and was surprised that I couldn’t even run, the pain was too much. I was also having a hard time catching my breath. After I consulted with physiotherapists, chiropractors, my GP and a massage therapist, we finally did an X-ray and found an inexplicable compression fracture. Then we found another one, and a third fracture, and at that point my kidneys started to fail. An on-call doctor saw all of my symptoms and suggested multiple myeloma.

Finally, an answer to what was causing all the pain.
A shocking diagnosis of cancer overwhelmed me. I thought I was so healthy and that it just wouldn’t happen to me.   
 
I chose vertebroplasty instead of radiation to stabilize the three damaged vertebrae in my spine. The procedure helped to reduce the pain significantly and I was able to slowly get back to moving and walking. I’ve been living with MM [multiple myeloma] for 7 years now. I have not returned to my beloved teaching job as district music teacher as I now suffer with chronic back pain. Side effects from my treatments and fatigue also contribute to my decision to not return to teaching.   
I had to take time to grieve the loss of my career and my ability to run marathons. I had to find hope for myself and for me it is my faith. I’m trying to live in a place of thankfulness and gratitude that I’m still here and with my family. 

It takes a strong will and mind to focus on the positive and not allow oneself to be overwhelmed with the uncertainties of living with an incurable cancer.     
Me and my husband Steve in 2019 
The suggested initial treatment was induction therapy and a stem cell transplant. The challenge of the stem cell transplant was that it’s only available at Vancouver General Hospital which is 700km away from my home in Quesnel, BC. I had to stay in Vancouver for a month while my young family was cared for by my husband and extended family. I was able to stay at the Jean C. Barber Cancer Lodge which, at that time, was $3,000 and not covered by any medical plan that I’m aware of.
The stress of being away from my 3 young girls weighed heavy on me. It was an extremely difficult time to be away from all of my support. Luckily, the doctor prescribed me Ativan to help with my stress and anxiety of being away from home.
Thankfully, my sister was able to be my caregiver during that very difficult time. She would push me in the wheelchair everyday back and forth to the hospital which was several blocks away.

It was so hard to hear my daughters’ little voices over the telephone each day. I just wanted to be with them so desperately. I can remember hearing their voices and trying my best to not let them hear my voice break as my tears fell one after the other.
My family: My husband Steve and me, my girls Camille, Caitlin and Clare and our dog Koda 
My heart was missing my little family; at that time my girls were 4, 6 and 9. It didn’t help that I was suffering greatly with the toxicity of the treatment. Nothing was really able to help with my extreme nausea.
Since diagnosis, I have had to make several trips to Vancouver for consults, stem cell collection, the stem cell transplant, follow up, and because I developed skin cancer on my face, two trips to consult with a dermatologist and to monitor the skin cancer. I chose to fly each time I had to make the trip because my back pain makes the 8-hour drive very uncomfortable.   

I am very fortunate as I have never been denied access to a drug or treatment. After six years on Revlimid maintenance I knew I wanted to try daratumumab for my second line of treatment. When I did finally relapse this past September, I was able to access daratumumab with fantastic results. My next recommended treatment is a second stem cell transplant in Vancouver. The fear of this procedure causes me to be very apprehensive as the toxicity I experienced with my first stem cell transplant took a huge toll on me and my body. It took over a year for me to fully recover the last time.

Along with the fear and trepidation of the actual treatment, the burden of having to stay in Vancouver for a month is financially something my family and I cannot afford. Two members of the Northern BC Support Group (of which I am a member) told me it cost them approximately $10,000 to rent a condo that was close to the hospital where, for one month, they had to go for daily check-ups.
Along with a hefty price tag I would once again be leaving my young family for a month.

Although my girls are now 11, 13 and 16, they still need their mom. They enjoy the time their dad and I take each night to go into their rooms and listen to them talk about their day at their traditional tuck in time. 

Being gone for a month is a huge weight on my husband to take care of our 3 girls, all their activities, school, groceries, and food preparation while working full time.
Me, Steve and the girls 
My husband and I are a great team and together we have created a really good stable and happy home for our girls. The stress of me leaving for so long is felt by everyone in my house.
I am continuing to research the best treatment options for me as I am trying to play the long game with the goal to live as long as possible with the least amount of side effects. I will continue to follow my doctors’ recommendations and do the treatments suggested, it is just a very difficult decision when you have to weigh options. I can’t afford a $10,000 price tag of staying in Vancouver for a month.
That’s me on my Honda CRG 250 livin’ the dream! 
Me and Koda paddle boarding  
How do I now choose to further our burden of debt for a treatment that may work but also puts me in an extremely vulnerable state in the middle of a worldwide pandemic? I will consider all options and consult with healthcare team: my oncologist, hematologist, GP and GPO (a GPO helps save money while evaluating my options).  
 
And above all else I will continue to pray for my healing and a plan that gives me more time with my precious family.   
 
Cyndi 
P.S.: If it wasn’t for Myeloma Canada and the education I’ve received from my time being involved, I wouldn’t even know about these treatments, what I want and what I understand. When I was first diagnosed, dara (daratumumab) wasn’t a thing yet. I think at the first National Conference I attended in Vancouver it was just in trial. I’m truly grateful to Myeloma Canada because they have connected me with people who I will always keep in contact with, they’ve helped me find people to talk to about my disease with. I’ve met people I’ll never forget and I can’t wait to see again. I’ve received support to be a Support Group and Multiple Myeloma March leader and to do the March. I’ve received so much knowledge from the Support Group Leaders’ Summits and Meet and Greets.

I’m so incredibly proud to be a part of it all even in my very small little way over here in Northern BC. Thank you to all the amazing volunteers across the country who are raising money in a pandemic. It’s amazing what has been built by patients and caregivers. I’m really truly grateful and I’m so glad to be a part of it all. 
Editor’s Note: We hope you enjoy meeting our 2022 Spotlight Stars and your fellow Myeloma Canada community members. The Spotlight section of Myeloma Matters features stories and reflections supplied by members of our community - those living with myeloma, caregivers, healthcare professional - in their words. The views expressed and shared are those of that individual. We recognize that everyone’s journey and experience with myeloma is different.
 
To all of you who have shared your stories in the past, and those of you who continue to do so today, we are indebted...you are an inspiration.  

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Myeloma Canada's mission: To improve the lives of Canadians impacted by myeloma through awareness-building, educational efforts, advocacy, fostering an empowered myeloma community and support of clinical research so that a cure may be found.