Spotlight on Jocelyn Kervin:
At 46, giving back and staying colourful with myeloma
April 2022
In the fall of 2017, life was looking pretty good! I was 41 years old, happily single and living it up in Toronto. I was just getting into running, and I had landed a dream job as a Digital Literacy Consultant with the YRDSB after 18 years as a music teacher.
 
By March of 2018, I was fighting crippling fatigue and persistent back and shoulder pain that was beginning to impact my days. I chalked this up to the demanding new job, a longer commute, and more pressure. I was working out at a new gym, lifting heavier weights, and sitting at a computer and in a car more than I had previously.
Jocelyn Kervin
But it was getting worse, and in April of 2018 while at a conference, I felt something “let go” in the middle of my back when I was putting a bin of materials into the trunk of my car. When I got home, I figured I had torn my rotator cuff, so I went for physiotherapy. The pain seemed to ease, so my physiotherapist and I thought we were on the right track. I didn’t get an X-ray at that time. It was not the first time I’d make that kind of mistake on this journey!
 
Random aches and pains in my ribs, shoulders, and back continued to plague me. Strangely, they were never in the same place. I tried massage therapy, acupuncture, physio, and even a couple of visits to a chiropractor. THAT choice was an astronomically bad decision! Everything seemed to have reasonable explanations, the pain seemed to come and go, so it couldn’t be that bad, right? Friends, do not downplay unusual aches and pains and unexplained fatigue. Trust your gut.
St Patrick’s Day 5k marathon with my brother
Dave, March 2018
I eventually went to my doctor who had been my primary care physician for almost 17 years, but my complaints were dismissed, although I was sent for a shoulder ultrasound in October. The technician immediately called my doctor to request an x-ray. When the results came back, I was told there was a “small” shadow in the area of my right shoulder blade (2 cm) and was referred for an MRI. I explained that it was now more than just my shoulder. My doctor dismissed this too and said he’d look into referring me to a shoulder specialist. No other tests were done. I never got the referral, and March 2019 was the earliest MRI I could get.
In January of 2019, I reached for something, twisted slightly, and heard (and felt!) a rib crack. The pain was excruciating so I went to a walk-in clinic and was sent for an x-ray the following day.
 
What happened next saved my life. The walk-in clinic called, and I met with a young doctor who was likely just out of medical school. He was wonderful and is the reason I am still here today. He listened to my story, explained I had a fractured rib, and sent me for specific bloodwork and a full-body bone scan.
That weekend I had tickets to the opera with my uncle. I shared a bit of what was going on but downplayed it; I didn’t want him or my aunt to worry. I also hadn’t yet processed what it all might mean. I just wanted to enjoy the evening.
Everything happened very quickly after that. I went for the bone scan in early February. By then, everything hurt… ribs, back, shoulders, pelvis...I felt like I was 100 years old!

The doctor’s office called 48 hours later, and I felt scared for the first time. Medical professionals seemed significantly concerned and were expediting things. Clearly, they knew something I did not.

I met with the head physician, Dr Choi, at the walk-in clinic. He is one of the most incredible family physicians I have ever encountered.
A night at the opera with my uncle Bill, Oct 2019
Dr Choi made sure I was his last patient of the day when I came for my results. The scan revealed that I had injuries and/or lesions (what the heck were “lesions”?!) in 9 ribs, 11 vertebrae, my sacrum, my sternum, my right shoulder blade, my right pelvis, my hips… basically, my entire upper body had “lit up like a Christmas tree!” That was the first time I heard the words “multiple myeloma.” Dr Choi did not want to confirm anything until more tests were done and specialists could weigh in. He got me an emergency CT scan at North York General, and again, the results came back almost overnight.
 
At that follow-up, Dr Choi answered all my questions and said, “If you were my sister, this is what I would tell you to do.” He copied my test results, handed me the file with a lengthy note for the ER intake nurses and told me to go to Toronto General Hospital ER for 8:00 a.m. the next morning. I did. Things were happening in record time.
 
I am extremely lucky to live in Toronto and have access to all these services. I am also lucky that a young physician connected the dots and the team at MCI The Doctor’s Office took everything very seriously. But we should not have to rely on “luck” when it comes to diagnosing multiple myeloma.
Finally, I told my colleagues and arranged for time off work. I drove to Peterborough with my aunt and uncle to tell my parents, who had been away for a short vacation. It was not easy, but I am glad I waited. As my primary caregivers, it was months before they got another break.
 
On February 21, my internist called and confirmed that I had multiple myeloma. Scared but determined, I went into my teacher-planning-for-an-event mode: okay, what do I need to do next?
My amazing brother and me at my first day of
treatment, Feb 2019
I met with Dr Trudel at Princess Margaret Cancer Centre (PMH) on February 26. She was incredible! Patient, direct, compassionate, and supportive. I knew I was in good hands.

We started my CyBorD (cyclophosphamide, bortezomib and dexamethasone) the next day. Further tests confirmed I had markers for high-risk myeloma, so tandem transplants were planned. The next few months were a whirlwind of treatments, surgeries (two kyphoplasties, vertebroplasties, and a sacroplasty to repair all the damage in my spine and sacrum), and stem cell transplant preparations.
Family and friends sent meals, gifts, played board games with me, cooked and cleaned at my apartment. I am so very blessed to have the support network that I do.
At PMH, I did what I could to brighten my day and the world around me: games with chair neighbours during chemo, cross-stitch projects, sparkly earrings, colourful leggings, bright hats and headscarves as my hair started to thin! I was handling my treatments well with few side effects.

Early in my journey, I went online for information. I found Myeloma Canada and attended their National Myeloma Conference in April 2019. I learned a lot and was introduced to members of the Toronto & District Myeloma Support Group. Their support means the world to me; they are now part of my extended family.
In May, I happily returned to work. My colleagues were amazing, and it was a refuge for me. Things were moving along as planned.

In August, I was scheduled to have my central line put in for my stem cell transplant. I made the mistake of forgetting to stop my blood thinners before the appointment. I was devastated. I felt like I’d let so many people down and caused so much preparation to go to waste. After we left the hospital, I stayed in my room and cried. But the team at PMH got me back on track. The line was put in and stem cell transplant #1 took place… the toughest part was underway.
Collection Day, July 2019
In September, I rallied “Jocelyn’s Joggers,” and participated in Myeloma Canada’s Multiple Myeloma Marches in Newmarket and Cobourg (we’ve been doing them ever since!). I even went back to the opera before my second transplant in October, which was done as an outpatient since I live close to the hospital.
Jocelyn’s Joggers at the 2019 Cobourg
Walk – my parents, aunt and uncle
Jocelyn’s Joggers at the 2019 Newmarket Walk
The nursing team was amazing and kept my spirits up. I tried to do the same for other patients. So, when transplant #2 chemo infusion fell on Halloween (pre-Covid), I dressed in costume and handed out candies with my dad, decorated my table and chair in the Day Hospital and took silly pictures! In December, I wore Santa hats and finally rang the bell at the end of my main treatments on December 10, 2019!
It hasn’t all been fun and games. After my second transplant, my body recovered more slowly than I expected, and there were many days of anger and frustration. I went back to work in February 2020, and then the world shut down in March. In many ways, that was a blessing for me. I worked from home for the next few months, and I have no doubt my health is better for it.
 
I am in an unusual age bracket for this disease, which is difficult. Many folks with MM are older, some are retired or did not return to work. Their caregivers are their partners or children, not their parents with their own health concerns. There are support groups for “40 and under” but I was 43 at diagnosis. There are days when it’s hard to find connections with those my age who have faced similar battles. I have great support: friends, family, colleagues, and healthcare workers. I started seeing a therapist, exploring mindfulness practices, and spending a lot of time with my 19-year-old nephew so I can continue to be a “cool” aunt and teacher!
Today, I am in remission and am a passionate advocate for myeloma awareness. Getting involved has always been very important to me.
I give back because I CAN and plan to for as long as possible.

When our support group meetings moved online, I helped with technical pieces, started sharing my ideas, and in the Fall of 2021, I officially joined the group’s Steering Committee. I have been inspired by others with myeloma who have embraced me on my journey. I have chatted, shared, and laughed with those who are newly diagnosed.
Me with members from the Northumberland Support Group, Dec 2021
Our proclamation for Multiple Myeloma Awareness Day March 31, 2022
I have been a guest speaker in schools and local community groups. I have lived in smaller communities and know the struggles accessing medical supports, so I use my social media platforms to share information about myeloma during Myeloma Awareness Months. This past January, I started working with Rinat Avitzur and Tanya Zigomanis (Ontario Patient Advisory Council reps, and members of our support group) to have March declared Multiple Myeloma Month.
I connected with Mayor Tory's team in Toronto, and we succeeded in having March 31 proclaimed Multiple Myeloma Awareness Day!
I have a big voice and a wide reach and will continue using it to bring greater awareness to myeloma, the need for more testing, preventative measures, and equitable treatments.

My journey on this myeloma roller coaster will continue. I have much more to do and I will look for the laughs and keep wearing sparkly jewelry and crazy colours through it all!

Yours,
Jocelyn
Easter hat silliness with my parents, April 2019
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.