Active Monitoring for Chronic Lymphocytic Leukemia: An Explanation and Anticipated Outcomes
During the watch-and-wait period for Chronic Lymphocytic Leukemia (CLL), individuals can continue with their daily activities as usual. However, it's essential to consult a doctor for personalised advice, considering individual circumstances.
The watch-and-wait period can last for several years in some cases. After the first year, regular checkups are typically required one to two times a year, unless the condition advances. The frequency of these appointments can vary, but may be more frequent in the first year, ranging from two to four times.
During this period, there are steps individuals can take to reduce anxiety. This includes joining CLL support groups, ensuring adequate sleep and physical activity, practising breathing exercises, and asking the doctor any questions about the condition. General tips for anxiety reduction include mindfulness-based stress reduction, regular exercise, and quality sleep.
Lifestyle changes, such as quitting smoking, maintaining regular physical activity, and ensuring quality sleep, may be beneficial during the watch-and-wait period.
Doctors may recommend treatment if certain conditions are met, such as swollen lymph nodes causing symptoms, a rapid increase in lymphocyte count, or the presence of anemia or a low platelet count. Treatment may also be necessary if the spleen is significantly enlarged or causing symptoms, the person experiences extreme fatigue affecting daily activities, or symptoms such as a temperature, night sweats, or unexplained weight loss occur.
Appointments during the watch-and-wait period typically involve a blood test to monitor blood count levels and a check for swollen lymph nodes. Speaking with a doctor about test results can provide a better understanding of the condition and symptoms.
It's crucial to speak with a doctor about any anxiety or concerns related to the watch-and-wait period. Finding a CLL support group can also help connect with people with similar experiences.
The watch-and-wait period for CLL involves regularly attending appointments with a doctor or at the hospital. It's essential to maintain open communication with the healthcare team to ensure the best possible care and understanding of the condition. A doctor can provide more information about lifestyle changes that may help individuals during this period.
