ACUTE MYELOID LEUKAEMIA NEWS CARING FOR PEOPLE WITH ACUTE MYELOID LEUKAEMIA AND THEIR FAMILIES MAY 2014 FERTILITY WAS FOREMOST FOR KAYLA DURING TREATMENT Where there is great love there are always miracles – Taylani Jade Schmidt 16.06.2013 Brendan Schmidt had these words tattooed across his forearm after his wife, Kayla gave birth to Taylani just 14 months after treatment for AML and what seemed an immaculate conception. A couple of years earlier, Kayla was feeling extremely tired and rundown, which she put down to being two months into a new full-time job and studying psychology at uni in Sydney. Around that time she went to a psychic. “I’d always wanted to go – and the first thing she said was ‘oh love, your blood’s not happy’ and suggested I get it checked,” said Kayla, 26, now of Brisbane. She went to the GP, had bloods taken the following week and started getting concerned when she went back to the GP for the results. “He said he was forwarding them to a hospital and marking them as urgent – my white blood cell count was low. He didn’t go into much detail and when I asked what this could be, he said there were a lot of possibilities.” Kayla waited. After five days, when she didn’t hear back, she got a copy of her blood results and sent them to a different Sydney hospital on the weekend. That hospital called first up Monday morning – she needed to come in to Emergency. Kayla had a bone marrow biopsy and was diagnosed with AML that afternoon. “I called the other hospital a couple of days later, told them to take me off the triage list, that I’d been diagnosed with leukaemia and would like to make a complaint. I was polite about it but stern,” explained Kayla, who is nothing if not tenacious. She didn’t want anyone else to have a similar experience. Continued on page 4... Kayla and Brendan Schmidt with their treasured Taylani. 1800 620 420 www.leukaemia.org.au 1 TTT-3002 SHOWS PROMISE FOR FLT3 MUTATION An experimental compound, TTT-3002, is potentially one of the most potent drugs available to block genetic mutations in cancer cells blamed for some forms of treatment-resistant leukaemia. Results of laboratory-based research by Johns Hopkins Kimmel Cancer Center (U.S.) investigators, described in the March 6 issue of Blood, show two doses a day of TTT-3002 eliminated leukemia cells within 10 days. The treatment performed as well as or better than similar drugs in head-to-head comparisons. Around 35% of people with AML have a mutation in the gene FMS-like tyrosine kinase-3 (FLT3). Normal FLT3 genes produce an enzyme that signals bone marrow stem cells to divide and replenish. When FLT3 mutates in some AML patients, the enzyme stays ‘on’ permanently, causing rapid growth of leukaemia cells and making the condition likely to relapse after treatment. Many investigators are developing and testing drugs designed to block the FLT3 enzyme’s proliferation. Several are now in clinical trials and, so far, their effectiveness has been limited, according to Dr Donald Small, the Kyle Haydock Professor of Oncology and director of paediatric oncology at Johns Hopkins. He led a team of researchers who originally cloned the FLT3 gene and linked it to leukaemia a decade ago. “We’re very excited about TTT-3002 because it appears in our tests so far to be the most potent FLT3 inhibitor to date,” said Dr Small. “It showed activity against FLT3-mutated cells taken from patients and with minimal toxicity to normal bone marrow cells, making it a promising new candidate for the treatment of AML.” In a series of experiments with the drug, Dr Small and others found the amount of TTT-3002 needed to block FLT3 activity in human leukaemia cell lines was six- to sevenfold lower than for the most potent inhibitor currently in clinical trials. TTT-3002 showed activity against the most frequently occurring FLT3 mutations, FLT3/ITD and FLT3/D835Y. Many cancer drugs are currently ineffective against these mutations. Additional studies found TTT-3002 performed as well as sorafenib (another FLT3 inhibitor) and was toxic to leukaemia cell samples taken from newly diagnosed and relapsed patients with AML, but did not affect normal bone marrow cells from healthy donors. “A single dose of the medication caused more than 90% inhibition against FLT3 signaling that lasted for 12 hours,” Dr Small said. RADIATION AND GVHD AFFECTS SEXUAL FUNCTION Research ties preparative procedures and complications associated with bone marrow transplantation (stem cell transplantation, SCT) with diminished sexual health in men and women who have undergone the lifesaving procedure. Study data, published in Blood, the Journal of the American Society of Hematology (ASH), confirms chronic graft-versus-host disease (GVHD) as a potential source of sexual dysfunction and demonstrated an association between total body irradiation and sexual dysfunction in men. This study, one of the longest and the most inclusive to date, evaluated sexual wellbeing in SCT survivors using rigorous, well-validated sexual function assessment tools. SCT is an effective form of treatment for people with AML. “Thanks to improved transplant survival rates, we have been able to focus our efforts on examining how the procedure affects key aspects of recipients’ overall quality of life, including sexual health,” said lead study author F. Lennie Wong, PhD, of City of Hope, California. “Previous findings point to the unfortunate fact that, while recipients may physically recover, their sexual health might not rebound as much or as quickly. “Data has been limited to this point, prompting us to take a closer look at this issue in a larger, more diverse group of autologous and allogeneic transplant survivors over an extended period.” To further investigate long-term effects of SCT on sexual health, a team of researchers led by senior author Dr Smita Bhatia, surveyed 277 adult patients (152 men and 125 women; median age 48) who underwent SCT for blood cancer between February 2001 and January 2005 about their sexual activity. 2 Participants completed two questionnaires that evaluated specific areas of sexual function (sexual cognition/fantasy, sexual arousal, sexual behavior/experience, orgasm, and drive/ relationship) and sexual satisfaction at a median time of 17 days pre-transplant and at six, 12, 24 and 36 months posttransplant. A third questionnaire assessed overall health-related quality of life. Analysis of questionnaire results confirmed previous studies in demonstrating a definitive impact of SCT on posttransplant sexual activity. During the three-year post-transplant analysis period, the percentage of men who self-reported being “sexually active” (defined as having sex with a partner at least once in the preceding month) declined 7 percentage points, with 61% reporting sexual activity pre-transplant and 54% reporting activity post-transplant. The opposite – a 15 percentage point increase in sexually active individuals – was observed in women, with 37% reporting sexual activity pre-transplant and 52% reporting activity post-transplant. In addition to further crystallising transplantation’s impact on survivors’ sexual health, study data specifically associated diminished sexual function and satisfaction with transplantrelated total body radiation in men, and chronic GVHD with diminished sexual function in men and both sexual function and satisfaction in women. Investigators observed an almost 18% decline in sexual function in men surveyed who had received total body radiation. The same group also reported an approximate 32% decrease in sexual satisfaction, a 26% decrease in sexual behavior/ experience, a 26% decrease in quality of orgasm, and 17% Continued on page 7... Leukaemia Foundation AML News - May 2014 Research Matters LATEST RESEARCH PROJECTS INVESTIGATE POOR OUTCOMES IN AML The next frontier in treating cancer is understanding the genetic changes that make cancer resistant to therapy. AML is the focus of three research projects that received funding in the Leukaemia Foundation’s latest round of annual research grants, announced in March. Grants-in-aid (funding of $100,000 over 12 months) went to: • Dr Ian Majewski (Walter and Eliza Hall Institute) for Identifying mechanisms that prevent leukaemia cells responding to therapy; and • Dr Carolyn Grove (University of Western Australia) for The role of the c-Cbl gene in suppressing the development of leukaemia. A PhD Scholarship (Clinical) (annual funding of $60,000 from 2014-2017, supported by The Bill Long Charitable Trust, ANZ Trustees) went to: • Dr Chen Hsung Edward Chew (Walter and Eliza Hall Institute) for What are the genetic factors responsible for relapse in acute myeloid leukaemia? Continued on page 4 and 5... $12.89M TO FOUNDATION’S QUEST TO CURE BLOOD CANCER In its commitment to a future where blood cancer can be cured, the Leukaemia Foundation is investing $12.89 million in research over the next five years. This includes a boost of $3.6 million for 21 additional research projects in the Foundation’s 2014 round of research funding, which includes the grants to Dr Ian Majewski, Dr Edward Chew and Dr Carolyn Grove. The 2014 tranche builds on the Foundation’s ongoing National Research Program of 50 research projects that are already in progress (worth $9.14 million), plus a $150,000 contribution to the Australasian Leukaemia & Lymphoma Tissue Bank1. The 2014 research allocation means the Foundation is currently funding 71 research projects at leading research institutions across Australia, from 2014-2019. Over the next five years there also will be considerable further investment in research by the Foundation, with the addition of each year’s new round of National Research Program grants and other research funding. The Leukaemia Foundation makes an annual contribution to the ALLG Tissue Bank (a total of $1.16 million since 2002). 1 GENE VARIATIONS CONTRIBUTING TO AML RELAPSE OR REFRACTORY DISEASE Dr Edward Chew (right) is scanning the DNA of patients with AML to identify gene variations that contribute to patients with relapsed or refractory* disease. Dr Chew is focusing on the ‘good prognosis’ subgroup of AML, which has disruptions to the core binding factor (CBF) gene. To understand the genetic factors that contribute to poor outcomes within this subgroup, Dr Chew is analysing bone marrow samples collected from 18 patients before and during treatment. According to Dr Chew, multiple genetic abnormalities acquired during therapy probably are responsible for ‘good prognosis CBTAML’ developing resistance to chemotherapy. “To help us predict who will respond poorly to therapy, we’re identifying the genetic mutations that occur in patients who relapse,” said Dr Chew. “This information will allow us to tailor patient treatment accordingly. Currently a stem cell transplant is considered the definitive treatment and our findings will help clinicians decide if their patients’ AML will develop resistance and if a stem cell transplant is recommended.” Dr Chew is testing the usefulness of the genetic variations he identifies through an international collaboration with groups that hold large tissue sample collections. He is optimistic his results will lead to a new prognostic test for AML in the short-term. In addition, Dr Chew is characterising the mutated genes he discovers, to better understand how they give resistance to leukaemia cells. In the longer-term, these findings could lead to the development of new therapeutics for AML. * refractory: no longer responding to standard therapy PhD Scholarship (Clinical) recipient, Dr Edward Chew. 1800 620 420 www.leukaemia.org.au 3 Research Matters GENETIC CHANGES AND AML RESISTANCE TO CHEMO Dr Ian Majewski is identifying genetic changes that allow AML cells to resist chemotherapy drugs. In this project, he is analysing DNA and RNA extracted from cell samples of patients with core binding factor (CBF) AML. Using a range of techniques, he is comparing the genomes of patients who respond and those who fail treatment with the commonly used chemotherapy drugs cytarabine and fludarabine. Even with the best available chemotherapy, many patients with CBF-AML relapse within two years due to resistance, according to Dr Majewski. “Thanks to rapid advances in the field of genomics, we know that cancer cells are highly dynamic, accumulating ongoing genetic changes that help them to sidestep even the most advanced therapies,” said Dr Majewski. “The next frontier in treating cancer is understanding the genetic changes that make cancer resistant to therapy. “By identifying the genetic changes and the specific genes that are associated with poor response to therapy in AML cells we can develop new prognostic tools for predicting which patients will have a high risk of failing standard therapy. “In the longer term, we hope to develop models of therapy resistance that can be harnessed to discover new treatments that will overcome therapy resistance.” Grant-in-aid recipient, Dr Ian Majewski. Continued from page 1 The weekend before Kayla was due to start chemo, her heart was set on going to a Jimmy Barnes concert with her sister. “I had front row seats I’d bought six months earlier, but I ended up getting a fever and couldn’t go. It sounds silly, but it was one of the lowest moments of the whole treatment.” Kayla and Brendan had married earlier that year and the question foremost in Kayla’s mind was about fertility. After her first round of chemo, she saw an IVF specialist but attempts to harvest some of her eggs were unsuccessful. She was told it was unlikely she’d conceive a child of her own. “This was a massive blow and I didn’t want to go through with treatment at that stage. I thought what’s the point – having a child and being a mum was very important. “It was only over a couple of days that I was at my lowest. When my haematologist called and said I needed to come in for my next round of treatment, I thought, just do it – I don’t care anymore. “And when I looked at the bag of chemo being infused, I thought this is destroying any hope of having a baby,” Kayla said. But later, sitting in the ward, she thought ‘no, I’m a fighter, I’m going to fight this’. “I continued having treatment and looked everywhere for information about fertility rates. I also continued taking birth control pills and thought positively.” Kayla went into remission after her second round of chemo. After her fourth round, she went off the pill and told her haematologist she couldn’t find any evidence five rounds of chemo was less effective than six rounds – her planned regimen. Kayla and Taylani at the Leukaemia Foundation’s Light the Night event in Brisbane in October 2013: “I will make it a tradition.” 4 “I wanted as little chemo as possible. We agreed on five rounds,” said Kayla, who completed her treatment in April 2012 and went back to full-time work that June. Leukaemia Foundation AML News - May 2014 ASSESSING NEW TREATMENT APPROACHES THAT ACTIVATE C-CBL GENE In AML, mutations to the FLT3 gene are strongly associated with a poor prognosis. While drugs that target this gene mutation are being trialled, over time AML cells appear to acquire gene mutations that allow them to resist the drugs. Dr Carolyn Grove, whose grant is supported by the Marilyn David Bequest, is assessing another potential treatment that could increase the effectiveness of anti-FLT3 drugs. From preliminary research, Dr Grove has evidence that enhancing the activity of the c-Cbl gene product could provide a new treatment approach for patients with AML. c-Cbl codes for the cell signalling protein CBL and mutations to this gene also are implicated in AML development. “We’re using laboratory models to test the possibility of treating AML with drugs that activate the protein produced by the c-Cbl gene,” said Dr Grove. “The results could lead to a new therapeutic approach for treating myeloid leukaemias, as well as to progressing our understanding of the crucial signalling changes that promote and maintain these leukaemias.” Dr Grove is assessing berberine and arsenic compounds, which were recently shown to boost the activity of the CBL protein. In addition, her research team is screening for other possible therapeutic compounds. Grant-in-aid recipient, Dr Carolyn Grove. “My hair was slowly growing back. It was curly and grey. It had been long, brown and straight, and that’s what I’m going to have, so I dye it and straighten it.” When 2013 dawned Kayla said to Brendan – “this year we’re not going to talk about cancer, we’re going to move on with our lives, and we’re not going to talk about babies, we’ll travel, save up for a house and have an awesome life.” Four days later Kayla found out she was 18 weeks pregnant! “I took a pregnancy test because I was gaining weight in all the right areas and I just felt something was different.” Her initial reaction was absolute shock, but it soon turned to excitement. “I called my haematologist and said I wanted a bone marrow biopsy to check everything was okay. He started talking about a termination – he wasn’t sure I could handle it mentally. When he said it would be tough, I said ‘I know, but I’m tougher’, and it was full steam ahead from there.” Three weeks after Taylani was born, the Schmidt family moved to Queensland for a “fresh, clean start”. “It sounds clichéd, but life excites me. I’m passionate about cooking, furniture restoration, language, my daughter and husband. “You get so lost sometimes, especially in technology. I don’t have facebook, I got rid of it years ago. I go out and experience life, wholly and fully. 1800 620 420 www.leukaemia.org.au “Cancer does that to you. It’s changed my perspective 100% and I’m thankful for it.” Soon after Kayla’s AML diagnosis, a Leukaemia Foundation support service coordinator visited her on the hospital ward. “She would come by and see how I was going and offered support. “I felt very isolated when I was in hospital by myself, and it takes a toll on your family, especially your partner. “I didn’t meet a lot of people my age to talk to. My advice is to reach out to others for support. Leukaemia is a different language and they understand. “And try and do normal everyday things – go for a walk, find things that excite you. Definitely don’t try to do uni full-time and chemo! I used to take my books into the chemo unit, but you lose your memory. Nothing was sinking in. “I’m getting my memory back,” said Kayla. She returned to fulltime work in March this year and is studying part-time. In September 2012, Brendan completed the Tough Mudder obstacle course event at Glenworth Valley in NSW and raised $7000 for the Foundation. This year, both Kayla and Brendan plan to do it together. “I’m very fitness oriented and it’s a challenge, and who am I to say no to a challenge!” 5 My Journey DIANE MISSED A FAMILY WEDDING BUT MET THE CROWN After her diagnosis with AML in June 2011, Diane Prettyman’s main concern was attending her son’s wedding in Fiji on November 9 that year. But, as it turned out, November 9 was the day she had a bone marrow transplant in Sydney! Prior to her diagnosis, Diane’s only symptom was stomach pain. She thought this was from a gallstone she’d been diagnosed with in late-2010. She was rushed to emergency and while awaiting surgery to remove her gall bladder Diane was told she had a low white blood cell count. “This didn’t mean anything to me,” said Diane, 62, of Sydney. “Later, when I was walking in the ward and saw the ‘Oncology’ sign, I thought I just had the only bed available in the hospital at the time. And when the doctor said I had leukaemia, it still didn’t register. “I called my husband, Roger, to tell him, and he thought leukaemia was something that could be controlled with medication, like diabetes. After her fourth round of chemo and total body irradiation, Diane ended up in intensive care the day prior to her transplant, unbeknown to Roger who had already gone to Fiji for the wedding. “He was ready to come straight home, but Lisa had stayed to look after me.” Diane describes herself as a happy, positive person. “When I was diagnosed, I just assumed I’d get better. I never thought anything else, although I did cry when I was told the first chemo didn’t work.” Each time she had a bone marrow biopsy and during other treatments Diane practiced the breathing and visualisation techniques she’d been doing each week since she started going to Tai Chi classes 15 years earlier, while her sons were young. “It definitely helped – Tai Chi calms me and makes me more relaxed. I’d visualise myself on the beach at Bulli, the waves lapping at my feet, the sun rising, and me waving my arms around with the energy from the sun going through my body. When I was diagnosed, I just assumed I’d get better. I never thought anything else… “I didn’t race home and look AML up on the internet. Sometimes I think the less I knew, the better off I was. The doctors know what they are doing. “All I was worried about was Paul and Katie’s wedding. It was booked and paid for,” explained Diane, and she already had her first-ever passport for the occasion.” Later, Diane found out her other son, Brett’s wife, Lisa, had had a miscarriage on the same day she was diagnosed with leukaemia. When Diane didn’t initially respond to chemotherapy, she was given a second course of treatment that was four times stronger and a trial drug. This still didn’t bring her leukaemia level down enough so it was decided that she would have a transplant. Her younger brother, Tony, was her matched donor. “The doctors were amazed I could be so still. During my first biopsy, when they said they didn’t get enough (marrow) and had to go in again, I said ‘of course’, laughed and went back into my breathing and visualisation.” Diane celebrated her 60th birthday in hospital, on her 33rd wedding anniversary she had an hour of radiation, and while recovering after her transplant, she met Mary, the Crown Princess of Denmark. “I didn’t know what day it was. I didn’t have any hair and was wearing the headband I had brought for Katie’s wedding. The Princess and her entourage were on their way out of the hospital when I waved at her. She came over and held my hand while she spoke to me. “It was amazing and it got around the ward that I’d called her over.” Diane Prettyman with her family, Paul, Roger and Brett, in March this year. 6 Leukaemia Foundation AML News - May 2014 WN PRINCESS MARY OF DENMARK! When Diane left the hospital in December 2011, she was still very ill and could hardly walk. “As each day went by I got a little bit better. I didn’t go anywhere until mid-2012. I just really wanted to be careful, to be well and not mix with other people, to build up my immunity. I didn’t want to be out in the general community because my counts were so low. “I did a lot of communicating with friends on the phone.” After a year’s break, Diane returned to her weekly Tai Chi lessons and she went back to Sunday mass in September that year. “I just presume I’m in remission,” said Diane. “My counts are all normal although I do have too much iron in my blood. This is the only thing I’m being treated for. I had three venesections last year and, after a break, have just started them again.” Diane has chosen not to return to work at the Catholic priory where she worked part-time, or the volunteer work she also did. “I feel I’ve done my fair share over the years. It’s time for Roger and me to be together. We look after our grandson, Matthew, who was born last year and another grandchild is due in August. “I’m very happy in my environment, with my children and grandchild and have no ambition to travel overseas. I’m being cautious and don’t want to go too far away from hospital. “My advice is to be positive and happy and have a lot of hope – the chance of survival is getting better all the time. Of course, you have moments when you are very low. I never thought I wouldn’t survive, even when I was in intensive care. “Now I’m back to normal and I couldn’t have done it without Roger. He has been a tower of strength through all this and he’s come with me to every Leukaemia Foundation support meeting. We go each month and I’ve only missed one since I started going in January 2012. “At first, when I was finding my feet and getting well, I enjoyed the thought that I was going out and being with other people going through the same thing. “There are various guest speakers – professors, nurses, a dentist, even a Tai Chi instructor! You can ask questions and get information about anything you want to know. Diane and the sign honouring the day she met Crown Princess Mary of Denmark. “They’re a lovely group of people and we’re all in the same boat.” Continued from page 2 decrease in sex drive/relationship since their transplant. Radiation had no such reported effect in women, an effect that investigators hypothesise may be explained by inherent physiologic differences in the development of sexual dysfunction among men and women. In addition, investigators observed negative sexual effects among those surveyed who had experienced chronic GVHD. Men surveyed who had developed the dangerous posttransplant complication reported a 21% decrease in sexual cognition/fantasy and a 24% decrease in the quality of orgasm since their transplant. Similarly, investigators observed a 27% decline in post-transplant sexual satisfaction among women surveyed who had experienced chronic GVHD, with survey respondents also indicating a 27% decline in sexual arousal. 1800 620 420 www.leukaemia.org.au When compared to men, the women surveyed suffered significantly worse effects overall, despite the fact that their sexual activity increased over the three-year survey period. Investigators concluded that this increase in activity may be explained by a corresponding improvement in female psychological quality of life post transplant. The investigators concluded that nearly half of SCT survivors are sexually inactive at three years post transplant and suggest that patients may benefit from speaking with their doctors about sex. “It is not often that the transplant team and patient will have a conversation about how this procedure could impact their sex life, even after recovery; however, we hope these findings will help encourage patients and their doctors to openly discuss concerns related to sexual dysfunction and address them with specialists who can help,” said Dr. Wong. 7 Education & Support DIARY DATES NEW SOUTH WALES & ACT Sydney Metro 1 May 2-4pm Penrith Blood Cancer Education & Support Group (also 5 Jun; 3 Jul; 7 Aug) 9 May 10am-12pm Liverpool Blood Cancer Education & Support Group (also 13 Jun; 11 Jul; 8 Aug; 12 Sep; 10 Oct; 14 Nov) 10am-12pm Concord Blood Cancer Education & Support Group (also 13 Jun) 26 May 10am-12pm St George Blood Cancer Education & Support Group (also 23 Jun; 28 Jul) 28 May 11am-1pm Westmead Blood Cancer Education & Support Group (also 25 Jun; 30 Jul; 27 Aug; 24 Sep; 29 Oct) 23 Jun 2-4pm Randwick/St George Blood Cancer Education & Support Group 25 Jun 2-3.30pm Randwick Blood Cancer Education & Support Group (also 30 Jul; 25 Aug) 27 Jun 10am-12pm Artarmon Blood Cancer Education & Support Group Far North Coast 16 May 11am-1pm Tweed Heads Blood Cancer Information & Support Group (also 20 Jun; 18 Jul; 22 Aug; 19 Sep; 17 Oct; 21 Nov) 21 May 10.30am-12pm Lismore Cancer Information & Support Group (also 28 Jun; 18 Jul; 30 Aug; 19 Sep; 25 Oct) 7 Jun 11am-1pm Tumbulgum Blood Cancer Information & Support Group (also 27 Aug; 29 Oct) New England 5 May 2-4.30pm Armidale Blood Cancer Education & Support Group (also 4 Jun) Tamworth Blood Cancer Education & Support Group 7 May 2-4.30pm (also 2 Jun) Mid North Coast 19 May 1-3pm Port Macquarie Blood Cancer Education & Support Group (also 16 Jun; 21 Jul; 18 Aug; 15 Sep; 20 Oct; 17 Nov) 20 May 11.30am-1pm Taree Blood Cancer Information & Support Group (also 22 Jul; 16 Sep) 22 May 10.30am-12.30pm Coffs Harbour Blood Cancer Education & Support Group (also 26 Jun; 24 Jul; 28 Aug; 25 Sep; 23 Oct; 27 Nov) Hunter 13 May 11.30am-1pm Taree Blood Cancer Information & Support Group (also 19 Aug) 20 May 10am-12pm Newcastle Blood Cancer Education & Support Group (also 3 Jun; 5 Aug; 7 Oct; 4 Nov) 10 Jun 11am-1pm Muswellbrook Blood Cancer Education & Support Group (also 12 Aug; 14 Oct) 17 Jun 10.30am-12pm Port Stephens Blood Cancer Education & Support Group (also 26 Aug; 18 Nov) 13 Nov 11am-12pm Mudgee Blood Cancer Education & Support Group Central Coast 27 May 2-3.30pm Wyong Blood Cancer Education & Support Group (also 24 Jun) 29 May 10-11.30am Erina Blood Cancer Education & Support Group Gosford Blood Cancer Education & Support Group (also 26 Jun) Illawarra & Shoalhaven 6 May 10am-12pm Wollongong (also 3 Jun; 1 Jul; 5 Aug; 2 Sep; 1 Oct) West & Far West 3 Jun 10.30am-12pm Orange Blood Cancer Education & Support Group (also 5 Aug; 7 Oct; 4 Nov) 4 Jun 10.30am-12pm Dubbo Blood Cancer Education & Support Group (also 6 Aug; 8 Oct; 5 Nov) 6 Jun 10.30am-12pm Bathurst Blood Cancer Education & Support Group (also 8 Aug; 7 Nov) Riverina 19 May 11am-12.30pm Albury Blood Cancer Education & Support Group 2 Jun 11am-12.30pm Wagga Blood Cancer Education & Support Group SOUTH AUSTRALIA 8 May 10.30am-12pm Southern Support Group, Reynella (also 12 Jun; 10 Jul) 20 May 10.30-11.30am Northern Support Group, Northfield (also 17 Jun; 15 Jul) 26 May 10am-12pm Barossa Support Group (also 28 Jul) 27 May 10.30-11.30am Men’s Group (also 28 Jul; 30 Sep) 18 Jun 11am-12pm Strathalbyn Support Group (also 16 Jul) 27 Jun 10.30am-12pm RAH Carers’ Support Group (also 25 Jul) NORTHERN TERRITORY 5 Jun 10-11.30am Blood Cancer Support Group, Coconut Grove (also; 3 Jul; 7 Aug; 4 Sep) 8 VICTORIA Melbourne 23 Jul 10.30am-12pm Mornington Peninsula 5 Aug 10.30am-12pm Gippsland 12 May 10.30am-12pm 14 May 1.30-3pm 21 May 1.30-3pm 19 Jun 1.30-3pm Brighton Blood Cancer Support Group Mornington Blood Cancer Support Group East Gippsland Education Program, Bairnsdale South Gippsland Blood Cancer Education Program, Leongatha (also 9 Jul) Central Gippsland Blood Cancer Education Program, Traralgon (also 18 Jun; 16 Jul; 20 Aug) West Gippsland Blood Cancer Education Program, Warragul (also 21 Aug) Grampians 27 May 11am-1pm Horsham Blood Cancer Support Group (also 29 Jul) 19 Jun 10am-12pm Ballarat Blood Cancer Education Program (also 21 Aug) Loddon/Mallee 14 May 10am-12pm Bendigo Blood Cancer Education Program 12 Jun 10.30am-12.30pm Echuca Blood Cancer Education Program 16 Jun 1.30-3.30pm Mildura Blood Cancer Support Group (also 18 Aug) Echuca Blood Cancer Support Group 24 Jul 10-11.30am 19 Aug 11am-12.30pm Swan Hill Blood Cancer Support Group Hume 22 May 10am-11.30am Hume Blood Cancer Support Group WESTERN AUSTRALIA Perth Metro 19 May 1-2.30pm Perth Metro Blood Cancer Support Network (also 16 Jun, Psychosocial strategies to self-care; 14 Jul, The new you) 27 May 4.30-6pm Bassendean Leukaemia Foundation Accommodation Support Group (also 30 Jun; 28 Jul) 10 June 10am-12pm Perth Metro Education Session Bunbury 21 May 10.30am-12pm Bunbury Regional Education (also 18 Jun; 16 Jul) Peel 22 May 10.30am-12pm Mandurah Blood Cancer Support Network (also 26 Jun, Cooking class with dietitian Jenny Leyte; 17 Jul, Psychosocial strategies for self- care, family therapist Rosemary Watkins) 23 May 1-2.30pm Port Kennedy Blood Cancer Support Network (also 27 Jun; 25 Jul) QUEENSLAND 8 May 10am Caring for the Carer, The Role of the Carer, Dutton Park (also 15 May, Burnout; 22 May, Music Therapy; 29 May, Strategies for Coping) 15 May 10am Cairns Coffee Cake and Chat 27 May 10am 20 Jun 10am 30 Jul 11.30am 7 Aug 2pm 28 Aug TASMANIA Northern Tasmania 13 May 10.30am-12pm Southern Tasmania 7 May 11am-1pm Townsville Support & Information Program (also 29 Jul) Mackay Coffee Cake and Chat Autologous Transplants. Guest speaker: Catherink Kirk, Dutton Park Nuts & Bolts of Allogeneic Transplants. Guest speaker, Dr James Morton, Dutton Park Caring for the Carer, The Role of the Carer, Dutton Park Northern Tasmania Blood Cancer & Support Group, Launceston (also 10 Jun; 12 Aug) South Tasmania Blood Education Program, Hobart (also 11 Jun; 25 Jun; 2 Jul; 23 Jul) NATIONAL TELEPHONE FORUMS Bone Marrow Transplant telephone forums are held for people in regional and remote areas and those in metropolitan areas who have difficulty accessing the Leukaemia Foundation’s regular education activities. Contact Simone Waterman on 1800 620 420 to find out more and to register. Visit www.leukaemia.org.au for our latest Education and Support Program Event Calendar. Leukaemia Foundation Disclaimer: No person should rely on the contents of this publication without first obtaining advice from their treating specialist. AML News - May 2014
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