The news we got today is not the news I wanted to hear. I don't know where to start telling the news I got from the doctor but I'll do the best I can. He said basically the treatment I have been on has not worked and the myeloma is very aggressive and has advanced. I am on the strongest treatment now that I am suited for. That is the treatment that matches my gene expression profile  He showed me the PET scans and MRI scans and it appeared to me to be as bad as it was before I got the stem cell transplant. He's taking me off of the drug Viracept and putting me on an old drug cytoxan. He is doubling my dose of dexamethasone and continuing with Kyprolis. He was very compassionate and caring as well as his APN, Diane, that we think so much of. He suggested that I consider going off of treatment and starting palliative care. I told him I had never given up on anything and I didn't want to start with this. I will continue treatment. He went so far as to say that I should spend as much time with family this Christmas as I could.
I keep in mind that the doctor is not in charge of what's going on with me. I will continue to do what I can to help fight this disease and trust God to take me through it if He so chooses.
Thank you for your prayers. I sincerely appreciate them. A special thank you to Kathy, Joanie, Shirley, and Darlene for your caring and supporting comments.