I knew two weeks before I saw the doctor that treatment was likely. I felt exhausted, was having night sweats again despite hormone replacement therapy, and could feel enlarged lymph nodes in my neck and under my arms. It was more the fact that I was unprepared for the latest treatment option. Every time I think I know what is ahead the path twists and turns without warning. I am an organized person, and this disease and its snaking changes make planning ahead impossible.
Most people have no problems with chlorambucil.
Chlorambucil makes me queasy, takes away my appetite, and makes me dizzy and woozy at times. So far it hasn't kept me home from work, but that possibility is present. It is doing its job, however, and my counts are improving. After two months of chlorambucil pulse therapy and a trip to California, I returned home with a thrombosed hemorrhoid. It was immediately removed.