Robert Jordan is ill

In case you did not know. This is a letter Jordan sent to Locus Magazine, as well as his latest post on his blog:

Dear Locus,

I have been diagnosed with amyloidosis. That is a rare blood disease which affects only 8 people out of a million each year, and those 8 per million are divided among 22 distinct forms of amyloidosis. They are distinct enough that while some have no treatment at all, for the others, the treatment that works on one will have no effect whatsoever on any of the rest. An amyloid is a misshapen or misfolded protein that can be produced by various parts of the body and which may deposit in other parts of the body (nerves or organs) with varying effects. (As a small oddity, amyloids are associated with a wide list of diseases ranging from carpal tunnel syndrome to Alzheimer's. There's no current evidence of cause and effect, and none of these is considered any form of amyloidosis, but the amyloids are always there. So it is entirely possible that research on amyloids may one day lead to cures for Alzheimer's and the Lord knows what else. I've offered to be a literary poster boy for the Mayo Amyloidosis Program, and the May PR Department, at least, seems very interested. Plus, I've discovered a number of fans in various positions at the clinic, so maybe they'll help out.)

Now in my case, what I have is primary amyloidosis with cardiomyapathy. That means that some (only about 5% at present) of my bone marrow is producing amyloids which are depositing in the wall of my heart, causing it to thicken and stiffen. Untreated, it would eventually make my heart unable to function any longer and I would have a median life expectancy of one year from diagnosis. Fortunately, I am set up for treatment, which expands my median life expectancy to four years. This does NOT mean I have four years to live. For those who've forgotten their freshman or pre-freshman (high school or junior high) math, a median means half the numbers fall above that value and half fall below. It is NOT an average. In any case, I intend to live considerably longer than that.

Everybody knows or has heard of someone who was told they had five years to live, only that was twenty years ago and here they guy is, still around and kicking. I mean to beat him. I sat down and figured out how long it would take me to write all of the books I currently have in mind, without adding anything new and without trying rush anything. The figure I came up with was thirty years. Now, I'm fifty-seven, so anyone my age hoping for another thirty years is asking for a fair bit, but I don't care. That is my minimum goal. I am going to finish those books, all of them, and that is that. My treatment starts in about 2 weeks at the Mayo Clinic in Rochester, Minnesota, where they have seen and treated more cases like mine than anywhere else in the US. Basically, it boils down to this. They will harvest a good quantity of my bone marrow stem cells from my blood. These aren't the stem cells that have Bush and Cheney in a swivet; they can only grow into bone marrow, and only into my bone marrow at that. Then will follow two days of intense chemotherapy to kill off all of my bone marrow, since there is no way at present to target just the misbehaving 5%. Once this is done, they will re-implant my bmsc to begin rebuilding my bone marrow and immune system, which will of course go south with the bone marrow. Depending on how long it takes me to recuperate sufficiently, 6 to 8 weeks after checking in, I can come home. I will have a fifty-fifty chance of some good result (25% chance of remission; 25% chance of some reduction in amyloid production), a 35-40% chance of no result, and a 10-15% chance of fatality. Believe me, that's a Hell of a lot better than staring down the barrel of a one-year median. If I get less than full remission, my doctor already, she says, has several therapies in mind, though I suspect we will heading into experimental territory. If that is where this takes me, however, so be it. I have thirty more years worth of books to write even if I can keep from thinking of any more, and I don't intend to let this thing get in my way.

Jim Rigney/Robert Jordan

From Jordan's blog:

Well, guys, the letter in Locus is indeed from me. I had hoped to be a little more focused with this and get a post up here before anything came out in Locus, or anywhere else public, so you would get it first, but I flat forgot that Charles has his on-line version of Locus now, too. Sorry about that.Don’t get too upset, guys. Worse comes to worst, I will finish A Memory of Light, so the main story arc, at least, will be completed. And frankly, as I said, I intend to beat this thing. Anything can be beaten the right attitude, and my attitude is, I have too many books to write yet for me to just lie down. Don’t have time for it. Besides, I promised Harriet I’d be around for our 50th, and that means another 25 years from this month right there. Can’t break a promise to Harriet, now can I?

I had intended to go on with a few answers to questions when I made this post (I see some interesting ones), but that will have to wait, I’m afraid. I have a few other things to get done first. Maybe I’ll be able to get that up this afternoon or tomorrow. No promises, though.Before I go to Mayo, though, I promise. And updates from the Mayo as I can manage.Oh, yes. When the hair goes, with the chemo — as it is very likely to do — I’ll post some before and after shots, just so people showing up in Seattle and Anchorage won’t think we’ve run in a ringer. Yes, I plan to keeping those signings in late June. The chemo and recuperation should be finished by mid-to-late May, so I can make it. Hey, there will be big salmon running in Alaska at that time, and I never passed up a chance at big fish in my life.Again, sorry that you got the news in such a raggedy fashion. I really did mean to handle things more smoothly.

Take care, guys. Until the next time.

All my best,

RJ