How Gratitude Helps Amid Multiple Myeloma
- Bruce Springsteen’s wife, 72-year-old singer-songwriter Patti Scialfa, continues on her fight against the rare, incurable blood cancer multiple myeloma, yet she remains focused on savoring life with her husband — and celebrating a grateful Thanksgiving.
- Gratitude is a mindset that helps people face adversity and builds resilience, according to experts we spoke to. It means being thankful for what you have and showing appreciation for it. Several studies have indicated that learning to live with gratitude can lead to more happiness and less stress.
- One way to exercise gratitude is to take time to think about things you appreciate every day. One way to exercise gratitude in your life includes writing down those things in a journal.
- Multiple myeloma is a rare type of blood cancer that hinders the body’s ability to fight infections. It can cause weakness, dizziness, bone pain, and confusion, among other symptoms. Advancements in multiple myeloma treatments have improved the lives of patients battling the disease.
- It’s important to note that although this type of disease is manageable thanks to treatment advances, multiple myeloma patients face a higher chance of relapse (the cancer coming back), and maintenance treatment is often an important part of one’s cancer journey because it can extend periods of remission.
- There are a significant number of clinical trials being conducted for multiple myeloma and SurvivorNet has resources about how to access these options.
Scialfa—a singer-songwriter and mother of three who has been living with a rare, incurable blood cancer for nearly eight years—took to Instagram during this season of gratitude to share a heartwarming photo with her 76-year-old New Jersey-born husband.
Read MoreFor a full guide of resources, please check out SurvivorNet’s multiple myeloma guide HERE.
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Fans were quick to applaud Scialfa for sharing such a “beautiful photo,” with one commenting, “Love this picture. So many of us love you both.”
Another fan commented, “You look exactly the same!! Happy Thanksgiving to two of the best and all the babies.”
“So much love popping out from this picture! Happy Thanksgiving,” wrote another fan.
Following another supporting calling Scialfa and Springsteen a “power couple,” another fan commented, “You both look so happy and relaxed… love seeing that! Happy Thanksgiving!”
Just days earlier, Scialfa posted a cheerful photo of herself riding a horse amid stunning autumn scenery, captioning it, “Happiest place… Nature and Horses.”

We’re delighted to see Scialfa looking happy while living with multiple myeloma and seeing the immense support she has from her fan base.
Her husband also exuded gratitude, writing on social media, “No matter where you’re from, Happy Thanksgiving from all of us on E Street to everyone who calls this land home!”
Springsteen even offered some insight into his unconventional Thanksgiving traditions at the “Springsteen house” on a recent episode of “Late Night with Seth Meyers.”
“My main thing on Thanksgiving is not the turkey, it’s the sweet potatoes covered with the marshmallow,” Springsteen explained.
“And canned cranberry sauce. I don’t want to see any real cranberries in that cranberry sauce. I want it coming out of the can, slice by slice.
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He added, “It’s a great day. We have a lot of fun. Most of the family tries to get together and … it’s a bizarre day. It revolves around eating, but it’s good.”
Patti Scialfa’s Multiple Myeloma Journey
Patti Scialfa chose to open up about her early-stage multiple myeloma diagnosis in the Springsteen documentary titled “Road Diary: Bruce Springsteen and The E Street Band,” which was released in October 2024.
RELATED: Do Bruce Springsteen’s Stomach Ulcers Increase the Risk of Cancer?
Fans learned of her health battle in the documentary, where she’s seen addressing her health struggle, and according to People, she said in the documentary, “I’ve been performing with this band for 40 years. With those first performances, it felt so good to be back onstage.
“Touring has become a challenge for me. In 2018, well, Bruce and I were doing a play on Broadway. I was diagnosed with early-stage multiple myeloma.”
Expert Resources On Multiple Myeloma
- A Great New Option For Multiple Myeloma Patients: Daratumumab Now Available As a Quick Shot, Replacing Long Infusions
- Adding Sarclisa to Treatment– A Promising New Option for Relapsed Multiple Myeloma
- Adding Daratumumab to Front-line Therapy in Multiple Myeloma
- Antibody as Part of Initial Treatment For Multiple Myeloma?
- Approach to Relapse in Multiple Myeloma
- CAR T-Cell Therapy: A Promising New Approach to Relapsed Multiple Myeloma
- Choosing the Best Treatment for Relapsed Multiple Myeloma
- Clinical Trials for Multiple Myeloma: Why They Matter
- Deciding Which Approach to Take During the Maintenance Phase of Multiple Myeloma Treatment
She continued, “This affects my immune system, so I have to be careful what I choose to do and where I choose to go. Every once in a while, I come to a show or two, and I can sing a few songs on stage, and that’s been a treat.
“That’s the new normal for me right now, and I’m OK with that.”
How Cancer Can Shift Your Mindset
Many cancer patients who bravely shared their stories with SurvivorNet often talk about how their outlook on life shifts amid their cancer journeys. The shift in mindset often includes a sense of gratitude for cancer patients, much like the outlook of Patti Scialfa.
WATCH: Finding gratitude and its impact on your well-being.
Gratitude means being thankful for what you have and showing appreciation for it. It’s a mindset that helps people going through tough times, and the experts SurvivorNet spoke with encourage cancer warriors and their loved ones to practice gratitude.
Dr. Zuri Murrell, a colorectal cancer surgeon at Cedars-Sinai Medical Center, told SurvivorNet that his patients who live with gratitude tend to handle treatment better because this attitude is one way to stay mentally healthy.
“The patients who do well with cancer, they live life with that kind of gratitude, but in terms of everything,” he explained. “They’re grateful, not for cancer, but they’re grateful for an opportunity to know that life is finite.”
According to the National Alliance on Mental Illness, several studies have indicated that learning to live with gratitude can lead to more happiness and less stress.
One way to exercise gratitude is to take time to think about things you appreciate every day. One way to exercise gratitude in your life includes writing down those things in a journal.
All About Multiple Myeloma
Multiple myeloma is a rare and incurable type of blood cancer. When you have this cancer, white blood cells called plasma cells (the cells that make antibodies to fight infections) in your bone marrow grow out of proportion to healthy cells. Those abnormal cells leave less room for the healthy blood cells your body needs to fight infections. They can also spread to other parts of your body and cause problems with organs like your kidneys.
RELATED: When Multiple Myeloma Returns, SurvivorNet’s Resources
Sometimes, doctors find multiple myeloma while doing a blood test to look for another condition or when trying to find out what’s causing a patient’s unexplained symptoms.
Doctors use blood and urine tests and imaging tests, such as X-rays or MRIs, to help diagnose multiple myeloma and to guide treatment options. Ultimately, a bone marrow biopsy will confirm the diagnosis.
RELATED: Hematologist and SurvivorNet advisor, Dr. Nina Shah, helps you understand this rare cancer
Multiple myeloma symptoms can range from tiredness, nausea, and constipation. Other symptoms may include:
- Weakness, dizziness, and shortness of breath, which are signs of a low red blood cell count, are called anemia.
- Bone pain, which could be a sign of a fracture.
- Urinating too much or too little, muscle cramps, nausea, and vomiting are symptoms of kidney failure.
- Confusion is caused by too much calcium in the blood.
- Frequent infections because you have too few white blood cells to fight them.
It’s important to know that these symptoms could be attributed to other conditions. If you experience any of these symptoms or are concerned about any changes to your body, you should address them promptly with your doctor.
Hematologist-oncologist Dr. Adam Cohen lays out your options during the maintenance phase of treatment
Meanwhile, multiple myeloma does cause bone conditions. According to the Multiple Myeloma Research Foundation, 85% of multiple myeloma patients have some kind of bone damage or loss.
“The most commonly affected areas are the spine, pelvis, and rib cage,” the Foundation explains.
The reason for this bone loss or damage is that multiple myeloma disrupts the bone remodeling process. The cancerous myeloma cells keep the cells in the bone responsible for removing old bone and rebuilding new bone from working properly.
The disease can also weaken the bone, resulting in fractures. And it can cause thinning of the bones, leading to osteoporosis [meaning the bones are more porous and more likely to fracture].
And “in advanced multiple myeloma, a patient may lose inches from his or her height due to compressed vertebrae over the course of their illness.”
So bone conditions can be a symptom of multiple myeloma.
RELATED: Why Do Some People With Cancer Experience Back or Bone Pain?
Getting a Diagnosis
Sometimes doctors find multiple myeloma while doing a blood test to look for another condition, or when trying to find out what’s causing a patient’s unexplained symptoms.
According to SurvivorNet’s experts, blood tests are also the way your doctor might learn that you have smoldering multiple myeloma or MGUS, because these conditions don’t usually cause symptoms. Smoldering multiple myeloma and MGUS aren’t cancer, but they can sometimes turn into cancer.
WATCH: Tom Brokaw explains his cancer journey and breakthrough treatment.
The odds that either condition will become cancer are very small, but to be safe, your doctor will probably check you more closely with blood and urine tests, and sometimes a bone marrow biopsy–removing and testing a small sample of the spongy material inside your bones. These tests can help monitor you for changes that signal you’ve switched over to multiple myeloma, and that you need to start treatment for this cancer. You may also need a bone marrow biopsy to help your doctor make the initial diagnosis.
Doctors use blood and urine tests and imaging tests, such as X-ray or MRI, to help diagnose multiple myeloma and to guide treatment options. Ultimately, a bone marrow biopsy will confirm the diagnosis.
Monitoring your bone strength and health over time will help your doctors understand how, or if, your disease is progressing.
Treatment Options For Multiple Myeloma
Not everyone with multiple myeloma needs treatment right away. If you have smoldering multiple myeloma, your doctor might simply monitor you regularly to see if your disease progresses.
If you develop symptoms or your doctor thinks you need treatment, there are many options. Which of these treatments you receive, and how they are sequenced, depend on several factors, and on whether your treatment team thinks you are a good candidate for a bone marrow transplant.
Bone Marrow (Stem Cell) Transplant
This is also known as a stem cell transplant. It is a procedure to replace diseased bone marrow with healthy bone marrow without myeloma cells. Based on multiple factors, your doctor may decide that a stem cell transplant is best for you. The transplant process can be involved and requires multiple steps. Be sure to discuss this with your treating team to understand what is involved and what options are available.
If you’re not a good candidate for chemotherapy, your treatment options include targeted therapies, biologics, and steroids.
Targeted Therapy
Targeted therapy is now available for patients with multiple myeloma, and targets abnormalities in myeloma cells that allow the cancer to survive. Examples of targeted agents your doctor may use include bortezomib (Velcade), carfilzomib (Kyprolis), and ixazomib (Sarclisa). These drugs are either given in a pill or through an IV and cause myeloma cells to die by preventing the breakdown of certain proteins in myeloma cells. Your doctor may also use other targeted agents in the class of medications known as monoclonal antibodies.
Biologic Therapy
Biologic therapy is another class of medication your treatment team may use to treat your myeloma. These medications use your body’s immune system to help fight and kill myeloma cells. This class of medication is most often given in pill form and includes medications such as thalidomide (Thalidomid), lenalidomide (Revlimid), and pomalidomide (Pomalyst).
Chemotherapy
Sometimes your treatment team may recommend chemotherapy to treat your myeloma. Chemotherapy uses strong medicine to target cancer cells throughout your body. If your doctor recommends a bone marrow transplant, high doses of chemotherapy are used for this purpose.
Steroids
Occasionally, doctors may use corticosteroids such as dexamethasone or prednisone as part of your treatment. Steroids are different from chemotherapy, targeted therapy, and biologic therapy. They work to reduce inflammation throughout your body. Steroids are given as a pill and are also active against myeloma cells.
Radiation
Radiation uses high-dose X-rays to stop cancer cells from dividing. It is sometimes used to target myeloma in specific areas that may be causing you issues or pain. It is also used if there are tumors or deposits of myeloma cells that need to be treated, such as a plasmacytoma — a tumor made of abnormal plasma cells — of the bone.
Sometimes the cancer can return, or relapse, after treatment. If this happens, your doctor can put you on one of the treatments you’ve already tried again, try a new treatment, or recommend that you enroll in a clinical trial.
Any of these treatments can cause side effects, which may include nerve pain and fatigue. Your doctor can adjust your medication if you do have side effects. In general, you should start to feel better once your treatment starts to work.
Extending Your Lifespan With Multiple Myeloma
Then you’ll ultimately reach the maintenance phase of treatment. Now that your doctor has gotten your cancer under control, from here the goal is to keep your disease stable and to maintain your quality of life. The type of maintenance therapy you get and what prognosis you can expect will depend on whether your doctor determines that your multiple myeloma is standard risk or high risk.
One of SurvivorNet’s experts describes the maintenance process for this disease as similar to lawn care. Once you care for your lawn and it’s no longer overgrown (that’s the initial treatment), it will need some tending, but with that attention (such as low doses of maintenance drugs), it can remain healthy.
Why the many phases of multiple myeloma are like caring for your lawn, says hematologic cancer specialist, Dr. Sid Ganguly
Sometimes this disease will return, even when you’re on maintenance therapies. You’ll still have treatments available if this happens.
Though it can be daunting to choose treatments for relapsed multiple myeloma, the medical experts at SurvivorNet are here to help you make sense of them. Remember that you do have options, and that the goal, which becomes more achievable with each new treatment that’s introduced, is to preserve your quality of life and extend your lifespan.
Questions for Your Doctor
If you are facing a multiple myeloma diagnosis, here are some questions to help you begin the conversation with your doctor:
- What stage is my multiple myeloma?
- What are my treatment options?
- What are the possible side effects of your recommended treatment?
- Who will be part of my healthcare team, and what does each member do?
- Can you refer me to a social worker or psychologist who can help me cope with my diagnosis?
Contributing: SurvivorNet Staff
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