My Bone Marrow Transplant (BMT/SCT) story: Will you share yours?

Posted by Lori, Volunteer Mentor @loribmt, Feb 14, 2021

The past two years have been a storied journey of facing Acute Myeloid Leukemia and a subsequent bone marrow transplant. Being in a high risk category for relapse for AML, a transplant was necessary. Simply put, it would provide a completely new immune system to fend off any remaining AML cells lurking about in my body, after my original factory installed version had become defective in recognizing them. My husband and I shared a collective sigh of relief with the news that my latest bone marrow biopsy, at 19 months post transplant, showed no AML or the mutation which caused it. My new immune system is working!
While celebrating the results with my husband and a pizza, it occurred to me how far I’ve come and how life has changed in the past two years since the onset of AML and the transplant. There have been some challenging transitions but none insurmountable. Of course, life as a genetically modified organism, with two sets of DNA and a new blood type, can have its turf wars with a few GvHD issues, adaptations to medications and such. But I’m incredibly happy to have a second chance with this generous gift of life from an anonymous donor, and through the medical expertise of my amazing BMT-team at Mayo-Rochester. Hopefully I can meet my donor someday to thank him in person. I did send him a card right after the transplant giving him my “undying” gratitude!
We’ve all been given a gift of life. I’d love to hear your story. Lori

What diagnosis brought you to a BMT?

How has it impacted your life and that of your caregiver?

Interested in more discussions like this? Go to the Bone Marrow Transplant (BMT) & CAR-T Cell Therapy Support Group.

@soonerfan

Thank you.

I don’t think my husband could do the group home thing either.
I was concerned about cleaning & keeping stuff clean.
I might have been hearing things about the isolation, gosh the amount of information we have been told/heard. 🤦‍♀️. Some helpful some more confusing.
I’m a month into my chemo shots. Not sure how long it will take to “clean my system” if that’s the right wording.
I thank you for your time and the great insight into all of this.

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Good morning, @soonerfan, here are a few informational sites I tossed in for you to give you a head start on prepping for a transplant later this summer:

~How soon does one secure lodging for 3 month stay in Rochester
https://connect.mayoclinic.org/discussion/how-soon-does-one-secure-l9dging-for-a-3-month-stay-mayo-rochester/
~Long-term lodging options in Rochester while in cancer treatment https://connect.mayoclinic.org/discussion/long-term-lodging-options/
~~~~
A couple of my go-to guides for instructions on stem cell transplants for caregivers and patients with sections on what to pack, avoiding infections and after care.

The first is from Mayo for caregivers and patients.
You’ll be having an autologous transplant so disregard the allogenic information.
https://connect.mayoclinic.org/blog/caregivers-for-bmt-car-t-and-hematology/tab/transplant-journey/#ch-tab-navigation
This is from Memorial Sloan Kettering.
https://www.mskcc.org/pdf/cancer-care/patient-education/leaving-hospital-after-your-allogeneic-transplant
Other things to consider for long term stay:

Essential items you use on a frequent basis at home Your lodging will be your home away from home but sparsely furnished. It’s nice to have some of your favorites with you.

>Mail~USPS will hold mail up to 30 days. Consider having mail forwarded to your lodging. If your mail is held, sign up for free USPS service of previewing the mail. You can see what’s being delivered/held that day to see if you’re missing anything important. Amazon can find you too!

Most helpful to bring:
>Laptop/tablet/smartphone (+ chargers)
Your phone or device will be your connection with the Mayo patient portal and communication with your team. It allows you to review your lab results, appointments and information. It’s also your window to the world while your mobility is limited.

>Small electrical extension cord for charging your phone/tablet while in the hospital room.

> A thermometer. You’ll want to be able to check your temperature daily for sign of infection.
>All medications, spare eye-glasses if needed, personal items for grooming, etc.

>Stamps, envelopes, address book. Post it notes came in handy, along with tape, a tiny stapler, pens, scissors. etc.
>Small sewing kit
>Inexpensive collapsable (fabric) hanging organizers for closets~good for t-shirts, pants & supplies.
>A flat storage bin for under the bed work for extra supplies.
>Quarters for laundry machines (detergent, dryer sheets, color catcher sheets for small loads)


Clothing:
>Slippers or shoes you can wear in the hospital
>A favorite blanket or pillow
>Depending on your length of stay, you might cross seasons. So bring clothes you can layer.
>lounging clothes for comfort
>looser fitting tops to accommodate the chest port or picc line in the arm.

>lysol wipes to wipe down all horizontal surfaces in living quarters, along toilet seats & flusher handle, door knobs, remotes, light switches, etc.
>if staying in a furnished room/apartment, place all dishes and flatware in the dishwasher on a sanitize setting just to make sure they’re clean.

>As the patient you should not clean your own toilet. But we found it helpful to buy a new toilet brush and cleaner at the grocery store so my husband could do a scrub between housekeeping visits.

These are just a few ideas to get your brain wired for the adventure ahead!

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@katgob

Lori,

Thank you. I trust my Caesar salad. Grilled cheese sandwich. I read my packet of no outside food for 100 days. I ate a meatball sandwich for lunch. Just once. Too much.
Did not eat a lot most of the week.
I will say on my counts. They have been steady 3 days.....no big dips.
I have had 2 blood and 1 platelet infusion. 21 days.
Sadly, my caregiver was not ready to have me there yet. In the end, she canceled her yearly Catalina retreat next weekend. She is somewhere this weekend. I will be let out Monday. She has stuff mon/tues/we'd, so she is looking for a sub. My 2nd caregiver is dogsitting. Both thought 30 days.
This has been stressful. Improving as I have means I can be let out earlier. Great if I had family caring for me. I am grateful for friends.
WBC-5.94/PLT-59/all others good.
A day at a time.
More to the story later. I have told COH nurses about Mayoconnect. Also Lori and how this site has helped me in this journey.

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Home at my caregivers the first night. I would love to hear others 1st night out of the hospital. 23 days. My picture is myself and my transporter. She packed the wheel chair with all my luggage to meet my caregiver who just arrived. I toted a large suitcase.
I woke up last night at mid/4am. Usual vital & nurse checks. Crazy. My 1st clinic visit is 4:40pm today. Twice a week for a while. The journey will continue as I build up days.

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@loribmt

The Mayo bone marrow transplant teams are exceptional when it comes to information for their patients. You and your husband will have informational sessions with a dietician and other coordinators so that you’ll learn about how to stay safe, healthy and what to expect. But even after the classes you’ll end up with more questions. It’s ok! You can ask your team anything, anytime and they’ll help clarify things for you.

I’m also here to help you as well. Having gone through my own odyssey of AML and a Allogenic bone marrow transplant, I know how helpful it would have been to have a mentor; To actually know or talk with someone who went through this process and survived. That’s why I’m here, to do a little hand holding and to make sure anyone who is preparing to go through a transplant either with their cells or a donor, is ready for the mission! 😉

It’s my pleasure to be able to encourage others along this journey. One of my favorite experiences was actually published by Mayo. I had the rare opportunity to meet the family and the one of the members that I mentor. We happened to be at Mayo-Rochester at the same time. Thought maybe you’d like to read it; https://connect.mayoclinic.org/blog/about-connect/newsfeed-post/mayo-clinic-connect-brings-together-2-women-with-leukemia-46-years-apart/

I know it all feels overwhelming, daunting and confusing right now. There’s so much information coming at you from many sides. But this will all come together in the end. When will you have your next blood work to check on the status of how well the chemo is working?

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I have blood work every week right now. Finishing up my first session/set.
Thank you so much for you insight on what’s happening. I’ve read some of the other posts, made me LOL when they were talking about storm troopers and minions going in to do the job. I did have it worked up in my mind about what and how this transplant was going to go down.
So I am a lot more at ease now. Thank you so much.

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Well, my doctor just posted the letter to my work today. Although i had wanted to work from home, I had no idea it would be till May of 2025. Geez. I will miss a convention i usually attend in early November and retreat i am on the board for in mid-March. This bone marrow transplant is not for the weak. My sister reminded my 2 cats will be glad i m home. Vacuuming daily and brushing them daily. I was home working a year with my breast cancer and surgeries in 2021 and 2022. My supervisor will be sad. I will miss the students who will graduate by the time i get back.

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@soonerfan

I have blood work every week right now. Finishing up my first session/set.
Thank you so much for you insight on what’s happening. I’ve read some of the other posts, made me LOL when they were talking about storm troopers and minions going in to do the job. I did have it worked up in my mind about what and how this transplant was going to go down.
So I am a lot more at ease now. Thank you so much.

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Good morning, @soonerfan. Just checking in to see how you’re doing. Did you finish your first round of treatment?

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@katgob

Well, my doctor just posted the letter to my work today. Although i had wanted to work from home, I had no idea it would be till May of 2025. Geez. I will miss a convention i usually attend in early November and retreat i am on the board for in mid-March. This bone marrow transplant is not for the weak. My sister reminded my 2 cats will be glad i m home. Vacuuming daily and brushing them daily. I was home working a year with my breast cancer and surgeries in 2021 and 2022. My supervisor will be sad. I will miss the students who will graduate by the time i get back.

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Hi Kat. I was retired at the time of my transplant so returning to the workplace wasn’t on my radar. I remember thinking around the 6 month point that if I were working full time it would have been a challenge because of the fatigue at the end of the day. I’d feel like a puppy with bursts of energy. Then I’d overdo because I felt so amazingly healthy. Paid for it the next couple of days with fatigue…two steps forward, three back. This takes time to recover…not a race, it’s a marathon. But don’t go canceling plans for that March retreat to hastily.
Perhaps if you’re feeling up to the challenge in 6 months you can start working from home?

You’re right, bone marrow transplants aren’t for sissies. 😉 But you’re doing great and have the right stuff to keep pushing forward! You’ll feel like Wonder Woman when you’re past the worst of this. The first 2 months were the most difficult. You’re moving right along, so hang in there!

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Lori,
Thank you for replying. At my work, I do not have disability. Following my cancer diagnosis, I added it a year or so ago through a plan that lets us add specialty coverage. It is not full coverage, but it was just in case. I did not get the extra cancer policy when i could a few years go. I need to wait a few years.
I am going to work from home whether it is all day or a number of hours. I have many appointments over the next number of months, and I want my sick hours to be used for a while. It will just be working it out with my office.
Just seeing what i can do, I need to meet with my HR/Diversity director first. This takes time is so right.......I am going outside to take small walks. Sitting outside for fresh air. Simply reading more. My caregiver's house is not mine. That is still a big adjustment.
Tomorrow is my 30-day bone marrow biopsy. Looking forward to the truth it will tell. My 3rd of many BMB.

REPLY

Hi @clareaq I know this is all very and abrupt for you. You weren’t anticipating having a bone marrow transplant (stem cell transplant). Having yours at this earlier stage in your blood condition, before there is a progressive situation, is a good thing.

There is a ton of information from myself and other members that will help you through all of the unfamiliar territory. You’ll be learning quite a bit at your meeting with the transplant team and I’m sure it will feel overwhelming! Never fear, I’m here to help clarify things for you. There is no question too large or too small!

Each clinic has its own protocol but generally you’ll need to have a dedicated caregiver 24/7 for about 100 days and to remain within 30 minutes of the clinic for the same 100 days. Some clinics have transplants as an outpatient procedure while others require a several weeks as an in-patient before being released to a recovery location.

Do you know if you’ll be having a transplant using your own cells or will you be required to have a donor’s cells?

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@loribmt

Hi @clareaq I know this is all very and abrupt for you. You weren’t anticipating having a bone marrow transplant (stem cell transplant). Having yours at this earlier stage in your blood condition, before there is a progressive situation, is a good thing.

There is a ton of information from myself and other members that will help you through all of the unfamiliar territory. You’ll be learning quite a bit at your meeting with the transplant team and I’m sure it will feel overwhelming! Never fear, I’m here to help clarify things for you. There is no question too large or too small!

Each clinic has its own protocol but generally you’ll need to have a dedicated caregiver 24/7 for about 100 days and to remain within 30 minutes of the clinic for the same 100 days. Some clinics have transplants as an outpatient procedure while others require a several weeks as an in-patient before being released to a recovery location.

Do you know if you’ll be having a transplant using your own cells or will you be required to have a donor’s cells?

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Thank you for your quick reply Lori! I will be having an Allogenic transplant. I will be unable to use my siblings because of age and disease. I am 62 years old. My doctor says I am young and in good health (which I chuckled at) and makes me a good candidate for the transplant. She assures me that they look all over the world to find the best match and one will be found. My hemoglobin is very low which makes my love of gardening difficult but I still go out to the garden every day to do something. It makes me feel better. Knowing I will be unable to garden for a few months is disappointing but of course worth it.

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@loribmt

Good morning, @soonerfan. Just checking in to see how you’re doing. Did you finish your first round of treatment?

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I have finished my first round. On to the first session of the second round. Looking for positive light chains today.( well lower anyways)😊. I started feeling a little more human. In fact felt great Monday!
Hey on a side note did/does any one have the finger and toe tingles with their chemo? My feet and ankles swelled up, kinda scared me. Started wearing my sexy compression socks. LOL!
Thank you for checking on me.

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