Husband with AML facing a stem cell transplant
Hello!
My husband was diagnosed with secondary AML with 2 high risk mutations in January. The prognosis is not good. He is being treated at Northwestern medicine in Chicago. He is responding to the treatment after the first cycle but not full remission yet. They are recommending a stem cell transplant. I’m full of all the feelings! Scared, but trying to trust that my faith will get us through this.
My question is related to caregiver support after the transplant when he is discharged home. We don’t have a lot of family or big social circle nearby.
Any tips on the types of things we should start thinking about in order to give me and my husband the support we will need?
I found this group through the very hopeful messages of @loribmt. Thank you for your positive messages of hope!
Wishing everyone here only the best outcomes and graces!
Interested in more discussions like this? Go to the Bone Marrow Transplant (BMT) & CAR-T Cell Therapy Support Group.
Good morning Lori!
Thanks for checking in. We are at day -1 today! Tomorrow is our 19th wedding anniversary AND my husband’s second birthday! The transplant is scheduled for 3pm. The chaplain here will be giving a blessing and I hope to sneak a little slow dance in with him when we have a few minutes to ourselves. So our odyssey continues! He is stable at the moment. The only hitch has been some high blood pressure readings but he has also had a lot of fluids and Busulfan and Fludarabine “clean out” chemo. Today he started Tacrolimus and Methotrexate starts day +1.
I expect the next week or so to be rough for him so I’m trying to relax into that and know the team here has tools to help him through it. Plus I will be here to help him be as comfortable as possible.
Renting an apartment a few blocks away has been a life saver for me. I’m doing his laundry every day and able to get out for walks instead of spending 2 hours in traffic from home in the morning and evening.
This remains surreal to me. Every now and then I feel stunned that this is our reality and I know the same is true for him. But we are resilient and are adapting.
I decorated his room with photos of our family and friends. I hung hummingbird decals on his windows and I am bringing a Happy Anniversary and a Happy Birthday sign to hang in the room. All little ways of staying positive and bringing a little cheer. The summer sunlight and longer days sure does help too.
Wishing you joy and the best of health as you near your stem cell transplant anniversary!! 🙏
Mary
Hi Mary! I had a feeling ‘we’ were getting close to Day 0! It’s generally such an anticlimactic day considering all the hype and worry leading up to the infusion of stem cells. But it is quite literally the first day of the rest of your husband’s life…a 2nd chance at life. His room sounds very cheery and uplifting. And I know you bring the sunshine to his life every day. 💕 You two are doing everything right and it’s wonderful that the chaplain will come to lend sense of spiritualism to this enormous milestone in both of your lives.
I’m glad the apartment idea is working out so well. That was a brilliant move on your part. Saves a huge amount of stress and energy for you being so nearby the hospital without fighting the daily traffic and finding parking! You’re both having separate but collective adventures right now! There will be lots of moments to talk about for the years ahead.
You’re adapting so very well to this, Mary. For a short while all of this is your new reality. But it’s not forever, it’s just for the time being. Most aspects of your former lives will resume once this speed bump in your otherwise smooth road of life has been cleared. But there will be more doctor’s appts, blood draws and little changes that might seep in. That will become the ‘new normal’…hate that term. I refer to it as my altered reality. But honestly, it’s a life I would not change if I could!
You are correct in that the next 2 weeks can be a little taxing as the side effects of the preconditioning chemo kicks in and from the transplant itself. As the blood cell count drifts south, fatigue will really take over until engraftment of those new stem cells takes place anywhere from 12+ days, at the earliest, past transplant. When his neutrophil count starts rising, he’ll start feeling much better. Don’t despair. It’s just something he has to go through but once he’s on the other side of this…watch out! You’ll have Superman ready to don the cape and tights and take on the world. LOL maybe not…
Happy Anniversary to you both and Happy Re-Birth to your husband. Give him an air-hug for me!
Prayers for a successful transplant! 🙏 Lori
Thank you for all of this. I am on the evaluation side of things right now. I am 30 miles from the UNC cancer center in Chapel Hill NC. My.next big worry is cost. So far I'm fortunate.
Hi @rayj. I just replied in another comment to you. I’m just tossing this site in along with the others I sent you. This has so much information for new SCT patients. There is a section on finances. Most insurances pay for the procedure and followups.
Here’s the link to a really helpful site called the nbmtLINK. https://connect.mayoclinic.org/discussion/bone-marrowstem-cell-transplant-informational-website/
And here is the link to my reply in your other post! https://connect.mayoclinic.org/comment/1085653/
We’ve got your back here. So read up on all the material and don’t hesitate to ask anything that comes to mind!
Thank you Lori
To you both! My days following the transplant included 2 more rounds of a chemo for a research study i was in. Fatigue did get me. Partially due to the nausea meds, one being Compazine which made me tired. I also had nausea. Yikes for a couple days. The meds did not stop it. I was then given a nausea med called "emend" that was good for 72 hours. It worked. They said at the City of Hope that it is only used in tough cases. Well, barely eating for two days is not good. I say always tell the daily visiting DR and your RNS how you feel. Mine listened. After the 72 hour pill, it was for my graft to take hold. I had my transplant the 9th and was out of the hospital the 29th.
By the 29th my graft numbers were very good. I had MDS, so my symptoms were a bit lighter as time went on. No cancer cells to fight. Just following all the guidelines for th4e rest of my 100- day journey and beyond.
rayj and Mary, I hope you keep all of us updated so we know what is going on and we can support you. Lori always has bunches of info to share. A Godsend.
Good morning!
Thank you for your kind words and encouragement. My husband’s transplant went well yesterday, no complications! Actually, it was quite moving. The chaplain said a beautiful prayer just before the stem cells were infused. I can’t tell you how it felt to watch the blood move in the IV line and into him. My heart was bursting with gratitude and hope.
After a couple of hours, he ordered pancakes and potatoes for dinner! I felt all the prayers being sent up for him/us, truly.
Another fun sign we got was that his nurses’s mane was Abby. That’s our beloved dog’s name too. So we felt like our “pack” was together in spirit! lol.
My husband is good about telling the medical team if he has any new symptoms. We realize how important that is to stay ahead of any complications. I also know that the next couple weeks will not be a walk in the park for him. But I trust the team caring for him to help as best they can to keep him comfortable and nourished. Thank you and @loribmt for generously sharing your experiences and for your support.
Here’s a photo of one of the walls in my husband’s hospital room. We not only celebrated his new re-birth but also our 19th wedding anniversary yesterday! Such a blessing.
@katgob I pray you continue to heal and recover nicely!
Mary
Hospital room decor!
Mary, I’m reading the accounting of your husband’s rebirth-day with tears in my eyes! The Chaplin being there, the nurse named Abby, your wedding, the symbolism…all of it. What a special moment for all of you. And he finished up with pancakes for dinner! Love it!
He’s already a model patient and you’re the perfect caregiver. You two can move mountains together! Thank you for the update, cuz I was wondering. 😉
Hospital Room Decor for our 19th wedding anniversary!