While my answer is not very informed, those individuals I am aware of who skipped over the whole stem cell transplant, and went straight CAR T did so via a clinical trial. I’m curious if anybody can confirm this and provide their own story. For what it is worth, I returned to a relatively high demand job (I’m an NP) at 10 weeks after stem cell transplant for MM, I worked fully remote for a while under FMLA, taking on workload as I was able. This would not have worked without a boss and company that were very supportive. Cognition and fatigue were and continue to be my greatest challenges, along with the fact that I continue to have what feels like never ending medical appointments. No doubt ongoing chemotherapy contributes to cognition and fatigue so would be so great if you are spouse did not have to deal with that. I do have the benefit of a wonderful palliative care team who has helped me with these issues. I am hopeful that your spouse is able to access the treatment you want and also hopeful that if he is not, there are pathways to his maintaining work in a way your family needs. Take care