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.

@mary612

Hi @loribmt !
Geez, I’m sorry to hear about your sudden change in plans! Yes, if we are nothing, we are adaptable and resilient.

I’m sure you are disappointed not to see your daughter over the holidays. That’s a bummer. But I love your plan to cook a meal and eat together over video. It’s a skill we picked up in our house as well. Along with mask wearing and hand washing, that serves us well especially now, they are remnants of Covid times we appreciate.

Do you have a local oncologist in Florida as well in case you need in person care? It’s great that you are able to live your best life part time in Florida, the north woods of Wi and home! But it all takes planning and thought, right?

I sure do hope you are feeling better asap! I know what a pain C Diff can be as my sister who had an auto stem cell transplant (NH Lymphoma) 15 years ago, has flare ups from time to time.

As I wrote this the sun is just starting to brighten the sky and it’s a new day. Hope you and your husband enjoy beautiful sunrises and sunsets over the holidays in those beautiful Florida skies.

Sending healing vibes…
Mary

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Hi Mary! I appreciate your sending the healing vibes and hope to heck they’re stronger than the other vibes I’m getting today! 😂 Just starting day 3 of the Vancomycin and was hoping there would have been more of an improvement to, um, the plumbing issues! I did put in a call to my BMT care team again this morning so we’ll see what’s next on my ‘naughty list’ from Santa. Geez is right.

I don’t have a doctor/oncologist here but there’s a decent hosptial for emergencies and there are several Urgent Care facilities should the need arise. This morning, I’m uncharacteristically unsettled and let a few ‘what ifs’ sneak in. So I’m working on mindfulness to get my brain refocused. I think it was the abrupt change in plans and the added disappointment of missing the usual traditions of the holiday at home with our daughter. There are only the 3 of us, so we’re pretty tight but seldom get to see each other.
AND, of course, the extreme disappointment in having a flare of C-diff when I felt it was all under control. Blargh…

😂What you’re witnessing is my real-life 30 second meltdown. I seriously give myself 30 to 60 seconds to have a hissy fit and then move on. Accept, adapt and move forward is always in the background. But this is the little brown pile of emoji!! Hahaha.

On the other hand, as I joked with my husband, there are worse places than being stuck on the beach for the next few weeks! 😂 So I tossed a string of Christmas lights on the large fake palm tree in our condo. Yesterday I glued string to sea shells and hung those from the plant. We’re rolling with the holidays.

I hope you and Dane have a lovely holiday season. We all have so much for which to be thankful. A few little hiccups are nothing in the grand scheme of things.

🧑🏻‍🎄 Here’s a couple photos of the hardships we’re facing by not being home! 😂😂
The deep white powder! If you didn’t know better you’d swear it was snow, right?
And our “Christmas Palm”. Ho ho ho!

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@loribmt

Hi Mary! I appreciate your sending the healing vibes and hope to heck they’re stronger than the other vibes I’m getting today! 😂 Just starting day 3 of the Vancomycin and was hoping there would have been more of an improvement to, um, the plumbing issues! I did put in a call to my BMT care team again this morning so we’ll see what’s next on my ‘naughty list’ from Santa. Geez is right.

I don’t have a doctor/oncologist here but there’s a decent hosptial for emergencies and there are several Urgent Care facilities should the need arise. This morning, I’m uncharacteristically unsettled and let a few ‘what ifs’ sneak in. So I’m working on mindfulness to get my brain refocused. I think it was the abrupt change in plans and the added disappointment of missing the usual traditions of the holiday at home with our daughter. There are only the 3 of us, so we’re pretty tight but seldom get to see each other.
AND, of course, the extreme disappointment in having a flare of C-diff when I felt it was all under control. Blargh…

😂What you’re witnessing is my real-life 30 second meltdown. I seriously give myself 30 to 60 seconds to have a hissy fit and then move on. Accept, adapt and move forward is always in the background. But this is the little brown pile of emoji!! Hahaha.

On the other hand, as I joked with my husband, there are worse places than being stuck on the beach for the next few weeks! 😂 So I tossed a string of Christmas lights on the large fake palm tree in our condo. Yesterday I glued string to sea shells and hung those from the plant. We’re rolling with the holidays.

I hope you and Dane have a lovely holiday season. We all have so much for which to be thankful. A few little hiccups are nothing in the grand scheme of things.

🧑🏻‍🎄 Here’s a couple photos of the hardships we’re facing by not being home! 😂😂
The deep white powder! If you didn’t know better you’d swear it was snow, right?
And our “Christmas Palm”. Ho ho ho!

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Good morning Lori,
I can only imagine how unsettling setbacks are for you, given our shared experiences. I truly hope the Vanco starts turning things around asap! You are the poster child for resilience and joy, no matter what life throws at you. Your generous spirit leaps off the page and into our hearts!
I love the scenes of your world at the moment, symbols of light and peace, especially apropos of the season. Boy that beach is amazing!! Love it!
Thank you for sharing!
I know you will miss being with your daughter, but hope you can make a plan for another visit soon that wasn’t already on the calendar! Something to look forward to!

Keep us posted on how you are doing.

We count you among our greatest blessing this year Lori. Your hand outreached to us in the dark many months ago was an answer to our prayers and we are deeply grateful to you for your incredible support.

Peace,
Mary and Dane

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@loribmt

Hi Mary! I appreciate your sending the healing vibes and hope to heck they’re stronger than the other vibes I’m getting today! 😂 Just starting day 3 of the Vancomycin and was hoping there would have been more of an improvement to, um, the plumbing issues! I did put in a call to my BMT care team again this morning so we’ll see what’s next on my ‘naughty list’ from Santa. Geez is right.

I don’t have a doctor/oncologist here but there’s a decent hosptial for emergencies and there are several Urgent Care facilities should the need arise. This morning, I’m uncharacteristically unsettled and let a few ‘what ifs’ sneak in. So I’m working on mindfulness to get my brain refocused. I think it was the abrupt change in plans and the added disappointment of missing the usual traditions of the holiday at home with our daughter. There are only the 3 of us, so we’re pretty tight but seldom get to see each other.
AND, of course, the extreme disappointment in having a flare of C-diff when I felt it was all under control. Blargh…

😂What you’re witnessing is my real-life 30 second meltdown. I seriously give myself 30 to 60 seconds to have a hissy fit and then move on. Accept, adapt and move forward is always in the background. But this is the little brown pile of emoji!! Hahaha.

On the other hand, as I joked with my husband, there are worse places than being stuck on the beach for the next few weeks! 😂 So I tossed a string of Christmas lights on the large fake palm tree in our condo. Yesterday I glued string to sea shells and hung those from the plant. We’re rolling with the holidays.

I hope you and Dane have a lovely holiday season. We all have so much for which to be thankful. A few little hiccups are nothing in the grand scheme of things.

🧑🏻‍🎄 Here’s a couple photos of the hardships we’re facing by not being home! 😂😂
The deep white powder! If you didn’t know better you’d swear it was snow, right?
And our “Christmas Palm”. Ho ho ho!

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Hope you are feeling better soon! Being sick and seeing sunshine definitely beats being snowed in and seeing gray everywhere!

I have never had C-diff, but I know it’s a nasty thing. Enjoy your quiet holidays!

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@alive

Hope you are feeling better soon! Being sick and seeing sunshine definitely beats being snowed in and seeing gray everywhere!

I have never had C-diff, but I know it’s a nasty thing. Enjoy your quiet holidays!

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Thank you…this is not the way I expected to celebrate the holidays this year! Oddly, throughout all the hospitalization, chemo, antibiotics for AML and the transplant I never contracted C-Diff! I was so relieved to have avoided that scourge.
This summer, five years later, is when I got it for the first time! I had a mole removed on the top of my foot in early June. It became infected and required 2 rounds (17 days) of Augmentin and that opened up a whole new world of ‘issues in the nether regions’. 😂.
Treatment got it under control and I’ve had 5 glorious months of denial, thinking maybe I was one of the lucky ducks who wouldn’t have a C-diff relapse. Joke was on me! LOL.
So we’re hunkered down for the duration trying to make lemonade out of lemons…

Have a lovely holiday season! ☺️

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@loribmt

Hi Kat, LOL I’ve often had a death grip on the box of chocolates designated for someone else!! Tough to let go…gimme gimme! 😂

It has to feel pretty encouraging being back at work! When was your first day back? Are you full time now or can you hit and miss for a while? Cringing with the news that your assistant had a cold though! I know what a gut punch that can feel like. I have a momentary clench of panic when I encounter someone who’s sick and hadn’t anticipated that scenario. I find myself going through a quick checklist of…did I have my mask on, did I touch my face, rub my eyes?

We were in a grocery store the other morning. It was basically empty so I wasn’t wearing a mask. But I turned down an aisle and there was a group of people standing and chatting…and coughing!! I quietly turned around, put on my mask and avoided that aisle. Problem is, they were standing right in front of an item I needed! 😆 Finished all the other items on the list then circled back and they were gone. But lesson learned, not to let my guard down. Masks really do work!

Sounds like you’re riding solo for the holidays this year. I like your plan of grabbing a friend and hanging out looking at lights! That’s always fun. Our plans to spend the holidays at home in the Northwoods of Wis with our daughter this year got derailed. We drive instead of fly so it’s a 1,250 mile trip (2.5 days) home. On the first day of travel I realized that my nemesis, C-Diff decided to make a visit!! 😳 So the first night we spent at a hotel and then reversed the trip and hightailed it back to our condo in Florida. Called my BMT team and my doctor sent a prescription to our pharmacy there! Meds were waiting for me when we drove into town so, phew…but that means we’re here for the holidays and our daughter is on her own this year. We offered to fly her down here but she was just with us for a week at Thanksgiving. So she’s spending the time with friends, baking cookies and taking in holiday events. She came up with a plan for us making a meal together via FaceTime. Then eating with our computers on the table so we can be a united family. We’ve done that before when I was in isolation with the transplant and some holidays when Covid was prevalent. Anyway, we’re nothing if not adaptable, right?
Always good catching up with you, Kat! You’re always a ray of sunshine! Hugs.

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Lori,
I also bought the creams at See's Candy. Those would be far more tempting than the mixed box. A friend of mine also brings chocolates for her med team. These they can share.
For work, I just snuck in the one day for a training class we do as i KNEW the student worker hired was not going to get it right. She did not as she arrived 30 minutes late for set up waiting for the babysitter. I then stayed longer to straighten up and all that jazz. The office held their 2nd Christmas event for foster kids and their parents. It is such fun. I wish i could have gone but i only stopped by to take a picture of a couple of the In N Out Staff!!! The training team for that class has a big complainer, so I needed to make sure the class was up and running for her.
Since my white cells had dropped, I figured not to ask the Dr until after January 10th.
If he says good, the numbers are good, then I will ask him.

I had to look up C-diff. That is cruddy. This site keeps me focused on the fact that i am not at 9 months past my transplant. I am not healed. I am healing and must take care every day. I am baking a bunch of sweets for our campus safety guys. This lets me have a few but give all away.
I am taking Friday off to go do something fun in Orange County. Not sure yet, but something outdoors and where Christmas decorations are in abundance.

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@katgob

caregiverx2- 87 days down. Amazing, isn't it? Oh my. Every medication we come off of does feel good. Kidneys? I still have to drink over 100 oz. of water for my kidneys. My Dr. does not want me to kill my kidneys. The tremors I hope are a result of the tacro. That would be the best result.
The day i got home was the BEST day. My cat had passed away, but Home has made the nearly 4 months heaven. Build in exercise daily. Keep us posted.

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My husband is now at day +123. At day 100 they took him off the voriconazole and planned to taper the tacrolimus. But he broke out in a rash and was diagnosed with GVHD grade 2. He was put on steroids, back on the voriconazole, and they increased the tacrolimus. The rash has cleared up. His ANC dropped back down under 1 again so he had to go back on another medicine. So, instead of taking less drugs, he is taking more now. We see the doctor tomorrow to reassess his plan of care.

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@caregiverx2

My husband is now at day +123. At day 100 they took him off the voriconazole and planned to taper the tacrolimus. But he broke out in a rash and was diagnosed with GVHD grade 2. He was put on steroids, back on the voriconazole, and they increased the tacrolimus. The rash has cleared up. His ANC dropped back down under 1 again so he had to go back on another medicine. So, instead of taking less drugs, he is taking more now. We see the doctor tomorrow to reassess his plan of care.

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Hi @caregiverx2, I know this feels a step back in your husband’s recovery, but it’s not! He’s still very early in the transplant journey and gvhd is not unexpected. Even if we have a very close match with our donors, there can still be instances of gvhd. In fact, it’s important to have some level of recognition from our newly implanted cells that they are in control.
In the early months post transplant, the new cells are still getting used to the body where they’ve taken up lodging. They are basically on high alert in this new neighborhood. It can take many months, sometimes years for the cells to recognize and adapt to the many proteins it finds roaming about. It takes time for them to realize they are not all threats that need to be attacked. Until that happens there can be little flare-ups of gvhd, such as the skin rash.

Those little flares get tamped down with a quick snuff of steroids. Or, in the case of your husband, the tacro level is also ramped up to a safe, sustaining level again. This suppresses the over-eager cells until they can temper their assertiveness. 😅 A time out! If it’s any consolation, I was actually on Tacro for 2.5 years. I had a perfect match but “the force was strong with this one” and needed extra time for my new immune system and my body to learn to play well together!
No two of us are alike so we all have our own personal journey along the BMT trail. But we share similarities so it’s good that you brought this out in the forum to talk about.

How’s your husband been feeling otherwise? Is he gaining weight, strength, stamina?

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@loribmt

Hi @caregiverx2, I know this feels a step back in your husband’s recovery, but it’s not! He’s still very early in the transplant journey and gvhd is not unexpected. Even if we have a very close match with our donors, there can still be instances of gvhd. In fact, it’s important to have some level of recognition from our newly implanted cells that they are in control.
In the early months post transplant, the new cells are still getting used to the body where they’ve taken up lodging. They are basically on high alert in this new neighborhood. It can take many months, sometimes years for the cells to recognize and adapt to the many proteins it finds roaming about. It takes time for them to realize they are not all threats that need to be attacked. Until that happens there can be little flare-ups of gvhd, such as the skin rash.

Those little flares get tamped down with a quick snuff of steroids. Or, in the case of your husband, the tacro level is also ramped up to a safe, sustaining level again. This suppresses the over-eager cells until they can temper their assertiveness. 😅 A time out! If it’s any consolation, I was actually on Tacro for 2.5 years. I had a perfect match but “the force was strong with this one” and needed extra time for my new immune system and my body to learn to play well together!
No two of us are alike so we all have our own personal journey along the BMT trail. But we share similarities so it’s good that you brought this out in the forum to talk about.

How’s your husband been feeling otherwise? Is he gaining weight, strength, stamina?

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He is doing okay. His stamina and strength are slowing improving but he is having a hard time maintaining or gaining weight. The steroids also send his blood sugar sky high so he exercises/walks to try to get it down. It is a bad news/good news situation, but it still takes a toll on him.

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@caregiverx2

He is doing okay. His stamina and strength are slowing improving but he is having a hard time maintaining or gaining weight. The steroids also send his blood sugar sky high so he exercises/walks to try to get it down. It is a bad news/good news situation, but it still takes a toll on him.

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It’s not unusual for weight to fluctuate for many months after a bone marrow transplant. Meds can impact the absorption and metabolism of foods. Grazing throughout the day is good and sometimes necessary. I had a difficult time too and initially my BMT, as well as the dietician, suggested eating anything I could get down that had calories. The foods didn’t always need to be healthy…if weight is too low, opt for calories saying… “We’ll worry about your cholestrol later!”
My go-to was Lactaid Salted Caramel Ice cream. My husband made me smoothies or I’d have little cones. It had protein, fat, carbs…it was all there and palatable. LOL.

You and your husband are doing all the right things. Recovery from a BMT can’t be rushed and I know how frustrating it is to feel like you’re taking two steps back after marching 5 steps forward.

It occurred to me that your husband and @dwolden’s husband, Dave went through their transplants at roughly the same time. He was at Mayo Rochester while you’re down in Florida, if I remember correctly. I bet it might be helpful to trade war stories! David has had his ups and downs with weight as well and of course you, as the caregiver, shoulder the brunt of most of the worry…as does David’s wife, Dorothy.

Hang in there! This gets better with a new, 2nd chance at life ahead. It’s worth the challenges of the early months.
I hope you and your family have a lovely holiday season!
Are you now home?

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Wow. caregiverx2- I started reading your post and felt sad. Oh no. Then on you went with the increase of tacro and the steroid and bing...bing... the rash cleared. I hope you will feel reassured with Lori's post.
I love Loris's post. Oh, my goodness. Just what all of us need to hear. I was taking all the usual drugs and one by one the doctor took me off them. Vaccines began after my 6 mos. 2 -4 every time i have an appointment. My next ones on Jan 10th. The drugs i am on are acyclovir. Bactrim on Sat/Sun. Letrozole from the breast cancer.
For me, the research test had me off taco at 80 days. What i like reading in Lori's posts are the way she describes what is going on in our bodies. I am day 257. I am a bone marrow transplant patient having had MDS.
Mayo Clinic gives us mentors and other patients who describe what may happen or could happen in a safe, nurturing way.

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