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.

Profile picture for davi0937 @davi0937

@loribmt - in reference to the pet question above and overall survivorship plan question. I am running through my head the life impacts of 1) no BMT - using whatever drugs available to manage life expectancy with Myelofibrosis- side effects, possible new discoveries etc. vs 2) BMT and what life looks like 3 to 30 years out. Can you travel? Have pets, garden, go to concerts or other public events, be near grandchildren that might have measles or other diseases? What ever resources on a survivorship plan please send my way. Thank you!

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@davi0937. Survivorship after a BMT is a huge topic and I plan on posting a new discussion. I’ve been challenged for time lately but it is on my to-do list. In the meantime an excellent informational site is National Bone Marrow Transpant Link. They have plethora of podcasts, informational articles, brochures, etc., on all things BMT.
This should upon in the survivorship section:
https://www.nbmtlink.org/?s=survivorship
To answer your specific questions briefly,
#1 no BMT, treat with meds. That will be a good question to pose to your hemo/oncol. There are tools they can use to help project potential risk levels and that can help with a decision to stay status quo or proceed to BMT. I know it’s a lot to think about.

#2 what life looks like 3-30 years. Well, I’m in year 6 and my life is 99% that of pre-transplant. Just more mindfulness with germs/sun screen/hats…. My husband and I travel, I do some gardening (though I ALWAYS wear a mask if digging in the dirt, planting, raking, etc…I do not take chances! Fungal infections in the lungs are nasty). I’ve not gone to a concert yet, but will if something appeals to me. I attend plays, workshops, meetings, etc., but I wear a mask.
Pets, I discussed above. But at 6 years out, the cat sits on my lap now without my wearing an over shirt. That was just the early months, Children…they are germ bombs! Measles is a huge concern right now and a newly transplanted patient will not receive their MMR for a couple years after. Measles is one of the most contagious viruses and can linger in the air for several hours. So extra caution around children. Your best protection is an N-95 and frequent hand washing.

As I mentioned in a previous post, we didn’t go through all of this to live in isolation. Our doctors and teams want us to live our lives to the fullest. ☺️

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Profile picture for Lori, Volunteer Mentor @loribmt

Diane and @davi0937 While waiting for other BMT members to pop in with their experiences with pets post BMT, I thought I’d toss in 3 websites with informational guidelines for ‘when you go home’. These are pretty standard throughout the BMT world.
From Mayo Clinic: https://connect.mayoclinic.org/blog/caregivers-for-bmt-car-t-and-hematology/tab/transplant-journey/#Infection_Prevention
~~~
From Intermountain Healthcare
https://intermountainhealthcare.org/ckr-ext/Dcmnt?ncid=529712509
~~~
Memorial Sloan Kettering https://www.mskcc.org/pdf/cancer-care/patient-education/leaving-hospital-after-your-allogeneic-transplant

At the time of my transplant, we were between pets…so it wasn’t an issue. I know many friends/acquaintences who had several and various pets when they returned home. They got along fine with some limitations for a while.
I spend a lot of time with my daughter’s cat and dog. They’re not allowed on my bed though. If the cat wants to cuddle I wear a large shirt that covers my clothing and remove it after snuggle time. (Toss it in the dryer for a while after). I don’t touch my face with my hands until they’re washed. Same with the dog. Frequent hand washing. Litter box should be someone else’s job for a 6 months or so. After that, just wear a mask when you clean it.

However, during the critical early months of transplant and up until you’re off immunosuppressants and have your vaccinations, pets can pose a potential threat to infections, bacteria, parasites, etc., because of the reduced level of immunity. Your new immune system, initially, will be that of an infant. It will mature over the next year or so. Keep in mind that your new immune system will never quite be as robust as the original factory installed model you were born with. But it works!

With common sense life can resume to a level of normalcy. We don’t go through all of this to live in isolation with no
quality of life! ☺️ Pets are family too!

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@loribmt you are so helpful. Thank you for the information. It certainly seems a small thing to reduce risk and potentially achieve remission. I have read no drinking alcohol or getting tattoos as well. Both of which are no problem. We do have a wonderful dog but I know my daughter would take her. I have an appointment with the BMT physician in September and have quite a few questions to follow up on. I went running around Como Lake this morning and thought how wonderful it would be to not have this anemia and run the way I used to for longer mileage. That would be a great victory for me. Thank you again for your help! I am also happy to assist in your mentoring if you encounter other Myelofibrosis patients. Betsy

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Profile picture for davi0937 @davi0937

@loribmt you are so helpful. Thank you for the information. It certainly seems a small thing to reduce risk and potentially achieve remission. I have read no drinking alcohol or getting tattoos as well. Both of which are no problem. We do have a wonderful dog but I know my daughter would take her. I have an appointment with the BMT physician in September and have quite a few questions to follow up on. I went running around Como Lake this morning and thought how wonderful it would be to not have this anemia and run the way I used to for longer mileage. That would be a great victory for me. Thank you again for your help! I am also happy to assist in your mentoring if you encounter other Myelofibrosis patients. Betsy

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Hi Betsy, If all goes as planned the anemia you suffer from should be resolved after a BMT. The bone marrow gets a clean slate to start anew.
Of course, there’s no guarantee that you’ll be able to run marathons after your recovery, which can take a year or so. Though I know of a biker who made it a goal to pedal the 100 mile marathon to celebrate year one. And another member here in the forum, just completed an epic trek to the top of a 14,000+ mountain at a little over 2 years post BMT. That news blew me away! At 71, I’m still very active, walking around 6 miles daily, also biking, exercising, weight lifting, and ‘some’ gardening…not like I used to. Full disclosure, I do have days where I completely plop. It may take a day or two to fill to refill the depleted reservoir. BMT or just old age?? 👵🏻
For me, personally, there were no other options available. So I did it for the moments I hadn’t lived yet. ☺️

Betsy, please feel free to jump feet first into any of the discussions in the forum and especially the blood cancer support group with your background with Myelofibrosis. We’re all here to help each other along through our shared experiences.
Enjoy your morning runs around Como Lake! My daughter lives near Lake Nokomis. Pretty areas!

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Profile picture for drawlings0803 @drawlings0803

Random question- how many of you have pets & how did you manage them once you came home after SCT? The discharge class I attended last week said they cannot sit on the sofa with you, or sleep with you. You can pet them, but wash your hands afterward.
I have one cat. She is indoor only. My husband cleans the litter box. I’m starting to worry about this. How big of a deal is this? Can you ‘catch’ something from them, or is the concern getting scratched? Curious to know what those of you with pets did.
Thanks!
Diane

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I had 2 cats. I got my older brother and sister to care for them my 1st 100 days. Sadly one of my cats did not make it through their care. I stayed at my friends house and she did not have pets. She followed COH directions and kept the house as germ free as possible. At 100 days i went home and i did hang with my cat. The flea infestation had just begun. My brother and sister had no noticed. I went to follow up appointments with flea bits. My medical team was happy it was not a rash from GVHD. I only had one cat, so i wore a mask and gloves and cleaned the cat box. Kept my hands washed. If someone else can do that part, that is good. My cat had shots and flea control, so once i had our house flea free we were good. I started walking at my caregivers as soon as i got to her house. I did not wear a mask outside, I was not near people and my medical team said it was ok.
I miss my Hazel cat who i expected to see when i got home. I did have one of those very good eye filters and i keep that on and maintained still.
They encourage walking, the easiest thing to do as you start recovering. Ding ding. I too walked 6 miles or more every day.

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Profile picture for drawlings0803 @drawlings0803

Random question- how many of you have pets & how did you manage them once you came home after SCT? The discharge class I attended last week said they cannot sit on the sofa with you, or sleep with you. You can pet them, but wash your hands afterward.
I have one cat. She is indoor only. My husband cleans the litter box. I’m starting to worry about this. How big of a deal is this? Can you ‘catch’ something from them, or is the concern getting scratched? Curious to know what those of you with pets did.
Thanks!
Diane

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Hello @drawlings0803
My husband 14 months out from his BMT for AML. We have a 26 pound doodle and we took special care to put a towel in his lap before she jumped up to perch or take a nap on his lap. She was very comforting to him to be near but we did both allow her to lick his face for the first 6 months to a year. I think she actually was able to get a lick in here and there because she is so fast (haha) but he was careful to wash his face afterward. We just used common sense to keep him safe including not allowing him to pick up her waste. Lots of hand washing and keeping the animal as clean as possible really helped. But he never felt deprived, nor did she I don’t think 😊 to share in their mutual comfort and love.
Our care team was very chill about the pet situation, again with careful management to keep her mouth away from his and his hands clean after touching her, and before eating, so we were grateful to have her with us.

Hope that helps. Wishing you all the best!

Mary

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Profile picture for drawlings0803 @drawlings0803

Random question- how many of you have pets & how did you manage them once you came home after SCT? The discharge class I attended last week said they cannot sit on the sofa with you, or sleep with you. You can pet them, but wash your hands afterward.
I have one cat. She is indoor only. My husband cleans the litter box. I’m starting to worry about this. How big of a deal is this? Can you ‘catch’ something from them, or is the concern getting scratched? Curious to know what those of you with pets did.
Thanks!
Diane

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Hi Diane,
We have a dog that I love dearly. When I got home I did wash my hands every time I petted him and yes I did pet him a bit less because I got tired of washing my hands so much - but I did pet him. I think we let him back up on the couch after the 100 days. I had no problems doing it this way.

If your cat insists on being on the couch then maybe put cat, husband then you so it’s not against you,

On the topic of washing your hands, I was surprised to find that every soap in our house irritated my hands and finally found an unscented hand soap called Attitude Super leaves from Amazon - I mention this because my sweet husband went to a number of local stores and could not find unscented. Everyone is different and you may not have the soap issue.

On another note, I know a lot of people said their taste buds changed or they were slightly nauseous for months but I had none of that and could eat anything I wanted from about week 6 on; although I did eat less more often because I got full very fast. So just goes to show we are all different and you may have some or none of the various side effects you may hear about.

Please ask any other questions you have. I remember that feeling of all these little questions and I’m sure someone here will have experienced it to have an answer for you.

Good luck with everything. We’re thinking of you from here.
- Deb

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Profile picture for mary612 @mary612

Hello @drawlings0803
My husband 14 months out from his BMT for AML. We have a 26 pound doodle and we took special care to put a towel in his lap before she jumped up to perch or take a nap on his lap. She was very comforting to him to be near but we did both allow her to lick his face for the first 6 months to a year. I think she actually was able to get a lick in here and there because she is so fast (haha) but he was careful to wash his face afterward. We just used common sense to keep him safe including not allowing him to pick up her waste. Lots of hand washing and keeping the animal as clean as possible really helped. But he never felt deprived, nor did she I don’t think 😊 to share in their mutual comfort and love.
Our care team was very chill about the pet situation, again with careful management to keep her mouth away from his and his hands clean after touching her, and before eating, so we were grateful to have her with us.

Hope that helps. Wishing you all the best!

Mary

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Thanks so much, Mary! My husband is so worried about me getting an infection. Our cat is indoor only & I am vigilant with her flea meds, etc. I can’t imagine rehoming her for even a brief time.
Yes, I think using common sense & good hygiene is the answer.
Wishing you & your husband all the best.
Diane

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Profile picture for drawlings0803 @drawlings0803

Thanks so much, Mary! My husband is so worried about me getting an infection. Our cat is indoor only & I am vigilant with her flea meds, etc. I can’t imagine rehoming her for even a brief time.
Yes, I think using common sense & good hygiene is the answer.
Wishing you & your husband all the best.
Diane

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Thinking of you today, Diane! Joining along with Deb, Mary, Kat and the BMT gang in sending you hug and ‘best wishes’ for smooth sailing ahead. 💚💙 (transplant colors!!).

Just sent you a PM. Hugs!

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Profile picture for drawlings0803 @drawlings0803

Thanks so much, Mary! My husband is so worried about me getting an infection. Our cat is indoor only & I am vigilant with her flea meds, etc. I can’t imagine rehoming her for even a brief time.
Yes, I think using common sense & good hygiene is the answer.
Wishing you & your husband all the best.
Diane

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Good hygiene, covid style. My cats have been my buddies. Take it a day at a time. We are here to support.

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Thanks guys! I feel like you are all here with me!

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