Stem Cell Transplant Decision & Success
I am having a challenging time deciding whether to move forward with a stem cell transplant. I have AML with INV 16 and was diagnosed on November 18, 2023. Initially, I went through Induction Chemo followed by 4 rounds of Consolidation Chemo then I relapsed in Sept. 2024.
My challenge is getting straight answers from my oncologist about the risks, the chance of success, how long I may be down, etc., based on their experience with a 57-year-old male. The answers I receive are very vague. I would also appreciate guidance from someone who has been through an STC transplant. This too has been difficult. I left out that my donor is one of my daughters (half-match).
I would greatly appreciate sharing anyone's experience and input. I am very confused and the past 13 months have been a roller coaster. I would really like to get off this roller coaster.
Interested in more discussions like this? Go to the Bone Marrow Transplant (BMT) & CAR-T Cell Therapy Support Group.
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Good morning, @katgob Congratulations on your excellent checkup! You can tell your doctor is comfortable with how things are going by the length of time between visits. Extending the leash to 3 months between appointments is a very good sign. When we’re used to going so frequently, like weekly, monthly, etc., it can be a little intimidating to go so long without a face to face with our transplant team members. But each extension of time is also the encouragement we need to realize things are going as planned and we’re getting ready to launch!! ☺️
In my later years post transplant I’d been at every 6 months, which felt like forever between appts. Then last October I gulped when I heard, “Let’s plan to see you in a year!” A brief moment of internal panic but then I realized, this was it!! This was my sign that my doctor was completely assured that I was, indeed, ready! I also have 6 month interval appts with my local oncology team so basically I am seen every 6 months (with labs) by someone anyway. But not going home to the Mother Ship for a year felt intimidating.
However, this past month I returned for my annual follow-up and it was a jubilant reunion. I brought 4 large boxes of chocolates to be shared between 2 departments (along with thank you notes). It was so awesome to see my team again…both the transplant floor and then my doctor and his team.
I was his last patient of the day so my husband and I were treated to a really nice, long visit with him. My doctor is active in mentorship in the medical field and quite supportive of my involvement in Connect. So it’s always an interesting visit with learning new developments in BMT, blood cancers, etc.
What was notable this time was both my liver and kidney numbers were excellent! That was a first in the past 6+years! Like you, I drink a large amount of water daily and that has proven to really improve and maintain kidney numbers. I drink a minimum of 64 oz of room temp water daily but often it’s more than that. So I wish you well in getting your numbers back to a happy level again.
You know you’re getting to be ‘a big girl’ when you’re finally able to get the MMR post transplant! ☺️ Mine was delayed for almost 5 years. And with the rapid uptick in measles across the US it’s extremely important for everyone to be vaccinated!! So be cautious. Measles is the most virulent communicable disease which explains the rapid escalation.
I know the vaccination schedule can be a bit rough but it is also part of helping our new immune systems to restore us to healthy adults again! We lost our accumulated immunity to so many diseases and need those vaccinations to keep us safe.
I’m so sorry both you and your sister have had breast cancer and you with MDS. Some of the treatments can certainly have collateral damage. But it can also be a trade off in the ability to extend our lives. I knew the danger going in when I was treated aggressively for AML. But without those treatments, as there were no alternatives, I would have been gone for a good 5 years by now. My trade off was life now and worry about death later…knock on wood, so far so good!
So happy that you continue to do so well, my friend! I always look forward to your updates! ☺️
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4 Reactions@katgob I ordered a kit to check my blood type from Amazon. It’s super easy to do…harkened back to all Biology 101. 😅 My blood type changed from B+ to O+
One note: If you ever need blood products make sure that they are irradiated first before transfusions. Residual lymphocytes (leukocytes) in blood products can cause GVHD.
I forgot all about the research projects and clinical trials I was involved with! You just jogged my memory! There were a bunch that netted some fun ‘rewards’ like the gift cards. My favorite gift was a really nice blanket that was timely! Needed the heat and coziness…I still use it! I think that was for a phycological study on PTSD. I was followed for some time with that one.
I know another study was for detecting CMV at a lower level…hm. There were at least 2 others but I’m drawing a blank. I know there were always a couple of extra vials of blood drawn for whatever the studies were.
Life has been interesting since, huh? ☺️
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3 Reactions@jeffhampton how are you currently feeling ? How hard was the process?
@lmkmom I’m doing ok. Everyday seems to be a new adventure in recovery. An example; up until a month ago I was taking medication for low blood pressure and then it flipped causing me to take medication for high blood pressure.
My blood counts have been depleting lately but they tell me I’m not relapsing. The issue there is fatigue caused by low hemoglobin.
Recovery has and continues to be challenging. I told my doctors a few months ago that if they would have been straight forward with about all of this I would not have gone forward with the transplant.
I guess I would just like to have a normal life again and I’m not sure if that’s possible. My normal is being able to run ultramarathons, not get tired so quickly, not having all of the joint and bone pain and actually being able to remember the things people tell me.
Anyway, I appreciate you reaching out and I’m sorry that most of this sounds negative because at the end of the day I am grateful to be alive.
I hope you are doing well.
Jeff
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9 Reactions@loribmt
You are always be a Sunshine Mentor here for so many peoples struggling in every day life due to Cancer. Your kind words and great experience is something cant be defined ,You are just like angel for many people here .So cheers to your Spirit first of all and I am praying for you all Lovely Soul .
Good to connect here . Thanks for everything!!
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3 ReactionsAww, Anita, you are so sweet. Well, golly, now I have tears welling up. 🥹 I can’t tell you how much it means to know that I’m helping to make a difference in someone’s life. So often we get a diagnosis where we really don’t know anyone that has faced the same situation. I was the same way. I’d never known anyone who had AML or a BMT and no one to ask but my medical teams. They were helpful but until I was able to actually speak with BMT survivors about a month or so after my transplant, that made all the difference in the world for me! I talked with two people at the same time who were in for follow-up appointments for 2 years and 5 years post! Just visiting with them gave me hope for a future!
I’m just so grateful to be alive after all the medical drama of 6 years ago. It’s my way of ‘paying forward’ all the amazing care from my health teams, prayers from absolute strangers and to be able to offer hope to anyone facing a challenging blood cancer/bone marrow transplant diagnosis.
On that note, I’m so thrilled that your husband is doing well and your lives are back on track! There have been so many wonderful advancements in this field of blood cancers and bone marrow transplants. To be given a 2nd chance at life is a gift to be treasured. Please don’t hesitate to share what you’ve learned through this process. We never know how many people we can impact in a positive way by relaying our stories.
In fact it would be fun if you wanted to post a photo with a little story of survivorship in this post I started a few years ago!
~Snapshots of hope: Life on the other side of transplant.
https://connect.mayoclinic.org/discussion/snapshots-of-hope-life-on-the-other-side-of-transplant/
Thank you so much for your very special note today. My continual best wishes for you and your family.
Warmly, Lori 💞
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4 Reactions@loribmt
I hope to get in some research studies. I was looking at them and will bring them to my NP if I find any in Hematology.
I hope never to get blood products again, but i will note your comment.
I found the kit on Amazon and am going to buy one.
Thank you for all the help you give us.
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2 Reactions@jeffhampton
Thank you for coming back to post. Time is what you need. I will say I have felt good for most days, but for some reason today I am full of energy and more. What changed? A crown at the dentist? Our bodies in a transplant are adjusting. I thought MDS was not a big deal, but tread something though the City of Hope where I was treated and the American Cancer Society and found out it is rare in ways.
I found my memory remains the same way. I use my notes and calendar on my phone to log stuff I know I want to remember. Keep us updated. I hope you will build back your health to be the ultra-marathoner you wish for again. For me, I started walking every day in 2024 May after my transplant and only now started adding jogging. Running is nothing i have every enjoyed. 🙂
I believe as Lori often does, that we help each other know we share many of the same side effects. Being grateful to be alive is a gift.
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3 Reactions@jeffhampton While I was recovering from my SCT, I also thought that I would never put myself through that again. My recovery was brutal and painful slow.
I am over 9 years post transplant. I’m not in the same shape I was before AML diagnosis, but I have come to accept it as my new life. I feel like I’m a different person from the one I was before. My priorities have changed and I appreciate small things more than before. I have recovered well and have been working full time for the last 7 years. My life is very fulfilling and my cancer and transplant journey has given me a new direction in life, which makes me look at all the suffering with some sort of appreciation.
I know you are dealing with day to day pain and limitations that are very discouraging. Keep taking one step at a time towards recovery - you will get better and your life will get better!
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9 Reactions@alive thank you for the encouragement. You are definitely an inspiration and I certainly understand the change in priorities.
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3 Reactions