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Hello Fighters ....
Hey @loribmt
I am here today to share my Husband's AML health update .
As you all know his BMT allogenic transplant has been done last year April 2025 . After 15 months of transplant his Cancer relapsed again making us shattered with the news .It was normal routine checkup and his bloodwork wasn't seems as good So Doctors did the blood smear test and later Biopsy confirmed the same .He is admitted again in the University of Alberta hospital. Considering its a bad luck if someone can please suggest what would be the next best option for him .whether a second Bone marrow transplant or chemo ?
Does second Bone marrow transplant would really work out this time or the chances are very low ?
We are not able to decide what to do next ?
Please help me guiding more
Thank you
Keep fighting

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Replies to "Hello Fighters .... Hey @loribmt I am here today to share my Husband's AML health update..."

@anitasharma Aw, Anita, this is such disappointing news about your husband relapsing. I know you’re all feeling gut-punched right about now, even his BMT team. I’m right there with you because we shared so much of his journey together.

But please don’t despair! This is just a twist or bump in the road. Relapses do happen. With some forms of leukemia, certain mutations are able to evade chemo and the transplant. They can actually go dormant but then resurface later, generally within 6 to 18 months post transplant. Some residual disease is too minuscule to easily detect.

Because your husband has frequent blood work, the cells were caught early in his lab results. His doctors will have a back-up game plan. It might involve followup chemo, targeted therapies, possibly a DLI (infusion of cells from his donor)(your son) and potentially a second transplant. It isn’t uncommon for some transplants to be repeated with a have positive outcome!

You don’t have to make any decisions immediately…and husband is also in much better health entering into any treatment this time. So, his doctors will reassess his case and determine the next route to take. Then they’ll discuss it with you and your husband so that you’re all comfortable with the next steps.
Hang tight and as you say, keep fighting. This is just a bump in the road, not a cliff.
Please keep me updated, ok?

@anitasharma

That is rough. Everything can seem so right, until it is not. I am so grateful Lori posted options. 2nd opinion please. From my research hospital at COH you are reminding me that an answer like that is not the only choice. Different doctors, and hospitals, different choices. Please keep us posted. I know now i will keep asking as there are more and more possibilities in medicine now.