← Return to Acute Myeloid Leukemia with Aberrant CD7

Discussion

Acute Myeloid Leukemia with Aberrant CD7

Blood Cancers & Disorders | Last Active: Dec 22, 2021 | Replies (41)

Comment receiving replies
@loribmt

Hi Lodi! It’s great to hear from you!! You’ll see a reply box right above this one with instructions how to easily find our conversations for future reference. I lose conversations too! ☺️

Ok, from my reckoning your partner is about 80 days post transplant? Hasn’t hit that ‘magical’ 100 day mark. At that point any GVHd that surfaces tends to be less voracious and considered chronic instead of acute. So for now, he should still be on all his medications. They will include his anti-rejection drug (probably tacrolimus), an antiviral, antifungal, one or two antibiotics, ursodial for his liver and possibly a proton pump inhibitor for his stomach and magnesium.
He’ll remain on those meds for as long as he’s taking the tacrolimus (or similar). That immunosuppressant, like the name says, is holding back his immune system from trying to attack his body. By doing so, he has no working immune system right now and is vulnerable to everything. So his bottles of pills are subbing for his immune system. Even as he weans off the Tacro and other meds, it will take 2 years for a new immune system to be fully up and running and it will never be as robust as the factory installed model. ☺️. He will always be considered immunocompromised.

Really have a doctor keep tabs on the potential lung condition too. Again, you don’t want things that are small now, to become a major issue later. It can happen very easily with a new transplant patient. I’m not trying to frighten you. It is what it is. We stem cell transplant people are on some untested grounds as far as how things will affect us. Nothing is certain and definitely doesn’t go by the book.

You didn’t mention his pre-existing conditions before. But there is some potential good news! With his new immune system his previous existing autoimmune conditions will be gone! He starts with a clean slate. So I agree, it would be interesting for his doctors to take a look into his eye situation (no pun intended) to see if this is the case!
He really needs to see an ophthalmologist soon to make sure he’s not having any GVHD in that eye! If something can be done now, it might be caught before it becomes chronic.
His transplant doctor is in no position to diagnose an eye GvHD issue. I had some unusual things happening to my eyes about 2 months after transplant and my doctor sent me immediately to an ophthalmologist. It was easier because I was at Mayo and they work so seamlessly between departments. But I learned early on, you don’t let any little thing go…it can become dire very quickly.

Skin is a big issue for GvHD so I’m happy to hear the steroid cream and Vaseline is helping. It should get less over time but he has to be really vigilant to stay out of the sun and to keep his skin lotioned up all the time.

Lodi, I’m so relieved you’re finding someone local to talk with and to help out! By all means have them contact me on this forum or, I can easily be reached by private message too. Click on my bio of @loribmt and there’s Send Private Message in the lower left corner.

Oh that’s fabulous to write your memoirs! You need some time to devote to yourself and no better way to do that then re-explore your beginnings and see how far you’ve come! What professional resources are you looking for? I have a very dear friend who is a writer and helps others write their memoirs.

Jump to this post


Replies to "Hi Lodi! It’s great to hear from you!! You’ll see a reply box right above this..."

Hi Lori- When you get a chance, thanks for letting me know you got my post today. Please reply to the actual post only when convenient. I just want to make sure the post went through. Thanks!

Hi Dear Lori-

So, here I am again, back three weeks later and I always feel badly about my delayed response because of all your amazing efforts. I hope you understand that I am very appreciative of your detailed quick responses. I get very overwhelmed with our endless "to-do" lists, overwhelmed emotionally, always living with a constant underlying sense of unease. Sometimes, just getting through each day is all I can do. And we are grateful as he has had almost no side effects. I appreciate your caregiver links and I did look at the Podcast. I am aware of what a caregiver should do to take care of themselves but will do better soon. Anxious about the next BMB and getting past day one hundred. We are at day 90 today! Thanks for the update on what to expect with medications Learning from you from the patient’s perspective is most helpful because I gain insight into the disease process and how to best to put myself in Richard's shoes.

I had not yet mentioned Richard's underlying conditions. It has been 6 months since he had a CT scan of his lungs which is typical, but with the new diagnosis and treatment, I think somebody should be watching over his lungs more closely. There was no pulmonologist on the transplant team. Same with his eyes, which is less of a concern as he controls mild symptoms with limited use of steroid drops. You are lucky to have Mayo and all that great coordinated specialist care.

He has started to move in the right direction as he has recently reached out to a couple of his pulmonologists and is scheduling a lung CT scan tomorrow. There was no pulmonologist on the transplant team. I think his eyes, since they are doing okay for the most part, will have to wait because of the Pandemic.

Re: the memoir. I am a decent creative writer, and I may have mentioned I wrote professionally for architects and engineers, which is helpful. I have been looking into the boundless information online re: coaches, courses, and it is overwhelming. Since the Pandemic, everyone wants to publish their stories. It is a very crowded field and too many options to choose from re: authors, coaches. Hoping to identify a coach or course led by an experienced instructor/author with a track record in medical narrative or medical memoirs if possible. I would like to identify someone who is work a professional who can help me through the entire process including concept development, the narrative, publishing, and marketing. Right now, I am feeling a little discouraged because everyone is telling a story, and many, are high quality. I am also a fairly accomplished painter and was considering integrating the artwork with the narrative.

I know you have so much to be thankful for and you deserve the best of luck in life! Wishing you a wonderful holiday season…including good health above all, inner peace, and lots of joy and humor. Do not forget to hang a guardian angel on your tree, one in your image, who faithfully guides your loyal following and yourself as well, down this complex winding path.

Warm regards and hugs too,
Lodi