Good Morning @loribmt. Thank you for checking back in with me! But first, may i take this moment to wish you the very best holiday season and merry christmas to your and your family! I've made a couple more trips up since our last communication. And I'm heading up next week. Overall, the team and I have decided to hold off on the transplant (or diving straight in). The reasons being is that I'm responding really well with the Pacritinib treatment. My spleen was shrinking most of the year. But then about a month ago, i noticed it starting to enlarge again (because of my eating habits). I was preparing, fully, for heading into the bmt. I gained 20lbs (im also on Mertazapine for anxiety and sleep). Along with weekly therapy sessions, i have to say. I have fully thought this through. And i do fully understand, that my body might dictate the timing, not my brain. They had a 90/100 mismatch and couldn't do it because my brother never did his test. Without my brothers test, they wouldnt have even had a back-up. If my 48-49 yr old brother (in perfect health) tested at 100, then the mismatch 90/100 would be the back-up. The doctors were trying to explain some things to me about Myelofibrosis very early on. And because i was so so very sick in Feb/March/April, I didn't understand what they were trying to tell me. Which is why i had other people "sit-in" some of those video appts. My sister completely backed out of helping me because of what the doctors said. My brother backed out just recently because they scared him when they were explaining the "possible" side effects of the Neulasta injections. First of all, Myeofibrosis does not have a good reputation for transplant. Meaning, it doesn't transplant very well, EVEN WITH a 100% donor!!! Out of the 10,000 transplants the Mayo has done....they werent all for Myelofibrosis...they were for every type of Leukemia. One day the doctor said that we would have to find a 100% young donor...in order to have any hope. And so that just stuck in the back of my mind. The GOOD news is that the new drub Momelotinib just got approved and released to the pharmacy forumularies in September. Now they haven't put me on that yet. I have to still see Dr. T and discuss this. Our last discussion went well. He said they also have other drugs they can put me on until i really absolutely have no other choices. The things working in my favor right now.... my hemoglobin levels are on the rise (and if they drop again i can take the new drug he has to compliment the Pacritinib), so im not transfusion dependent yet. And my blood levels (the main four things) are staying pretty consistent with the Pacritinib. My bone pain is near to none. And im active. I can go walk a few blocks. I'm not wheelchair bound. I'm still living!!!! and busy taking care of my teenage son. While i have lots of moments where i want my old farming life back (my herd of goats), Im ok with my quality of life now. And i installed a new air system in the house and am still working towards things with the bmt in mind. Hope u r getting plenty of sunshine!!!