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.

@loribmt

Good morning. I expected you’d be having an allogenic transplant but didn’t want to assume anything. 😉. I think you’re a prime candidate for a transplant considering your health and your age. I was 65 at the time and up to 3 weeks before the diagnosis with AML I had been super healthy so the transplant was a no-brainer.

The donor program is amazing. The procurement process scans globally for a match. My donor was a healthy 20 year old male from the US. But I have several friends, whom I’ve met along this journey, with donors from Europe. So hopefully you get a match soon so you can move forward.

A work of caution about gardening, especially within the first year or so after transplant. There is high risk of fungal infections, sometimes fatal. I’m an avid gardener so it was tough when I was instructed to not even pull an errant weed…which is always so tempting! Wear an N-95 mask anytime you’re working with dirt…but even then, ask your team for instructions. At 5 years post transplant, I still wear a mask while working in the garden. Even though we’re given a new immune system with the transplant, it will never be has robust as our original factory installed model. 😉 So we make adaptations for our new life. It’s all good!
Keep me posted! What’s your timeline?

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Thank you Lori—
As much as it pains me I have read that gardening will be out of the question for some time and need to be cautious the rest of my life. That is a tough blow because aside from my family— gardening is the joy of my life. Even being on Hydrea and Jakafi, I experienced fungal infections so I can understand why it’s basically prohibited.

I will be having my first meeting with the transplant team this Monday, May 13th. They had sent an initial packet of forms but as I am already a patient at UofM it wasn’t too much. I’m certain there will be more.

I’m sure many of my questions/doubts will be addressed at this meeting. As I said, this is all happening quickly. I’ve wanted a transplant since my early ET diagnosis 12 years ago but now that I’ve progressed to warrant the transplant it’s a bit daunting. I want to be brave for my husband and family so they won’t fret too much.

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soonerfan.
Thank you for posting. I'm at City of Hope in California. Who knew i would come across Lori in this Mayo Connects site and find the extra support i needed to walk through my transplant. I found out with a Bone Marrow Biopsy I had MDS in October of 2023, went in the "Be a Match" registry and by December the Dr said they had matches. In January, they had one donor picked and in March I found out that with a caregiver found, April 2nd was the start of my conditioning, April 9th is Day 0, my new Birthday.
I have some neuropathy on the bottom of my feet, I do know the transplant teams want to help with side effects.

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@clareaq

Thank you for your quick reply Lori! I will be having an Allogenic transplant. I will be unable to use my siblings because of age and disease. I am 62 years old. My doctor says I am young and in good health (which I chuckled at) and makes me a good candidate for the transplant. She assures me that they look all over the world to find the best match and one will be found. My hemoglobin is very low which makes my love of gardening difficult but I still go out to the garden every day to do something. It makes me feel better. Knowing I will be unable to garden for a few months is disappointing but of course worth it.

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Good morning. I expected you’d be having an allogenic transplant but didn’t want to assume anything. 😉. I think you’re a prime candidate for a transplant considering your health and your age. I was 65 at the time and up to 3 weeks before the diagnosis with AML I had been super healthy so the transplant was a no-brainer.

The donor program is amazing. The procurement process scans globally for a match. My donor was a healthy 20 year old male from the US. But I have several friends, whom I’ve met along this journey, with donors from Europe. So hopefully you get a match soon so you can move forward.

A work of caution about gardening, especially within the first year or so after transplant. There is high risk of fungal infections, sometimes fatal. I’m an avid gardener so it was tough when I was instructed to not even pull an errant weed…which is always so tempting! Wear an N-95 mask anytime you’re working with dirt…but even then, ask your team for instructions. At 5 years post transplant, I still wear a mask while working in the garden. Even though we’re given a new immune system with the transplant, it will never be has robust as our original factory installed model. 😉 So we make adaptations for our new life. It’s all good!
Keep me posted! What’s your timeline?

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@soonerfan

I have finished my first round. On to the first session of the second round. Looking for positive light chains today.( well lower anyways)😊. I started feeling a little more human. In fact felt great Monday!
Hey on a side note did/does any one have the finger and toe tingles with their chemo? My feet and ankles swelled up, kinda scared me. Started wearing my sexy compression socks. LOL!
Thank you for checking on me.

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Hah, sexy compression socks! 😅 My hospital issue socks almost made me cry, they were so ugly! I quickly got online and order some cute replacements. Emotional crisis averted!
But the socks do help with the swelling and yes, there can be tingling involved with chemo. For most of us it passes a few weeks after the chemo sessions are over. For a few, there can be lingering neuropathy. Just keep on walking, gentle exercising, drinking plenty of water to flush the body. That seemed to make a huge difference in my recovery.

Let your oncologist’s office know about your swelling in the feet and ankles though. It’s not uncommon and usually it’s not a big deal unless it’s pervasive. But it’s important for your doctor to be aware of your reaction to the meds.
Glad to hear you’re starting to feel human! Just in time for the next round, eh? Hang in there!

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@loribmt

Good morning, @soonerfan. Just checking in to see how you’re doing. Did you finish your first round of treatment?

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I have finished my first round. On to the first session of the second round. Looking for positive light chains today.( well lower anyways)😊. I started feeling a little more human. In fact felt great Monday!
Hey on a side note did/does any one have the finger and toe tingles with their chemo? My feet and ankles swelled up, kinda scared me. Started wearing my sexy compression socks. LOL!
Thank you for checking on me.

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@loribmt

Hi @clareaq I know this is all very and abrupt for you. You weren’t anticipating having a bone marrow transplant (stem cell transplant). Having yours at this earlier stage in your blood condition, before there is a progressive situation, is a good thing.

There is a ton of information from myself and other members that will help you through all of the unfamiliar territory. You’ll be learning quite a bit at your meeting with the transplant team and I’m sure it will feel overwhelming! Never fear, I’m here to help clarify things for you. There is no question too large or too small!

Each clinic has its own protocol but generally you’ll need to have a dedicated caregiver 24/7 for about 100 days and to remain within 30 minutes of the clinic for the same 100 days. Some clinics have transplants as an outpatient procedure while others require a several weeks as an in-patient before being released to a recovery location.

Do you know if you’ll be having a transplant using your own cells or will you be required to have a donor’s cells?

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Thank you for your quick reply Lori! I will be having an Allogenic transplant. I will be unable to use my siblings because of age and disease. I am 62 years old. My doctor says I am young and in good health (which I chuckled at) and makes me a good candidate for the transplant. She assures me that they look all over the world to find the best match and one will be found. My hemoglobin is very low which makes my love of gardening difficult but I still go out to the garden every day to do something. It makes me feel better. Knowing I will be unable to garden for a few months is disappointing but of course worth it.

REPLY

Hi @clareaq I know this is all very and abrupt for you. You weren’t anticipating having a bone marrow transplant (stem cell transplant). Having yours at this earlier stage in your blood condition, before there is a progressive situation, is a good thing.

There is a ton of information from myself and other members that will help you through all of the unfamiliar territory. You’ll be learning quite a bit at your meeting with the transplant team and I’m sure it will feel overwhelming! Never fear, I’m here to help clarify things for you. There is no question too large or too small!

Each clinic has its own protocol but generally you’ll need to have a dedicated caregiver 24/7 for about 100 days and to remain within 30 minutes of the clinic for the same 100 days. Some clinics have transplants as an outpatient procedure while others require a several weeks as an in-patient before being released to a recovery location.

Do you know if you’ll be having a transplant using your own cells or will you be required to have a donor’s cells?

REPLY

Lori,
Thank you for replying. At my work, I do not have disability. Following my cancer diagnosis, I added it a year or so ago through a plan that lets us add specialty coverage. It is not full coverage, but it was just in case. I did not get the extra cancer policy when i could a few years go. I need to wait a few years.
I am going to work from home whether it is all day or a number of hours. I have many appointments over the next number of months, and I want my sick hours to be used for a while. It will just be working it out with my office.
Just seeing what i can do, I need to meet with my HR/Diversity director first. This takes time is so right.......I am going outside to take small walks. Sitting outside for fresh air. Simply reading more. My caregiver's house is not mine. That is still a big adjustment.
Tomorrow is my 30-day bone marrow biopsy. Looking forward to the truth it will tell. My 3rd of many BMB.

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@katgob

Well, my doctor just posted the letter to my work today. Although i had wanted to work from home, I had no idea it would be till May of 2025. Geez. I will miss a convention i usually attend in early November and retreat i am on the board for in mid-March. This bone marrow transplant is not for the weak. My sister reminded my 2 cats will be glad i m home. Vacuuming daily and brushing them daily. I was home working a year with my breast cancer and surgeries in 2021 and 2022. My supervisor will be sad. I will miss the students who will graduate by the time i get back.

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Hi Kat. I was retired at the time of my transplant so returning to the workplace wasn’t on my radar. I remember thinking around the 6 month point that if I were working full time it would have been a challenge because of the fatigue at the end of the day. I’d feel like a puppy with bursts of energy. Then I’d overdo because I felt so amazingly healthy. Paid for it the next couple of days with fatigue…two steps forward, three back. This takes time to recover…not a race, it’s a marathon. But don’t go canceling plans for that March retreat to hastily.
Perhaps if you’re feeling up to the challenge in 6 months you can start working from home?

You’re right, bone marrow transplants aren’t for sissies. 😉 But you’re doing great and have the right stuff to keep pushing forward! You’ll feel like Wonder Woman when you’re past the worst of this. The first 2 months were the most difficult. You’re moving right along, so hang in there!

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@soonerfan

I have blood work every week right now. Finishing up my first session/set.
Thank you so much for you insight on what’s happening. I’ve read some of the other posts, made me LOL when they were talking about storm troopers and minions going in to do the job. I did have it worked up in my mind about what and how this transplant was going to go down.
So I am a lot more at ease now. Thank you so much.

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Good morning, @soonerfan. Just checking in to see how you’re doing. Did you finish your first round of treatment?

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