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.

@soonerfan

Wow, y’all are so inspiring. I was Diagnosed with Sytemic Amyloidosis AL. It is not a cancer they say. But a rare blood disorder 1 in 9000 people. Lucky me🥴! I also have Hypertrophic obstructive cardiomyopathy. Both cause obstruction. the amyloid seems to like my heart the best. I get dizzy upon standing. Get tired fast. Have been known to pass out when least expected.
I was on Camzyos for 5 months before they suspected something else was wrong. ( the camzyos and this amyloid, I believe created a war inside my body)
I went to Mayo Clinic in Minnesota @ the end of FEB. where they confirmed my diagnosis. I came home and got with an oncologist here close to home where I started chemo on April 12
I get to for weekly shots for 3-6 months depending on how my Light chain numbers look and how I react to the chemo shots( in my belly)
They are cleaning me up for a Stem Cell Transplant. Which I thought would be @ OU medical center but was said to me they want me where I have a hemotolgist/oncologist already familiar with my case( Minnesota) anyways I was told they would harvest my (baby blood and do a couple days of chemo the put my baby blood back in for growth, I would be in isolation for 2weeks. Then had to stay close (20 minutes away) for 2 months.
Thank you for sharing your stories.
It’s nice to know that other people share the same stuff ( even though it’s different) hope that makes sense.
Thank you listening.

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Hi @soonerfan, Mayo Rochester is my home away from home! So I’m very happy to hear that’s where you’ll be having your stem cell transplant. You’ll be in amazing hands there!
It sounds as though you’ll be using your own cells which makes the journey a bit easier on you. The recovery time is much faster than if having to use a donor’s cells.

We’ve had several members who have had what’s referred to as an autogenic stem cell transplant…using their own cells. You’ve already got the gist of what will happen when you’re finally ready to start the process. You’ll be receiving some injections at the clinic to ramp up your blood production. When the numbers are appropriate you’ll have your cells harvested. That’s very much like donating blood except stem cells will be culled out of the blood as it recycles back to your body. Those cells will then be frozen until you’re ready for transplantation.
Next you’ll have the preconditioning chemo which will basically clean your bone marrow of residual disease. When that’s over, you’ll be infused with your saved blood cells. It’s the same as a blood transfusion and takes about 20 minutes. Pretty anti-climactic considering the hoopla leading up to the event. 😉.
The cells circulate through your blood stream and then like magic, the stem cells know exactly where to go into the bone marrow to set up housekeeping again! It takes some time to recover but so worth the effort in the end!

I mentioned earlier about other members having autologous transplant. This was written by @jstpeachey last summer as she went through the procedure in Mayo-Phoenix. You might like to read through this discussion too.
https://connect.mayoclinic.org/discussion/my-autologous-stem-cell-transplant-journey-mayo-phoenix/
Since you’re still in treatment back home you’ve got time to prepare. I know this can all sound daunting with so much planning and things to consider. Do you have any specific questions you’d like to ask?

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@katgob

Lori,

Thank you. I trust my Caesar salad. Grilled cheese sandwich. I read my packet of no outside food for 100 days. I ate a meatball sandwich for lunch. Just once. Too much.
Did not eat a lot most of the week.
I will say on my counts. They have been steady 3 days.....no big dips.
I have had 2 blood and 1 platelet infusion. 21 days.
Sadly, my caregiver was not ready to have me there yet. In the end, she canceled her yearly Catalina retreat next weekend. She is somewhere this weekend. I will be let out Monday. She has stuff mon/tues/we'd, so she is looking for a sub. My 2nd caregiver is dogsitting. Both thought 30 days.
This has been stressful. Improving as I have means I can be let out earlier. Great if I had family caring for me. I am grateful for friends.
WBC-5.94/PLT-59/all others good.
A day at a time.
More to the story later. I have told COH nurses about Mayoconnect. Also Lori and how this site has helped me in this journey.

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Good morning, Katg. Whoo whoo! Seeing your blood numbers rising…you’ve engrafted!! That’s excellent news and right on target.

I’m going to share a little about foods though. With my classes on infection avoidance there was a session on foods to stay away from for the first few weeks. Food such as lettuce and spinach (any fresh salads) were off the table because they can harbor bacteria that could be catastrophic in a new transplant patient. Fresh fruits were to be avoided unless they are thoroughly washed and soaked in vinegar water. Even bananas had to be washed before peeling or cutting. Nothing allowed from a deli, no prepackaged sandwich meats unless they were flash fried/heated to at least 160 degrees. The dietician even made a point of saying to the class, “For you, there is NO 5 second rule! If something hits the floor it’s gone…the floor is lava.” 😅

Your caregiver situation is stressful. I sure hope that gets straightened out for everyone’s sake because having a place to land for recovery is very important. It’s not that you’ll need any constant care but you will require trips back to the clinic for blood work and possible infusions. Plus you’ll be weak/fatigued and not up for a great deal of physical exertion for a while. You’re doing remarkably well for day 21 so I expect you’ll continue improve steadily. Don’t be surprised if you have a string of great days but then overdo the activity and you feel like crud the next day or so after that. That used to bother me until I realized it was pretty normal for post transplant. Slow and steady wins this race…or marathon. 😅

Ohhh, Kat, I give you a virtual hug for passing along information about Mayo Connect to your nurse!! We all need a lifeline sometimes and this is a wonderful forum for support, encouragement and hope. So thank you for spreading the word. It means a great deal to me that I’ve been able to use my experiences to help others and now you’re in that position too. Our stories are now someone else’s survival guide. ☺️

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@loribmt

Welcome to Connect @tkidd51. You are indeed a newbie in the world of BMT! Congratulations on so many levels! You’re about 7 months post transplant so the most challenging part should be behind you now. I also had AML. I’m nearing my 5 year Cell-iversary and that feeling of gratitude for the second chance at life never gets old! 😉 I hope you get to meet your donor some day. Mine, even after 5 years, has chosen to remain anonymous. I’d love to thank him in person because without him, I would not be here. I owe him everything. 💙💚

Having had your transplant at Mayo-Jacksonville, you’ll be a great source of encouragement and guidance for @caregiverx2, whose husband will be receiving his SCT there sometime around August of this year. Do you live near Jacksonville or did you have to relocate for several months?

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I’m about 2 1/2 hours from Jacksonville so I had to relocate after my transplant in September. I stayed in an apartment complex about 10 minutes from Mayo. Those 3 months were the worst for me.
I struggle daily with anxiety and some PTSD since the transplant, but I’m working through it with a therapist.

REPLY

Wow, y’all are so inspiring. I was Diagnosed with Sytemic Amyloidosis AL. It is not a cancer they say. But a rare blood disorder 1 in 9000 people. Lucky me🥴! I also have Hypertrophic obstructive cardiomyopathy. Both cause obstruction. the amyloid seems to like my heart the best. I get dizzy upon standing. Get tired fast. Have been known to pass out when least expected.
I was on Camzyos for 5 months before they suspected something else was wrong. ( the camzyos and this amyloid, I believe created a war inside my body)
I went to Mayo Clinic in Minnesota @ the end of FEB. where they confirmed my diagnosis. I came home and got with an oncologist here close to home where I started chemo on April 12
I get to for weekly shots for 3-6 months depending on how my Light chain numbers look and how I react to the chemo shots( in my belly)
They are cleaning me up for a Stem Cell Transplant. Which I thought would be @ OU medical center but was said to me they want me where I have a hemotolgist/oncologist already familiar with my case( Minnesota) anyways I was told they would harvest my (baby blood and do a couple days of chemo the put my baby blood back in for growth, I would be in isolation for 2weeks. Then had to stay close (20 minutes away) for 2 months.
Thank you for sharing your stories.
It’s nice to know that other people share the same stuff ( even though it’s different) hope that makes sense.
Thank you listening.

REPLY

Lori,

Thank you. I trust my Caesar salad. Grilled cheese sandwich. I read my packet of no outside food for 100 days. I ate a meatball sandwich for lunch. Just once. Too much.
Did not eat a lot most of the week.
I will say on my counts. They have been steady 3 days.....no big dips.
I have had 2 blood and 1 platelet infusion. 21 days.
Sadly, my caregiver was not ready to have me there yet. In the end, she canceled her yearly Catalina retreat next weekend. She is somewhere this weekend. I will be let out Monday. She has stuff mon/tues/we'd, so she is looking for a sub. My 2nd caregiver is dogsitting. Both thought 30 days.
This has been stressful. Improving as I have means I can be let out earlier. Great if I had family caring for me. I am grateful for friends.
WBC-5.94/PLT-59/all others good.
A day at a time.
More to the story later. I have told COH nurses about Mayoconnect. Also Lori and how this site has helped me in this journey.

REPLY
@katgob

Updating,
I am day 17 after transplant. I must say I do not dig into treatments before I have them. I read all the materials COH provides, but I do not dig in deep. I will not have all the symptoms or side effects, so the worry is less. I will not that 2 days before my transplant I got melphalan chemo. Interesting. Day 16 I heard that this chemo damages your GI track. Great, and likely the reason tomato type dishes I ate, and fruit had me vomit a lot. For a number of days. I was finally given a 72 hr chemo that combined with Zofran ever 8 hours stopped it. 2 days free. I had been given Zofran and Compazine, but Compazine makes me sleepy.
I am also participating in the Research study meant to help stop the host/graft disease. Again, not looking too deep. I never noticed i had 2 more chemo day 2 days after transplant. Really, it took me a while to get how this two chemo's were the final flush to clear my cells out of my blood. Allowing my new cells a clean place to grow. I thought after the chemo, that taking my treatment, I only noticed the days I took the pills for this research.
Really, if you need all information, ASK. I asked the varying RN's I have had the last 20 days, and each filled me in. I took each day opening my eyes and feeling how I felt. Nurses come at 7:00/7:30 for shift change. 8-8:30 rotating doctors. I could then report how I felt. More on that in another post which will include my discharge date next week.
Ask Questions. I finally remembered i never asked about what my MDS leads to. Strange I thought. Today I asked on Day 17 my RN what Leukemia I might get. The funny thing is i think she said AML, but i did not write it down. I have more to share, but later.
To all on this journey, I look forward to a number of bone marrow biopsies in the coming months and year. They are manageable and i know the future ones will let me know how my new cells are working.
One day, sometimes one hour at a time.
Katg

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Katg! Good to hear from you. You’re very wise in not digging too deeply into all the aspects of the meds, chemo or side effects. You’re so right, not everything on those lists will even pertain to you so why fill your head with worry! I’m the same way. I’ll deal with things as they go along.

I’m sorry you’re having some gut issues. Actually, chemo, any chemo, tends to mess with the guts. The usual mechanism is that chemo kills off quickly replicating cells, such as cancer cells. Unfortunately, it’s not always discriminatory, so it can also kill off mucosal cells that replicated quickly such as mouth and gut. That’s why some people develop gut issues and mouth sores.

Intitially try to stick with a bland diet, avoiding anything acidic, spicy or greasy. Sometimes having a cup of yogurt daily such as Activia will help calm the gut, supply good probiotics and regulate the gut action.

Thanks for checking in and sharing your experience! You’re doing great and should start engrafting soon if you haven’t already! Sending a hug! Lori.

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@tkidd51

I was diagnosed with AML last March and received a BMT at Mayo-Jacksonville in September 2023. I’m doing really well with a few graph verses host issues, but I’m truly thankful to my anonymous donor.

Jump to this post

Welcome to Connect @tkidd51. You are indeed a newbie in the world of BMT! Congratulations on so many levels! You’re about 7 months post transplant so the most challenging part should be behind you now. I also had AML. I’m nearing my 5 year Cell-iversary and that feeling of gratitude for the second chance at life never gets old! 😉 I hope you get to meet your donor some day. Mine, even after 5 years, has chosen to remain anonymous. I’d love to thank him in person because without him, I would not be here. I owe him everything. 💙💚

Having had your transplant at Mayo-Jacksonville, you’ll be a great source of encouragement and guidance for @caregiverx2, whose husband will be receiving his SCT there sometime around August of this year. Do you live near Jacksonville or did you have to relocate for several months?

REPLY

I was diagnosed with AML last March and received a BMT at Mayo-Jacksonville in September 2023. I’m doing really well with a few graph verses host issues, but I’m truly thankful to my anonymous donor.

REPLY

Updating,
I am day 17 after transplant. I must say I do not dig into treatments before I have them. I read all the materials COH provides, but I do not dig in deep. I will not have all the symptoms or side effects, so the worry is less. I will not that 2 days before my transplant I got melphalan chemo. Interesting. Day 16 I heard that this chemo damages your GI track. Great, and likely the reason tomato type dishes I ate, and fruit had me vomit a lot. For a number of days. I was finally given a 72 hr chemo that combined with Zofran ever 8 hours stopped it. 2 days free. I had been given Zofran and Compazine, but Compazine makes me sleepy.
I am also participating in the Research study meant to help stop the host/graft disease. Again, not looking too deep. I never noticed i had 2 more chemo day 2 days after transplant. Really, it took me a while to get how this two chemo's were the final flush to clear my cells out of my blood. Allowing my new cells a clean place to grow. I thought after the chemo, that taking my treatment, I only noticed the days I took the pills for this research.
Really, if you need all information, ASK. I asked the varying RN's I have had the last 20 days, and each filled me in. I took each day opening my eyes and feeling how I felt. Nurses come at 7:00/7:30 for shift change. 8-8:30 rotating doctors. I could then report how I felt. More on that in another post which will include my discharge date next week.
Ask Questions. I finally remembered i never asked about what my MDS leads to. Strange I thought. Today I asked on Day 17 my RN what Leukemia I might get. The funny thing is i think she said AML, but i did not write it down. I have more to share, but later.
To all on this journey, I look forward to a number of bone marrow biopsies in the coming months and year. They are manageable and i know the future ones will let me know how my new cells are working.
One day, sometimes one hour at a time.
Katg

REPLY
@caregiverx2

Forty-four days ago, my husband and I went to see his primary care physician. My husband presented to his doctor that he needed a heart stint. His self-diagnosis was based on his shortness of breath and other people's heart stint stories. His primary care doctor didn't say much except, "Go to the emergency room now." So, we left the doctor's office drove past three other hospitals and went to Mayo Clinic's emergency room. Looking back, that was the best decision we made. Because, boy, that diagnosis wasn't even close! The ER doctor told us his heart was fine but something "weird" was going on with his blood.

I now know that Leukemia is not just one disease but an umbrella term for blood cancer. His official diagnosis is B-Cell Acute Lymphoblastic Leukemia with low hypodiploidy. He developed TLS (Tumor Lysis Syndrome) immediately after starting his first round of chemo. That was so much fun, not. The good news is he has reached MRD, his kidneys are recovering, and his immune system is good right now. The bad news is this is a rare B-ALL and the prognosis isn't good. So, Monday, he will start the second round of Chemo and the search is on for bone marrow donors so he can have a SCT.

I have begun my arduous research on HSCT and what to expect. It sounds like a tough road is ahead for both of us. I am not new to caregiving. I spent the last 4 years taking care of my sister who had ALS. I did everything for her. It was an exhausting journey. Her funeral was less than a month before my husband's diagnosis. I was just starting to take care of myself again. And now, here we go again.

If anyone has any advice or information that might help me get through this, please let me know. I am glad I found this message board because I do not want to put this out on my personal social media. It is nice to know that I am not alone.

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Im glad you found this site. It has been a god send for me. Lori is a blessing and I have frequently used this site and yes I’m not a social media person and most don’t understand. Hugs

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