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.

Thank you for your story! I am thankful for your advice❤️. I will continue to use the ointment.

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@alive

I’m in the same situation as you are - I have skin GVHD on my stomach. It’s under control now, and I give Jakafi all the credit.

I agree that GVHD is so unpredictable. I find that intense stress sometimes triggers it for me. It can affect my hands where I can’t even hold a pen or make a fist.

My family knows that I have ups and downs, and supports me during those rough days. Distant friends and acquaintances are surprised that 7 years after the transplant I am still dealing with the aftermath. I get reactions at work sometimes and I can see it in my coworkers eyes, like they question whether I am exaggerating. I look completely healthy to them. Sometimes I feel like it’s not even worth it having to explain my condition to them. I just keep it to my self and act like everything is fine.

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Forgot to ask- What helped you get over the skin GVHD and how long did you have it?

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@alive

I’m in the same situation as you are - I have skin GVHD on my stomach. It’s under control now, and I give Jakafi all the credit.

I agree that GVHD is so unpredictable. I find that intense stress sometimes triggers it for me. It can affect my hands where I can’t even hold a pen or make a fist.

My family knows that I have ups and downs, and supports me during those rough days. Distant friends and acquaintances are surprised that 7 years after the transplant I am still dealing with the aftermath. I get reactions at work sometimes and I can see it in my coworkers eyes, like they question whether I am exaggerating. I look completely healthy to them. Sometimes I feel like it’s not even worth it having to explain my condition to them. I just keep it to my self and act like everything is fine.

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I certainly can relate! It’s exhausting trying to explain how you are doing. I feel the same way- people probably think I’m exaggerating. I’ve been experiencing mouth GVHD symptoms for 2 months and I get asked- you still have problems!!! GVHD can last years! BMT is no easy fix.

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@jenmkr63

Hi!
I was diagnosed with follicular non Hodgkin’s lymphoma 3 years ago at 57. I had an enlarged lymph node in my neck. For that particular diagnosis there is no treatment that is needed right away. The oncologist just arranges frequent blood tests and takes the watch and wait approach. It’s a slow growing cancer. However, after the first year I developed another type of cancer- Acute Lymphoblastic lymphoma (a lump on the roof of my mouth developed over night)- a very fast growing cancer. So I basically had 2 types of blood cancer. They treatment needed was very extreme chemo and after that I would need a BMT. This treatment took 2 years. I just got my BMT in January. I came through it without too much GVHD. I had some body aches that were pretty bad that lasted 1 week and some sores in my mouth that did not help with eating! I lost 30 pounds pretty much muscle. I was in the hospital for 5 weeks. When I got home I was extremely weak but so happy to be home and not hooked up to any IV machines. Freedom helps a lot in recovery. It’s a very long recovery that is hard on our loved ones. The reality for the patient is that it is a lifetime of recovery really- with the threat of relapse and GVHD always an issue. Just as I was feeling more energy and a returning appetite (in July) I developed some chronic GVHD issues. It started with my skin- I started to get spots that itched on my abdomen and back and eventually down my legs. I started putting tacrolimus ointment on them - after 4 weeks they have slightly faded and are no longer itchy. They haven’t gotten worse but they are still there. I stopped putting the ointment on. I also developed new mouth problems. I have really sore gums, dry mouth and little pimple like bumps that hurt like hell. Thus making eating and swallowing very difficult. I’m still on my immune suppressant drugs but next month I’m probably going to be weaned off them. I think with the kind of cancer that requires a BMT it’s difficult for the patient and family/friends to understand it’s a very hard and difficult road - physically and emotionally. As with other cancers you can go through surgery/chemo and be cancer free. But with a BMT it really is a lifetime of unknown. You can develop GVHD at anytime… even years down the road. I get a little irritated with my husband asking how I’m feeling- especially if I’m having a bad day. The worst is he wants to know I’m getting better so I’m constantly getting the question “how are you… any better?” I don’t want to think about that question every day. It’s so hard on those we care about and there really isn’t too much you can do. I think just acknowledging the fact that they have been dealt a very bad hand is all we need. Someday they will wake up with more happiness, energy, and Hope fore a future. Until then … lots of ice cream ❤️

Jump to this post

I’m in the same situation as you are - I have skin GVHD on my stomach. It’s under control now, and I give Jakafi all the credit.

I agree that GVHD is so unpredictable. I find that intense stress sometimes triggers it for me. It can affect my hands where I can’t even hold a pen or make a fist.

My family knows that I have ups and downs, and supports me during those rough days. Distant friends and acquaintances are surprised that 7 years after the transplant I am still dealing with the aftermath. I get reactions at work sometimes and I can see it in my coworkers eyes, like they question whether I am exaggerating. I look completely healthy to them. Sometimes I feel like it’s not even worth it having to explain my condition to them. I just keep it to my self and act like everything is fine.

REPLY
@jenmkr63

Hi!
I was diagnosed with follicular non Hodgkin’s lymphoma 3 years ago at 57. I had an enlarged lymph node in my neck. For that particular diagnosis there is no treatment that is needed right away. The oncologist just arranges frequent blood tests and takes the watch and wait approach. It’s a slow growing cancer. However, after the first year I developed another type of cancer- Acute Lymphoblastic lymphoma (a lump on the roof of my mouth developed over night)- a very fast growing cancer. So I basically had 2 types of blood cancer. They treatment needed was very extreme chemo and after that I would need a BMT. This treatment took 2 years. I just got my BMT in January. I came through it without too much GVHD. I had some body aches that were pretty bad that lasted 1 week and some sores in my mouth that did not help with eating! I lost 30 pounds pretty much muscle. I was in the hospital for 5 weeks. When I got home I was extremely weak but so happy to be home and not hooked up to any IV machines. Freedom helps a lot in recovery. It’s a very long recovery that is hard on our loved ones. The reality for the patient is that it is a lifetime of recovery really- with the threat of relapse and GVHD always an issue. Just as I was feeling more energy and a returning appetite (in July) I developed some chronic GVHD issues. It started with my skin- I started to get spots that itched on my abdomen and back and eventually down my legs. I started putting tacrolimus ointment on them - after 4 weeks they have slightly faded and are no longer itchy. They haven’t gotten worse but they are still there. I stopped putting the ointment on. I also developed new mouth problems. I have really sore gums, dry mouth and little pimple like bumps that hurt like hell. Thus making eating and swallowing very difficult. I’m still on my immune suppressant drugs but next month I’m probably going to be weaned off them. I think with the kind of cancer that requires a BMT it’s difficult for the patient and family/friends to understand it’s a very hard and difficult road - physically and emotionally. As with other cancers you can go through surgery/chemo and be cancer free. But with a BMT it really is a lifetime of unknown. You can develop GVHD at anytime… even years down the road. I get a little irritated with my husband asking how I’m feeling- especially if I’m having a bad day. The worst is he wants to know I’m getting better so I’m constantly getting the question “how are you… any better?” I don’t want to think about that question every day. It’s so hard on those we care about and there really isn’t too much you can do. I think just acknowledging the fact that they have been dealt a very bad hand is all we need. Someday they will wake up with more happiness, energy, and Hope fore a future. Until then … lots of ice cream ❤️

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Hi @jenmkr63 It’s quite amazing what our bodies can go through and overcome, isn’t it? From experience, it can take a good year or so to start feeling appreciably better…to the point where you start believing! Finally being off all the meds also makes a huge difference.

I was on my immunosuppressant for 2.5 years and with that I was also on 2 antibiotics, antifungal, antivirals and other meds until I tapered off the Tacro. That went up and down a bit and then eventually off. I did start my vaccinations before that though, which is important. Compared to what I went through, I really thought I felt great! But when I was finally off everything, wowzeeee. Game changer!

I know the irritation you feel when people keep asking, “how are you” every day. You simply don’t know! My husband did that too and I tried to not get impatient with the daily question. It’s so difficult to get across that some days are stellar and then we over-do…the next 3 days it’s all you can do to drag your bones out of bed in the morning.
It gets better!!! Your first year is the toughest so just keep doing and listen to your body. Four years later, I feel like nothing ever happened.

In regards to the tacro ointment. It wouldn’t hurt to keep up with the daily applications for awhile. I was told to use it for weeks beyond when the area healed. It works slowly but does wonders for keeping the inflammation under control.
Did you mention the sores in your mouth to your bmt team? There is a great steroid mouthrinse called Dexamethasone. (Picture below) The instructions are to take .5ml Am and Pm. Rinse for 30 seconds only, then spit it out. It’s amazing how well it worked on my mouth sores.

I also needed to use the tacro ointment off label and apply it to the areas on my tongue. It can be taken concurrently with the Dexa mouthrinse. Talk to your doctor! You don’t have to suffer!
We have been given a second chance with life. Yes, it comes with some potential side effects and risks. But we are here! We’re living our lives and for me, I’m relishing every day.
The keys are remaining flexible, keeping sense of humor and having a sense of adventure. Because no two days are alike. 😅

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@leilab1

@jenmkr63 ,

Nice to meet you and thank you for sharing your journey with me! So glad to hear that your recovery is going well. You're right : my son IS in limbo right now and has zero energy. There are days when he doesn't answer my texts ; I immediately know that he is having a bad day.
Still in early stages of recovery (Day+32) , he has no appetite and still nauseous.
The most difficult part of this is that he is hospitalized in another state and our visits to him have been sparse. All I can do is pray through my tears.
Thanks for your insight & prayers!

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Prayers for you and your son. As a mom I know the heartache and anxiety you have concerning your son. My heart aches for the two of you. I woke up at 3 am as I do most days and added him to my prayers. It will get better. God will take care of him. I know God helped me. It was strange though that while I was in the hospital not knowing my future It was very difficult to pray for myself. I couldn’t come up with the words. The only thing that I could do was sing the words to, “Jesus Loves me” over and over in my mind. It has to be awful being far away from your son at this time. I pray he is 100% healed and that he feels Gods love and power holding him in this difficult time.

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@loribmt

Welcome to Connect, @jenmkr63 I’m so happy you found us and thank you for sharing your BMT experience!
That’s a journey like no other, isn’t it? It’s difficult to explain what those first few months are like for anyone who hasn’t gone through the process. We truly don’t know how strong we can be until it’s the only option.

May I ask what required you to undergo a BMT? Are you experiencing any GvHD issues?

Jump to this post

Hi!
I was diagnosed with follicular non Hodgkin’s lymphoma 3 years ago at 57. I had an enlarged lymph node in my neck. For that particular diagnosis there is no treatment that is needed right away. The oncologist just arranges frequent blood tests and takes the watch and wait approach. It’s a slow growing cancer. However, after the first year I developed another type of cancer- Acute Lymphoblastic lymphoma (a lump on the roof of my mouth developed over night)- a very fast growing cancer. So I basically had 2 types of blood cancer. They treatment needed was very extreme chemo and after that I would need a BMT. This treatment took 2 years. I just got my BMT in January. I came through it without too much GVHD. I had some body aches that were pretty bad that lasted 1 week and some sores in my mouth that did not help with eating! I lost 30 pounds pretty much muscle. I was in the hospital for 5 weeks. When I got home I was extremely weak but so happy to be home and not hooked up to any IV machines. Freedom helps a lot in recovery. It’s a very long recovery that is hard on our loved ones. The reality for the patient is that it is a lifetime of recovery really- with the threat of relapse and GVHD always an issue. Just as I was feeling more energy and a returning appetite (in July) I developed some chronic GVHD issues. It started with my skin- I started to get spots that itched on my abdomen and back and eventually down my legs. I started putting tacrolimus ointment on them - after 4 weeks they have slightly faded and are no longer itchy. They haven’t gotten worse but they are still there. I stopped putting the ointment on. I also developed new mouth problems. I have really sore gums, dry mouth and little pimple like bumps that hurt like hell. Thus making eating and swallowing very difficult. I’m still on my immune suppressant drugs but next month I’m probably going to be weaned off them. I think with the kind of cancer that requires a BMT it’s difficult for the patient and family/friends to understand it’s a very hard and difficult road - physically and emotionally. As with other cancers you can go through surgery/chemo and be cancer free. But with a BMT it really is a lifetime of unknown. You can develop GVHD at anytime… even years down the road. I get a little irritated with my husband asking how I’m feeling- especially if I’m having a bad day. The worst is he wants to know I’m getting better so I’m constantly getting the question “how are you… any better?” I don’t want to think about that question every day. It’s so hard on those we care about and there really isn’t too much you can do. I think just acknowledging the fact that they have been dealt a very bad hand is all we need. Someday they will wake up with more happiness, energy, and Hope fore a future. Until then … lots of ice cream ❤️

REPLY
@jenmkr63

Hi
I’m Jennifer. I had my BMT in Jan ‘23. Prior to my diagnosis and extensive chemotherapy and ultimate BMT, I was very active and had a great creative career. I loved dreaming of new creations and thought that at least in the hospital I’d have time to create in my head. The treatment totally took that away from me. I don’t know if it was the extreme exhaustion or that nothing in my life was the same. I couldn’t plan, couldn’t create and couldn’t think of a future. During my recovery in bed, I was weak and nauseated with absolutely no appetite. Finally, one day after months of no energy and no appetite, I awoke with the sense of energy running through my body. I began to do things I would normally do at home. I also began to dream of creating and planning a future. Now I’m getting all of my vaccinations again and that can zap my energy but I know that I have a future and I can still dream and create. Your son is in that limbo state. It takes time to regain the energy to connect with family and friends. It takes a lot of energy and effort to just be around other people who love and want you to get better. TV was my only outlet for my suffering. It will get better. Set very small goals. One of my goals was to take a shower and get dressed everyday even though that effort exhausted me to the point I just crawled back in bed. Prayers for recovery ❤️‍🩹

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Welcome to Connect, @jenmkr63 I’m so happy you found us and thank you for sharing your BMT experience!
That’s a journey like no other, isn’t it? It’s difficult to explain what those first few months are like for anyone who hasn’t gone through the process. We truly don’t know how strong we can be until it’s the only option.

May I ask what required you to undergo a BMT? Are you experiencing any GvHD issues?

REPLY
@jenmkr63

Hi
I’m Jennifer. I had my BMT in Jan ‘23. Prior to my diagnosis and extensive chemotherapy and ultimate BMT, I was very active and had a great creative career. I loved dreaming of new creations and thought that at least in the hospital I’d have time to create in my head. The treatment totally took that away from me. I don’t know if it was the extreme exhaustion or that nothing in my life was the same. I couldn’t plan, couldn’t create and couldn’t think of a future. During my recovery in bed, I was weak and nauseated with absolutely no appetite. Finally, one day after months of no energy and no appetite, I awoke with the sense of energy running through my body. I began to do things I would normally do at home. I also began to dream of creating and planning a future. Now I’m getting all of my vaccinations again and that can zap my energy but I know that I have a future and I can still dream and create. Your son is in that limbo state. It takes time to regain the energy to connect with family and friends. It takes a lot of energy and effort to just be around other people who love and want you to get better. TV was my only outlet for my suffering. It will get better. Set very small goals. One of my goals was to take a shower and get dressed everyday even though that effort exhausted me to the point I just crawled back in bed. Prayers for recovery ❤️‍🩹

Jump to this post

@jenmkr63 ,

Nice to meet you and thank you for sharing your journey with me! So glad to hear that your recovery is going well. You're right : my son IS in limbo right now and has zero energy. There are days when he doesn't answer my texts ; I immediately know that he is having a bad day.
Still in early stages of recovery (Day+32) , he has no appetite and still nauseous.
The most difficult part of this is that he is hospitalized in another state and our visits to him have been sparse. All I can do is pray through my tears.
Thanks for your insight & prayers!

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@rosemarya

@hopefuldaughter, I want to jump in here because I see that your mom and dad will be going to Mayo Rochester. I was at Mayo Rochester for a liver and kidney transplant. My husband and I spent 11 weeks there. Our home is in Kentucky. We stayed at the Gift of Life Transplant House. I suggest that they look into it. It was perfect for us.

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Hi Rosemary
Jumped in here, I am looking at gift of life transplant house too. I'm having a stemcell transplant. Can you share with me, the pros & cons of staying there? We're you in the older home or newer transplant house?
Thank you!!
Bev

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