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

No, I didn’t have MM, but AML, Acute Myeloid Leukemia and a subsequent bone marrow transplant from an unrelated donor. I was on several combinations of chemo to get and keep me in remission until the transplant. The transplant has its own chemical toolbox. After transplant, no more chemo but I was on meds for anti-rejection, anti fungal, antiviral, 2 antibiotics, Protonix for stomach, magnesium, and a few others when needed. The AML and transplant event are coming up on 3 years. But I’ve only been off the meds for 5 months. It takes time and each person’s requirements are different. But I now feel fantastic and not taking any meds at all except magnesium (by choice) and Calcium/VitD3
Your transplant will be different, using your own cells and your recovery should be a little easier with less adjustment. Your chemo will be much less and I’m expecting fewer post transplant meds too. I don’t know if you’ll be able to shed all your meds. That gets decided as you go along. But for now, whatever you have to take to get into remission and to get healthy it’s vital to continue treatments. Side effects are sometimes just the necessary evil to getting the main job done.

As far as checkups. Initially, blood work is frequent. Daily, when I was living in Rochester the 4 months post transplant. Then care was transferred to my local oncologist/hematologist for blood work. That was weekly, then progressed to 2, 3 and monthly. I’m now at a 6 week schedule.
Is today your next appointment? Do you have your list of questions all set??

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Oh that is right…I now remember you shared that! Although I know with so many of the stories so much is individual. I think I will do okay with the chemotherapy although my sister seems to think it will be much more horrific than I know. I realize not like current treatments but know it us for a limited time. As horrible as it might be. If I can get to a real remission, it will so be worth it!

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Yes he does! Guess that will be next after a few more doses! Sadly he is now looking at travel brochures! How we thought we’d spend our retirement! Since I know what they feel like I was worried at any little cramp or twinge! Am actually looking forward to having a transplant as will go to Minnesota and get away from home for a bit! Even if I cannot do anything, he can visit friends there. Think their town is an eagle sanctuary. They live about an hour from Rochester, Years ago we canoed at Boundary Waters! A wonderful trip. He can see more if Minnesota!!! I am ready to do battle with the myeloma although guess TCell is more Mano a Mano with ones TCell fighting the cancer. The transplant seems more passive in that the process cleans them up and replaces them. Whatever works…!!! Hope it does not take so long for remission…

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@tml

Well did the Enoxaparin injection so decided not to wait as Revlimid and Dexamethasone do increase my chances, think it is 10% and with my luck lately not worth the gamble! My husband did it although with lots of cringing! He know says he is ready to wear the stethoscope!!! Halfway through my first go round of Revlimid. I guess I need to call the Mayo Pharmacy to get the next doses shipped soon. Feeling okay today although as others have mentioned, these drugs make one tired, tired, tired! Despite the horrors of chemotherapy, am actually looking forward to having a transplant date! If only…!!!

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Congratulations on taking the Enoxaparin like a trooper!!! Your husband did a great job and now you’ve got that first one out of the way. You really don’t want to gamble with a DVT when you’ve got the meds right there. I bet you feel relieved to have that one literally under the belt, huh?

Getting refills from Mayo Pharmacy is pretty easy but yes, don’t delay. Do it soon because there’s shipping time.
Your meds and your disease make you tired, tired, tired. Believe me, fatigue might be your friend for a while. I know that feeling well. As an active person, not having that energy you’re used to will leave you feeling very frustrated and like you’re losing control of your normal life. I went through that too and it was so difficult to actually ask for help. I’m fiercely independent and never need help! Finding out I was only human was a shock! 😅. So I enlisted my husband when needed, called girlfriends, neighbors were great! Our daughter lives 5 hours but she’d come for 2 weeks at a time to help out. So you might have to make adjustments and slow down. I think I mentioned this before but the hardest lesson I had to learn was to “Listen to my body”. It will tell you what to do!

Don’t dread the chemotherapy. For your particular transplant for MM, from my understanding, it’s only 1 or 2 infusions and then you’re done. You’ll be provided with anti nausea meds to help with that part. And sometimes a few weeks later there can be a little hair loss. But with your reduced doses, maybe not. It’s just easiest going into this knowing it’s not going to be a walk on the beach but it’s survivable and life on the other side of transplant gives you hope for a good future.

Your husband has a great sense of humor. Does he have a white lab coat and a pager now? 😂

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@tml

You are off three years? Was it MM? I cannot imagine being off them but hope and pray that us possible. Was it the transplant and guess you are checked periodically?

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No, I didn’t have MM, but AML, Acute Myeloid Leukemia and a subsequent bone marrow transplant from an unrelated donor. I was on several combinations of chemo to get and keep me in remission until the transplant. The transplant has its own chemical toolbox. After transplant, no more chemo but I was on meds for anti-rejection, anti fungal, antiviral, 2 antibiotics, Protonix for stomach, magnesium, and a few others when needed. The AML and transplant event are coming up on 3 years. But I’ve only been off the meds for 5 months. It takes time and each person’s requirements are different. But I now feel fantastic and not taking any meds at all except magnesium (by choice) and Calcium/VitD3
Your transplant will be different, using your own cells and your recovery should be a little easier with less adjustment. Your chemo will be much less and I’m expecting fewer post transplant meds too. I don’t know if you’ll be able to shed all your meds. That gets decided as you go along. But for now, whatever you have to take to get into remission and to get healthy it’s vital to continue treatments. Side effects are sometimes just the necessary evil to getting the main job done.

As far as checkups. Initially, blood work is frequent. Daily, when I was living in Rochester the 4 months post transplant. Then care was transferred to my local oncologist/hematologist for blood work. That was weekly, then progressed to 2, 3 and monthly. I’m now at a 6 week schedule.
Is today your next appointment? Do you have your list of questions all set??

REPLY
@loribmt

At this point you can’t focus on side effects of these powerful drugs. The meds have to be stronger than the cancer. The list of drugs I’ve been on were staggering and potentially lethal. But my husband and I joked about “Better living through chemistry” (my husband is a chemical engineer). I have a newfound respect for big pharma. Without the science, research and drugs I wouldn’t be here. I’m now cancer free and off all my meds. Though you never could have convinced me 3 years ago that I’d ever feel normal again. Will you give the drugs a chance?

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You are off three years? Was it MM? I cannot imagine being off them but hope and pray that us possible. Was it the transplant and guess you are checked periodically?

REPLY

Well did the Enoxaparin injection so decided not to wait as Revlimid and Dexamethasone do increase my chances, think it is 10% and with my luck lately not worth the gamble! My husband did it although with lots of cringing! He know says he is ready to wear the stethoscope!!! Halfway through my first go round of Revlimid. I guess I need to call the Mayo Pharmacy to get the next doses shipped soon. Feeling okay today although as others have mentioned, these drugs make one tired, tired, tired! Despite the horrors of chemotherapy, am actually looking forward to having a transplant date! If only…!!!

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@tml

Guess things get bad as my meds wear off. I need to better manage this. Thanks for all the encouragement. I will try…

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@tml, How are you feeling since we last spoke a few days ago? I know from my experience that day to day changes do happen. Did you contact your doctor or are you going to wait until Thursday as scheduled?

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Guess things get bad as my meds wear off. I need to better manage this. Thanks for all the encouragement. I will try…

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No cure yet for our MM yet. Maybe someday. Hope so! Sooner rather than later!

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