My Bone Marrow Transplant (BMT/SCT) story: Will you share yours?
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.
Great to hear from you! I’m glad your first days are out of the way. Getting the picc line is interesting, isn’t it? I had those for all of my AML chemo treatments but had a Hickmann port for the transplant. Either way, nice to not have so many pokes with all of the blood draws coming from the ports.
It’s also reassuring for you to learn that this was the perfect time to be going through this journey! Wishing you well as you continue along!! Hugs.
I had my 1st chemo yesterday. Labs first. Many tubes as they Needed many for the research study i am in. I got a "take home" fecal test. On demand I could not do that, so i am bringing it back today before my next chemo.
The dr. seems very excited for my journey. He wanted to know again how it was I got to him? I gave hime the story that a wonderful NP I had with me my whole journey went on pregnancy and did not come back. I said i was seeing her in August and wanted to cover the blood numbers. She would tell the new Medical Oncologist I was assigned to and never met. Mine went to Cedars Sinai. I told him i was bothered, so I contacted the DR's office i saw about my blood clot. Threw the COH patient portal i requested an appointment and after about 3 exchanges and phone calls, I got the person on the phone who made the calls and got approval to put in the request to see the hematologist. That is how i arrived in the Dr's office in late September 2023.
Advocating for ourselves. I must say parts of myself yesterday thought this is real. As the Dr scrolled through my numbers and diagnosis, he said i am here at the right time. If i did not do this transplant I would continue to have blood numbers flip around, little by little all that is going on now would decline. I would say I am on the cusp. This may just cure me. I met a young woman half my age who had some bad side aches last July. Had a surgery to supposedly solve the pain, but she got another test and was found though that she had leukemia. What she said? I did not ask her name. But i mentioned her to the DR. and he said her name is Alexa. Her family has 2 people with leukemia, so it is possible it is genetic. I felt so blessed to meet her, she is 3 weeks past transplant and is staying at the hotel local to COH. She said she left the transplant area at the hospital as her body was accepting the new cells and she was feeling great.
Today is my second day. I got the pic line in, and Dennis and Oliver completed the job. My father and brother are named Dennis. Both of these fellows were excellent and explain as they went using the monitor to show the needle into the vein, and confirming the sounds i was hearing was my blood swishing through the vein. Oliver said i was very in tune to the moment to hear the sound and know. Many say nothing as they complete the procedure.
The infusion nurse? She is in the Freedom Day hospital. That area is next to the infusion area I used during my chemo and treatments in 2021 and 2022. It had been for kids with cancer, but it was being renovated for some of the time as i remembered. Now it is the place bone marrow transplant patients get their infusions. One patient had finished the series and the bell was rung for him. All nurses were cheering. I think i head him say it was his 2nd time here.
My nurse was delightful. She confirmed that the Dr. was right about my 5 days if chemo. No heavy nausea has been reported by her patients. Fatigue and for some bowel issues. BUT, the 2nd one dose of chemo will cause hair loss. Yep, I had about 1.5 hours thinking I would not lose my hair. I had already stopped at the Positive image center to ask how much notice they need to cut my hair. I asked Mayra there if she would show me how to style my curly wig. I said I never wore it as I thought my initial move from long hair for 40 years to short hair was too much of a shock in November of 2023. This wig was too much. I had another short one i wore. I attended a convention wearing that wig and a number of people said they loved my new hair style. I think it is important to talk about this subject. For cancer patients and those who face the loss of their hair, my hope is their hospital or treatment facility has a department that address this and assists. The COH has one, that had been in a small room in the women's center in 2021 when i got my hair cut there. It did move into a wing of the hospital being renovated. A beautiful set of rooms I will post a picture of later.
I woke up today having cereal and coffee. Next is a lot more water.
Lori,
Thank you. I bought 2 pairs of slippers and a 5th outfit to wear. I asked the nurse today and she said about a weeks' worth of clothing. She said they only pick up what they issue, so that was good to know. My older sister says my slippers look comfy. Straight from Kohls. Nothing at DSW or Nordstrom Rack. I guess in summer no one wears slippers.
My younger sister genetics team at Roswell asked for my genetic work up from my 1st bone marrow transplant. I did note that the TP53 mutation was noted in 2022. But back then, I did not have a bone marrow biopsy.
I will keep you posted and share my journey as it progresses. City of Hope does not have these boards. I am grateful Mayo does.
Hi @katgob. Thinking of you! Tomorrow’s the day you get your Picc line and your journey begins. I’ll be ‘sitting right next to you’…anytime time you need someone to talk to I’m on the other side of this computer. Sending love, a positive vibes and a huge virtual hug.
You’re getting your ‘ducks in a row’…☺️.
The list: Sounds like you’re set with your laptop, phone, etc., with chargers and extension cord.
For the hospital and, just in general, my slippers were Keen Howser Slippers. They had firm souls and easy to slide into but gave support for my walking in the hospital. They looked cute with jeans or my jammies.
Another great thing that I loved are the cushy socks with the rubber dots on the bottom. I wore those in bed to keep my feet warm but if I needed to get up for something I didn’t worry about slipping on the floor before I could get my shoes on.
Any time I stayed in the hosptial I still got dressed daily and seldom stayed in my PJs. I think it helps psychologically to be dressed and not feeling like an invalid. I didn’t wear jeans but had some nice yoga pants and cute loose tops to accommodate my port. Though you are having one in your arm so you don’t have to worry about the neckline being loose enough.
Tooth brush and floss are discouraged once you start chemo. You will be very susceptible to infection so no brushing or flossing as that can introduce bacteria into your blood stream. You’ll most likely be given or instructed to purchase, spongy brushes. I had a difficult time with those so I used pieces of tissue or sterile gauze 2x2’s to ‘rub’ my teeth and gums. You may also be given a specific medicated mouth rinse to use a couple of times per day.
Make up: I wore none, having lost my eyelashes and most of my eyebrows with my previous cancer treatments. Makeup was the last thing on my mind. But I do remember it was discouraged because of the possibility of mascara wands harboring bacteria. Not sure about eye pencils. You can ask your team what they think.
Like you, I did have some cute caps because my head would get cold.
Your lips may be dry so lip moisturizers are a must.
My skin was very dry too. Beyond what a lotion could help so I ended up with Bert’s Bee Baby Balm. Cocoanut oil also helped.
You’ll have a lot of little details that pop up. Another little thing is if you wear prescription glasses, you could take a spare pair along.
Not sure how laundry is handled for you. Since I was an outpatient, my husband did all my laundry…jammies, t-shirts, skivvies. The only thing the hospital laundered was hosptial attire. If I was in the clinic for an extended stay he still took my clothing back to the hotel to wash.
I’m glad your family is getting behind you now! That’s a good boost for you!!
Lori,
Thank you for posting. I have one question about the items to bring to the hospital. I have a work laptop and mine, a tablet and a phone. An extension cord and the cords for all items.
Why no tooth brush or floss? Is this because of germs?
I have many hats from headcover.com from my breast cancer loss and about 3 new ones I never wore!!! I am going to bring one of my wigs.
Can we wear eye pencil or lip gloss?
Mine says eye cover and ear plugs. I snore so fun for nurses.
I bought some lounge wear and will get a few more. The shoes are really bugging me. I have big feet, a 9WW and shoes are a funny thing for me.
I am buying a new cozy bathrobe and some slippers. But what other shoes?
Today I received three forms to fill out. One from MD Anderson on how I feel and the other two nearly the same. Interesting. For the most part I am not walking into this with fear. I have people who love and care about me, my sisters who i believe are worried for me. I never thought my body would accept implants, but 15 months in, all is good. I have had blood and platelet transfusions during my cancer in late 2021.
I think taking part in that study will be good. Others have taken the drug across the country. I believe it has showed promise, so I said yes. Most of the drugs I have taken in my treatments and chemo were for stage 3 or metastatic diseases. My cancer diagnosis was one 2% of people have, so i got what a team of drs felt would be right. After my pancytopenia in November of 2021, The round table of drs felt Lynparza would be a good next choice. After 13 rounds of chemo that was it.
So April 2nd I start my 1st round of chemo.
They still have not called my caregiver. I feel like insurance papers needed the info. Not sure. I am confident that each day I will note how i feel. I see the Dr on the 2nd. I will ask him if my labs every day what are they do,
Lori,
I am going to check on the mail as you mentioned. My brother is coming by to feed my cats once i go in the hospital until my sister is home the 14th. She plans to go to my house. She is unable to be a caregiver, but she will clean my house so it is safe to go home.
Good morning @katgob, These last weeks before a stem cell transplant go very quickly. And the transplant process itself starts 7 days ahead of the actual infusion of stem cells.
You had the pre-testing which is routinely done at least a week or so ahead. So you’ve passed all those tests and are now cleared for the process to begin.
I think you’re caught off guard a little by timing if I’m understanding correctly. I know your transplant day is April 9. In transplant-land, that’s considered Day Zero.
But the process will start one week ahead with the installation of your line and the start of the preconditioning chemo; April 2nd for you. Then you count down daily from Day 7. Depending on your schedule, each day may have chemo or another treatment. When you get to Day 1 that is generally a day of rest between chemo and transplant. From my experience I was in the hospital with IV bags of fluid being flushed through to remove toxins that day…no chemo.
After that, on Day Zero, you get the infusion of Stem Cells from your donor. It’s all anti-climactic really, considering the hype involved leading up to it. It’s just like any other infusion dripped in from an IV bag.
I’m so sorry about the loss of your hair…again. I lost mine 2 times ahead of the transplant with all the months of chemo for AML. I had my long hair buzz cut the day before I started my chemo. I took charge and felt pretty empowered. My daughter was there when the woman from the wig shop in the hospital came up to my room to do the deed! It grew back in spurts after each chemo cycle. Then, about 10 days following the preconditioning chemo for the transplant I lost my cute little 3/4 of an inch long sprouts that had popped up. But it all grew back! I actually didn’t mind being bald. It was the easiest hair style I ever had. ☺️. But I also didn’t have to return to work so I can understand wanting to have a wig to feel like your current hair.
I know there’s a ton of details to get squared away before you head to the COH. Are you all set with what to bring along for you lengthy stay? Do you have friends to water house plants and check your house? Will you hold your mail or will someone pick it up for you?
I figured to add here. It is March 26th and my date to start my conditioning is coming. I am surprised at the flurry to get me in to test and then this week, I message the team and they said they are scheduling the infusions. Are they doing this so routinely that checking in is not deemed necessary? Really? April 2nd, I have labs. docs visit and my pic line put in.
I have told more people and by taking the advice of my supervisor, I walked to our AD building to request a meeting with our HR person. Diversity, Equity and Inclusion. I needed to talk with her about my time off. I spent nearly an hour talking about life. I learned a bunch about her. I told a lot about me, nothing secret but matter of fact about my treatment and my family and genetics. All of this could be found in my medical records.
I work for 3 more days and then I am done till i get home time. Work from home.
For COH as I said above, do they do these infusions so often they do not think checking in is necessary? So right now, I am playing with my hair. The ringlets and all that i have, as I will likely get it all cut off the end of next week. It was just hitting my shoulders; two years it took to grow back from my last rounds of chemo. I told the "Positive image" center at COH to find a wig like my current hair please and when they cut my hair, put it in a bag. It has come back my same color, curl like when I was young and very soft. I am praying to God to let me have my hair back. As it is......
You’ve done a great service over your lifetime for the Red Cross and hundreds of people who benefited from your contributions! That’s amazing! It’s ok to take care of yourself now and look for other ways to pay it forward. ☺️
I think you’re feeling the same way I do, by participating in studies it ultimately helps people way beyond our personal orbit! So thank you for doing that! You may be asked to do more as time goes on. I was in a psychological study as well as studies for latent viruses and a couple others that I can’t recall. But it felt good to be part of those statistics.
Lori,
Thank you for the info. I read a little on the study, but as I am reading I am thinking this is another way to help myself and others in the future. You have written the simple fact it will be helpful. I never read volumes on my original chemos for cancer. I did not have many of the side effects. I will take this a day at a time again. A procedure pill or the effects of.
I know at the Red Cross if you have Hodgkins lymphoma, chronic or leukemia you can never donate again. I was looking at my app yesterday as a way to see what I had donated already. 634 platelet donations. I looked at my platelet numbers of 333, by blood pressure and number of visits.
I realized without the choice, I changed my Red Cross family to a COH family. What I thought would get me back to the RC after breast cancer, actually shot me off in another direction. And all of it is about blood. Blood donation in college, and platelets for the last 25 years.
I will sign the forms and email back today. Thank you for responding today.