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.

@katgob

Today i was given 4 vaccines. I now visit every 3 weeks. Day 165. Red and white cells dipping under the low, b ut the doctor is not worried. He clicks through all the screen, updates my chart. Not much chart with me until he said your donor is still 100% you now have a Y chromosome. You are male!!!! So I said is that good? He said is perfect, what we went to have happen!!! He said do i see you in 3 weeks. I said you tell me. If it is 3 weeks, then 3 weeks it is.
Vaccines VIS Tetanus, Diphtheria, Pertussis (Tdap), Haemophilus influenzas type b, Pneumococcal, VIS Hepatitis A Vaccine
I left and forgot to make my appointment. I need to call early Monday. October 1st. I think the Drs main NP was out. He was 1 hour late to see me and was moving room to room. I enjoy the NP to cover the small things. Men do not chat the same way. Doctors for sure. Oh, my creatinine was .90. Keep drinking 120 oz. or more.
Enjoy your weekend a day at a time.

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How are your arms this morning after all those vaccines? I remember the day after feeling like I was whacked with a baseball bat on both arms. But it was short lived and round two wasn’t nearly as memorable. You’re turning into such a young grown up. Hehe. Your new immune system is maturing Nicole. Soon, you’ll be an adult…again. 😅.

It is quite amazing that we can switch our blood types, isn’t it? I’m also now 100% of my male donor’s DNA in my blood. That is what we want…showing we no longer have our old, defective immune system at the controls for our health. So basically about 15% is our donor’s DNA with our bone marrow/blood cells. The other 85% is still us in body and soul! ☺️ We are chimeras, having 2 sets of DNA. Though I’ve mentioned before my husband prefers the definition (in Greek mythology) of a fire-breathing female monster with a lion's head, a goat's body, and a serpent's tail! 😂 Ah well, either way we’re magical creatures…walking miracles.

Thanks for the positive update, Kat!

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mary612- 4 months. Having AML, the medical team is right on top of what may be needed next. You are so right that each of us needs our own meds sometimes. Blood clots are crazy. I had never had surgery till i did for BC and I ended up with a DVT on the back of my right thigh. It is still not gone 2 years later.
Marinol sounds like a drug others may love, but it is good your husband said no thanks, let's try something else. High is not my thing!!!
I spoke with my older sibling in person yesterday and she said she declined the Lynparza treatment that i took. She is not on any maintenance drug. To me, she was talking about the healthy way she lives. To another family member she said she is scared the cancer will come back. Me. It does not serve her for me to too the horn of the medicine i have had in my 2 journeys. It is not my journey. My journey like Mary612 says about her husband- Today I begin a brand-new day. For me, it is to head outside now for my morning walk.
A sunrise and sunshine await.

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Hi all!
Checking in and hoping @loribmt you had an excellent doctor visit recently. 🙏

Happy to hear the updates from several others on this thread. ‘One day at a time’ soldiers we all are. 😊

Today is the 4 month anniversary of rebirth for my husband.
He is stable after one cycle of post SCT maintenance treatment, except for the new DVT in his jugular vein in his neck that showed up a couple weeks ago. He was on Elequis blood thinner when it happened. They immediately switched him to 2 injections of lovanox every day. It’s painful and will take quite some time to resolve. The docs don’t know what caused it other than he had his tunnel catheter removed from his chest (same side as the DVT) a couple weeks prior. This is his third blood clot since being diagnosed in January this year. He has no history of clotting. He also can’t quite start gaining weight yet. He is eating but the monthly maintenance chemo doesn’t do him
any favors because of the nausea. He was prescribed Marinol, a marijuana derivative. But that made him feel a bit high and he didn’t like the feeling. 😮
And so we go, living one day, one step at a time. Next BMB will be in Nov after another cycle of maintenance chemo next week.

The leukemia doc has suggested she may start him on Onureg only starting next month (as opposed to Azacitadine plus veneticlax which he is taking now). My understanding was a that maintenance chemo for high risk AML is not a one size fits all and is very much up to each individual and their medical team to determine best treatment as tolerated. More unknown territory. More uncertainty. I’m keeping the faith.

Hope everyone sees some sunshine and fall colors today.

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Today i was given 4 vaccines. I now visit every 3 weeks. Day 165. Red and white cells dipping under the low, b ut the doctor is not worried. He clicks through all the screen, updates my chart. Not much chart with me until he said your donor is still 100% you now have a Y chromosome. You are male!!!! So I said is that good? He said is perfect, what we went to have happen!!! He said do i see you in 3 weeks. I said you tell me. If it is 3 weeks, then 3 weeks it is.
Vaccines VIS Tetanus, Diphtheria, Pertussis (Tdap), Haemophilus influenzas type b, Pneumococcal, VIS Hepatitis A Vaccine
I left and forgot to make my appointment. I need to call early Monday. October 1st. I think the Drs main NP was out. He was 1 hour late to see me and was moving room to room. I enjoy the NP to cover the small things. Men do not chat the same way. Doctors for sure. Oh, my creatinine was .90. Keep drinking 120 oz. or more.
Enjoy your weekend a day at a time.

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caregiversx2- A getting better update. Regular visits with the medical team allow for quicker replies to this darn side effects. I have learned to not say that never happens to me. Tremors no, but ready how it stops your husband from using utensils to eat or drink is tough to read. And those kidneys!!!!! I am day 183 I think and my creatinine as been my red flag on nearly every visit. From 30 days after transplant that number has been watched. I can see my Dr. telling me then "You are killing your kidneys! Yikes!!!!! The medications we take as Lori said. My Tacro ended 2 or 3 months ago but I was given Bactrim to replace the awful tasting Mepron. Well, that affects my kidneys. Being blunt, no yellow pee!! As close to clear as i can get, as that is a good sign!
What this has taught me is i likely never drank enough water for my kidneys. I drink 120 oz or more of just water every day. I had 3 hydration days two weeks ago because my creatinine level was up to 146.

Thank God for all good results, those kidneys. We must save our kidneys, and our medical team will find a way to assist us find a solution that works for us.

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@caregiverx2

Today is Day +49. We are almost half-way home. All of his tests look great except for kidney function today. His hand tremors seem worse and makes eating difficult.

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Good morning, @caregiverx2! The half-way home mark or, the half-way TO home mark! ☺️ Either way, it’s a small milestone considering the trepidation of those earlier weeks, right? It’s a slow but steady recovery to that second chance at life.

I’m so sorry to see your husband still has the tremors so badly. Has the doctor talked about reducing the tacro? What is your husband’s Tacrolimus trough? I seem to recall that if my trough rose above 7.5 my tremors would worsen considerably. Tacro levels in the body can be affected by other meds, which was usually the culprit in my fluctuating level. Tacro can also impact the kidneys so if your husband’s kidney numbers are off, that might be a consideration.

Wishing him well on the kidney function test today…only good news allowed. ☺️. Thank you for the update! Sending an air-hug!

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@caregiverx2

Today is day +38. He is slowly regaining his energy and appetite. His bone marrow biopsy shows 100% donor cells. His blood counts are steadily increasing. He still has to get magnesium and fluids a few times a week. He has no signs of HVGD. The only persistent issue he has is hand tremors. This makes it difficult to eat and he is frustrated not being able to do simple things for himself because his hands shake so badly.

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Today is Day +49. We are almost half-way home. All of his tests look great except for kidney function today. His hand tremors seem worse and makes eating difficult.

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You are incredible xx
Always positive
I admire you greatly….from a distance xxxx💖

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Thank you for the update!! I hope you and free and clear in this routine follow-up. I am eating non fiber foods as I head to my first ever colonoscopy Friday. A BMB will keep me busy as i head into the rest of that day and night with no food. Chicken broth it will be.
I have always said a prayer when i got a transfusion. I had more going through breast cancer then this transplant.
I love my sister kept at it till she was cleared.
I also love our body's ability to adapt. Young men meet older gals. Who knew?

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@katgob

I loved these shares to start my morning. Day 175 and Thursday I have my 6-month BMB.
caregiverx2- I hope each day after 38 gets better and better. I know i was living at my caregivers and taking on my pills praying daily. It is all unknown. We cannot predict our body's reaction. Lori's analogy of two cats making piece is such a good example. My bully cat who is my only cat, chased my precious hazel every time she got up out of a bed or off her perches. He was there ready to pounce. 9 years. My blood cells were only mine for 63 years. Now we introduced a 26-year-old fellow. Praying my 63-year-old girls let the 26th year old dig in and take it over.
I have the funky purple bruises that are unsightly, but not dangerous at this time. My blood clot from my surgery 2 years ago is not completely gone. A day at a time recovery comes. I love what Lori said about a transplant being a 2nd chance.
I walked my sister through her finally getting the clearance to donate platelets at her cancer center in western NY. Her 2 brothers and I have all been regular doors. Me until June of 2021. Cancer derailed me then. I know she tries to live healthy with not a lot of fried food and those sorts of things. I did not get her to eat more spinach or kale, but she ate cream of wheat, broccoli and took an iron pill two days in a row. I suggested she not take too many iron pills as too much iron can be trouble. They no longer use two needles, so she got the process in one arm. I hope the testing of 3 days proves her product to be good. She can then essentially pick up where i left off.
Looking at life with a new set of glasses after a BMT!

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Hi Kat! Always great to get your updates! You cracked me up with your story of the 26 year old cells taking over your 63 year old girls. My donor was a 20 year old male which took my 65 year old lady body by storm! 😂
Oh, that would have been the perfect segue to the conversation if I’d had a cytokine storm after the transplant but I didn’t! LOL. While there was a little turbulence from time to time we’ve reached a peaceful accord now and are BFFs. 😅. Better living through chemistry

It’s great your sister is picking up where you left off with Platelet donations! We sure realize more about the need for blood when we have Luekemia or a blood condition. Before my experience I had no clue the demand for blood products!

Wishing you well with your BMBX Thursday! Only good news accepted. 😉. I’m actually heading to Mayo-Rochester tomorrow for my followup appointment with my transplant doctor/team! Just routine at this point. I’ll check back in Friday-ish. We’ll be in Rochester for 3 days and then head up to Minneapolis to spend the weekend with our daughter.
Life in the fast lane!

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