Preparing for consultation & BMT transplant

You will have lots of posts by tomorrow. I had MDS and a BMT in April of last year. We do not all get all the side effects and just know that the transplant medical team is all over any side effect we might get. The chemo i got was not fun. I lost all my hair in a few days, but my nausea was treated in so many ways. They take your vitals every 4 hours while in the hospital. I was in the hospital for Day 5 before transplant to Day 26 after transplant. I was blessed going home to have little wrong. I had been in a research study to prevent GVHD and up until today, day 307 past transplant I have had few real problems. I will say i follow all directions as best as i am able. Medications, eating, walking, sleep. Be good to yourself.
Where is your husband being treated?

My husband is being treated at Mayo in Rochester, MN. Should we be proactive and shave his head instead of waiting for hair to fall out? GVHD I dont know what that stands for? My husband, Dale, is 68. Oh by the way my name is Bev!

Hi Bev, I want to welcome you along with @katgob to Mayo Connect. Mayo Rochester is my home away from home, having had my BMT there coming up on 6 years in June. I was 65 at the time. Your husband (and you) will be in the best of hands.

I know you’ll have a ton of questions and I promise you’ll get answers here in the forum direct from members who have gone through the process of transplantation. It helps to speak with people who have walked the walk.
I do have a question for you first. You mentioned your husband now has MM. Will he be having an autologous transplant using his own cells or with cells from a donor?

His own cells

My husband is being treated at Mayo in Rochester, MN. Should we be proactive and shave his head instead of waiting for hair to fall out? GVHD I dont know what that stands for? My husband, Dale, is 68. Oh by the way my name is Bev!

Hi Bev, Dale is using his own cells, which means he’s having an autologous stem cell transplant. Generally, recovery time for that transplant goes a little faster and without the danger of gvhd because the cells are not foreign to his body.

As you mentioned, the preconditioning chemo will be new to him. It is a bit more aggressive than what he’s had previously. I don’t know how many days he’ll have chemo but I do remember a woman who had MM with an auto transplant the same time I was in. She had one day of chemo and that was all. I had 5 days. So it all depends on the doctor’s orders.
The strong chemo is necessary to completely clear the cancer cells from his bone marrow in order to make a squeaky clean environment for the infusion of his prepped cells. There can be some side effects associated with this preconditioning such as nausea, mouth sores, fatigue and hair loss.
You’d asked about hair loss. From experience, it does start its exodus about 10 days after the chemo. So he may want to go ahead and get a buzz cut before that happens. The chemo will lower his blood numbers as the cells die off, which will make him more prone to infections. So his team will likely discourage a buzz cut after that to avoid any nicks or cuts.

There are many members in the forum who have had auto transplants and have shared their stories here. I’ll give you a couple links which will take you to their replies that I think are helpful accounting the process for an auto transplant.
This from @countrygirlusa
https://connect.mayoclinic.org/comment/716285/
~~~
Another from @capthondo https://connect.mayoclinic.org/comment/747475/
~~~
I also have a Caregiver’s Guide from Mayo. https://connect.mayoclinic.org/blog/caregivers-for-bmt-car-t-and-hematology/tab/transplant-journey/#ch-tab-navigation

The BMT teams at Mayo are extremely attentive and will do everything they can to assure Dale is safe and comfortable. Don’t hesitate to ask questions or express concern. They will take care of both of you!
You’ll both learn a great deal with Dale’s upcoming appointments. Besides the routine pre transplant testing, there are educational classes which are filled with useful details.
Do you have any specific questions for me?

Hi Bev, Dale is using his own cells, which means he’s having an autologous stem cell transplant. Generally, recovery time for that transplant goes a little faster and without the danger of gvhd because the cells are not foreign to his body.

As you mentioned, the preconditioning chemo will be new to him. It is a bit more aggressive than what he’s had previously. I don’t know how many days he’ll have chemo but I do remember a woman who had MM with an auto transplant the same time I was in. She had one day of chemo and that was all. I had 5 days. So it all depends on the doctor’s orders.
The strong chemo is necessary to completely clear the cancer cells from his bone marrow in order to make a squeaky clean environment for the infusion of his prepped cells. There can be some side effects associated with this preconditioning such as nausea, mouth sores, fatigue and hair loss.
You’d asked about hair loss. From experience, it does start its exodus about 10 days after the chemo. So he may want to go ahead and get a buzz cut before that happens. The chemo will lower his blood numbers as the cells die off, which will make him more prone to infections. So his team will likely discourage a buzz cut after that to avoid any nicks or cuts.

There are many members in the forum who have had auto transplants and have shared their stories here. I’ll give you a couple links which will take you to their replies that I think are helpful accounting the process for an auto transplant.
This from @countrygirlusa
https://connect.mayoclinic.org/comment/716285/
~~~
Another from @capthondo https://connect.mayoclinic.org/comment/747475/
~~~
I also have a Caregiver’s Guide from Mayo. https://connect.mayoclinic.org/blog/caregivers-for-bmt-car-t-and-hematology/tab/transplant-journey/#ch-tab-navigation

The BMT teams at Mayo are extremely attentive and will do everything they can to assure Dale is safe and comfortable. Don’t hesitate to ask questions or express concern. They will take care of both of you!
You’ll both learn a great deal with Dale’s upcoming appointments. Besides the routine pre transplant testing, there are educational classes which are filled with useful details.
Do you have any specific questions for me?

Hi Bev, Dale is using his own cells, which means he’s having an autologous stem cell transplant. Generally, recovery time for that transplant goes a little faster and without the danger of gvhd because the cells are not foreign to his body.

As you mentioned, the preconditioning chemo will be new to him. It is a bit more aggressive than what he’s had previously. I don’t know how many days he’ll have chemo but I do remember a woman who had MM with an auto transplant the same time I was in. She had one day of chemo and that was all. I had 5 days. So it all depends on the doctor’s orders.
The strong chemo is necessary to completely clear the cancer cells from his bone marrow in order to make a squeaky clean environment for the infusion of his prepped cells. There can be some side effects associated with this preconditioning such as nausea, mouth sores, fatigue and hair loss.
You’d asked about hair loss. From experience, it does start its exodus about 10 days after the chemo. So he may want to go ahead and get a buzz cut before that happens. The chemo will lower his blood numbers as the cells die off, which will make him more prone to infections. So his team will likely discourage a buzz cut after that to avoid any nicks or cuts.

There are many members in the forum who have had auto transplants and have shared their stories here. I’ll give you a couple links which will take you to their replies that I think are helpful accounting the process for an auto transplant.
This from @countrygirlusa
https://connect.mayoclinic.org/comment/716285/
~~~
Another from @capthondo https://connect.mayoclinic.org/comment/747475/
~~~
I also have a Caregiver’s Guide from Mayo. https://connect.mayoclinic.org/blog/caregivers-for-bmt-car-t-and-hematology/tab/transplant-journey/#ch-tab-navigation

The BMT teams at Mayo are extremely attentive and will do everything they can to assure Dale is safe and comfortable. Don’t hesitate to ask questions or express concern. They will take care of both of you!
You’ll both learn a great deal with Dale’s upcoming appointments. Besides the routine pre transplant testing, there are educational classes which are filled with useful details.
Do you have any specific questions for me?