Struggling with decision to move forward with Allogeneic Transplant
Hi,
I've been reading so many stories and feel humbled and encouraged by everyone. Right now I'm really struggling with committing to moving forward with my allo stem cell transplant. I am 60 and was diagnosed (Dec 2023) with a very rare leukemia (chronic eosinophilic leukemia), so there are no good statistics about outcomes. I am told there is no long term treatment and the only possible cure is an allo stem cell transplant. I have already gotten opinions from heme/onc and stem cell teams at two very good hospitals who recommended moving forward sooner than later due to possible complications of waiting. We were thinking of moving forward with it this Fall, but then the 3rd opinion doctor who is a world expert recommended delaying and monitoring monthly until something changes. After much thought, we still felt it was best to proceed this Fall while I am “healthy” rather than wait and possibly have additional problems (I also have lupus and had HLH), plus concern for it turning into AML. But I find my previous positive attitude is gone and I am now feeling very scared and unable to commit to proceeding, even though I logically know it’s the correct thing to do. I feel blessed to even be given the opportunity to even have the transplant since many CEL patients don’t find it early enough to have the chance, but at the same time I suddenly feel terrified of moving forward. Has anyone else struggled with losing your positive attitude about transplant or struggled with making the decision to move forward with transplant. Thanks for any thoughts you have.
Interested in more discussions like this? Go to the Bone Marrow Transplant (BMT) & CAR-T Cell Therapy Support Group.
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Hi, Deb. Thanks for your note. I am an 11 year survivor of an “ugly” leukemia. After considering the odds, I decided to go all in. My sister donated 5+ million healthy cells which replaced my immune system after a month of conditioning and then high dose chemotherapy.
These decisions are never easy. Often our prior experiences inform how we face these challenging decisions. Whatever you decide, trust your judgement and intuition. It will be the right decision for you. I was told transplant was my best chance for a long term remission. Chemotherapy is really hard, but it was the right decision for me.
I am a woman of faith and believe all of my days were decided before I was born. I guess my earthly assignment isn’t completed yet 😊.
You are now a member of the Mayo “family”, so please keep in touch on your journey.
Keeping you in thought and prayer.
Katie
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6 ReactionsHi Lori,
Thanks so much for your reply. It helps so much to hear from someone like you who has been through it; and the fact that you are 5 years out and feel good is so wonderful to hear. I’ll likely have the transplant at Emory Winship in atlanta. They admit you for one month, then at least 2 weeks at a nearby hotel and then home which is about 45 minutes from the hospital. It really helps to hear success stories like yours.
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2 ReactionsHi Deb! It’s a big decision moving forward with a bone marrow transplant. However, from my personal perspective of having a transplant 5 years ago at the age of 65, I’d march right into it again in a heart beat. I’m super healthy and feel as though nothing ever happened.
I had AML and you don’t want to wait until that develops if you can help it. Right up front you’d potentially be avoiding months of chemo to treat the AML before moving onto transplantation. The healthier you are going into transplant, generally the more positive the outcome longterm.
Since having a bone marrow transplant gives you an entirely new immune system it may also take care of your lupus.
SCT/BMT not an easy process and there is a lengthy recovery period. However, it has the potential for giving you a normal, healthy life span and curing you of your CEL. It is a second chance at life.
There are several members in the forum who have had SCTs. My ‘Tag-team’ of members whom I rely on in discussions like this where you need some moral support are @alive @edb1123 @kt2013 @jrwilli1 @tkidd51 @mary612 and @katgob. We’ve (or family members) all been through this odyssey, some 10 years post transplant on down to just under 100 days! We’re here to help you by being a sounding board or guide along the way. You’re not alone. We have walked that walk and want to make sure you feel ready to have that 2nd chance.
You will need to be near the facility where you’ll be having the transplant for usually for around 100 days. Some are inpatient procedures where you stay in a clinic for a few weeks. Some clinics, such as Mayo are done as outpatient. I had to relocate to Rochester MN for 4 months. It seems daunting but the time went quickly and it was the best decision I could have made. Where are you considering having this done?
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