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Discussion about multiple myeloma treatments, stem cell transplants, clinical trials, alternative medicines, supplements, and their benefits and side effects.

Diana's second stem cell transplant

by dianaiad on Thu Aug 10, 2017 9:16 pm

OK, I didn't write a saga about my first transplant, almost four years ago. Don't know that I'll be all that productive about my second one, but let's see how this goes.

I just got word: I'm going to be admitted (if I'm cleared for it) into the City of Hope on September 11th or 13th. Could have been on the 6th, but I kiboshed that; that's my parent's 70th wedding anniversary.

There are some things one just doesn't do, y'know? ;)

I should have figured on it, actually; 'They' wanted me to start chemo for this thing, including getting my portacath and a bone marrow biopsy a few days before my son's wedding. I told 'them' where to put their timing for that, too, and I started the whole mess the Monday after the wedding.

Waging the good fight against this disease is important, but not at the expense of ignoring those events that life is for?

So, now it's real. Again. I'm going to take my shoulder length hair down to someone and have it cut very short and dyed to match my eyes.

Which are very blue.

Then I think I'll go start a quilt. And a shawl. and a baby blanket. Just to make sure that I have un­finished business that I have to come home and deal with. Not that I expect to croak or any­thing,even as miserable as I remember being the last time, but I do believe in leaving loose ends. Everybody should have something that needs doing, right?

dianaiad
Who do you know with myeloma?: Me
When were you/they diagnosed?: Officially...March 2013
Age at diagnosis: 63

Re: Diana's second stem cell transplant

by Janet1520 on Fri Aug 11, 2017 12:19 am

Dianaiad,

Good luck on this second transplant! Please keep us posted on how you're doing.

It's great you had 4 years remission after the first transplant. I also go to City of Hope. I will look for a blue haired woman!

Janet1520

Re: Diana's second stem cell transplant

by dianaiad on Fri Aug 11, 2017 4:44 pm

Got my hair cut today. It was below shoulder length, and now it's not. It's very short. Now I have to decide whether to 'go blue,' or just let the length shock the world. ;)

I'll have to think about that for a bit.

Right now, though, I'm thinking (and remembering) about all the tests they had me take to 'vet' me for the first transplant, and now, again, for this one:

Blood tests: Not a problem. I get those done every week anyway for treatment.

24 hour urine test: Annoying, but not particularly a problem.

Cardiac stress tests:

- Echocardiogram (I don't remember having to do that one last time?)
- The heart test with all the leads (I forget what they call that, darn chemo-brain).

Bone marrow biopsy (I have absolutely put my foot down on that one; I am to be asleep for that)

And all sorts of other stuff.

My transplant coordinator was to get the schedule to me via e-mail today, and it's not here yet. However, it's also only 1:30 PM, so it's a leetle early to get anxious about not getting it yet.

In the meantime, I'm on my first week of this cycle of Pomalyst, Kyprolis, and dex, and the side effects are making themselves known really fast. I'm very, very sleepy and incredibly tired (Pomalyst) as well as shaky (Kyprolis) and crashing (dex).

I'm going for a nap. Now if I could only arrange for my sister's first grandchild to wait until I get home to make her appearance. But nope. that's not going to happen. ;)

I do have to wonder, though. My last bone marrow biopsy showed that I had less than 5% (actually, they couldn't find any at all) cancer in the marrow at the biopsy site, and all my blood tests show that I'm still having a good remission. So why in the world do they want to do another biopsy? My problem is the plasmacytomas in my skull, not any systemic disease.

Is this sheer bureaucracy speaking?

dianaiad
Who do you know with myeloma?: Me
When were you/they diagnosed?: Officially...March 2013
Age at diagnosis: 63

Re: Diana's second stem cell transplant

by Castaway on Fri Aug 11, 2017 10:13 pm

Diana,

I hope that all goes well for you on your second transplant. I remember cutting my hair pretty short before my transplant. I actually decided to have it buzzed a few days after transplant. City of Hope has a service for that. They came into my room and took care of it.

There are so many tests before transplant.

I also had Pomalyst, Kyprolis, and dex before my transplant. I believe it was 3 rounds. It really worked well pushing my numbers down. The days I had Kyprolis, I had to take the dex about 2 hours before the infusion. I had to stop my bike riding due to being so tired. I have to believe it was the Kyprolis. I was on Pomalyst and dex before and never was tired. But we are all different when it comes to all these drugs.

Too bad they can't use your last bone marrow biopsy results. I was told that a bone marrow biopsy had to be within a month of transplant.

My transplant at COH went well, but I am having issues with my WBC, now at 2.5. The one that my doctor at COH is concerned about is my segmented neutrophil absolute being at 0.8. It should be between 1.9-6.0. Its now Day +58 and the neutrophil doesn't go up or down. And I have only gained 5 pounds after loosing 20. I was hoping for a better result. Huge amount of tests next week at my local oncologist. And yes, a possible bone marrow biopsy.

Wishing you the best with your stem cell transplant.

Castaway
Name: George
Who do you know with myeloma?: just myself
When were you/they diagnosed?: 1/24/14
Age at diagnosis: 62

Re: Diana's second stem cell transplant

by dianaiad on Sat Aug 12, 2017 1:49 pm

Well, it's Saturday; transplant countdown, 30 days from today (unless something else happens).

Thirty days. I can do this, right? I did this once before, and even though I got C. diff and honestly don't remember a good two weeks of the four I spent at the hospital, I made it home and got healthy. I got great chemo curls, and my hair grew out to about the middle of my back, to the disgust of my mother, who doesn't think any woman over the age of 35 should have hair that goes below her ears. ;)

I had a great remission, and the side effects from the Revlimid were minimal; annoying, but not debilitating.

It's different this time. New drugs (Pomalyst, Kyprolis, and dexamethasone), and the side effects from those are more than annoying. Turns out that the peripheral neuropathy is affecting my hands to the point that I can't use them for very long without my thumbs and wrists aching and cramping up. That includes driving, for crying out loud! I'm so tired that if I can't get something done by 10 a.m. it ain't gonna get done. I'm toast the rest of the day.

It is frustrating, but I can do this for one more cycle, right? Of course I can, and then I can handle the transplant.

I only wish I didn't know exactly what this is going to be like. For some reason, for me it's easier to be optimistic in the face of the unknown.

What I do know is that I will be very well taken care of, and that the nurses and therapists will be doing their level best for me all the time. They'll wake me up to see if I'm sleeping, take my vital signs when I'm trying to knit, encourage me to go play cards or paint figurines when I would really rather listen to a book, and knit, and walk around and around the ward when I would much rather be napping. Or griping to someone about something on the Internet.

Y'know, I guess I really am an old curmudgeon / hermit.

dianaiad
Who do you know with myeloma?: Me
When were you/they diagnosed?: Officially...March 2013
Age at diagnosis: 63

Re: Diana's second stem cell transplant

by Hummingbird on Sun Aug 13, 2017 11:54 pm

Diana, we will be here for you whenever you want to gripe! You can do this!

Hummingbird

Re: Diana's second stem cell transplant

by kap12 on Mon Aug 14, 2017 10:50 pm

Hi Diana,

Having fought curly hair all of my life, your posts really stand out to me when you mention cutting off your chemo curls! I would be hoping for the bone-straight hair my older sister was lucky enough to get. I've never understood why people would pay good money for a perm!

That said, what you look like is really of little importance. Sit down and re-read "The Velveteen Rabbit" and you'll proudly think of the Skin Horse when you catch a glimpse of yourself in the mirror. At some point in this life we all need to rely on the strength of our inner beauty to see us through.

I'll be holding a good thought for you during your second stem cell transplant.

Kristine

kap12
Name: Kristine
Who do you know with myeloma?: Myself (IgA MGUS)
When were you/they diagnosed?: September 2016

Re: Diana's second stem cell transplant

by dianaiad on Tue Aug 15, 2017 9:31 am

Tuesday, August 15, -27 days to transplant:

Today is 'dex day,' or, as my family and the nurses who handle my Kyprolis infusions say, "squir­rel day." Indeed, this afternoon they will be certain to give me a chair next to the window looking out at the grounds so that I can see the squirrels, rabbits, and occasional other critter that dashes in and out of the desert scrub. My day would be very incomplete if I didn't see one or two and draw everybody's attention to it.

When I am nervous, I tend to talk. A lot. On "dex day," that tendency just amps up past all reason. (sigh) The only good thing is that it seems I'm an entertaining talker. The nurses don't make all sorts of excuses to get away from me, anyway. That's something, right?

I only have one more 'dex day' after this one. Wheee!

I still don't have the schedule / list of tests I need to have done before the transplant. My coordi­nator said she'd have it to me by last Friday, but I can certainly see why she might not be able to get all of it organized quite yet, with the weekend interfering: nobody 'home' to schedule things with.

So, I'm sitting on my hands (figuratively, of course; I'm actually typing – duh) and waiting.

My caregiver team, however, has gone into overdrive, dividing the days between them. My sister is coming down from Utah to be with me for a week, my daughter is arranging for the days off so she can handle the melphalan and transplant days, another sister is arranging to do all the 'in house' stuff (taking care of my parents, the housekeeping, and my dog) so that she can 'take care of me' and await her first granddaughter, my son and his new wife are in the mix some­where. I get the feeling that I'm not really expected to contribute to those conversations. ;)

As for me, well, I have finished the quilt top for the above mentioned baby. Now I just need to quilt and bind it. I began a new shawl with some cashmere yarn I just happen to have, and I think now is the time to begin that 'block of the month' quilt kit I bought last January for Mom.

As I mentioned in another post, I love loose ends. Everybody should have a few. It's a statement of optimism; of course I'm going to do well; I have things to finish!

That's my goal, anyway. To always have things left to finish. As soon as I finish one thing, I begin another. Shoot, in times of stress, I skip the 'finish one thing' part and just go to 'begin another.' When I finally exit the planet, as we all must, then, when my kids and siblings clean up after me and find those projects, they will think of me and either finish those things themselves, having fond, or not so fond, memories of our time together, or else complain to one another: "What was she thinking?' and that project will end up in their stashes. Either way works for me. ;)

dianaiad
Who do you know with myeloma?: Me
When were you/they diagnosed?: Officially...March 2013
Age at diagnosis: 63

Re: Diana's second stem cell transplant

by Nancy Shamanna on Wed Aug 16, 2017 9:06 am

Hi Dianaiad, Wishing you the best for your upcoming stem cell transplant. It sounds like you are very well organized and have lots of family support too.

Hope the crafting projects go well. I have made six baby blankets in the last three years! I did a patchwork one of cotton for each baby and then also a flannelette one. Have you seen those 'rag quilts' that are very cozy and warm? Maybe that is more relevant here, where we have a cold winter, than for California. We have three little ones under age three in the family now and that is such a pleasure for all of us. I am sure it will be the same for you and your family to have a new baby on board.

Now I could get back to my QBOM (quilt block of the month) quilts that I have started but not finished, but am currently working on a Canada150 quilt, made of panels depicting each province and territory. I like sewing, it is calming sometimes, and I have sewed since childhood! When I was growing up, that was more the norm.

You take good care of yourself and don't worry too much about all of the details of the stem cell transplant either, OK?

Nancy Shamanna
Name: Nancy Shamanna
Who do you know with myeloma?: Self and others too
When were you/they diagnosed?: July 2009

Re: Diana's second stem cell transplant

by dianaiad on Wed Aug 16, 2017 1:54 pm

Thanks, Nancy.

I promise I'll only obsess on dex days. ;)

Indeed, perhaps I should make a rule: do not post on dex days.

But then, I only have one dex day left to go before T-day. That's a Woo Hoo thought!

dianaiad
Who do you know with myeloma?: Me
When were you/they diagnosed?: Officially...March 2013
Age at diagnosis: 63

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