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

East Coast options for stem cell transplant?

by CureDO on Thu Nov 14, 2013 7:50 pm

Hello,

Can anyone recommend the best hospital for a stem cell transplant. The oncologist provided the closest options of Duke, Wake Forest, and Vanderbilt. These sound like they are all top of the line choices; however, my mother is also uncomfortable with having to drive for treatments.

  1. How long should she expect to be there for this treatment?
  2. Do any of these hospitals provide better 'housing' options to stay on site or in a nearby building?
A huge thank you to anyone who can provide insight or share their experiences at any of these 3!

CureDO

Re: East Coast options for stem cell transplant?

by NStewart on Fri Nov 15, 2013 3:22 pm

You need to talk with each of these cancer centers and ask your questions. I was in the hospital for 17 days from the time of my admission for melphalan infusion to discharge. After discharge from the hospital, usually the local oncologist can do the follow-up appointments for blood work, etc. The cancer center will want to see your mother on a periodic basis. She will need to go to the cancer center prior to the transplant for the stem cell harvesting, but most of the testing she should probably be able to do locally.

Any of the other cancer centers on the East Coast would be a good distance from your mother. I'm assuming from the recommendations that she lives in North Carolina. But, there are lots of extremely good transplant centers up and down the East Coast: Emory in Atlanta; Johns Hopkins in Baltimore (they won't store stem cells that aren't used immediately); Abramson at Penn in Philadelphia, John Theurer in Hackensack, NJ; Sloan-Kettering, Mt. Sinai, Weill-Cornell in NYC; and the one in Boston whose name has escaped me at the moment; and Mayo in Florida. There may be more, but those are the ones that I'm most familiar with. They all do multiple transplants per year and have excellent and well known myeloma specialist teams.

I had my transplant at Abramson Cancer Center at Penn in Philadelphia and was pleased with my experience. It wasn't fun, but it wasn't awful. Fortunately I live about 1 mile from the cancer center, so I didn't have to worry about traveling or housing. Many of the centers do have lists of options for discounted housing if it is needed. You can also contact the American Cancer Society and inquire about whether they have any Hope Lodges in the vicinity of the hospital where your mother decides to do her transplant. They have very discounted housing available for people and their families while receiving cancer treatment away from home.

I know that your mother will make a good decision for herself.

Nancy in Phila

NStewart
Name: Nancy Stewart
Who do you know with myeloma?: self
When were you/they diagnosed?: 3/08
Age at diagnosis: 60

Re: East Coast options for stem cell transplant?

by tm648 on Fri Nov 15, 2013 4:41 pm

The Boston center is Dana-Farber.

tm648
Name: tm648
Who do you know with myeloma?: Me
When were you/they diagnosed?: 3/30/2015
Age at diagnosis: 71

Re: East Coast options for stem cell transplant?

by TerryH on Fri Nov 15, 2013 4:44 pm

For North Carolina, it's important to mention UNC, which is where myeloma specialist Dr. Peter Voorhees is based. Dr. Voorhees is one of the doctors who posts regularly here in this forum.

TerryH

Re: East Coast options for stem cell transplant?

by Jane on Fri Nov 15, 2013 10:05 pm

I had my ASCT at Thomas Jefferson University Hospital in Philadelphia, which is about 60 miles from where I live at the Jersey shore. I am followed at home by a local hem/onc but still travel to Philly about every 6-8 weeks. The local hem/onc works closely with the team at Jefferson.

Jane

Re: East Coast options for stem cell transplant?

by terryl1 on Sat Nov 16, 2013 6:54 am

Hi Jane,

I live in New Jersey just a few miles from Center City Philadelphia. I am in a clinical trial at the NIH near DC. Prior to that, I was monitored at UPenn, which has a large myeloma department.

I wasn't aware that Jefferson had a myeloma department, but I know their Kimmel Cancer Center is top rated.

Thanks for the information and good luck with everything! Terry from Haddonfield, NJ

terryl1
Name: Terry
Who do you know with myeloma?: self
When were you/they diagnosed?: August 10, 2011
Age at diagnosis: 49

Re: East Coast options for stem cell transplant?

by Cher on Sat Nov 16, 2013 8:36 pm

Hi I had my SCT at Duke and would recommend them highly. They are more than willing to help with lodging for your stay. Until my transplant I would have to be there for about 4 days a month. There is transportation to and from the treatment center for you. They put me and my caregiver up in a hotel for my treatments until the transplant. At that time, we were put into an apartment that is part of the program. It cost us nothing for any of our stays there except for food. The doctors and nurses are top notch. As are all the employees who help you with anything financial. I didn't have insurance and they helped me get Medicaid. I hope this helps with your choice.

Cher
Name: Cheri Fitzgerald
Who do you know with myeloma?: me
When were you/they diagnosed?: Nov 2012
Age at diagnosis: 54

Re: East Coast options for stem cell transplant?

by Dr. Peter Voorhees on Sun Nov 17, 2013 12:07 pm

Dear CureDO,

There are many possible choices and the ones you and others have mentioned will do a great job.

If you are at a center where the transplant is done on an outpatient basis, you will be lodged close to the center. If you are at a center where the transplant is done in an inpatient hospital setting, you will be based at the inpatient transplant center.

Duke does their transplants on an outpatient basis, as in Cher's case. At Wake Forest and UNC, they are done on an inpatient basis. I do not know about Vanderbilt's setup off the top of my head.

Some patients prefer the ability to get out of the hospital -- even if it means just going across the street. Others like knowing there is a nurse or other health care professional immediately available on the other side of the door. The approaches are equally safe, and the reason one center does inpatient or outpatient largely boils down to availability of health professional staff to manage an outpatient infusion center on holidays and weekends.

For those who go the inpatient route, a typical hospital stay is 2 to 3 weeks. At UNC, patients who travel from afar stay locally for an additional 1 to 2 weeks after discharge to ensure they are continuing to recover appropriately. From there, they return home. The frequency of visits thereafter largely depends on the availability of appropriate supportive care and monitoring at home.

Important post-transplant milestones include the ~day 100 visit to re-stage the disease and to discuss post-transplant treatment options (maintenance / consolidation therapy). It is also typical to re-vaccinate patients beginning 12 months post-transplant.

You are in a win-win situation. Best of luck!

Pete V.

Dr. Peter Voorhees
Name: Peter Voorhees, M.D.
Beacon Medical Advisor

Re: East Coast options for stem cell transplant?

by Dr. Peter Voorhees on Sun Nov 17, 2013 12:12 pm

And to Jane's point, it is important that someone who is experienced in myeloma care remain involved post transplant to help navigate decisions about maintenance / consoli­da­tion therapy, length of bisphosphonate therapy, etc.

Good luck!

Pete V.

Dr. Peter Voorhees
Name: Peter Voorhees, M.D.
Beacon Medical Advisor


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