Met with the transplant coordinator and got a really good idea of what I am in for over the next 8+ months.
I will start next Wednesday by completing a day of testing which includes a cardiac function test (complete with die), a pulmonary function test, kidney function test, and then finally multiple blood tests to check my counts, myeloma related counts, and to search for any hidden diseases that may be lurking in my body. Once the lab results are back and they determine that I am physically able to handle the procedure then the next steps will take place.
I have no doubt that I will pass the physical requirements, but it is a little scary when all these tests are required as the rounds of chemo that I will undergo are that hard on a body. I also have to undergo a psychological evaluation during this time.
If all the labs come back satisfactory, around November 15th, I will have a Phereis catheter implanted. The following day I will receive a dose of chemo Cytoxan and that will be repeated the next day. This is done to kill any remaining cancer cells that might be floating around. Then the injections of Nepogen start to promote stem cell growth, and at the same times my blood counts begin to decline. Nepogen causes bone pain as it stimulates stem cell production and the white blood cell counts decline as a result of the chemo. It takes about a week until the white cell count recovers enough to start stem cell collection. During this time, I cannot be around groups of people and have to have injections and bloodwork daily.
The collection process can take up to three days and takes about four hours over the course of those days. I will go to the hospital daily to have the stem cells collected and they will be frozen until it is time for the transplant. Once the stems cells are all collected, then there is a two to three week recovery period. About the same time, I was warned that my hair will start to fall out; but I plan to shave my head before then.
The transplant itself will take place the day after Christmas. I will be admitted into the hospital and receive two large doses of a chemo drug called Melphalan. This should destroy all of my marrow, and on the third day, I will see a transfusion of my own stem cells. This is considered day 0. I will remain in isolation until such time my counts are sufficient for me to be released.
Of course I had to be advised of all the risks and the side effects. But they were not a surprise as I had done my own homework and was aware of the risks and the side effects. I have promised myself that I will not borrow trouble and take this journey one step at a time. Most people usually recover and are functioning normally six months post transplant.
I am being realistic as this will be tough, with the constant trips to the hospital, the strong chemo, the isolation and all of the other tests. All patients undergo a psychological evaluation as this procedure is mentally grueling for anyone. In some ways I may be more fortunate as I have a lot of resources and tools to draw upon. Well, it is starting and I just have to remember the goal is to be cancer free for a long time.