Monday, January 26, 2015

So happy I had HSCT done! Things listed in here may not be available now (Dec 2019)



HOW IT ALL BEGAN......
July 2010
HEALTH HISTORY

Life for me is great. I’m happy, healthy and loving my life. Work can be a little stressful at times, but nothing too bad.
Out of nowhere in July of 2010 I was writing at my desk at work and I realized I wasn’t able to see the point of my pen on my paper. It seemed a bit odd and so I looked up across the floor at my co-worker and I couldn’t see half of her face! What!? Let me tell you, I went into panic mode for a little while! This lasted about 15-20 minutes. I know my co-workers were a bit concerned since I probably turned about 3 shades of red and started to cry. My Dad had Macular Degeneration and that was the first thing I thought.  I called my eye doctor and he squeezed me in for an emergency exam. I called my sister to take me as I wasn’t in any shape to drive or if I had another episode, I didn’t want to be driving. My eye doctor did a good exam saying everything looked okay to him. I then went to my Primary Care Physician, and we decided to not do anything more at that time but if I were to experience another episode we would explore further avenues. As I thought back to earlier dates I had had 3 other issues of what is called ocular migraines at various times of my life, starting in the year 2000. I never had headaches with them or after them, just the pretty, shiny, crescent shapes in my peripheral vision.  
In early October I started to get tingling and numbness in the smallest 2 fingers of each hand. Then weakness in both forearms started and I was having trouble turning things (keys, doorknobs, etc.) and writing so I thought I would go to my chiropractor. I thought if I had my neck and upper back adjusted, it might be relieved. This was of no help. But he tested my strength and a few other things and didn’t believe the issue was spine-related. He was the first to mention a neurologist.
My legs suddenly started becoming noticeably weak and feel like they were going to buckle out from under me. I began to feel if I wasn’t careful, I could easily fall. I called my PCP to order some blood work to be done and we found out I was vitamin B12 and D deficient. I started Vitamin B12 shots right away, got a Vitamin B12 sublingual to take also and vitamin D3 pills. I still was getting weaker and fatigued quickly. I then called to try to get in to a neurologist. My PCP suggested a doctor but he had no appointments available until mid-December and I felt I needed to see someone much sooner than that. I was able to get an appointment with another local neurologist. He had me do several tests over the next week. Doctor did an upper body nerve conduction test that really surprised him and then had me come back for a lower body test that wasn’t as bad as the upper body. He then wrote scripts for a brain (with contrast) MRI (to see if it was M.S.), EKG, heart monitor for 24 hours, and an ultrasound of carotid artery. Then insurance said "NO" to the spine MRIs. Waited about week and a half to have doctor try to talk them into it but they still determined that it was "not medically necessary". By then I was continuing to deteriorate so bad that I could hardly function at work or feel comfortable to drive and I was getting so weak I could do hardly anything without help. I was getting twitches and tremors all over my body and some intense jabs in muscles like a stabbing pain. Also, my husband noticed I wasn’t able to recall things as easily as usual and speaking was both difficult to come up with right words and also to speak them. I noticed a ‘mushy’ feeling in my brain (just not clear). I scheduled an appointment for a second opinion but couldn’t get anything until Dec 13th and still getting weaker. On Nov 30th my fingers (index and middle) on my right hand froze and crossed several times as did my middle and ring fingers on my left hand, the same thing. The next morning I could hardly lift my arms to wash my hair they felt so weak and heavy. That day at work (my last day) I could hardly do anything without just being so exhausted. At that point I went to my PCP and that is when we thought I better get into the hospital to get the tests I needed to figure this all out.
I got admitted to hospital and they started poking, prodding and keeping bodily fluids to test, examine and grow things from. Nothing, nothing, nothing...regular doctor was going to send me home on Saturday but neurologist wanted to try one other test, a spinal tap but I had to wait until Monday to do it. That was done and I went home to wait. On Tuesday I got the call that elevated levels of protein were found in my spinal fluid and that he wanted me to see another neurologist in St Petersburg.
The local neurologist was able to get me in to see him on Friday, Dec 10th. When we went down there I had to have another nerve conduction test (ouch ouch) and then I saw the doctor. He told me I have CIDP. “CIDP” I had no idea what that was. 

 

So, doctor immediately started me on 20mg/daily of prednisone (steroid) and requested approval for IVIg. I started the IVIg Jan 10, 2011 and get them every 3 wks. We started weaning me off the steroids in Jan and I was off them by March 30th. Still receiving the IVIg every 3 weeks but in July I wasn’t finding it being as beneficial as previously. By mid-July I was about as weak as I had been in December, so my neuro put me back on steroids again, 10mg/day. Still was extremely weak and only recovering about half as good for only about 7 days between treatments. The middle treatment in July of IVIg was like having nothing done at all. At this point, using a walker due to the weakness was necessary and self-care is minimal. Not cooking or cleaning much at all; and showering is a major challenge. When I fell in the shower and broke a few tiles, we had to replace the shower stall area and added hand holds and now I use a shower chair. It is still very difficult to wash myself but I do the best I can since I really don’t want to lose that bit of independence.
So last treatment in July we upped the prednisone to 15mg/day and see where to go from there. At about mid-treatment time right and strength is low and stamina for anything much is poor. Heat/sun do me in, if I have errands to run I am whipped quickly.



In the Beginning…
Long, long time ago
Now that I have given you the low-down of my health history of this disease I am battling, let me go back in time and tell you more about me and my life…
I was raised in Pennsylvania, north of Philadelphia; in a little rural town in Bucks County called Hilltown. I have 3 siblings, 2 brothers and 1 sister; but I am the baby. Probably, an “accident” as I was 6 years behind my youngest, older sister.
Our home was not a “religious” home; I probably had a closer relationship to the Charlie Chips can than I did with God when I was a little girl. However, we always said grace before eating and went to church on Sundays. I do remember one particular Sunday that I didn’t want to go to church and put up a little fight, and my dad spanked me (the only time I remember that happening) and told me to go get dressed for church.
When I got a little older, about 13 I’d say, we used to go camping quite a bit in the summer time and we went to a campfire revival meeting where when the speaker asked if anyone wanted to accept Jesus in their hearts they were to raise their hand. With my eyes closed (all were supposed to do this), I raised my hand and really meant it. My mom later tells me, she knew (did she peek?) it was me that raised my hand when the man said “Hallelujah, young lady”. Unfortunately, there was no follow up to my beginnings of this small step of faith. My parents were not into this “born-again” thing I wanted to try, so it kind of fell through the cracks of my life.
Later in years, when I was about 18 I got involved with a group of kids that were going to church and one boy in particular attracted my attention. It’s not the noblest reason to attend church but it got me there. Unfortunately again, with this kind of attitude, one doesn’t get out of something what one should. So, my world continued on “sowing my wild oats”.

More...
1984 and beyond


I got married when I was 28 to Scott and had a son, Jonathan, about a year later. Jonathan was a little early coming in to the world. I had what is called IGR (intrauterine growth retardation); they ended up taking him at 8 months term since he would grow outside me better than inside me. My body was stealing the nutrition from him. So, although I gained 30 pounds, he only weighed 2 pounds, 12.5 oz.
Motherhood changes you! You wear your seat belt all the time and listen a lot harder to everything going on around you. It's a little less about "me", and you find this little person taking up a lot of your time and energy. Well, I still managed to find "me time”; I had a lot of good baby sitters! I was a pretty selfish person for quite a number of years.
I started going to a Mom's bible study that I really enjoyed and loved the ladies involved in it too. I think it softened me quite a bit. I was getting into the Word of God and growing closer to Him in a way I hadn't before. Little did I know how much it would be needed in the upcoming years.
When Scott and I were 36 years old (our birthdays were 18 days apart, me being the elder – he never let me forget it either, haha), he was diagnosed with Chronic Myeloid Leukemia (CML). Well, that was a shocker! Nothing happened at first, and then about 6 months down the road they suggested he start on Interferon shots. He did this for quite some time and it put him in deep remission. As a matter of fact, one of the doctors at a hospital in Philadelphia said he was "cured"!! Boy, did we celebrate that day!
Shortly after that, we moved to Florida for a job he was offered. This was in July of 1996. Things were great; we were enjoying life and the beach and being with friends when… wham! Blood work came back that "it was baaaccckk!" Oh, my! I was not ready to hear that. We started looking in to a bone marrow transplant right away as it was back as acute no longer chronic. Scott had no family matches for donors (lots of loved ones tried) so we looked into other possibilities. After checking with Moffitt Cancer Center here in Tampa and Fred Hutchinson in Seattle, we went to Case Western in Cleveland, Ohio for his BMT.
Unfortunately, he had to go through too many rounds of chemo and radiation and I believe the radiation burned his organs so badly, that by the time the transplant "took"; his organs had started to shut down one by one. He passed away on November 26, 1998. During this time, I cannot begin to tell you how much I relied on God to help me through day by day.






SCHEDULE
2012
Ok, taking a break from the "me" story to put in my schedule.

Sunday, March 18th - flying to Chicago. Southwest Airlines, arriving at Midway Airport @ 10:25am. Will need to grocery shop and unpack. Pray for lots of energy this day!

Monday, March 19th - Starting pre-testing at Northwestern Univ Hosp. which includes Labs (blood work), EKG, CT of sinus and a chest x-ray.

Tuesday, March 20th - receive IVIg (blood products I have been receiving all along to keep me going until transplant) and meet with Paula (Dr. Burt's nurse and #1 helper!)

Wednesday, March 21st - back to hospital for PFT (pulmonary function test), Echo-cardiogram and  an appt with Dr Burt!

Thursday, March 22nd - Vein check (where they will take stem cells from)

Friday, March 23rd - MRI of spine (with and without contrast) Long day here!

Monday thru Friday 26 thru 30th, wait for results of tests and more tests if needed.

Monday, April 2nd - Admit to mobilization (1 day of chemo). My sister, Ruth Ann will be here today thru Saturday.

Tuesday, April 3rd - discharged from hospital.

Wednesday, April 4th - Thursday, April 5th - I have to take my temperature every day. If greater than 100.4, I would have to go to the ER and page Dr. Burt.

Friday, April 6th - Labs again (more blood draws)

Saturday, April 7th - start at 7am Neupogen (it is used to decrease the chance of infection in people who are receiving chemotherapy medications that may decrease the number of neutrophils [a type of blood cell needed to fight infection]), in people undergoing bone marrow transplants & stem cell transplants), Cipro (antibiotic) and Diflucan (is used to treat and prevent fungal infections).
 Also today, Ruth Ann goes home, but Eddie is coming!!

Sunday, April 8th thru Wednesday April 11th - I will be taking the above medicines each day and on Monday, April 9th I will go in for labs again. And on Tuesday, April 10th - I will go in for my IVIg again - should be the last one I ever have to get!!

On Thursday, April 12th - I'll be taking the meds again today, but also going in for the harvesting of my stem cells!

On Friday, April 13th - If they didn't get enough cells yesterday, I go back for another round of harvesting.

On Saturday, April 14th - Eddie goes home.  Boy, that week went fast!

On Sunday, April 15th thru Tuesday, April 17th is empty, so far.

On Wednesday, April 18th I go to the hospital to have my PICC line placed.

On Thursday, April 19th I will be admitted for upcoming transplant. This is day -7. Will receive daily chemo starting today...

Next days are numbered -6 -5 -4 -3 -2 -1

On Thursday, April 26th - Day 0!! I will receive back my own stem cells! My new "BIRTHDAY" so to speak!

Now we count up +1 +2 +3 +4 +5 +6 +7 +8 +9 +10

On Thursday, May 3rd - my friend Carol McCormick will be coming to help me for the next week! This is my +7 day. So she will be there to help when I am discharged after day +10.

On Wednesday, May 9th - Carol goes home

On Saturday, May 12th  -  Eddie comes back to help pack and ship home boxes and take me back home.

On Saturday, May 19th – We fly home to Florida.

.

Continued history
1998


After losing Scott, Jonathan and I stayed in Pennsylvania with Scott's parents for about a month (over the Christmas season) and when the new year came, my sister, Ruth Ann drove down to Florida with us so we wouldn't have to enter the house alone. My good neighbors and friends had cleaned inside and out of the house and planted flowers and just made it look fresh and clean! What a blessing, one that made me cry, for sure. God brought so many people in to my life to help support and carry us through this difficult time. Folks from my church had helped send my newsletters (we didn't have the communication through computers then) out and helped with fundraisers to cover our loss of income and expenses still needing to be paid during the transplant time.
Jonathan and I decided to get baptized together when it was offered at our church. That was such a special time for us. We continued to grow and be blessed by our faith and we even went on a mission trip to Tennessee together with the teens (my first, last and only!! LOL).  As time passed, the human side of my heart was feeling empty, so I thought it was time to get out in the dating world again. Not something I was looking forward to. I so wanted to share my life with someone again, I really enjoyed being married and had such a good marriage that I was looking forward to see who God had in store for me! I went on a few dates, some better than others, some disastrous, but a learning experience nonetheless.
I went on a web based dating service and met this guy with the moniker "Childguide". Now, I have to tell you I am not a "kid person" so why this name would catch my eye is beyond me (I now know whose idea it was). We talked for quite some time before we even shared pictures and he found a special place in my heart. The problem was he lived in Missouri and I'm in Florida. Again, God to the rescue! Southwest Airlines at the time had some great rates; he flew several times down here for $49 round trip!!! This is my now husband, Eddie. We both knew God put us together and we couldn't be happier. Each February 16th we celebrate our wedding anniversary, we married in 2002. He is my best friend, confidant (when I remember to tell him everything; that is!) and truly my leaning post for what I went through with CIDP. I was going to say he is my rock, but I must reserve that phrase for my LORD!
Next blog will start more of my CIDP and HSCT story...



Begin the HSCT process in Chicago
March 2012
Well, I made it here to Chicago! Right off, I would suggest to any future HSCT participants to come an extra day earlier to settle in and get unpacked and go grocery shopping before you have to get started in the pre-testing days. I flew in on Sunday but sure wish I had had an extra day. That said, HOWEVER, the day before I got here was St. Patrick's Day and it was a GOOD thing that I didn't fly in then! Shuttle driver said there were over 500,000 people in the streets that day and the folks he tried to deliver to their hotels had to get out of the shuttle and walk 4 blocks to their hotels because he just couldn't drive any closer for them! So, I don't imagine my getting here a day earlier under those circumstances would have been beneficial!
My hotel room(s) are beautiful! It is like a small apartment and it is very comfortable. The weather has been wonderful, almost like it was back in Florida! The bad part is that they have not turned on the air conditioning in the hotel yet. Sleeping was very warm on Monday night, so last night I left the windows open which made it better. I do use ear plugs so it's not too noisy because in the city, it's never really quiet. When an ambulance or fire truck went by one time, my word; was that ever loud! Fortunately, it wasn't during the night.

Bright and early Monday morning (8:15am, not so  early as to me it was like 9:15am Florida time and I had been up since 5am anyway) my room phone rang and it was Andy Price, who is here from Australia who is also having a stem cell transplant. He's been here a while and is further along the process than I am. He called to see if I wanted to walk over to the hospital with him and he'd show me the ropes! What a blessing that was, since I wasn't really sure how to get there by foot! So we walked over together and when we got in to the hospital, went our separate ways.

So, this was my first full day of testing. First up was the lab work, I was a little surprised they only took 14 vials of blood. Maybe because they took 22 when I was here for the evaluation, they didn't need as many this time. I wasn't sure if I needed to fast for the draw so I didn't eat anything; but just so you know if you are a future HSCT hopeful, you do NOT need to fast for these draws. So, I stopped at X-ray before desiring to get to the cafeteria for "brunch" so I could drop off the X-rays I had brought with me from a previous one I had done in Florida. Well, the gal helped me to go get my X-ray done right then and booked me in to see if they could fit me in for the sinus scan so I wouldn't have to come back later that same day. They give you a buzzer like you get when you go to a restaurant and off I went to the cafeteria. I just sat down with my chicken leg, mashed potatoes and veggie when of course, the buzzer went off! I thought to myself "I am not going now! I am going to eat first!" and I did. It went off 2 more times before I got back up there. They took me right in as soon as I walked in the door and got it right done! They are great! After that I just had to go get an EKG and I was done for the day and it was only noon!
I was pretty tired from that so I sat for a bit and read my nook.  I called Andy to let him know I was done because we had talked about going to see Bob Boen, another HSCT patient who was in the hospital getting his first batch of chemo for the stem cell collection. Bob is between Andy and me in the process. It turned out that Andy left his phone at the hotel, so he never got my call. I just was resting and waiting in the Prentice Hospital and went to get a cup of coffee and Andy showed up and we sat to drink our beverages until we finished then went to see Bob and his wife Diane. We had a great visit together and had quite a few laughs. I left about 3pm and walked back to the hotel, and laid down for a little nap.
We had a few phone calls in regards to our debit cards and credit cards; so as a reminder when you travel out of your norm, don't forget to let your financial institutions know or call the number on the back of your card to tell them so you don't have to fix it after!
Tuesday was a bit of a headache day, literally. I met with Paula; she is Dr. Burt's nurse who is THE BEST to ask any questions you have. We met for about 45 minutes to go over the whole process I'll be going through and answer any questions I might have. (This was not the headache part, by the way.) Then I had an appointment at 12:30 for my IVIg (this is the medicine I get every 3 weeks to keep me going). Since this was their first time giving it to me,  and the certain kind of IVIg I get, they run it in a lot slower than I'm used to and there is a lot of it to give, so we actually got started too late in the day for me to get it all in one shot. I ended up being there until 6:30pm and I am back again now on Wednesday morning at 8:30am to get the 2nd 1/2. Gotta just go with the flow and handle these little things that pop up unexpectedly.  After I finish this infusion, I will have my Pulmonary Function Test, which takes about an hour and then I have a 2D Full Doppler Echo after that. When I am done these tests I will meet with Doctor Burt to hear him tell me about what he is going to be doing to me for the transplant and answer any questions I have as well. If anything unusual comes up, I will be sure to let you know...



How God worked things for me
Faith background




Romans 8:28
And we know that in all things God works for the good of those who love him, who have been called according to his purpose.
I believe my purpose in all the things that have happened in my life were to bring glory to God. From Jonathan being born early and being so little (2lb 12.5oz) to Scott's battle with cancer, taking care of my parents (my dad was legally blind and my mom had Alzheimer's), Eddie’s heart issue that ended up needing 2 stents because 2 of his main arteries to his heart were 95% blocked to this most recent occurrence of CIDP. But these are just the tough things; there are so many more good things that have happened in my life. My relationship with my parents was wonderful; with my siblings have grown stronger as we have gotten older; both marriages I count as blessings; and being a mother is the most interesting! But, my relationship with my Savior has grown leaps and bounds since I turned about 40 and that is something I will cherish forever.

My choice is to acknowledge Him in all that happens to me, and offer Him praise through the good and bad. This, to me, is what is called faith. We don't know why things happen the way they do, and we may never know and I don't have a problem with that.

When I was diagnosed with CIDP the doctor that helped me regain my abilities to function best told me that I would probably be on IVIg (Intravenous Immunoglobulin-certain blood products from about 1000 people) and steroids for a time; then wean off the steroids and stick with the IVIg and eventually lengthen the time between IVIg infusions. After a year, I was still getting the IVIg every 3 weeks and still on steroids. I tried to go off the steroids at one point but that set me back almost to the point of how bad I was at the very beginning. This made me wonder if the IVIg was doing much at all. But, you can tell the difference when time goes by that it is time for it again. I just don't seem to be able to do one without the other.

During the first few months after I was diagnosed, Eddie did a lot of research on the internet about CIDP and found a web site called GBS/CIDP Foundation International. I got on it and went to the forum to talk to others that had this same disease. The Lord led me to a gal named Alice who had a (hematopioetic) stem cell transplant (HSCT). Now, as I mentioned earlier, my first husband had a bone marrow transplant that didn't turn out too well. I watched him suffer so long and hard through that battle, but the thing I remember most is saying to myself "If anything ever happens to me that I need this kind of treatment, I will NEVER do that!” From the time I read about Alice and read her account of the stem cell transplant (you can see it at http://www.alicedicroce.com ) it was as if God said to me “open your eyes and heart to this Wendy, this is for you”. I sat on this information for a while and chewed on it. I kept it in the back of my mind as an option. I was so frustrated in feeling better, then worse; fatigued then a bit of energy; dizzy or not; shaky, weak, tingles, more weak. I thought "I do not want to do this the rest of my life!" A pivotal moment for me was one day while receiving my IVIg, an older woman was there to get hers for the same condition, she was diagnosed at about the same age I was. She sat there in her wheel chair unable to do almost anything for herself. That day she said to the nurse that she was so pleased with the results from her last treatment that she could hold her cell phone and put on her own lipstick. I looked at my sister who was with me for this treatment and mouthed “I don’t want to end up like that”. The more I kept thinking about the HSCT and reading about it, the more I realized this is something I was truly interested in. I spoke to Eddie about it occasionally and had him read a thing or two and pretty soon he was finding out more information on it than I was! We were praying about it and it was time to put those thoughts into action. I got the paperwork from Northwestern University Hospital and filled out all the information to send it back to them. I heard back shortly that they were interested in seeing me and there was nothing that would hold me back from the evaluation process and we booked a trip for me to go to Chicago!


A week before I was to go, I got the wonderful blessing of getting to meet Alice and her partner Sophie! We went to lunch together and I got to pick their brains. I was so excited I could hardly eat (if you know me, you know that is highly unusual!) Alice, of course, having gone through the HSCT and Sophie had so much to add as her caregiver! After I was accepted in the program, we got together again for dinner and chatted about it all some more...(I finished my meal this time!) 


Alice, me and Sophie at our first meeting

Evaluation Time
November/December 2011

While in Chicago for the evaluation, I stayed with my brother John and his lovely wife Janet. John carted me back and forth from their home over an hour away for the two days of my appointments and patiently sat in the waiting rooms for me to meet doctors and test throughout the days. Then, we would go out to eat or he cooked delicious food for me (he used to be a chef and he still cooks great! Filet Mignon for one meal-I know, I'm a lucky girl!). His two kids and their kids live in the area, so we got some much-needed family time in as I stayed for some extra days in order to enjoy them!
My brother John and his wife Janet

The evaluation process itself is not too big of a deal. The first thing I have to get is the EMG/NCV test. For those of you who have never experienced this just think about getting tasered at your funny bone! Yeah, it’s pretty intense at times. Not all of it is horrible but it’s pretty uncomfortable. They put electrode receptors on you and then use a two pronged “shocker” device in another area and measure the distance and time it takes your nerves to respond to the shock. This is done on one’s arms, hands, legs and feet. The process takes quite a while, usually over an hour. This is usually done by a “fellow” and the neurologist (Dr. Allen, in my case) pops in once in a while. Sometimes, he takes over if the fellow is having any difficulties or if he just wants to look at something specific. The other part of this test is the Nerve Conduction Test uses a skinny needle put in to different parts of your muscles and then a reading is taken on your reaction when flexing those muscles. The doctor must do this portion of the test.

When this is over, it was down to Laboratory Services to have A LOT of blood drawn. Well, for me it meant 22 vials of it. Wow. I was hoping that they could get that many since I flew up yesterday and I just don’t get to drink as much water while traveling as I do at home. It went well and all came out just fine.

We had some time to kill before my 4:00pm appointment with Dr. Burt, but I didn’t have a lot of energy to do much of anything. John went out and about just to get out of the hospital and I waited for my appointment and just rested. When I got called in for my appointment, I was extensively interviewed by another fellow first. What I had done to assist myself prior to the trip was to type out a page or two of my story and I carry with me a calendar of my doctor visits, IVIg treatments, medicine list and changes, etc. This really makes a difference in communicating due to the fact that neurological diseases such as mine and many others cause mental cognizance issues. I found it very difficult at times to come up with the right word at the right time especially when anxious or excited. Having this log of events all written out for them and me was very helpful. I was so excited to meet Dr. Burt and express my thankfulness to him for what he has done for others and for considering me for this process! He was and continued to be rather humble at any praise almost to the point of nonchalance. But, if you watch him speak on You Tube videos to his peers, you can see his excitement and know he is thrilled to have helped so many people. (Go to You Tube and type in his name, Richard K. Burt to see his many talks about the HSCT for auto-immune diseases.)  After my accolades to him, we got down to business. A lot more questions and me fumbling through my calendar and notes, for him to say “do you realize this can kill you?” “Yes”, I say seriously, “I am ready to take that chance.” I truly believe that God set this whole process in motion so who am I to argue? Whatever the outcome, I could not lose! To live through the battle, I get to praise Jesus or if I die, I get to be with my Lord! It is always hardest on the ones still living if one is to die, but I knew my family understood how I felt and they knew the Lord would take care of them too. I mostly felt that since God is with me and sending me to this, He would see me through it to be able to share this story of the process and HIM!!

I felt when this appointment was over; I really hadn’t been able to tell Dr. Burt all I wanted to say. When I got back to my brother’s house I typed up and sent an e mail to Dr. Burt getting everything out I wanted to express but was unable at the time. I just made a personal plea about how I wanted my life back.

Thursday was a down day; the only thing I had to do was collect my urine for 24 hours. My brother’s wife, Janet, had arranged a special time for me at the spa in their town and I went and had a manicure. She also set up for a pedicure but I could not stand to have my feet manipulated as they do for that, so just a manicure for me was great! When your nerves are affected by this kind of disease, the last thing you need is stimulation. The thought was wonderful and I am thankful to her for loving me enough to spoil me this way!

On Friday, I have an appointment with Dr. Allen at 1:00pm. John and I go out for breakfast on our way down at a great diner, I miss them. We don’t have diners, per se, in Florida like there are up north. Anyway, when my time comes to sit with Dr. Allen, we go over my calendar and story as well. A lot more questions and answers but he tells me he is not very impressed with my disease! Well, then he can have it! This puts a little damper on things, but the final say is up to Dr. Burt and I will just wait and see.

I had a great rest of the week end with my family and enjoyed every minute of my time with them, nephew, niece, their spouses and many, many great nieces and nephews; their extended families and lots of good food and fellowship. And, of course, football on the television.

How these 2 weeks have gone...
March 2012

Well, I've been here two weeks now and have gone through all the tests, so I will catch you up on everything...fasten your seat belts!
Last I left you I was going to have a 2D Full Doppler Echo and the Pulmonary Function Test. They went on fine, pulmonary test especially good; I figured due to 22 years of teaching aerobics, even though I often get winded and out of breath easily now. Short spurts-I'm fine, but no long distance stuff for now.

When I went to see Dr. Burt and Paula, they let me know a few things showed up from other tests that need further investigation. In my blood work it showed high counts for Hepatitis B and also a CEA number was a tad elevated. So, back for another few vials of blood. The CEA count is a cancer marker, the range is from ?-3.0 and my number was 3.2. Well, they MUST check these things out. So, I had to have a scan for the abdomen and pelvic area, with contrast. It's a very quick procedure but it requires an IV! Oh goodie, another stick!! Also, I needed to drink a barium beverage, yummy! Not so bad, really. Banana flavor, kinda (just kinda) like a milkshake. Results are that I have 2 small cysts on my left ovary. They were not trouble of any kind, but they have to make sure it wasn't more than cysts; it's good that they are so thorough! When I got home, I had to rush to the bathroom and couldn't imagine why I was now having THIS trouble (I hadn't eaten for well over 12 hours). After a few rounds in there, I called the nurse and asked if this was normal, and discovered that some folks have this happen from the barium! I sure wish they would have told me ahead of time!

As far as the Hepatitis B is concerned, the blood work came back negative for that also. What happens to cause that is from the IVIg that I get to keep the CIDP symptoms at bay. As I have stated before IVIg is blood products from about 1000 other people that go through a cleansing process to remove any problems like Hepatitis, so the process kills any Hepatitis virus but the antibodies are still present in the blood which goes in to me. Therefore, the antibodies were showing up in my blood, but the results from the blood test was negative for the virus being present; so, no worries there either! Praise God!

While this was all going on, off and on for about 3 weeks, I have been having a little achy tooth trouble from a crown I had done in February. There is a dental office here that is used for folks going through the HSCT if we haven't been signed off by our own dentists. I was signed off from my dentist in Florida, but this ache just wasn't leaving me. I made an appointment to see the dentist here to have it checked out. I would be really upset if going through the HSCT and then having an infection in a tooth would be my demise! I only had to have it shaved down a bit and it feels fantastic now!

This is exactly why they schedule the way they do with the first week full of tests and the second week empty. They ALWAYS seem to find some sort of something that needs to be checked out further. So, if you are coming to Chicago for an HSCT, don't count on the second week to be a freebie! It'll probably be more intense than the first since you know what's coming the first week, but the second week can throw you for a loop!

Now, I am set to rock and roll and get started on the REAL process. I go in Monday morning to get my first round of chemo. This is an overnight stay in the hospital and my sister will be arriving that day to stay until Saturday! My brother, John and his wife, Janet will be in town and will probably stop in to see us also! A mini family reunion! That will be great.

Yesterday was my first "no appointments" day, other than Saturday and Sunday. I was able to hook up with Andrew Price (a little further ahead of me in the HSCT process) and we went over to the medical center to see Bob Boen (also further ahead of me but behind Andy). Bob was getting his stem cells harvested. They use the same machine that is used when doing a plasma paresis (blood exchange). We had a great visit and I got to see the process in action! Bob's wife, Diane was there too, so I got a little "girl talk" in while the boys were chatting about machines or some such...ha ha ha.

Bob was kind enough to get the four of us that are here at the same time, sweat shirts to honor our history making procedure! Take a look at these neat shirts:

The "30" represents that I am the 30th patient of CIDP to have SCT!
                 The city-scape of Chicago with the name of the hospital and my title
                      "Windy City Wendy Comes to Chicago" & my new birthday 


So many blessings...(acceptance & insurance)
December 2011


When I got back home from the evaluation process I figured it was wait time! Well, God had other plans! He just paved the rest of the way in short order, let me tell you!  I got back from Chicago on Monday, December 5th and on Tuesday, December 6th Paula called to tell me I was IN! By the way, in 2010 when I was diagnosed it was 2 days after my 55th birthday then I hear I am accepted into the HSCT program 2 days before my birthday! I believe that in 2012 ON my birthday, I will hear I beat CIDP!!
Now, we have United Healthcare for insurance and right in their paperwork we all get a copy of it states that they do pay for stem cell transplants for people as long as it isn't in "trial". Which, of course, the HSCT I am doing is a trial; so I anticipate a battle! Paula (Dr. Burt's nurse), is the one who sends off the insurance requests and she put in for mine Dec 7th or 8th and I figured a few weeks before I will hear anything.  I decided to call her on Dec 22nd just to see IF something came through yet. I left a message on her machine and she called me back to tell me "I have an early Christmas present for you!” Wow! I was so surprised to hear she had an answer already let alone a positive one!! Thank You Jesus!!
I spoke to Paula again the following week to set my date!  I probably could have gone up for the transplant a lot sooner but my sister wanted to go up to be with me and she had spring break at a certain time and we counted back from there for my start date in March.
Now, the next thing we were concerned about was the hotel and air fare costs. I got on the phone with my insurance representative on Thursday, January 5th about whether or not they have a program of this type. He didn't know, but said he would check with another lady there and get back to me. Friday, the very next day, I walked out for the mail and in the mail box was a letter to me stating that there is a rider with the insurance company will cover the travel and lodging! I lifted my eyes heavenward and just said "Thank you, thank you, thank you Lord!"


The 3rd week in Chicago
April 2012


Chemo mobilization starts today (Monday, April 2nd)! Bright and early, after not sleeping too well (excited to get started) I walked to the hospital and was admitted to my room by 8:00am! IV put in, blood taken out for labs, fluids started and Mesna to protect the bladder and kidneys from the chemo started. Then my sister arrived! So nice to see a familiar face! Every one of the nurses and staff are wonderful but they can't take the place of family! Lasix started too, so up and into the bathroom quite often. Then, I got another pleasant surprise! My brother John and his wife Janet came in! They and my sister probably haven't seen each other for I guess about 8 years so that was a great visit! They went out to dinner together and brought me back dessert from The Cheesecake Factory! Yumm-o!

When I went to sleep, they come to check your vitals in the middle of the night, of course. My blood pressure was only 80/44; just a tad low wouldn't you say? So they increased my fluid intake and decreased the Lasix. It came up okay through to the morning. Well, I happened to mention to Amy (another one of Dr. Burt's great nurses) that when I receive a lot of fluids, even with my IVIg infusions, I get a "heavy" feeling in my chest and upper back. I was feeling this way at this time because there were A LOT of fluids going in. She told Dr. Burt about this and guess what?! I have to have a chemically induced stress test. Sigh! We go back to the apartment for the night and I wake up at 2:00am to go to the bathroom. I am so dizzy I can hardly stay upright! I try sitting up for a while and thankfully Ruth Ann woke up to give me moral support. I finally did fall back to sleep and woke about 6:30am still dizzy. I called Amy and she told me to take a Zofran which is for nausea but it might help. By that time I had talked to Eddie too, and he posted on facebook for prayer for me. Finally, by about 10:30am my dizziness subsided.
I had an appointment with the cardiologist at 12:45 where I just answered questions and they (he and a fellow) listened to my lungs and heart. They also looked at my previous EKG and Doppler scan, which looked just fine. However, I still had to have the stress test at 3:45pm. I couldn't eat anything for 5 hours before the test so Ruth Ann and I just hung out at the hospital (she had ice cream!) since there was no use going out to do anything. We like to people watch and chat and share about the Lord with folks, so we were well entertained.
I got in about 4:00pm for the start of the test, another IV! Oh, joy! Lay down on the bed while some stuff is going in my veins to increase my heart rate, squeeze a rubber ball and move my legs as I can to raise my heart rate. Then another person is taking pictures of my heart while this is going on. I guess it wasn't going up fast enough, so the tech put in another medication to give me a boost which apparently really worked, because I went into tachycardia! She immediately stopped the test but the other tech was able to keep taking pictures while I was having this reaction; it lasted for over a minute!   Whew, glad that was over, it is the weirdest feeling and very uncomfortable. I got calmed down and my heart rate lowered but then got the shivers and they covered me with warm blankets; that felt better. It was now about 5:30pm and I was ready to get out of there and get some food!
Ruth Ann and I went to The Elephant and Castle for dinner and had the Shepard's Pie, tasted soooooo good.


   
                                                        Elephant and Castle Pub




Thursday lasted about 3 days, I think. It just went on and on...I had to go back to the hospital for labs again, but this time it was a fasting lab since they wanted to check my cholesterol and triglycerides. Ruth Ann and I were going to go do a little shopping at a thrift store we found on the internet that was nearby, but I got about 2 blocks away from the hospital and knew I just couldn't do it! So we turned and walked back to the hotel for a nap and then some lunch.  Ruth Ann was having some blood pressure issues of her own for a little while and she was dizzy too (we like to do things together!). After lunch, we did walk to a GNC for some fish oil tablets for her and they seemed to help, thankfully! In the meantime, Paula called with my lab results; cholesterol and triglycerides were not as bad as I thought they might be! Dr. Burt looked at the results of the stress test but wanted to confer with the cardiologist before deciding what to say and the cardiologist needed to look at the results himself before talking to Dr. Burt. I didn't hear anything by end of day Thursday one way or another.  We had another nap after that walk and then some dinner. No wonder that day seemed so long...


Friday came and went with no news from Dr. Burt's office, so we are going forward with the "no news is good news" motto! (With Paula's blessing.) Today, we went for a walk to get some groceries for the apartment for when Eddie comes. Let me show you how cold it was!
Ruth Ann coming back from the store! Yep, that cold!

Saturday I started the Neupogen shots, which will increase my blood growth in the marrow for the harvest this coming Thursday. Also, two antibiotics started at this time. Ruth Ann leaves today and Eddie comes today! They got to be with me at the same time for about a half an hour.
My two besties, Eddie and Ruth Ann


4th week’s ups and downs
April 2012

Oh yes, this was a busy week! Results came to me from Paula on Monday from the cardiologist (Dr. Shah) and Dr. Burt. Dr. Shah did not like the looks of my stress test in the fact that the tachycardia lasted for 1 minute 11 seconds after they stopped the test. So that means I have to have a cardiac catheterization. Don't know when that is going to happen at this point. Bummer! The thing is, though, if there is something wrong with my heart and I need a stent; this is the best time to find out and fix it. If I was to go through the Cytoxan (chemo) and it overstresses my heart, it could really be bad. Better to be safe than sorry. As I have said before, they are nothing but thorough!
On Tuesday, we went to the blood center for my IVIg. I get to sit in a recliner for 5 hours for this and it is only a half dose. I am to come back the next day for my 2nd half. When I get done this and we get back to the apartment, I feel a bit warm and take my temperature. It is at 99.0. Now that might not sound too high but my normal temperature runs low; about 95-97 degrees. I'm thinking I'm getting a fever. When it hits 99.5 I call Paula. So, Paula and Dr. Burt call me back and say if it goes over 100 to go to the ER. Okay, okay I will. Tried the ice cubes on my head, window open by cool air and a tepid bath. No good, 100.5 and we head to the hospital at about 6pm. Well, let me tell you when you are neutropenic and you go to the ER, you get quick action! Sat for about 2 minutes and was called to be taken out of there. I got a lot of dirty looks from an almost full ER waiting room. Got to a safe, private, "clean" room and got an IV put in (by the way, if this happens to any of you following me; ask the nurse if she can put it in a vein that is not in the crook of your prominent arm). They pulled blood and my white blood count was 1.2, normal is over 10. My fever was 101 degrees. So I had to be admitted. Back up to the Prentice 16th floor! Only it took until 6am to get me there! At least Eddie knew at 1pm that I was being admitted and he could go home. I was given anti biotic after anti biotic, Tylenol, and any other meds I was supposed to take and some more for good measure, I'm sure! All monitored very closely and not without permission! So now it is Wednesday morning and Dr. Burt & Amy come by to see how I'm doing. I remind them I need my second batch of IVIg and Amy orders it for me about 10:30am. The rest of the day consists of waiting, being given more antibiotics, oh yeah and Nuepogen! 3:30pm still no IVIg, called nurse and she's been on the phone with pharmacy several times to see where it is also. They keep saying it's taking a long time mixing...4:30 still no IVIg; I call Paula, she usually is the go-to gal but she doesn't have pull with the pharmacy folks! In the meantime, I can feel my temperature starting to go up again and sure enough I'm back to 99.1, keep those antibiotics flowing. At 5:30 still no IVIg, nurse says they will bring it up as soon as it is done; they promise by 7pm! "7pm!" I say! Well, it finally got there about 6:45pm and she gave me the pre-meds of Tylenol and Benadryl and says she'll be back in half an hour to start it. I said, ah no, just start it now, at home I don't ever take the pre-meds and I don't have any trouble so just get it going!! The bottle they bring is smaller than the one they brought me when I got it the day before and it had a few more grams of IVIg in it than it was supposed to (42 instead of 39) but we ran it anyway and it was done in about 2 1/2 hours instead of 5. This is more like I was used to when i get it in Florida. Their laws here are different and they mix it with more solution (at least they did the other days I had it). So I wasn't going to complain about it!
When it was finished, I put in my earplugs and put on my eye mask (an absolute MUST for those of you behind me) and slept mostly through the night. I still had to wake for blood draws and vitals from time to time.
Thursday morning woke for another Neupogen shot, and then went off to get the lovely temporary port in the neck for my harvest. Oh, that was enjoyable - ah, not so much. But not painful, just very uncomfortable! Then back to the room; it was all done in about 2 hours. Dr. Burt & Amy stopped by and they discharged me to go get my cells harvested. I got rolled over to the Feinberg Blood center and was hooked up in no time. 4 hours later, 20.8 million stem cells were collected!!!! (One only needs 2 million for transplant.) The removal of the port was much better than getting it put in.

Getting my stem cells harvested. Similar to a dialysis machine.
Neck catheter from harvest collection

When I came home (apt) I wasn't even hungry, just ate 1/2 bowl of soup and went to bed and slept 14 hours! Friday was just kind of a restful, quiet day and Eddie and I ordered dinner from a company that delivers from all over the city called "Grub Hub" (mark this in your bookmarks if you are coming up for treatment). I got prime rib! It was delicious and I have a least enough left over for 2 more meals.
Today, Saturday, Eddie left (sad face) but I am feeling much better! My brother and his wife may come for a visit tomorrow.
When I go for the heart catheterization on Monday, this is what might happen. If they find nothing wrong, they pull the instrument out and we go forth as scheduled! If they should find a blockage, they will put in a stent and the HSCT treatment will be postponed for 30 days. I will have to pack up all my stuff and fly home and come back to restart where we left off. Of course, I hope there is nothing to find so I don't have the hassle of the packing, etc. but if it is God's will that this is how a problem in my heart is to be found, then it is all for the best!









Caring to share...
Faith story


One of my favorite readings in the bible is from Psalm 121, especially when I read it in first person. Let me share...
Psalm 121
1 I look up to the mountains—
    does my help come from there?
2 My help comes from the Lord,
    who made heaven and earth!
3 He will not let me stumble;
    the one who watches over me will not slumber.
4 Indeed, he who watches over Israel
    never slumbers or sleeps.
5 The Lord himself watches over me!
    The Lord stands beside me as my protective shade.
6 The sun will not harm me by day,
    nor the moon at night.
7 The Lord keeps me from all harm
    and watches over my life.
8 The Lord keeps watch over me as I come and go,
    both now and forever.   (NIV) http://www.biblegateway.com/passage
 Holy Bible, New International Version®, NIV® Copyright © 1973, 1978, 1984, 2011 by Biblica, Inc.® Used by permission. All rights reserved worldwide.

In the first verse where it says "I look up to the mountains--", as people; I think, often we look to the things we consider "big" in our world, could be the government, priest, pastor, mate or money! But those are not the things that will give us the answers that we really need! Our answers come from Christ alone. He is the one who took our sins to the cross and there died with them upon Him; He took the sins of the whole world when He hung on that cross! Whether we believe in Him or not, that is what He came here for. He came to take away our sins; past, present and future so that we may have a right relationship with the LORD. It is the LORD (God in heaven) who used Jesus to speak to those while He was on earth and to teach us the way to Him. Also, He ordained the written word for us to be able to get and stay connected to Him on a regular basis.

 Galatians 1:11 But I make known to you, brethren, that the gospel which was preached by me is not according to man. 12 For I neither received it from man, nor was I taught it, but it came through the revelation of Jesus Christ. (NKJV)

If you don't know Christ as your gateway to the LORD, I encourage you to read the book of John in the New Testament and also the book of Romans. Romans 3:19 - 6 (all) is especially helpful. Most of you have probably heard the term "born again", but it is not just a name we made up; it is a command from the Lord in John 3:

John 3 (NKJV)
The New Birth
3 There was a man of the Pharisees named Nicodemus, a ruler of the Jews. 2 This man came to Jesus by night and said to Him, “Rabbi, we know that You are a teacher come from God; for no one can do these signs that You do unless God is with him.”
3 Jesus answered and said to him, “Most assuredly, I say to you, unless one is born again, he cannot see the kingdom of God.”
4 Nicodemus said to Him, “How can a man be born when he is old? Can he enter a second time into his mother’s womb and be born?”
5 Jesus answered, “Most assuredly, I say to you, unless one is born of water and the Spirit, he cannot enter the kingdom of God. 6 That which is born of the flesh is flesh, and that which is born of the Spirit is spirit. 7 Do not marvel that I said to you, ‘You must be born again.’ 8 The wind blows where it wishes, and you hear the sound of it, but cannot tell where it comes from and where it goes. So is everyone who is born of the Spirit.” 

It's so easy when you open your mind and your heart to this possibility that this is the truth! If you read and are open to this, ask Jesus to forgive you and request Him to become the leader of your heart and life. Self-change prior to this is not necessary. Then find a good bible believing and teaching church to fellowship in.

Two of my spiritual mentors for many years have been my sister, Ruth Ann and my very good friend, Shelley. They both have shown me love, care and how to live a good Christian life. My sister is the tougher of the two, she's the one that tells me that I am not doing something that I should be and risks the chance of hurting our relationship in order to help me see what needs to be changed in my life. She is not perfect, though; and it's okay, I've turned those tables a time or two! (chuckle) But it's for our betterment and we know that. We've been through a lot of ups and downs and it's made our relationship stronger. We are not just sisters by blood but through our faith have become even closer.

Then there is my friend Shelley, who's shown me always grace and love plus caring, giving and such a generous heart. There was a time, after Scott died, that Jonathan and I went to see her. He husband was away at a business meeting and she gave up her master bedroom suite for me! I was just luxuriated in this cocoon of comfort and tranquility and peace that just overwhelmed me. Her generosity is boundless and it is through her love of Christ that enables her to be as generous and loving as she is. She is having her own health issues for longer than I have been dealing with CIDP, so we pray a lot for one another and no matter how our health situations turn out we know we will meet again in heaven and will continue our friendship there.

My husband, Eddie, is another gentle soul who inspires me to be a better person. His strength and beliefs are built on the solid rock of Christ. He is just as he should be for me and treats others and myself with respect and love that shows the Jesus in him. He's not perfect either, as none of us are. I pray that my son, Jonathan, has seen enough of a good example while living at our home in the past and having had his earlier years filled with God's word; that he becomes the man God has intended.

To those who may know the Lord, but have perhaps backslid; please let me share this with you from The Message:
Hebrews 4
 1-3For as long, then, as that promise of resting in him pulls us on to God's goal for us, we need to be careful that we're not disqualified. We received the same promises as those people in the wilderness, but the promises didn't do them a bit of good because they didn't receive the promises with faith. If we believe, though, we'll experience that state of resting. But not if we don't have faith. Remember that God said,
   Exasperated, I vowed,
      "They'll never get where they're going, never be able to sit down and rest."  3-7God made that vow, even though he'd finished his part before the foundation of the world. Somewhere it's written, "God rested the seventh day, having completed his work," but in this other text he says, "They'll never be able to sit down and rest." So this promise has not yet been fulfilled. Those earlier ones never did get to the place of rest because they were disobedient. God keeps renewing the promise and setting the date as today, just as he did in David's psalm, centuries later than the original invitation:
  Today, please listen, don't turn a deaf ear . . .
 8-11And so this is still a live promise. It wasn't canceled at the time of Joshua; otherwise, God wouldn't keep renewing the appointment for "today." The promise of "arrival" and "rest" is still there for God's people. God himself is at rest. And at the end of the journey we'll surely rest with God. So let's keep at it and eventually arrive at the place of rest, not drop out through some sort of disobedience.
 12-13God means what he says. What he says goes. His powerful Word is sharp as a surgeon's scalpel, cutting through everything, whether doubt or defense, laying us open to listen and obey. Nothing and no one is impervious to God's Word. We can't get away from it—no matter what. (Colored and italicized added by author.)

It is time to get right with the LORD for all peoples. The time of judgment is coming soon, be it at our own deaths or when Christ returns!








More info on HSCT if interested

Here is a list of others who have gone thru a Stem Cell Transplant if you are interested in reading and viewing their process. Dr. Burt's team did HSCT for more than 20 auto immune diseases and had been doing them for over 20 years, but he is taking a sabbatical as of Dec 2019.  The following are just CIDP patients, like me:


 Jennifer Osman   (HSCT April 2005) 1st one ever to do it for CIDP her blog : http://www.caringbridge.org/il/jeno/


Kevin Devery  (HSCT Oct 2007) great videos http://www.youtube.com/results?search_query=kevinlj182&aq=f


Tannia Munoz  (HSCT June 2009) great videos http://www.youtube.com/user/TanniaM3

Lynn Mac Donald  (HSCT Sept 2009)

Alice Dicroce  (HSCT Oct 2009) www.alicedicroce.com

Rossana Roa  (HSCT June 2010) http://rossanascidp.blogspot.com/

Jim Danhakl   (HSCT March 2010)

Sharon Mackwell  (HSCT Sept 2010)

Robert Postel  (HSCT May 2011)

Wendy Nash (Chicago for CIDP) http://www.mymedicalmiracle.blogspot.com

Some of the following have had transplants in other places than Chicago for other diseases than CIDP, feel free to share this information with others you know that may have the same afflictions.
Carmel Turner (Australia) http://www.msstemcell.com/

Melissa Mann Scholz (CTCI, Tel Aviv, Israel) http://rausausderms.wordpress.com/about-me/

Sandi Selvi (San Diego) www.sandiselvi.com

George Goss (Heidelberg University Hospital, Heidelberg, Germany) http://themscure.blogspot.com/2009/11/introduction-to-voyage.html

Hannah Vesterager (Karolinska University Hospital, Stockholm, Sweden) http://www.hannastamceller.blogg.no/

Lisa Varga Curtis (Chicago) http://www.lisashope.com/ http://lisashope.com/lisa-story.html


Elin Maageng Jakobsen (Karolinska University Hospital, Stockholm, Sweden) http://www.mindevenmore.com/


Marc Coppins and Barb Yoder Coppins (Chicago) www.MarcStemCell.com

Andrew Price (Chicago for CIDP) http://www.shakesandstones.blogspot.com




Alissa Lindley Wilson (Manipal Hospital, Bangalore, India) https://www.facebook.com/groups/184547661595206/

Amy Peterson (Moscow) http://amygoesninja.wordpress.com/


Bernard Cronjé (University of Cape Town Hospital, Cape Town, South Africa) http://bjcronje.wordpress.com/

Brian Tilaro (Chicago) http://www.allyoumed.com/

Karina Grunwald (Heidelberg University Hospital, Heidelberg, Germany) http://healingreen.blogspot.com/

Christopher Martinsson (Akademiska sjukhuset, Uppsala, Sweden) https://www.facebook.com/notes/christopher-martinsson/a-new-beginning/328987160453332

Shelley Hoffpauir (Manipal Hospital, Bangalore, India) https://www.facebook.com/groups/495592957120300/

Heidi Strauss (CTCI, Tel Aviv, Israel) http://www.caringbridge.org/visit/heidistrauss

Tammy Kazen-Richert (Moscow) http://tamstopms.wordpress.com/


Article featuring Brook and her HSCT treatment choice: To Russia with faith; New Enterprise woman seeks medical procedure abroad with hopes it will halt her multiple sclerosis http://www.altoonamirror.com/page/content.detail/id/569327/To-Russia-with-faith--New-Enterprise-woman-seeks-medical-procedure-abroad-with-hopes-it-will-halt-her-multiple-sclerosis.html?nav=738




Chris McGuey (Ottawa) http://my-end-to-ms.blogspot.com/

Claire Gittins Parry (Manipal Hospital, Bangalore, India) http://www.clairetoindia.co.uk/


Geoeffry DB (Manipal Hospital, Bangalore, India) https://www.facebook.com/groups/113034538879355/

Holly Hauser (HSCT for Systemic Sclerosis (Scleroderma) in Chicago) http://holly-kfs.blogspot.com/

Dave Bexfield (Fred Hutchinson Cancer Research Center, HALT-MS trial, Seattle)

Martin Melly (India) http://mymshero.com/


Michael Childs (Chicago for CIDP) http://www.gofundme.com/stemcell4michael

Sheli Godbold Smith (Moscow) http://kissmsgoodbye.wordpress.com/


Emily Reints (India) http://emilyvsms.wordpress.com/




Jorunn Andersen Hustveit (Israel) http://msstemcell.blogspot.co.il/?view=classic#!/

Vicki Taylor Wilson (Moscow) http://kickinms.com/


Toni Brennan (Heidelberg University Hospital, Heidelberg, Germany) http://tonibrennan.wordpress.com/

Bryan-Ann Hinkle (CIDP, Chicago) http://www.bryanhinklesct.blogspot.com/

Cindy Don Bisagno (India) http://cindyfightsms.tumblr.com/

Keith Moore (Moscow) http://hsctinrussia.weebly.com



The “H” in the above acronyms of HSCT is for Hematopoietic. Those are the blood cells that give rise to all the other blood cells. As stem cells, HSC are defined by their ability to replenish all blood cell types (Multipotency) and their ability to self-renew. When the chemo is given, it depletes the blood stream of its antibodies which are currently attacking other parts of the body (myelon sheaths, brain cells, spinal cord, etc.) thinking it is fighting off something bad, when in essence it is fighting itself wrongly and causing our diseases (MS, CIDP, Scleroderma). When the antibodies are destroyed, the immature (Hematopoietic) go in and replenish where needed, everywhere; and the antibodies “forget” to attack! It’s like rebooting a computer that has a virus. Get rid of the virus, restart the computer and VIOLA! No more trouble!




Here is a Facebook page to join for more information about HSCT and where it can be done.
https://www.facebook.com/groups/1668739693370524/









Week #5
April 2012


 Well, it certainly was a busy week! Sunday I stayed in and rested after a busy week and having to say goodbye to Eddie on Saturday. Then I got showered and dressed for my brother and sister in law coming to visit. We sat and chatted a bit then went to dinner at The Grand Lux. That is such a cool place, and good food. I had Asian Nachos, yumm-o! It comes with 8 nachos and rice in the middle. I ate 4 of the nachos, not much rice and had a banana pudding dessert. Leftovers on Monday were just delightful!

So, Monday I had the heart catheterization! After getting all prepped for it, a young woman doctor (fellow-in other words, beginner!) came in to talk to me about the procedure and explained what was going to happen and then an elderly doctor (about 80, I kid you not) came in to see me too and go over everything again. No one said who was going to be doing the actual procedure, but I found out soon enough. For the procedure you go in this room with lots of funky looking machines that remind you of a good horror scientific movie scene! Well, maybe not that bad, but pretty intimidating, nonetheless. You lay on this skinny bed--slab might be a better definition, they even have to add arm holders on the sides so your arms just don't drape over the edge and wrap them to your sides and I even hooked my thumbs under my bottom so they wouldn't fall off the bed (not my thumbs, but my arms)! They cover you with (thankfully warm) blankets and remove your beautiful gown! I have already been shaved on both sides of groin in case they need to move from one side to the other to do the procedure (we were able to stick to the right side). Next both doctors come in and the fellow is the one going to do the procedure with the elder by her side, whispering all the while. She did a great job in my opinion and I'm sure she will be a very good cardiologist or whatever when she comes through all her schooling. The needle pinch and lidocaine that burns a bit going in I'm sure is better than not having it at all but it didn't hurt as much as when the port catheter that was put in my neck for the stem cell harvest – location, location, location must have something to do with that reaction. Ok, so then they poke open to place the line wire to go up to the heart. That doesn't feel too bad and I was able to watch it on the television. Once they got it to the heart the televisions and other machines moved around a lot so I didn't get to see as much. It felt a bit weird from time to time just moving around in there and when she pushed the dye in to color the blood to see the actual arteries I got a see a few of those shots, that looked really neat; like a tree with the roots going down in the ground. It took quite some time as I imagine there are a lot of places they have to check, so you lay there and lay there. During these type of procedures I just kept asking Jesus to hold my hand and keep me calm - the song that came to my mind was "Jesus, take the wheel" by Carrie Underwood! In the end, though, all went well and the elder doctor says to me on his way out "Just stay away from stress tests!" That statement made me laugh! Later, the younger woman doctor reported to me that my heart looked beautiful and my arteries are ones they don't get to see very often there! Yippee!! Good report!

So, the next procedure was on Wednesday to have my PICC line put in which is where all the meds, chemo, blood draws will go in and come out of! Yea, no more needle sticks; I look like a pin cushion.

What a story to tell about this whole situation. The nurse that brought me in was named Anthony and he was such a blessing to me all morning. He had cancer and worked through that situation successfully with the Lord's help and we had a nice chat about that. But, while he was bringing me in to the "holding stall" so I shall call it, he was saying my name for identification purposes and a woman across the hall heard it and thought to herself, "I know that name!" She kept quiet a while during the time I was changing into the gown for the procedure but soon we were chatting and she said “I know you from facebook!” Well, imagine my surprise at that! Her son was in for a procedure that was not going to be able to get done at that time and they had been there all morning. It turns out that we are friends because she has the same disease I do and she lives about an hour south of here. Her name is Teresa Richert and her son is Brad. We chatted quite a bit and got some good hugs in too! We both are faith filled women and had some nice "God talk" too. We both felt it was meant for us to meet even though it was an inconvenience for and her son, but hopefully his situation will be able to get fixed so he can get what he needs and they learned a bit more about his problems.

The PICC line went in after having to try two different places (the 2nd one worked just fine; and what's one more poke in my arm anyway?). It bothered me most of all the things as it ends up right in the middle of your chest and feels funny. I lay on my left side to sleep mostly and really felt it, so I  had to adjust to that but some nights I could actually lay on my left side fairly well and not notice it.

Okay, we are up to admission day, Thursday. Early day, 7:30am I am to be at the hospital. I think I have the best room on the floor! I’m in Room 1566 in the Prentice Women's Hospital. Top two floors are for transplant patients, rest of the hospital is for the babies!
The beautiful view from my room!


I got started with Rituximab which is an immune suppressant so it doesn't fight the stuff coming in. In the evening I got a dizzy spell for about a 1/2 hour and the call button was across the room (we've learned to put it where I am sitting) but I knew the nurse was coming soon to give me my evening meds, so I just patiently waiting rather than risk getting up and falling. When she came in, I got up carefully and went to the bathroom to get ready for bed and lay down and went to sleep. All was well after that. I get those episodes every once in a while (about twice a month at no particular time or reason; meds, time of the month, whatever) so I don't know if it's CIDP or just me.


Friday; getting Rabbit ATG, which is a T cell suppressant. Since I woke at 3am this morning, I was looking forward to the Benadryl nap, but the Rabbit "juice" likes to bubble up and there were lots of beeps to keep me awake and the nurse had to keep coming in to fix the line. Then when that was cleared up, about 6 times at least; the allergy doctors came in to check to see if I was still allergic to Penicillin. I was very young when diagnosed with that, and they say in about 10 years you can be over it and since it was probably over 40 years ago, the chances are good that I'm not anymore. Lots of pin pricks and jabs into skin (like the TB test) and that went on for about 2 hours, so needless to say, no nap for Wendy today! Hopefully, good night’s sleep to come! The good news is there was no reaction to the test, so they will be able to give me the meds they want to when I may need them from the penicillin family.

I’m going to watch church now on the computer; I can also watch video sermons from the church I go to in Florida.



Today, Saturday, is the day I start the chemo (Cyclophosphamide) and lots of other drugs to keep away nausea, headaches, etc. The chemo is now in me and so is the Benadryl, so I'm getting sleepy again. I feel fine otherwise, but lots of folks say after day 3 of chemo the reactions start, so we will see. I am so covered with prayer and I know God is right here with me; I will handle it all with His grace and help!


                                               more to this story...
April 2012

Friday, April 20th
Today I receive Rabbit ATG, which is a T-cell suppressant. The T-cells are the ones that go after things that come in to your body that they don’t know or recognize and they fight them off. They would, therefore, fight off the Cyclophosphamide (chemo) that gets rid of the other cells we don’t want at this point. I get the Rabbit ATG for 3 days and then starting Saturday, April 21st I will get Cyclophosphamide for 4 days.
Another thing that happened today is that I was able to pull out clumps of hair. FINALLY! Ok, I am a little odd here in that I was very anxious to get to this point so I could shave my hair off! I actually am looking forward to embracing my baldness! I got so many scarves, caps, hats, pins, ribbons and bows to wear, I always teased that I was going to have the “best dressed head” on the floor! So, I went in to the bathroom with my little electric razor and started the shaving process! Everyone prior to me that I followed on their HSCT process did a little Mohawk when they shaved, so I had to try it myself.


Then I ended up leaving my bangs only; I just couldn’t give them up. And, I got a lot of comments (mostly nice ones) from the staff so I kept them until they started falling off in my food! Then, they went bye-bye too.



  


The next couple of days are rather quiet and uneventful (thankfully).  I think it’s around Monday or Tuesday when I start with the loose bowels and therefore sore bottom. My nurse, Sophia; bless her heart, had such compassion. She got me Tucs, Desitin (like for a baby’s diaper rash) and the very soft, moist wipes to clean myself. Let me tell you and forewarn those of you following, that chemo toots and bowel movements are the stinkiest you will ever experience. Fortunately, Linda Martin (previous HSCTer) told me to get a spray air freshener and keep it handy! That was a good piece of advice!

Sophia

4/21/12 Midnight; my PCT (patient care technician) is Georgia, but I didn’t see her much. Dee replaced her at 8am, she’s a real sweetheart. Busy day, woke at 3:30am, so I’m tired. I seem to have a 3am bladder wake up call.  After laying for over an hour, I’m still awake; but I was able to lie on my left side, my favorite side, without the PICC line bothering me like it had the last two nights.

Sunday, April 22 eve/Mon, April 23 morn
I got some decent sleep, 9:30pm to bed; blood @ 2:00am, bathroom & back to sleep. I didn’t wake until 5am. Even with ear plugs and eye covering mask, it's hard to get a good night's sleep in a hospital! I woke up to being dizzy again, got help to go bathroom. They do an EKG before administering the Cyclophosphamide, and this morning's test was a very slow reading. It seems that the machine got switched to a half reading so it took longer and read weird. They had to do it over. I'm still dizzy & doc came in to see me.
Said to doc that dizzy comes & goes; I get it 1 or 2 x per month, sometimes it lasts couple min or an hour, but the last one was the worst which was after the mobilization dose of Cyclophosphamide (about 7 hours), so time will tell. Hopefully it will not last all day or long time. I feel bad because someone has to come and help me go to the bathroom every time so I don’t become a fall risk. That I appreciate but you really feel tethered. Better safe than sorry. Sunrise time and I’m seeing the pretty pink through the screen.

Blood work decent, electrolytes look good, EKG is okay!
Tues, 24th 6pm
Pretty useless day, healing day! That’s what I’m calling it. Praise God, no pain or nausea. I had a little burping so I got some Zophran. Still breathing heavy, so just did a lot of resting which is good and then heard from my friend Tanya, which was great. Things are ok at home, Eddie is dealing w/ IRS since paperwork was done wrong at our financial institution; but it will get fixed, I’m sure. I’m praising God for that. Feeling the prayers from everyone, I appreciate it so, so much. It put me in a mood of praise myself and that feels so good.
God, I love you so much. I praise you, adore you and worship you. Thank you. I lift Stephanie to you Lord and Shelley and the CIDP people! May they rest upon you Father and feel your great love. You are so worthy of our praise Lord. Thank you.
I got my Cyclophosphamide today and tomorrow I get a day off. Thursday I get my stem cells that were harvested and Friday I will get another dose of chemo (different kind though). Just one more! Yee haw!

2:45am
Woke up with hunger pangs, as I didn’t eat a lot today (yesterday really) so I have some Ensure on the table and asked for a cup of ice to help. Feel better in the tummy and helped my headache too which could be because I was hungry or because I wear my eye mask around my head all night! Nothing like having something wrapped around your head all night, but if you don’t it’s hard to sleep. Now, little bendy straws present a problem with drinking the Ensure; when you drink from them, they want to drip little brown spots on your nice, clean gown and it looks like you’re lactating chocolate milk! Ha ha ha. Well, you know, we are in a women’s hospital with lots of babies, so…guys, I don’t know about you but we women have a good excuse!

Wednesday, April 25th
I’m really tired today. When my housekeeping gal, Andrea, comes in we kid around a lot but not today. I think I barely got a wave to her. I’m thinking I’m beginning to get neutropenic and started with a bit of a fever, so I get to get another antibiotic.

No denying it...

Sunday, April 22, 2012
I read my bible yesterday, I’ve been sporadic about that, but been busy, tired, etc.; excuses, I know but back at it now and enjoying it very much. Listened to Faith Baptist Church sermon on computer and it was about Peter’s denial of Christ 3 times and his repentance and getting back in the good graces of the Lord. Good service. I pray that I will not ever deny you, Lord if put to the test. Lord, give me the strength for staying strong in you and not being fearful of being a follower of Christ. That is my fear, that I’m chicken. When we are with our Christian family, it’s easy to say how wonderful He is, when you are standing alone and have people against you, it’s easy to keep your mouth shut. I just pray I do not deny! "He who is in you [me] is greater than he who is in the world." 1 John 4:4b (NKJV). This should help me be strong enough to do the admittance when the time comes. I think the time is getting closer when we will be put to that test, I don’t want to fail Him.


New Birthday and beyond....
April 2012


Thursday, April 26th
STEMMIES GOING IN TODAY!! What an exciting day! It is a bit like Thanksgiving dinner, you work hard and long to get this most beautiful feast together, hours are spent prepping, baking pies, and peeling vegetables, cutting, chopping, slicing, and carving. You set a pretty table with your best china and your best silverware. You use the crystal glasses and put all the food in your special serving bowls with the really big spoons. The centerpiece of the table has to be perfect and appropriate for the event. Everyone’s been invited and you gather around the table for a good prayer of thanks, sit down to eat and.... it’s over in 20 minutes!
The first to come in of the transplant team is the man with my frozen batch of stem cells. He is quiet and professional. I tell him I have heard about him from others, that he is “the quiet one” and I am rewarded with a smile. He gets busy thawing out my cells (runs them under the hot water in the sink) and then the rest of the “team” comes in. My nurse to do the honors today is Eric. He starts setting up the equipment on the IV pole for the infusion to begin. Dr. Burt, Amy and Dr. Han join the crowd and the process begins! Amy stayed with me the whole time, but the others ran in and out after the cells finished running in to me; only took about 25 minutes. They have to monitor me pretty closely, taking vitals every 15 minutes. I did very well through it all and had no issues at all.
Eric

Dr. Han, Dr. Burt, Amy (RN) & I after my cells were administered

 It was a very emotional day, in a good way. I got good mail, a book about sisters from my sister that she added a bunch of pictures of the two of us and our Mom and her sisters to the pages that just had me bawling my eyes out. I also got a great gift from my friend Shelley from Arizona that was befitting of the day. She sent me 3 stretchy headbands made of beads to dress up my head, they are so cute. With this present, she sent a card that touched my heart. It was a picture of a beautiful white long-haired cat with a tall crystal crown on its head. It represents to me being a princess and daughter of the King!

I was hungry after the transplant; even though I thought I would need a nap, I didn’t. I laid there for a while trying to fall asleep but that didn’t happen, so I said I’ll have some turkey and cheese on 1 leaf of lettuce (chuckle) and some chocolate ice cream and ginger ale for burps. And, by the way, the chemo gas is pew…strong and not just air; so you need to protect your panties folks! They do have underwear liners that are of good size (after all it is a Women’s Hospital for having babies) that will take care of it.  Gonna go for a walk now…later.


Chemo nightmares!! Not a pleasant experience. I was told about the nightmares ahead of time but didn’t really think about them before they happened. The good part about them was I played the “hero” in my dreams! I had to save the world from a fire that came up from the pit of the earth. I actually “dug” myself into the middle of the fire to bring up dry earth to put it out. Yeah, me! In the next one, I saved another patient who checked himself out of the hospital, pulled out his PICC line and was driving away from the hospital. He was stopped by a cop and I came along to keep him from either being arrested or bleeding out! I got him back into the ER just in the nick of time!  There was a 3rd dream, but I don’t remember that one, but I’m sure I saved more lives! I’m so healthy with all my new stem cells in me that I can take on the world!! However, when I woke also had the shakes and diarrhea and a sore bottom to go along with it. Saving the world is hard work!

                                            My future is so bright, I gotta wear shades!!





Friday, April 27th
I woke up this morning with a tummy ache, nothing major but just not feeling too good. Ate my breakfast, vanilla yogurt and a not much else. Had to take the usual bunch of pills (about 6 of them) and uh oh, here it comes! Caught the first little bit in my hands and fortunately my nurse, Stephanie, was in the room! She ran to the bathroom to get the pretty pink tub for me to up-chuck in! There went all my pills in round two! She ran back and forth with about 3 different tubs for me because when you up-chuck yogurt, the smell is enough to make you up-chuck more! She brought me a wet washcloth too to clean up several times between vomiting, bless her heart. She hustled so quick back and forth between me and the bathroom to throw out the vomit and wash out the tub and get me a clean one for the next round, it was amazing! She would have won a marathon! She did in my book!! I haven’t thrown up for many years, since my girlfriend Tanya and I had food poisoning. I don’t have to remind myself it isn’t pleasant.
Stephanie


                                                      
                                                        My girlfriend Tanya


After that I was relieved to not have to take my pills again until a later time and I got some Zophran thru my PICC line and it was my friend from then on whenever I started to feel nauseous, I would get some. Today I was introduced, by recommendation of my nurse, to Ensure! What a good thing this was, I loved it and over lots of ice it is just delicious! Gives you a good amount of protein and helps you have more energy since you don’t feel much like eating at this point. It almost tastes like a treat; like pudding in liquid form. Delicious!


Time after HSCT
April/May 2012


Sat early a.m. 28th
Friday I had chemo, did pretty well thru it but around 7pm I got dizzy again. Went to bed around 10pm and was still dizzy but when I woke at 1:30am I wasn’t dizzy anymore. Dr. Burt should be in to see me in the morning, hopefully he will be pleased and hopefully my numbers are going in the right direction. I don’t know what are in the plans for tomorrow with the meds; maybe just some antibiotics. So far; so good.  I had the most pleasant experience at this point.  As I lay in my bed I felt like I was being cradled in the arms of my Heavenly Father. If you can picture a set of hands cupped together with me lying in the middle; that is exactly where I felt I was. It was the most peaceful feeling I think I have ever known. I spent time with my Father, had a little snack (Ensure again and a rice cake), was able to have a private time in the bathroom, and fell peacefully back to sleep.
Thank you Lord, you’ve been such a blessing to me. If someone wants to know the plain truth of why I feel the way I do about my belief, it’s so simple. Knowing in your heart, in your very being, that there is a God that made the heavens and earth; and that He sent His son to die on a cross as a sacrifice, for you, for me, for anyone to be forgiven of our sins and share a place in heaven with Him. If you believe that, it is so uncomplicated and it gives you a peace that goes beyond all understanding. Then you know you have a place for eternity and are in a right relationship with the Father. It is such a comfort, so overwhelmingly peaceful.




Sat, April 28th 6am
The wind is blowing like crazy, not sure if it’s raining or sleeting or snowing! But, it is definitely windy. I haven’t turned on the TV or asked anyone yet, but I will. No sunrise this morning, it’s covered by clouds, but there is definitely one in my heart.
 

Got woke up about 4am with news that my hematocrit count was at 7.7 so I had to have 2 units of blood and some potassium, the potassium part isn’t unusual for me. Got that right away, but it takes a while for the blood to come up from pharmacy. Once that got running, I started to feel a bit better, I was definitely feeling like a weak little puppy there for a while.

Had a most beautiful sunrise this morning! After the aide helped me to the bathroom, I could see the sun through the screen of my window just getting prettier and prettier, I managed to get up and go over to lift up the screen (blinds of a sort) and I took about 10 pictures. Oh, the Glory of the Lord in the morning, it was just beautiful and really blessed me.


 Day +2 today, I am neutropenic now, counts are at .6 that means the numbers are going where they are supposed to.  And I feel good, I really am feeling good; I know it’s all in the good Lord’s hands.
My nurse, Alex, just brought in my blood results and I am officially neutropenic; “TLTC” Too Low To Count. That means being extra cautious, washing hands, keeping clean, have vitals every 4 hours instead of every 8 hrs. If I walk the halls, I have to wear gown, gloves and a mask. And visitors must be extra careful too. This is just as expected and numbers are where they should be at this point! I’m smiling!!


Sunday, April 29th
Dr. Burt just came in, we talked about how I was feeling and that I will be getting another unit of blood today. We were also talking about the sunrise and he said something I found very special and want to share it with you. He was telling me how he loves to watch the sunrise over the lake whenever he can; he says it’s like “watching a moving mural from God”.

Monday, April 30th
Last day of the month, feel really good today! Overnight, there was a minor issue that God took care of as only He can! My nurse Alex was going to tell the PCT Carmellita to let me sleep until blood draw time of 3am instead of waking me at the 4 hour time of 1:30am for vitals, but she forgot (that was the God part). So, while Carmellita was taking my vitals, Alex came in to do the blood draw at this earlier time and it was good thing because my lines were clogged and she had to order certain “cleaning out” fluid which has to sit in the lines for an hour to break down the clog. If she had come in at the 3am time instead of the earlier time, she would not have gotten the blood draw in time for the early morning reading that has to be down to the lab by a certain time! Thank you Lord!!
While I was awake I had an Ensure and a couple of rice cakes because I was hungry! I guess having something to eat is a good thing; it will help me get stronger, yeah! I was also able to sit in the bathroom and take care of that business in private. I sure hope when this is all over and I’m out of here I don’t wake up at 3am to go to the bathroom! But, for now, let it come when it may.

I was able to go back to sleep and I slept until 5:45am. It was cloudy this morning so I wasn’t able to get a sunrise picture today but that’s okay, you can’t have a beautiful sunrise every morning but it’s still a beautiful day – This is the day the Lord has made, and I shall rejoice and be glad in it!

Tuesday, May 1st
Starting about 7pm last night, boy did I get a headache. It started just slightly but by 8pm it was much worse, so I went to sleep. Woke up about 9 and it was a little more; probably put it at a 7 out of 10 pain wise, so I called in the nurse and got some Zophran for my tummy, because that was a little iffy too. She called the doctor on call and he just wanted to give me some Tylenol, well I wanted to laugh; Tylenol doesn’t do anything for me, so I got some Norco and I slept pretty good, waking occasionally with the headache at about a level 4. All I have to say to those who do this behind me, is don't try to be superman; if it starts to hurt or you get nausea, ask for medicine! If it's bothering you, they have a pill for that! haha! Actually, it's much easier on you if you can stop the pain/nausea before it gets too bad than wait and have to fix it later and it takes more meds to help.
When I woke this morning about 4:30am to visit the bathroom, I just felt lighter like I had lost a lot of my body fluids. My feet and toes felt better and my stomach felt smaller too. I was retaining a lot of fluids and my feet and lower legs were really swollen. My poor little toes looked like sausage links. I don’t know if it helped, but I lay upside down on the bed with the head of the bed elevated so that my feet were elevated too! My mom and mother-in-law used to do this when they felt bloated in the legs/feet and I thought it might be worth a try! It seems to have worked pretty well!

A friend comes & I'm discharged!!
May 2012



Wednesday, May 2nd
Jackie came on at 8pm (actually still Tues the 1st), start of headache, and the question is; do we wait to see if it gets worse or do you nip it in the bud? We decided to stop it early and got the Zophran right away and the Norco for the headache. Went to sleep and 1:30am they came in to draw blood and we had good flow out of the PICC line tonight, Yay! I do have to sit up though for this to happen for some reason, it just works better for me that way, so I just do it. And then I usually go to the bathroom and get weighed and vitals done. I finally lost a lot of the water weight, about 10 pounds and feel so much better, so much less bloated! I had an Ensure since I still do not want to eat a lot of food. Stayed awake for a little while, watched some of the weather channel with this guy who took pictures in Puerto Rico; down in the caves and up in the mountains. It’s such a beautiful island. I actually got engaged to my first husband there.
Jacky

When Jacky came in about 5am I needed platelets, my numbers are at 7! Which is my favorite number and it is the number of completion, biblically. I shared a bit of my story with Jacky and got a bit teary eyed as to how blessed I have been through this whole process.
It’s a quiet, peaceful morning here; not much color in the sky yet. If not too colorful, I probably won’t take a picture. It’s supposed to be 85 degrees today! You never know what you’re going to get, weather-wise. Not that it matters to me, being inside all the while. It’s supposed to get cooler again over the week end.
Thursday, May 3rd
Overnight, I was awake, asleep, awake, asleep. Nothing bad happened, but did have some nausea and headache medicine before I went to bed. Wake up for blood draw, drink an Ensure. Wake for vitals early.  Needed platelets again today (#3) and those wonderful Neupogen shots to get the blood cells multiplying!  I’m at day +7 and I will keep getting the Neupogen shots until the numbers start to rise – so, rise numbers, rise!! Beautiful sunshine this morning, I slept through the sunrise but I imagine all will enjoy the warm sunshine today.


I’m getting company today!!! Yay, my girlfriend Carol is coming up from Florida to stay with me for about a week! I’m so excited. She and I share the same birthday and we’ve been friends for about 15 years. It’ll be good to have her here, we laugh a lot! She owns her own business and can use the break as well! Works well for both of us.  She brought me CHOCOLATE!! And a few other little goodies, she is such a good friend! She knows I’m gluten free, and she brought some yummy GF treats.

Carol and I. This is a post HSCT picture; we didn’t get to get a picture together when she was up in Chicago with me!

Before Carol got there, I took a shower (nice of me, huh?) and noticed a slight rash on my lower left abdomen. Hhhmmm, wonder what that’s about. I showed it to my nurse Carolyn, and she said we will keep an eye on it.
Carolyn


By the time they came back to give me my  evening meds, the rash had spread farther across my tummy and was under my bandage at my PICC line (which concerns me most, of course) and up and down my right arm and hand. I noted that my knuckles were very dry and rough the last few days but thought it was from washing my hands so often and using the sanitizing stuff.  I did have to get platelets again, which you get Benadryl and Tylenol prior to that, and the rash is still spreading not getting any better! Tomorrow the dermatology team will come in to take a look at it.

Friday, May 4th 
Waiting for Team Burt to check on me and let me know how my numbers are doing!  Today is Day +8 and all is going well as expected. Dermatology came and examined my rash. No action taken at this point, we’ll just see how things go from here.
I had a bag of platelets and one unit of red blood cells as a boost, when you get them they usually raise your blood counts by one point and I was at .2 and it should put me over 1, which is why I may get to go home!

Saturday, May 5th
1:15 am, my nurse tonight is Joe and he just came in to draw blood.  I didn’t need any meds before bed tonight, Yay! No nausea or pain meds which have been the norm for me before; but I do have a little discomfort from the injection sites of the Neupogen, just not enough to worry about.  I got a bed that is different than most of the others here that I have heard about in that mine doesn’t “blow up and release”. I think it’s been a blessing though because the bed makes a lot of noise when this occurs. I just have to roll back and forth, right side, left side and a little on my back. I’m not much of a back sleeper because I don’t seem to be able to breathe as easily in that position. If I put the top of the bed up a little bit, that works okay.
Everything is going just wonderfully, I’m glad to say.  I had my middle of the night usual ritual of toilet time, Ensure, a little TV watching and then back to sleep. Awake again at 5:30am with just a little back pain in the lumbar area from Neupogen. I might do a Norco, perhaps. And I might get discharged today!

Yes, today is the day!! Blood count is up so I can leave!! The best part of the whole day was getting the PICC line removed! My regular nurse was leaving early, so another nurse I had met only once before for a short stint was the one to do the honors. This is a picture of how long that sucker was that was in my body. It went from my inner arm (just above my elbow joint) to the center of my chest.
This is Lauren, wonderful nurse who removed my PICC line…
Thank you Lauren! So much more comfortable

Carol came in to this good news and we packed up my stuff and went to say good bye to some folks on the floor! I also had to wait for something before we could actually leave the floor and when we could we walked over to the Galter Pavilion to the Walgreens there to get my prescriptions, and they were closed! They close at 4:00pm on Saturdays and it was about 4:10pm. It took all I had to make that trek, which is only about 2 blocks but that was all I could do. We took a taxi back to the apartment.  Got hold of Amy and they transferred the prescription to the other Walgreens. I appreciate Walgreens for that perk, you can order from anywhere and they can get it for you from any other Walgreens, even in another state! Those of you following me for a HSCT, this is a good note for you to get settled in a Walgreens near you if possible so you can do the same.  As I rested, Carol went to pick up my prescription (she only needed to know my home address) then we order Thai food from Grubhub.com. It tasted so good, because we got home about 5:00pm and until we decided and they delivered it was about 6:30pm and we were HUNGRY!! I had to take another pain pill for my achy back and about 7:30pm I crawled back in bed, talked to Eddie a little bit and then just crashed. It felt so good to lie down on a real bed (queen) and spread out if I wanted to! To be able to roll over without having to lift my body and turn side to side is great! Slept until 11:15 when I woke to use the bathroom and I took my Clonazepam (like Xanax) and slept until 4:30am. Woke for a little while again and went to the kitchen to set up the coffeepot for when Carol woke up and went back to bed and slept again until about 7:30am!

Sunday, May 6th
I got up for breakfast, spent a little time on the computer; facebook and my e mail. I actually managed to stay up until after lunch, and then I took a 2 hour nap. At about 5:00pm I was able to remove my bandage off the PICC line incision and take a shower! Can l tell you how glorious that felt? I wasn’t tethered to an I.V. pole nor did l have to wrap my arm in saran wrap to keep the PICC line dry. The rash is still pretty prominent and tomorrow I go for blood work, so I will make sure they know it is still present. Other than that, I am feeling pretty good. I’m going to get dressed and maybe take a walk down the halls in this hotel!

Monday, May 7th
We went to Galter Pavilion this morning for my blood work; I don’t know when the results will be back from that. Took a cab today to and from everywhere, feeling pretty tired. We went to the Castle and the Elephant for lunch then went back to the apartment and I took a nap. When I woke up I was a bit hungry since I only had soup at lunch so I ate some leftover tuna and crackers. Ate dinner and went to bed early. Carol is still here and she is reading a lot and just relaxing herself. Being a business owner this has been a good break for her (so she says, she’s a good friend to come babysit me!).

Tuesday, May 8th
I still got the rash, using hydrocortisone ointment on it. They told me to stop taking the Diflucan, because it could be what is causing the rash. It has spread all across my torso and arms and it itchy as all get-out! Ointment is not really helping, neither is the prescribed anti-itch medicine!  They are going to have me up my prednisone to 60 mg for 3 days, 40 mg for 3 days, then 20 mg for 3 days, 10 mg for 1 day and back to my normal 7.5 mg to start the decreasing regime I am on. If this is the only bad thing that has come of this whole transplant process, it is so worth it. Other than that, I’m just still tired (of course) and weak. If I do a little something, I get so tired. Carol went out grocery shopping for me this morning and made a grape salad which looks absolutely scrumptious. We had lunch from downstairs today, Carol had a huge Greek salad and I had chicken salad and French fries and we both have leftovers.

Wednesday, May 9th
Carol left today, we had such a nice visit and I am so thankful that she was here for me. It seems like whenever I needed someone when something was going to go wrong or when I needed extra help, God always had someone here for me at that time! Ruth Ann was here when I had that dizzy episode, Eddie was here his first time when I got the fever and needed to get to the ER, and Carol when I needed help with getting me and all my stuff out of the hospital and back to the apartment. Of course, God himself has been with me through it all in a way no other could be! When I was here alone, I seemed to get along just fine and nothing happened that required anyone else but Him and me!





After the transplant to + 5 months!
May > 2012


May 10th thru 19th
I think I was allergic to one of the meds they gave me before the transplant; it took about a week to 10 days to show up. It was the one that is a cousin to penicillin. They did that penicillin test to see if I was still allergic; but I had just had some Benadryl; so did that mask the penicillin test? That sure makes me wonder. They gave me some different cream, but it doesn't seem as effective as the cortisone. This, too, shall pass. Thankful for everything... BTW, I walked all the way from St Claire St to Walgreens to pick up the prescription, and then the rest of the way home with a couple of rest stops.

May 19th
On our way home today!! I have had a nasty allergic reaction rash to a medicine given to me. It went from mid-line of my body, down and upward. I went to a special transplant dermatologist team to try to get rid of it but it kind of has to run its course. They've given me things to deal with it, but nothing will make it go completely away. Through the whole process of the transplant, this has been the worst part. I certainly can't complain about that but I will tell you it is quite uncomfortable.  The worst part now is on my face and head, so I got a note from the doctor yesterday so I don't get kicked off the plane! I will be wearing a cap and mask, so most people won't really see the rash, but I don't want to take any chances. There is nothing "catchy" about what I have, but people can panic (understandably). So, we will be home tonight and happy to sleep in my own bed and sit on my own couch!

The Seneca Hotel has been such a blessing and so much "a home away from home" in which I have felt safe, comfortable and content. It's just a shame they are turning them into apartments and will not be available for any future patients that come up for this procedure. A lot of the nice people that work here will no longer have jobs either.

I am so thankful that Eddie was able to come during this last week, I could never have gotten ready to ship the (3) boxes home and pack everything else, get to all my dermatology and other doctor appointments; let alone desire to either cook or get food to eat while feeling a wiped out as I was from the rash and the transplant itself.

Getting home is such a wonderful feeling after being away for 2 months! Sleeping in my own bed is glorious!!!  Now, if I can just get rid of this rash.  

May 24th
Paula spoke with Dr. Burt. She told me to stop taking Fluconazole (Diflucan). Let them know if it gets worse. As for the itching, I can try hydrocortisone cream, 1% which I used in Chicago to no avail. I did the nebulizer thing in lieu of the Diflucan. First part is the albuterol which is no big deal, but the other medicine is yucky tasting and you have to do it for so much longer and it makes your jaw tired, holding the breathing tube between your teeth. I had a few questions after the treatment started but no one to ask since I spoke to the pharmacist prior to treatment but didn't have a number to call him back. I did my best then called and spoke to a respiratory therapist this morning and she said it sounded like I did just fine. So glad to only have to do that once a month!

May 31st
I called and talked to Paula again since I had a cold sore in my mouth. It’s improving and no more popping up, thankfully. I'm thankful that Dr. Burt is not the "take this pill" kind of guy and went with the salt-water remedy first!  My rash is just about all gone, residual dryness and itching a bit where last was active. Lotion, lotion, lotion. Dermatologist appointment yesterday went well and they saw nothing to be concerned about either! She also shared with me my lab work from my most recent blood draw!  How in the world can my lipid numbers jump so drastically in such a short period of time? Holy cow! My lipid counts were through the roof!  Apparently this is a side effect of the transplant. It’s nothing to worry about unless they stay high. Just watch future blood work.

June 7th
Now that I have been on 7.5mg of prednisone for 1 week, my rash is coming back where it left off. It never went totally away until after I took my prednisone. Early in the morning I could see/feel traces of it at the fold of my elbows and underarms and under my breasts. Now, it is stronger again under my breasts and a little lower (on upper abdomen), and at the sides of my breast and at my underarms and upper/inner arms. Along with this seems to be a shakiness in my hands/fingers that is not there when the rash was not as prevalent. I was shaky when rash was present previously, if I didn't mention that earlier.  Should I try Benadryl? I really don't care to go back to the dermatologist, as it was very far and the doctor didn't seem all that interested. His intern was more helpful; but since I had no rash then to speak of or look at, just the residual blotchiness on my legs, he didn't even look at me thoroughly. (I didn't really mind since there was nothing to see.) He only recommended a good moisturizing cream/lotion (which I have been using) and sunscreen.
Well, Dr. Burt says go back up to 10mg of prednisone. Sigh. A friend on Facebook, who also has CIDP that lives in England sent me a tube of Aloe Ointment and it, has been the best thing to use on my rash. I can’t believe all the cream and lotions I’ve tried and Aloe works the best! Thank you so much Annette!

June 11th

I am noticing my eyes feel "filmy" and "blurry". Is that part of the transplant/chemo reaction? The blurry/fuzzy eye thing is concerning. I went to an ophthalmologist and had quite a few tests and it came down to dry eyes. Every other part of my body seems dry so why not my eyes too. I am to use moisture eye drops several times a day. I usually use eye drops first thing in the morning so it is not anything foreign to me and I will just do it more often. Everything else was looking good in my eyes, so that is a relief!

Some very good observations are that I am experiencing many less twitches, for sure. I keep count of how many I notice and it has been 6 since transplant! 6!!! That is so cool! No pokes, jabs or stabs at all!

June 30th
I am feeling so much better and better each week. Still have slight rash and still on prednisone 10mg due to that. I am anxious to see when I can reduce prednisone that the rash doesn't come back like it did before. I’m also walking more and more. Having more energy and napping less. It's only been 2 months since my transplant, so feel that's pretty good.

July 12th

Things are going really well for me! It's been 2 months and 1 week today since my transplant and I'm feeling GREAT!! Improvements are happening weekly if not daily! I am still on 10mg of prednisone until the rash is completely gone! It is no longer actively spreading or itching but I still can tell it is underlying just beneath the service. Last time I decreased the prednisone it returned quickly, so I will wait until rash is more subdued before I start to wean off it. However, that is the only negative part of my report.

I am moving so much better, faster and easier at this point, I'm amazed! Last week, I jogged a short distance two times; I've been riding my stationary bike and walking the block fairly often (when it's not too hot to walk). The other day, my sister and I were doing a floor treatment of laying pennies in her archway to seal down as a decorative accent, which entailed sitting on the floor Indian style and leaning over for a length of time which was uncomfortable; but I did pretty good, just a bit stiff after getting up. We were listening to oldies music and when a good tune came on we actually jitterbugged danced like we used to before my CIDP!!! I was so excited; I started jumping up and down, which made me more excited that I could do that!!
The penny floor

I am not experiencing any more twitches, zaps, pokes, tingles that came with CIDP! Occasionally I am shaky in my hands but I think that may be from the prednisone more than anything else, so looking forward to getting rid of that medicine! Balance is something I am still working on as is strength and endurance, of course. That comes with time but it is certainly better than it was.

July 13th
YAY!!! Everything in NORMAL range!! Yippee Skippy! (re: blood work)

Aug 29th

I'm down to 2.5mg pred now since Sunday and there is a difference in my energy level, for sure. I also was kind of sick over the week end, some tummy stuff. Not sure what is bringing it on, I'm not eating gluten or lactose and those are the things that are not my friends. I’ve starting a diet log so I can track to see if it is a particular food that annoys me. So, is the lack of energy from the tummy issue or the prednisone? Not sure, but am only biking at 10min daily now instead of 15min, will try to work up again. But, when I'm not feeling good in the tummy, I don't ride because that doesn't feel good either! Catch 22!

A note I sent to Paula:
“Something I'm noticing that is not going away is the breathing difference. I still am taking deep, anxious breaths often each day. My lungs just feel different to me than they ever have before transplant. Do others have this complaint? It's hard to explain, kind of like when you have a bad cold with a cough and your lungs sort of hurt is how mine feel. I haven't seen my PCP about this as I am going to a new doctor on Sept 11th since I am not too confident in the others I had prior to transplant. Do you think I should get a chest X-ray? Should I see my PCP or would you want to order it for me since I am sort of between docs here? Then the results would go right to you up there for my check up in Oct? If so, let me know and I'll tell you where to fax order. I have noticed this feeling since the time I got home but thought by now it would be gone. I have taken my Acyclovir 2 times every day since I'm home and also the Nebupent as prescribed.”

Sept 4th w/ Paula
Paula,
Doing okay, keeping a diary of input and output, LOL. Nothing major going on, still at 2.5mg of prednisone and feeling a few twitches and pokes. I’m keeping track of these too. Hoping it turns to nothing more, but I'll let you know.
Going to stay quiet and just keep an eye on these things.

Sept 6th w/ Paula
Hi Paula,
Just checking in to say I'm doing okay. Tummy has been better these past few days. But, guess what?
Rash is back a bit, ointment helping already just frustrated that it is still inside me for some reason! I am still taking Allegra 2x/daily. It's at a very small area right now (upper right side breast), with little on other side too (very minor).

Sept 11th w/ Paula - minor inconvenience, ointment keeps it much less irritating. This is my 3rd week on 2.5mg of prednisone, so Sunday I may go to every other day at this rate, what do you think about that?
Did you get my phone message about my Dr. visit today? He's ordering an Albuterol inhaler for me, ask Dr. Burt if okay.

Sept 18th w/ Paula

Just to let you know, I went to have a blood draw yesterday, so results will be forthcoming.
I also got an inhaler today; my insurance didn't pay anything for it, first time they've not paid for something, so I guess I can't complain. I will just be curious on EOB as to why.

Sunday and today I skipped my prednisone, I can definitely tell a difference in my energy level and stamina these past few weeks since I've been dropping the dosage. But, it'll all be for the best eventually. The rash has been behaving, fortunately!

Sept 19th w/ Paula
I'm feeling really energy-less lately. It seems a lot more than usual. Coming off prednisone, do you think?
Today is especially worse, had to go back to an electric cart at Sam's Club after I was at Salvation Army. I slept from 11pm last night until 10am this morning. HHHmmmmm Gave myself a B12 shot Sept 10th.

Sept 25th w/ Paula
Hi Paula,
I’m still tired a lot but better than the other day. I'd like to stay here for a while and try to adjust at this level.
I'm going to talk to a nutritionist on Friday to see what I can do to help boost my adrenal production naturally. If she suggests anything "pill wise" do you want me to check it with you and Dr. Burt first? I found I cannot (and should not) do the lecithin (soy based) as I took 2 pills and broke out in a horrible rash around my neck and chest. It went away quickly as soon as I stopped. But, apparently, when one is on thyroid medicine, one should not take soy products. Didn't know that one! Also biotin made me sick in my stomach. So, I think talking to a nutritionist might not be a bad idea. Give her my whole picture of health and medicine regimen and go from there.

Hair is coming in now, darker, thicker and a bit curly. Hmmm, this might be fun!