Stem cell transplant

This topic contains 3 replies, has 3 voices, and was last updated by  myelomamum 2 days, 19 hours ago.

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  • #150923

    myelomamum
    Participant

    Hi .. I am about to start my stem cell transplant journey- cyclophosphamide and G-CSF injections next weeks and harvesting the week after. I am dreading it , I have been treatment free for a month so was anxious to start the process but now its here its a different story. Any advice or tips and what is the average remission time ? My consultant said 2 years but Im sure it csn be a lot longer for some.

    #150924

    glenc
    Participant

    I had my transplant just over a year ago, am now in remission and doing well on lenalidomide maintenance. I’m back to a full and active life, including going to the gym three times a week. So first bit of advice is to hold onto the hope that life will return to normal!

    The harvesting process wasn’t too bad. I got backache from the GCSF injections and bone ache seems quite common. I took a friend with me for the harvesting because you’re hooked up to the machine for quite a few hours and need to keep your arms still. So she helped me with my audio book, talked to me and fed me sandwiches!

    People’s experience of the transplant itself are very different so the best advice is to take one day at a time and trust the staff because they know what they’re doing and will get you through it! My experience was not bad at all. I had 2 or 3 days of feeling pretty rough with sickness and diarrhoea but recovered quickly and my appetite returned before I came out of hospital. Coming home after hospital is the best feeling in the world and, whilst I was tired and needed to sleep more during the day, I didn’t feel ill.

    In terms of remission time I think it depends on lots of factors and it’s difficult for them to say so i don’treally ask. My understanding was average 2 to 3 years but I was told that being on lenalidomide maintenance drug can give on average an extra two years of remission. I’m on a Facebook support group where there are examples of people getting much longer remission times. My consultant said he had 250 patients who were currently 5 years in remission and some who were 7 years. One lady on the support group was 18 years in remission without maintainance drug or further treatment, but I think she’s an exception rather than the rule!

    I wish you well. I felt anxious too but many of my anxieties proved to be unfounded . I hope it’s the same for you.

    Glennis x

    #150925

    mulberry
    Participant

    Like Glennis I found the worry worse than the reality when it came to cyclophosphamide and harvesting.
    I ended up going straight from the cyclophosphamide infusion to deal with a medical emergency for my mother in a different hospital, which was do-able (although I could have done without it!). The biggest consequences of the cyclophosphamide were a reduction in paraprotein (👍)& my hair coming out in clumps 14 days later (👎).
    I didn’t have bone pain from the GCSF, but I didn’t have obvious bone lesions either which could be relevant.
    The apheresis was painless, & I found I had one to one nursing, which was helpful. Wear loose clothing to easily enable someone to help you , and retain your dignity should you need to go to the loo. It can take 2 or 3 sessions to get the required number of stem cells, so don’t expect it all to be over after the first day (although it might be).
    Statistically the UK Myeloma XI trial demonstrated that the average remission time – without daratumumab and without lenalidomide maintenance was 30 months. With lenalidomide maintenance it was 58 months. No one knows exactly what the average is when daratumumab is added to induction treatment for the brilliant reason that so many patients are still in remission (or have stable disease)

    #150926

    myelomamum
    Participant

    Thank you both for replying, I think its the fear of the unknown and Im hoping it isnt going to be as bad as I imagine. My 2 youngest children are 11 and 13 so I am hoping to be on the mend as quick as possible although I have pre warned them I will be in hospital 3-4 weeks. I have tried to keep a normal lifestyle for them and hope to carry on working full time up until the admission for transplant. My paraprotein at the last check was 2 , this was a month ago. I was tested again last week and get the results Monday, I am thinking it may have risen as had no treatment for a month. My hair is just past my shoulders so I am thinking of a shorter style , does everyone lose their hair ? I do have a wig in preparation. Once in remission after the transplant is there any diet recommendations or supplements you can take to help remission be as long as possible? X

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