Hi Mike,
I'm very glad you've posted your positive experience with your BMT. 
Husband Mark is Day 90 post transplant here in Seattle. He is pretty 
much sailing through this procedure, but not without some problems 
that have cropped up...this is a major undertaking with this immune 
system replacement, as you well know. 
I have recently password protected his Caringbridge website for 
personal reasons, but it is available to CML listmembers.
You can read about his transplant progress at:

http://www.caringbridge.org/ak/marks
username: markandkat (sounds like Mark and Kat)
password: checkonmark (sounds like Check on Mark)
Mark is 49 years old. He was told that the age in the past for 
transplants was up to age 50, but these days, transplantation has 
improved tremendously. 

If someone is considering a transplant, research the major transplant 
centers. Call the centers and compare information. 

Sometimes I am amazed at the percentages that get thrown around. 
Statistics are random numbers. A 15% survival rate may be at one 
center, while it is 95% at another. 

We have recently learned that many, many people died from 
complications of a BMT 15+ years ago, AND many times it was due to 
the CMV virus that had reactivated. If your blood makeup shows that 
you have the CMV virus (CMV+) and it is dormant, this is a factor 
that is watched persistently for reactivation, or at least is here at 
The Hutch in Seattle (Seattle Cancer Care Alliance). About 50% of 
people in the world have the CMV Virus and 50% do not. It stems 
generally from a cold as a young child and the virus never went away 
so it harbors itself in a dormant state until one becomes 
immunosuppressed and it then can at that time reactivate.

People would die from the reactivation of this virus after transplant 
since doctors didn't know what it was or how to detect it. Once they 
detected the virus, they then didn't have any way to fight it. NOW, 
they have the tools/medications to fight it off once it reactivates. 
This takes constant monitoring of the CBCs for the CMV activation. If 
the virus reactivated in those who carried it and it was not caught 
early, it turned into CMV pneumonia and they died from it. 

For the past 10 years it has been totally treatable and maintained 
back into dormancy with drugs like Ganciclovir and Valganciclovir. 
Usually 1 year post transplant a patient will not have any problems 
with this virus reactivating since the new immune system has taken 
over, but it is still taken very seriously.

It is a fact that Bone Marrow/Stem Cell Transplants are very risky, 
but it does not necessitate giving inaccurate information, or making 
people feel bad for considering going through one. Studies are 
continually in effect to discover better and better treatments for 
complications and survival. But overall, survival still also depends 
upon the patient adhering to the strict regimen set forth once this 
treatment option is set forth. Today, survival rates from BMT's are 
very high for CML. Even at age 49, husband Mark is going through this 
well, but it doesn't mean our job is over at the 100 day mark. It 
will take constant monitoring for several years. In our eyes, this is 
much better than watching those Phillies go up and down.

It boils down to researching all the information required to make a 
sound, comfortable decision to proceed. Many people have died from 
CML by NOT going through a transplant. I have heard stories of 
someone deciding to go to transplant, and then they receive "hate 
mail" from people they thought were their friends and supporters in 
fighting this disease. Please remember that everyone needs support, 
whatever their decision may be...clinical trials, ongoing therapy, or 
transplant. I thought that is what these support groups were supposed 
to be for-providing information and support. I guess I didn't read 
the part that says these sites for only for those not considering BMT 
or SCT.

It's important to take responsibility for your health. Find out what 
complications caused deaths after a transplant. It is not the same 
for everyone.
Thanks for listening.
Katrina








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