Marty
 
I read your email to qtk.  Your story is interesting.   You may be interested 
in hearing mine so here goes.  In 2007 my kidneys failed, secondary to 
polycystic kidney disease.   My transplant surgeon asked me to participate in a 
study whose purpose was to produce chimera (the donation of my brother's stem 
cells along with his kidney).    The stem cell transplant failed.  I did not 
achieve chimera.  His cells are not detectable in my body.    Approximately 6 
months following the kidney transplant I developed CML.  Approximately 2 years 
following the kidney transplant the kidney failed.  I am now seeking a second 
kidney transplant.   
 
Tomorrow I find out if I go back on Gleevac.   It was stopped following 
bilateral eye bleeds.  Sprycel was initiated then stopped following a problem 
with my lungs.   They may start me on a lower dose of Gleevac than before.
 
Thanks for listening.
Maggs

From: Martin Gartenberg <[email protected]>
To: [email protected]
Sent: Monday, July 25, 2011 6:45 PM
Subject: Re: [CMLHope] Transplants


Hi (QTK98) or should I call you Karen. I am kind of confused about that. 

Anyway, I read your story and wanted to make a sugesstion to you as well as 
some comments. I read about your transplant failure and I am sorry about that. 
However, did your doctor ever suggest that you might want to try getting your 
donors Lymphocytes rather then using the frozen cells? I'm also not to clear 
about exactly what cells that remain are? Are they actual bone marrow or stem 
cells?

Was your transplant a T cell depleated transplant? If so then you also might 
want to have the T cells of your donor included in your next transplant if 
possible. Yes, I know about GVHD from having a T cell transplant but did you 
know that the chances of relapes are much less, about 30% less when the T cells 
are included.

You sort have to gamble between the GVHD and the relapes. Depending on the 
amount of GVHD you may get. You also mention about your donor and yourself 
having a 10 out of 10 HLA match, which is a very good match, and even if you do 
get a bit of GVHD your probably not going to relapes.

Let me tell you something about myself: I had CML over 22+ years ago and had a 
BMT using my sisters Bone Marrow. We were a 6 out of 6 HLA match which was at 
that time considered a "perfect" match. I also had total body rediation and a 
very high regimen of chemothreapy. I had to live in a small plastic bubble, 
Laminous Air Flow unit for more then seven months. That was the way it was done 
then, and there were no drugs like Gleevec or Sprycell or the rest of them at 
that time, so I had no other choice except for pushing up Daisy's. 

I did develope some GVHD, and till this day I still have a small bit of it. 
Usually in my eye lids by itching every so often just like having allergies. I 
can live with that because as of today I still remain at PCRU. 

I am sort of oppsite from you. As I understand it you had a kidney transplant 
after you were diagnosed with CML. I now have kidney failure from all of that 
radiation and chemothreapy twenty two years ago, but I am what's called a 
Chimera. This means that I was born with O+ blood type but my sister who was my 
donor was B+ now my blood type is B+ but my organs are still O+ It is like 
there are two people living in my body, but hey, I am still alive and don't 
hear any voices except when my wife calls me to dinner

Karen, why don't you also check into [email protected]  There are a lot of 
CML'ers there that can give you some excellent advice. I am a part of that and 
I must say some of these people are really very learned about CML.

Both this group and the CML2 group are very good with a lot of very caring 
people.

I usaally end any of my posts with the number 18. In the Hebrew language the 
number 18 means life, and it is pronounced CHI like clearing your throat.

And that is exactly what I wish for you 18's
 
Marty Gartenberg
 
Original Birthday May 21 1944
Diagnosed CML Summer of 1989
BMT May 21 1990 On my birthday
Seven months confinement in LAF Chamber
PCRU as of today, July 25 2011, 22+ years post BMT
Number 1 on Zavies Zero list
 


On Sat, Jul 23, 2011 at 9:24 AM, <[email protected]> wrote:

Hi Susan,
>
>I was diagnosed with CML November, 2008.  I was on Gleevec, Sprycel and 
>Nilotinib, all of which decreased my numbers so much that I had to go off and 
>on the meds all the time to allow my numbers to increase.  Therefore, I never 
>got a response from the drugs because I was never able to be on them long 
>enough to get a response.  I sought out 3 opinions before my transplant and 
>was told, by all three doctors, I needed the transplant.  They found a 10 out 
>of 10 match for me thru the Donor Registry and I felt, because I was in 
>relatively good health otherwise, I would do the transplant.  The donor 
>cells grafted 95% after the 1st transplant, however then it failed, most 
>likely because my CML cells took over and rejected the donor cells.  Since we 
>had some cells frozen from my donor, my doctor decided the best thing to do 
>was give me the remaining cells, but to do it using a different conditioning 
>regimen before transplant.   That transplant never
 grafted and on top of that, because I didn't have an immune system due to the 
conditioning chemo, I ended up in the hospital for 11 days because of a virus 
and pneumonia.  I'm currently recovering from that.   I have now sought out 
another opinion and there is a chance my sister, who is a half match to me, may 
be able to be used as my donor.  Hope this information helps.
>
>Karen
>-- 
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