Six-Months Post-BMT

"Yes, you can eat seafood and have a beer too!"

Could that be true?

I've been avoiding all alcoholic drinks for the past eight years because of my low platelets; Alcohol impairs the ability of the bone marrow to produce platelets, since my platelets were so low, alcoholic drinks were prohibited. Today, Dr. D finally said I could have one.

Am I dreaming? It's good great news, but I'm not jumping to go have a drink right away. I'm just glad that my platelets are normal. In fact, all my counts are normal and these results are worth celebrating.

My actual visit with Dr. D took place late in the afternoon, but I can't help but start with the good news.

Today was my six-month post-BMT bone marrow biopsy follow-up. The biopsy went well, as I opted for sedation. At least, the anxiety and nervousness were controlled. But even with sedation, when that needle punctures the hip bone, the suction/pressure is still painful. We'll know the results next week; I think.

After my biopsy, Kepi and I had lunch at the hospital cafeteria. I was famished as I was fasting for the bone marrow biopsy. The cafeteria always brings back a lot of memories while I was confined at the hospital... After lunch, we proceeded for my pulmonary function test (PFT). The PFT went well and my lung's performance and capacity are up at 98-100% now. It's a great improvement from my last test taken in March.

My six-month post BMT check-up went well. My back and hip are a bit sore from the procedure, but my heart is truly happy.

Tomorrow, Kepi and I will celebrate - take a trip to Virginia perhaps or go see a movie. It doesn't matter what we do. Today, we're happy.

Aftershocks

There's a lot of misconceptions about my bone-marrow transplant (BMT) and my life after it. Some people I know think it's surgery and that after a BMT everything goes back to normal.

No and No.

It's not surgery, not even close. It's more of a long drawn out transfusion. Heck, it is transfusion except that that bag is filled with blood and marrow. The infusion is long - mine took six hours to infuse. Day 0, referred as the D-Day of transplant, was long and tedious. I spent my day waiting and sleeping in my room. I also had mixed emotions - worry, nervousness, restlessness and fatigue because there's always a chance that my donor would back out. I could only give a sigh of relief when the delivery lady arrived with a huge bag of marrow donation. I was in tears when I saw my donor's bag of marrow. I can't tell if those were tears of joy or tears of sadness. Joy because someone, a complete stranger, donated his marrow for me and sadness because I still couldn't comprehend the magnitude of what I am and are about to go through - which takes us to life after a BMT.

What is normal after a BMT? This is a tough question because in my experience, normal is not "normal" anymore - physically, emotionally and psychologically.

• My skin is dry and my skin gets sunburnt easily due to chemo. I have to wear sunscreen for life.
• My stomach is super sensitive, so I have to be very careful with my meals. I seem to have developed Lactose intolerance. Doctor said my donor might have passed it to me.
• I have a mild skin Graft-vs-host disease.
• I get tired easily. Fatigue is a word I often feel.
• My emotions are on a roller coaster ride. Sometimes I feel happy and out of nowhere, I feel sad and depressed. Fear sometimes grips me. Anxiety comes attacking in the morning, day or night.
• I have no patience and I tend to snap at times.
• I am very sensitive, and there are times I cry for no reason.
• I forget a lot of things. Doctor said it's chemo brain.
• I also suffer from lack of concentration. Reading a book is a challenge now compared to before my BMT that I could seat all afternoon and finished a novel.
• There's a lingering feeling of loss - loss of time, loss of self, loss of who I am and what I want to be.

I am not sure if these are temporary changes or will they stick with me forever.