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Blood work
Blood work
Psychosocial Evaluation
Confirming mental stability to undergo transplant
Appointment with
Dr. Burt
Baseline tests (mobility, manual
dexterity, cognitive abilities)
Reviewed and signed consent for the
clinical trial
Met with Dr. Burt
Reviewed MRI
Asked questions
Reviewed risks and confirmed
consent
Appointment with
Dr. Balabanov
(blind neurologist)
Baseline Neurological Evaluation
EDSS (Expanded Disability Status Scale)
Dr. Balabanov does not know which
arm of the trial I am in
Randomization
Scheduled to be randomized on
April 19th
Due to a variety of delays, I was
not randomized by a blind
th
statistician until April 25
Was randomized to the transplant
arm!
Mobilization
Began May 9, 2016
Prentice Womens Hospital
Preparing (mobilizing) the body for the
harvest of your own stem cells
Medications
1 gram IV steroids on both days
due to active lesion
Saline to hydrate
Mesna to protect the bladder
Lasix to increase urination
Anti-nausea medications
Cytoxan (chemotherapy - one
dose)
Discharged on 2nd day
Granix/Neupogen
Medication used to stimulate
stem cell production and assist
with moving it to your
peripheral blood supply
Prepares for a bountiful
harvest!
Started on Saturday, May 14th,
and gave myself shots daily until
the morning of harvest
Can experience bone pain,
minimal for me
Vascular Catheter
Vascular Catheter placed into
your internal jugular vein
Local anesthesia
Stem cells
are collected!
Machine
warms blood
and puts it
back into
your body
Transplant
June 1-17, 2016
Prentice Womens Hospital
Day -5 to Day -1
Negative (-) days pretransplant, Day 0 is
transplant, positive (+)
days post transplant
Foley catheter, VRE swab
Blood drawn routinely to
check numerous values,
but very specifically for
counts of white blood
cells, neutrophils,
platelets, and hemoglobin
Video
Days +1 and +2
Side effects from discontinuation of the high
doses of steroids (fast heartrate, intense
dreams, fluctuating emotions)
Blood transfusion to help with fast heartrate
Became neutropenic on Day +2
neutrophils (part of white blood cells that
are first responders to infection) dropped
below .5
Legs very weak and heavy
IV Antibiotics received every 8 hours until
discharge
Day +3
White blood cells and
neutrophils became too low to
count (Thats good!)
Platelets (blood clotting cells)
dropped too low had 1st of 6
platelet transfusions
Very quick took about 20
minutes
Tylenol and Benadryl given
as pre-medications to
combat any allergic reactions
Days +4 to +9
Had to gown up, glove up, and mask up to leave
my room!
Started Granix shots to boost neutrophil
production on Day +4 and continued until Day +9
Did not have any bone pain from the Granix
5 more platelet transfusions
IV fluids given periodically to help with increased
heartrate and low or orthostatic blood pressure
White blood cells and neutrophils finally started
rising on Day +9
Unfortunately, platelets kept dropping and I had
to wait for them to stabilize
Video
Ready to go!
Post Transplant
Post transplant medications:
Fluconazole (anti-fungal, 3 months)
Bactrim (anti-biotic, only one week due to
adverse reaction, typically taken for 3
months)
Acyclovir (anti-viral, 1 year, protection
against shingles)
HiBiotin (prescribed by my local neurologist)
Post Transplant
Lab Draws:
Weekly for four weeks
Biweekly for 8 more
weeks
Basic labs to check red
and white blood cells,
platelets, liver and
kidney function, and a
variety of other values
Other labs drawn if
needed
Improvements
Challenges