Sunday, June 16, 2013
Now that all of the pre-testing is done, I will begin the first step in the stem cell transplant process. This is a ten day process known as mobilization that consists of stimulating the stem cells to move out of the bone marrow and into the bloodstream. Tomorrow, June 17, 2013, I will be admitted into the hospital for an overnight stay. During this stay I will receive a dose of chemotherapy, Cytoxan, followed by 24 hours of IV hydration. Once this step is completed, I will be discharged and required to take my temperature twice a day. Should I have a temperature higher than 100.5, I will need to go to the emergency room and page Dr. Burt. Five days after my chemotherapy I have to begin giving myself Neupogen shots. These shots will stimulate my stem cells to move out of the bone marrow into the bloodstream. Then one week after my first dose of chemo I will have labs drawn in order to check my white count. During this time, I will also be taking Cipro (antibiotic) and Diflucan (anti fungal). I will be sent home with anti-nausea medicine to use as needed. Finally, ten days after my chemo, I will have my stem cells harvested. In order to do this, they place a central line into your neck the morning of the collection. The collection process is similar to a plasma pharesis, where they take the blood, spin out the stem cells, and then warm and replace the blood. This takes approximately 5-6 hours in order to collect the needed 2-3 million stem cells. After the stem cells are collected I will be released to travel until hospitalization on July 10, 2013. I know that this has been a lot of information, so I plan to continually update everyone as I proceed through each step.