Hi All,
Thought it was about time I wrote with an update. Last year I wrote a few posts about my first transplant (MUD) to treat myelofibrosis. It failed to engraft so attempted a second transplant (HAPLO).
Pleased to report that on Day 120 I am feeling good in myself and relatively healthy despite having delayed and poor engraftment with my second transplant. Essentially I still have very low blood counts.
To encourage better counts we are going to try a stem cell boost. That is where I get more stem cells from my donor, like having another Day 0, but without the preceding chemotherapy. Fingers crossed!
I think my myelofibrosis is gone.
A bone marrow biopsy on Day 29 revealed the marrow was 95% empty, with only red and white cells present in the 5%, no platelets. Presumably the empty space used to be filled with fibrosis. The platelet count in my weekly blood tests has been slowly developing with a 1 or 2 increment each week. At Day 114 the count was 17.
Chimerism testing on Day 59 was 100% from donor origin. Also JAK2 burden was less than 1%.
So a mixed bag of news. Still feeling hopeful for a positive outcome.
Onwards and upwards! ...cheers, Simon